不同针刺法治疗失眠的临床研究进展  

Clinical Research Progress on Different Acupuncture Methods for Treating Insomnia

作　　者：许文莹 王桂玲[2] XU Wenying;WANG Guiling(Changchun University of Chinese Medicine,Changchun 130117,Jilin,China;Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010,China)

机构地区：[1]长春中医药大学,吉林长春130117 [2]首都医科大学附属北京中医医院,北京100010

出　　处：《实用中医内科杂志》2025年第4期99-102,共4页Journal of Practical Traditional Chinese Internal Medicine

基　　金：全国优秀中医临床人才研修项目(国中医药人教发[2017]24号)。

摘　　要：失眠是临床上普遍存在的一种疾病,严重影响人们白天生活和工作。如何有效的治疗失眠成为当前医生和科研工作者亟待解决的问题。失眠的病因病机复杂,基本病机为阳盛阴衰、阴阳失交。临床上关于失眠的治疗方法有很多,西药治疗具有一定依赖性强、停药容易产生戒断反应等副作用。中医治疗失眠的方法有很多,针灸作为中医学中的一种特色的治疗方法,具有安全性高、不良反应小等优势,能够疏通经络、调和阴阳。文章通过相关文献资料,对不同针刺方法治疗失眠的临床研究进行分析,从特色针刺法(醒脑开窍法、通督调神法、通元针法、贺氏三通法、灵龟八法针刺)、微针刺法(耳针、头针、眼针、腹针、腕踝针)、其他针刺法(平衡针、推针、滚针)3个方面,分别阐述不同针刺方法治疗不同类型失眠的优势,并且整理分析当前临床研究的不足,为以后针刺治疗失眠的临床研究提供参考。Sleep is a common disease in clinic,which seriously affects people's daily life and work.How to effectively treat insomnia has become an urgent problem for doctors and researchers.The etiology and pathogenesis of insomnia are complex,and the basic pathogenesis is yang excess and yin deficiency,and yin-yang loss.There are many treatments for insomnia in clinic.Western medicine treatment has some side effects,such as strong dependence and withdrawal reaction.There are many methods to treat insomnia in TCM.Acupuncture,as a characteristic treatment method in TCM,has the advantages of high safety and less adverse reactions,and can dredge meridians and reconcile yin and yang.By consulting relevant literature,the author analyzes the clinical research on different acupuncture methods for insomnia.This paper expounds the advantages of different acupuncture methods in treating different types of insomnia from three aspects:characteristic acupuncture method(waking up the brain and inducing resuscitation,dredging the governor and regulating the mind,tongyuan acupuncture method,He's three-way acupuncture method and Linggui eight-way acupuncture method),micro acupuncture method(ear acupuncture,scalp acupuncture,eye acupuncture,abdominal acupuncture,wrist-ankle acupuncture)and other acupuncture methods(balance acupuncture,push acupuncture and needle roller).And sort out and analyze the shortcomings of current clinical research,and provide reference for future clinical research on acupuncture treatment of insomnia.

关 键 词：特色针刺法 微针刺法 其他针法 失眠 

分 类 号：R246.6[医药卫生—针灸推拿学]