摘要
失眠是临床中常见的神经系统疾病,严重影响人们的正常生活和工作质量。属于中医药学“不寐”“卧不安”等范畴。其常见病机主要包括阴阳失调、营卫不和、五志过极以及脏腑失调等。针灸作为非药物疗法,具有多层次、多靶点、多系统的调节作用,能够起到激发经气、疏通经络、运行气血和调和阴阳等作用。本研究检索近5年针灸治疗失眠的国内外临床研究文献,涵盖针刺、电针、艾灸、针药联合等多种疗法,也包含了针灸治疗原发性失眠、顽固性失眠、围绝经期失眠、脑卒中后失眠、老年性失眠以及其他疾病引起的继发性失眠等。临床研究结果表明针灸疗法可明显改善失眠患者的临床症状,提高生命质量,具有广阔的应用前景。但同时也存在局限性,通过展望今后的研究方向,以期为针灸治疗失眠的科研及临床工作提供一定借鉴意义。
Insomnia is a common clinical nervous system disease,which seriously affects people′s work efficiency and quality of life.It can be classified into“sleepless”and“restlessness”in traditional Chinese medicine(TCM).Its common pathogenesis mainly includes yin-yang imbalance,disharmony between nutrient and defensive qi,overacting of five emotions,and disharmony of zang-fu organs.As non-drug therapies,acupuncture and moxibustion have multi-level,multi-target,and multi-system regulatory functions,which can stimulate the meridian qi,dredge meridians and collaterals,activate qi and blood,and regulate yin and yang.The present study retrieved clinical research articles in China and abroad on acupuncture and moxibustion treatment of insomnia in the past 5 years,covering acupuncture,electroacupuncture,moxibustion,acupuncture-drug combination and other therapies,as well as acupuncture and moxibustion treatment of primary insomnia,intractable insomnia,perimenopausal insomnia,post-stroke insomnia,senile insomnia and secondary insomnia caused by other diseases.As revealed by the results,acupuncture and moxibustion therapies can significantly relieve the clinical symptoms of insomnia patients and improve the quality of life,with broad application prospects.However,there are also limitations,and the future research direction is prospected to provide references for the scientific research and clinical work of acupuncture and moxibustion treatment of insomnia.
作者
孙继飞
王智
陈丽梅
郭春蕾
何家恺
高德强
方继良
SUN Jifei;WANG Zhi;CHEN Limei;GUO Chunlei;HE Jiakai;GAO Deqiang;FANG Jiliang(Guang′anmen Hospital of China Academy of Chinese Medical Sciences,Beijing 100053,China;Institute of Acupuncture and Moxibustion,China Academy of Chinese Medical Sciences,Beijing 100700,China)
出处
《世界中医药》
CAS
2022年第10期1475-1480,共6页
World Chinese Medicine
基金
科技部国家重点研发计划(2018YFC1705802)
国家自然科学基金面上项目(81774433)。
关键词
原发性失眠
顽固性失眠
围绝经期失眠
脑卒中后失眠
老年性失眠
继发性失眠
随机对照试验
综述
Primary insomnia
Intractable insomnia
Perimenopausal insomnia
Post-stroke insomnia
Senile insomnia
Secondary insomnia
Randomized controlled trial
Overview
