中医治疗原发性失眠的研究进展
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摘要
中医治疗原发性失眠是从整体论治以改善机体的自主神经功能,提高睡眠质量的一种手段,也是目前临床较为常见的治疗方法。中医对于原发性失眠的治疗方法,主要包括针灸治疗和中药治疗。针灸治疗主要是在调节营卫、平衡阴阳跷脉、安和脏腑等理论指导下辨证施治;中药治疗以补虚泻实、调整脏腑阴阳为基本原则。通过对近十年来中医药治疗原发性失眠的相关临床研究文献进行总结,为广大中医临床工作者提供更全面的失眠辨证治疗思路,以期更好地提高临床效果。
The treatment of primary insomnia by TCM is a holistic treatment to improve the function of the autonomic nervous system and sleep quality. It is a common treatment in clinical practice. TCM treatment of primary insomnia mainly includes acupuncture and moxibustion treatment and Chinese materia medica treatment. Acupuncture therapy is mainly based on syndrome differentiation and treatment under the guidance of balancing yingfen and weifen, coordinating yin qiao channel and yang qiao channel, and harmonizing zang-fu viscera. The basic principle of traditional Chinese materia medica treatment is tonifying deficiency and reducing excess, adjusting yin and yang of zang-fu viscera. By summarizing the relevant clinical research literature on the treatment of primary insomnia by traditional Chinese medicine in the past ten years, we can provide more comprehensive treatment ideas of insomnia syndrome dif ferentiation, in order to better improve the clinical ef fect.
The treatment of primary insomnia by TCM is a holistic treatment to improve the function of the autonomic nervous system and sleep quality. It is a common treatment in clinical practice. TCM treatment of primary insomnia mainly includes acupuncture and moxibustion treatment and Chinese materia medica treatment. Acupuncture therapy is mainly based on syndrome differentiation and treatment under the guidance of balancing yingfen and weifen, coordinating yin qiao channel and yang qiao channel, and harmonizing zang-fu viscera. The basic principle of traditional Chinese materia medica treatment is tonifying deficiency and reducing excess, adjusting yin and yang of zang-fu viscera. By summarizing the relevant clinical research literature on the treatment of primary insomnia by traditional Chinese medicine in the past ten years, we can provide more comprehensive treatment ideas of insomnia syndrome dif ferentiation, in order to better improve the clinical ef fect.
引文
[1]中华医学会神经病学分会睡眠障碍学组.中国成人失眠诊断与治疗指南[J].中华神经科杂志, 2012, 45(7):534-540.
[2]马恰怡,李艳,曹莲瑛,等.试述失眠从督脉论治[J].江苏中医药, 2014, 46(5):9-10.
[3]张亚楠.观察针刺额旁I线、神门为主治疗失眠的临床疗效[J].中医临床研究, 2015, 7(23):48-50.
[4]王明明.耳穴埋籽在失眠病症中的应用[J].长春中医药大学学报, 2012, 28(4):665.
[5]赵越,王洪峰.基于文献数据挖掘针灸治疗失眠选穴及配伍规律研究[J].世界中西医结合杂志, 2018, 13(3):315-318,323.
[6]陆瑾.调和营卫法针刺治疗失眠症临床观察[J].上海针灸杂志, 2008, 27(2):6-7.
[7]杨萍,董勤,刘兰英.针灸治疗失眠临床用穴的基本法则探讨[J].吉林中医药, 2009, 29(8):690-691.
[8]赵志芬.调理阴阳跷脉治疗失眠30例[J].四川中医, 2012,30(2):114-115.
[9]吴云龙,克镇,杨焕苗,等.针刺申脉、照海治疗原发性失眠临床观察[J].医学信息, 2015, 28(52):298-299.
[10]张伟,陈明人,熊俊.针刺“五脏俞”组穴治疗顽固性失眠的随机对照试验研究[J].辽宁中医杂志, 2012, 39(6):1148-1150.
[11]陈勤,陈晓军,周志英,等.艾灸背俞穴为主治疗慢性失眠的随机对照研究[J].中华中医药学刊, 2013, 31(11):2483-2485.
[12]周艳丽,杜彩霞,高希言.针刺调理五脏背俞穴治疗失眠症40例[J].中医研究, 2009, 22(4):56-57.
[13]陈婷婷,孙洁.针刺五脏俞加膈俞配合膀胱经走罐治疗失眠的效果[J].中国医药导报, 2016, 13(22):97-100.
[14]周鹏,陈林庆,萧怡,等.加减酸枣仁汤治疗虚劳虚烦失眠20例[J].中西医结合心脑血管病杂志, 2011, 9(3):384.
[15]李俊松,张艳秋,潘昉.黄连阿胶汤加减治疗阴虚火旺型顽固性失眠36例[J].黑龙江中医药, 2011, 40(3):32.
[16]余喆.归脾汤合桂枝加龙骨牡蛎汤治疗失眠40例[J].河南中医, 2015, 35(7):1489-1490.
[17]吴海波,陈宝田,崔桂梅,等.安神方颗粒治疗失眠症的多导睡眠图评价[J].山东医药, 2009, 49(9):91-92.
[18]李巧球.从肝论治失眠症[J].现代中西医结合杂志, 2008,31(16):2455, 2535.
