针灸调“两神”治疗不寐疗效观察

目的:观察针灸调"两神"治疗不寐的临床疗效,以充实针灸治疗失眠的治则和取穴的思路.方法:选择失眠患者34例,依据调元神、安心神的治则,交替选用调元神的督脉、膀胱经穴(神庭、百会、心俞等)和安心神的心经、心包经穴(少海、神门、内关等),并对不寐的主症和症候群进行评估和统计.结果:经4个疗程的治疗后,总有效率达88.2 9/6,且能明显缩短入睡时间(P＜0.05)和延长睡眠时间(P＜0.05),同时,对由失眠所诱发的症候群亦有明显改善(P%0.01).结论:针灸调"两神"法能明显提高失眠患者的睡眠质量和改善因失眠而并发的症候群.

Clinical observation on acupuncture regulating"double vitality"for treatment of insomnia

Objective To observe the clinical therapeutic effect of acupuncture regulating "double vitality " for treatment of insomnia, and to enrich the therapeutic principle and the idea of acupoint selection. Methods Thirty-four cases of insomnia were selected. According to the therapeutic principle of regulating the primary vitality and calming the heart vitality, the acupoints on the Governor Vessel and the Bladder Meridian, Shenting (GV 24), Baihui (GV 20) , Xinshu (BL 15) , etc. were alternatively selected for regulating the primary vitality, and the points on the Heart Meridian and the Pericardium Meridian, Shaohai (HT 3), Shenmen (HT 7), Neiguan (PC 6), etc. were selected for calming the heart vitality. The main symptoms and the syndromes of insomnia were assessed and analyzed. Results After treatment for 4 courses, the total effective rate was 88. 2% ,and the time falling asleep was significantly shortened (P<0. 05) and the sleeping time was prolonged (P<0. 05), and also the syndromes induced by insomnia were significantly improved (P<0. 01). Conclusion Acupuncture for regulating "double vitality" can significantly improve the sleeping quality of the insomnia patients and the complications.