辨证分型中药内服、针刺治疗不寐56例临床观察

[目的]观察辨证分型中药内服、针刺治疗不寐疗效。[方法]使用前瞻性设计方法,对56例住院及门诊患者辨证分型:①肝火扰心-龙胆泻肝汤;②痰热扰心-黄连温胆汤;③心脾两虚-归脾汤;④心肾不交-六味地黄丸;⑤心胆气虚-安神定志丸合酸枣仁汤。1剂/d,水煎100mL,早晚口服。针刺(主穴:百会、四神聪、印堂、风池、神门、支沟、三阴交、足三里),肝火扰心加太冲;痰热扰心加丰隆;心脾两虚加内关、膻中;心肾不交不加穴;心胆气虚加足临泣,采用1~1.5寸毫针,虚证用补法,实证用泻法,留针30min,中间行针1次,均1min。连续治疗10d为1疗程。观测临床症状、睡眠时间、不良反应。连续治疗2疗程,判定疗效。[结果]痊愈29例,显效18例,有效8例,无效1例,总有效率98.10%。[结论]辨证分型中药内服、针刺治疗不寐,疗效满意,无副作用,值得推广。

Clinical Observation on Acupuncture Treatment of 56 Cases Ofinsomnia,Syndrome Differentiation of Traditional Chinese Medicine

[ Objective ] To observe the differentiation of traditional Chinese medicine, acupuncture treatment of insomnia treatment. E Method ] Using a prospectivedesign Method, 56 cases of patients and syndrome differentiation of liver fire harassing the heart - ： （1） Longdan Xiegan Decoction; （2） phlegm heatdisturbance of the heart - Huanglian Wendan Decoction; （3） heart lienal two empty - Guipi Decoction ; （4） heart renal don＇t pay - Six Ingredient Rehmannia Pill; （5） Xindan Qi - tranquilizing Ding Zhi pills Suanzaorendecoction. 1 doses of/d, water simmer in water lOOmL, sooner or later oral.Acupuncture （main point： Baihui, Yintang Sishencong, , Fengchi, God door, ditch, Sanyinjiao, Zusanli ）, liver fire harassing the heart plus Taichong; phlegm heat disturbance heart Jia Fenglong; heart lienal two empty with Neiguan, Shanzhong; heart renal don＇t pay without points ; Xindan Qi footLinqi, use 1 to 1.5 inch milli needle, deficiency with the reinforcing Method, positive with the reducing Method, the 30min intermediate form, 1, lmin.Continuous treatment with 10d for 1 courses. Observation of clinical symptoms, sleep time, adverse reaction. Continuous 2 courses of treatment, the curative effect. Result： 29 cases were cured, 18 cases markedly effective, 8 cases, 1 cases ineffective, the total efficiency of 98.10%. [ Conclusion ] Syndrome differentiation of traditional Chinese medicine, acupuncture treatment of insomnia, curative effect, no side effect, is worth promoting.