[19]史建建,张慧宇,陆小左.珠母安神汤治疗顽固性失眠94例临床分析[J].吉林中医药, 2012, 32(7):686-687.
[20]田志伟,陈倩倩.李军教授从瘀论治顽固性失眠的临床经验[J].中国保健营养, 2012, 22(20):4756-4757.
[21]吴大真,杨建宇.国药大师验案良方[M].北京:学苑出版社, 2010:279-280.
[22]彭海清.自拟加减血府逐瘀汤治疗老年失眠72例疗效观察[J].光明中医, 2015, 30(5):1013-1014.
[23]荆红存.针刺背腧穴联合推拿膀胱经治疗心脾两虚型失眠46例临床观察[J].江苏中医药, 2014, 46(4):64-65.
[24]钱庆伟.针灸、耳穴贴压结合中药治疗顽固性失眠12例体会[J].四川中医, 2005, 23(8):102-103.
[25]夏阳,高俊雄.艾灸百会为主治疗失眠症30例[J].针灸临床杂志, 2008, 24(11):23-24.
[26]张慧芳,王乃权.针刺结合穴位埋线治疗失眠症的临床观察[J].浙江中中医药大学学报, 2015, 39(7):559-561.
[2]马恰怡,李艳,曹莲瑛,等.试述失眠从督脉论治[J].江苏中医药, 2014, 46(5):9-10.
[3]张亚楠.观察针刺额旁I线、神门为主治疗失眠的临床疗效[J].中医临床研究, 2015, 7(23):48-50.
[4]王明明.耳穴埋籽在失眠病症中的应用[J].长春中医药大学学报, 2012, 28(4):665.
[5]赵越,王洪峰.基于文献数据挖掘针灸治疗失眠选穴及配伍规律研究[J].世界中西医结合杂志, 2018, 13(3):315-318,323.
[6]陆瑾.调和营卫法针刺治疗失眠症临床观察[J].上海针灸杂志, 2008, 27(2):6-7.
[7]杨萍,董勤,刘兰英.针灸治疗失眠临床用穴的基本法则探讨[J].吉林中医药, 2009, 29(8):690-691.
[8]赵志芬.调理阴阳跷脉治疗失眠30例[J].四川中医, 2012,30(2):114-115.
[9]吴云龙,克镇,杨焕苗,等.针刺申脉、照海治疗原发性失眠临床观察[J].医学信息, 2015, 28(52):298-299.
[10]张伟,陈明人,熊俊.针刺“五脏俞”组穴治疗顽固性失眠的随机对照试验研究[J].辽宁中医杂志, 2012, 39(6):1148-1150.
[11]陈勤,陈晓军,周志英,等.艾灸背俞穴为主治疗慢性失眠的随机对照研究[J].中华中医药学刊, 2013, 31(11):2483-2485.
[12]周艳丽,杜彩霞,高希言.针刺调理五脏背俞穴治疗失眠症40例[J].中医研究, 2009, 22(4):56-57.
[13]陈婷婷,孙洁.针刺五脏俞加膈俞配合膀胱经走罐治疗失眠的效果[J].中国医药导报, 2016, 13(22):97-100.
[14]周鹏,陈林庆,萧怡,等.加减酸枣仁汤治疗虚劳虚烦失眠20例[J].中西医结合心脑血管病杂志, 2011, 9(3):384.
[15]李俊松,张艳秋,潘昉.黄连阿胶汤加减治疗阴虚火旺型顽固性失眠36例[J].黑龙江中医药, 2011, 40(3):32.
[16]余喆.归脾汤合桂枝加龙骨牡蛎汤治疗失眠40例[J].河南中医, 2015, 35(7):1489-1490.
[17]吴海波,陈宝田,崔桂梅,等.安神方颗粒治疗失眠症的多导睡眠图评价[J].山东医药, 2009, 49(9):91-92.
[18]李巧球.从肝论治失眠症[J].现代中西医结合杂志, 2008,31(16):2455, 2535.
[19]史建建,张慧宇,陆小左.珠母安神汤治疗顽固性失眠94例临床分析[J].吉林中医药, 2012, 32(7):686-687.
[20]田志伟,陈倩倩.李军教授从瘀论治顽固性失眠的临床经验[J].中国保健营养, 2012, 22(20):4756-4757.
[21]吴大真,杨建宇.国药大师验案良方[M].北京:学苑出版社, 2010:279-280.
[22]彭海清.自拟加减血府逐瘀汤治疗老年失眠72例疗效观察[J].光明中医, 2015, 30(5):1013-1014.
[23]荆红存.针刺背腧穴联合推拿膀胱经治疗心脾两虚型失眠46例临床观察[J].江苏中医药, 2014, 46(4):64-65.
[24]钱庆伟.针灸、耳穴贴压结合中药治疗顽固性失眠12例体会[J].四川中医, 2005, 23(8):102-103.
[25]夏阳,高俊雄.艾灸百会为主治疗失眠症30例[J].针灸临床杂志, 2008, 24(11):23-24.
[26]张慧芳,王乃权.针刺结合穴位埋线治疗失眠症的临床观察[J].浙江中中医药大学学报, 2015, 39(7):559-561.