摘要
老年人失眠症发病率高,是一个严重的社会和医学问题。目前认知行为治疗这一首选治疗方法相对困难,长期应用药物治疗又有发生不良反应的风险。中医针灸作为非药物治疗手段具有很大的优势。老年性失眠症的基本病机在于脏腑虚损、气血不足、阴阳失交、心神不宁,治疗当补益虚损、平衡阴阳、宁心安神。研究通过检索2011-2020年中国知网、维普、万方数据库中针灸治疗老年性失眠症的相关文献,归纳分析主穴规律、辨证取穴、不同治疗方法、疗效判定标准和疗效评价方法及样本量。主穴多取百会、安眠、四神聪、神门、三阴交、内关。多见证型及配穴:心脾两虚多取穴心俞、脾俞、足三里;心肾不交多取穴太溪、神门、心俞;肝郁化火多取穴行间、太冲、侠溪;脾胃不和多取穴足三里、内关;心胆气虚多取穴心俞、胆俞;阴虚火旺多取穴商曲、气穴、涌泉;痰热内扰多取穴丰隆、内庭、曲池。中医针灸治疗老年性失眠症的方法多样,疗效显著,无不良反应,较西药治疗有一定的优势,值得在临床中实践和推广。
The high morbidity of insomnia in the elderly is a serious social and medical problem.At present,cognitive-behavioral therapy,the first-choice treatment method,is relatively difficult,and long-term application of medicine therapy has the risk of adverse reactions.As a non-medicine therapy,TCM acupuncture and moxibustion has great advantages.The basic pathogenesis of senile insomnia lies in deficiency of viscera,insufficiency of Qi(气)and blood,imbalance of Yin and Yang(阴阳失交)and restlessness.The treatment should be tonifying,harmonizing Yin and Yang,and calming the mind.In this paper,by searching the relevant literature on treating senile insomnia by acupuncture and moxibustion in the databases of CNKI,VIP and Wanfang from 2011 to 2020,the rules of main acupoints,acupoint selection based on TCM syndrome differentiation,different treatment methods,curative effect judgment criteria,curative effect evaluation methods,and sample size were summarized and analyzed.The main acupoints are Baihui(百会),Anmian(安眠),Sishencong(四神聪),Shenmen(神门),Sanyinjiao(三阴交)and Neiguan(内关).The following are common syndrome differentiation types and matching acupoints.Xinshu(心俞),Pishu(脾俞)and Zusanli(足三里)acupoints were selected for the deficiency of heart and spleen type;Taixi(太溪),Shenmen and Xinshu acupoints were selected for the disharmony of heart and kidney type;Xingjian(行间),Taichong(太冲)and Xiaxi(侠溪)acupoints were selected for the liver depression transforming to fire type;Zusanli and Neiguan were selected for the disharmony of spleen and stomach type;Xinshu and Danshu(胆俞)acupoints were selected for the Qi deficiency of heart and gallbladder type;Shangqu(商曲),Qixue(气穴)and Yongquan(涌泉)acupoints were selected for the fire excess from Yin deficiency type;Fenglong(丰隆),Neiting(内庭)and Quchi(曲池)acupoints were selected for the phlegm-heat disturbance type.Traditional Chinese medicine acupuncture has various methods for treating senile insomnia,with signific
出处
《中医临床研究》
2022年第8期130-134,共5页
Clinical Journal Of Chinese Medicine
基金
上海市浦东新区卫生系统优秀青年医学人才培养计划(PWRq 2020-17)。
关键词
失眠症
不寐病
老年
针灸
综述
Insomnia
Wakefulness
Senile
Acupuncture and moxibustion
Review
