[1]龙俊华,秦晓光,李梅,等.通过“三才”配穴法取穴针刺治疗失眠32例临床观察[J].甘肃中医药大学学报,2018,35(06):70-73.[doi:10.16841/j.issn1003-8450.2018.06.15]
 LONG Junhua,QIN Xiaoguang,LI Mei,et al.Clinical observation on acupuncture treatment of 32 cases with insomnia by acupoint selection using “Sancai” points combination[J].Journal of Gansu University of Chinese Medicine,2018,35(06):70-73.[doi:10.16841/j.issn1003-8450.2018.06.15]
点击复制

通过“三才”配穴法取穴针刺治疗失眠32例临床观察
分享到:

《甘肃中医药大学学报》[ISSN:1003-8450/CN:62-1062/R]

卷:
35卷
期数:
2018年06期
页码:
70-73
栏目:
针灸推拿
出版日期:
2018-12-25

文章信息/Info

Title:
Clinical observation on acupuncture treatment of 32 cases with insomnia by acupoint selection using “Sancai” points combination
作者:
龙俊华 秦晓光 李梅 刘福花
甘肃中医药大学针灸推拿学院, 甘肃 兰州 730000
Author(s):
LONG Junhua QIN Xiaoguang LI Mei LIU Fuhua
School of Acu-moxibustion and Massage, Gansu University of Chinese Medicine, Lanzhou, Gansu, 730000, China
关键词:
失眠“三才”配穴针刺临床疗效
Keywords:
insomnia“Sancai” points combinationacupuncture treatmentclinical efficacy
分类号:
R246.1
DOI:
10.16841/j.issn1003-8450.2018.06.15
摘要:
目的 观察通过“三才”配穴法取穴针刺治疗失眠的临床疗效。方法 将63例失眠患者按照随机数字表法分为治疗组32例和对照组31例,治疗组采用针刺治疗,通过“三才”配穴法取穴四神聪、内关、神门、三阴交、太冲,并配合辨证取穴,1次/d,治疗6 d后休息1 d。对照组口服舒乐安定,1 mg/次,1次/d,每晚睡前服用;谷维素20 mg/次,3次/d。治疗4周后比较2组的临床疗效。结果 治疗组总有效率为93.7%,对照组为74.2%,2组比较差异有统计学意义(P<0.05)。结论 通过“三才”配穴法取穴针刺治疗失眠疗效优于常规西药,值得临床推广应用。
Abstract:
Objective To observe the clinical efficacy of acupuncture treatment on insomnia by acupoint selection using "Sancai" points combination.Methods Sixty-three cases with insomnia were divided into treatment group (32 cases) and control group (31 cases) according to random number table. The treatment group was given acupuncture treatment, Sishencong (EX-HN1), Neiguan (PC6), Shenmen (HT7), Sanyinjiao (SP6) and Taichong (LR3) were selected according to "Sancai" points combination, and cooperated with the point selection treatment based on syndrome differentiation, once a day, after treatment for 6 days, rested for 1 day. The control group was given oral estazolamum, 1 mg per time, once a day, took it before bed every night; oryzanol 20 mg per time, three times a day. The clinical efficacy of the two groups were compared after 4 weeks treatment. Results The total effective rate of the treatment group was 93.7%, that of the control group was 74.2%, there was statistically significant difference between the two groups (P<0.05). Conclusion The clinical efficacy of acupuncture treatment of insomnia by "Sancai" points combination is superior to that of conventional western medicine, which deserves clinical promotion and application.

参考文献/References:

[1] 宁慧, 杨莉丽.失眠的流行病学和现状[J].中国疗养医学, 2004, 13(69):334-335.
[2] 许飞, 尹明浩, 姚芳.针灸治疗失眠55例疗效观察[J].长春中医药大学学报, 2012, 28(2):324-325.
[3] 陈小丽, 岳增辉, 刘丽, 等.针灸治疗失眠的研究进展[J].针灸临床杂志, 2015, 31(7):96-99.
[4] 王纪佐.临床诊疗指南·神经病学分册[M].北京:人民卫生出版社, 2006:202-204.
[5] 冷方南.中医证候辨治规范[M].北京:人民卫生出版社, 1989:27, 65, 105.
[6] 孙传兴.临床疾病诊断依据治愈好转标准[M].2版.北京:人民军医出版社, 1998:215
[7] 李桂侠, 王处渊, 周璇梓.中医对失眠症病因病机的认识[J].世界睡眠医学杂志, 2014, 1(3):183-188.
[8] 凌燕, 冼绍祥, 刘树林, 等.古代医家对失眠病因病机的认识[J].长春中医药大学学报, 2014, 30(1):169-172.
[9] 马捷, 李峰, 宋月晗, 等.失眠中医病因病机研究进展[J].中国中医药信息杂志, 2012, 19(5):106-108.
[10] 胡蓉, 梁建庆, 李金田, 等.论"三才"思想在敦煌医学文献中的体现[J].甘肃中医药大学学报, 2018, 35(3):74-77.
[11] 张璞璘, 高希, 魏玉龙, 等.针刺四神聪穴治疗失眠的多中心随机对照研究[J].中医杂志, 2008, 49(8):712-714.
[12] 张兆华, 张聘年.针刺内关足三里三阴交治疗失眠疗效观察[J].四川中医, 2012, 30(12):113-114.
[13] 朱江, 刘存志, 王燕萍.针灸单穴临床研究[M].北京:北京科学技术出版社, 2008:100-104.
[14] 范丹, 诸毅晖, 贺智倩, 等.神门三阴交治疗失眠作用探析[J].中国中医基础医学杂志, 2012, 18(2):205-206.
[15] 王玲玲.针灸学临床研究[M].北京:人民卫生出版社, 2009:120.

相似文献/References:

[1]令娟,宋永嘉,刘姝娆,等.大学生失眠与中医体质分型的相关性研究[J].甘肃中医药大学学报,2015,32(04):91.
 [J].Journal of Gansu University of Chinese Medicine,2015,32(06):91.
[2]刘新,卢介民,范凯,等.童子玉液治疗失眠、阳萎各30例临床观察[J].甘肃中医药大学学报,1997,(03):32.
[3]邵美兰.益气平肝法临床运用举隅[J].甘肃中医药大学学报,1999,(03):48.
[4]逯建存,王忠良,汤明双.柴胡桂枝汤临证五则[J].甘肃中医药大学学报,2003,(03):45.
[5]王立平,李瑞杰.杨秀清教授从肝心论治失眠的经验[J].甘肃中医药大学学报,2008,(05):3.
 Wang Liping,Li Ruijie.Professor Yang Xiuqing’s experience on treating sleepless from the perspective of liver and heart[J].Journal of Gansu University of Chinese Medicine,2008,(06):3.
[6]杨林芝.贾斌教授治疗失眠经验[J].甘肃中医药大学学报,2009,(06):4.
[7]邓肖英.中药液浴足、足底反射区按摩配合拔火罐治疗失眠症56例[J].甘肃中医药大学学报,2011,(04):66.
[8]白敬华,王一庆,王必舜.童子玉液治疗失眠证30例疗效观察[J].甘肃中医药大学学报,1996,(01):22.
[9]赵国庆.王炯副主任医师治疗失眠经验[J].甘肃中医药大学学报,2001,(04):9.
[10]陈源,尤海玲.浅谈交通心肾法[J].甘肃中医药大学学报,2007,(02):23.

备注/Memo

备注/Memo:
收稿日期:2018-07-13。
作者简介:龙俊华(1993-),男,在读硕士研究生。研究方向:传统针刺手法的临床机制研究。
通信作者:秦晓光(1975-),男,副教授,副主任医师,医学博士,主要从事传统针刺手法的临床机制研究。E-mail:lzhqxg@163.com
更新日期/Last Update: 1900-01-01