穴位贴敷疗法治疗失眠的关键问题探讨
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摘要
失眠症是一种复杂性疾病,其发生发展与患者的情绪、心理、生理等多种因素相关。目前临床针对失眠症的常用治疗方法中,口服镇静催眠西药具有见效快、催眠效果明显等优势,但经常服用会有认知功能损害及潜在成瘾性等诸多不良反应。中医药治疗失眠症的优势逐渐显现,并取得良好疗效。其中中药穴位贴敷疗法既可刺激穴位、激发经络之气,又可使药物经皮肤由表入里、循经络传至脏腑,通过药物和穴位的双重作用,达到调节脏腑气血阴阳从而治疗失眠,现已被广泛应用于临床。本文旨在对中药穴位贴敷疗法治疗失眠进行述评。
Insomnia is a complex disease. The cause and development of the insomnia is related to many factors such as the emotion,psychological and physiological state of the patients. At present,oral administration of sedative and hypnotic western medicine is commonly used in the clinical treatment of insomnia. It shows some advantages like quick effectiveness and apparent treatment effect in hypnosis. However,long-term use of western medicine may lead to cognitive impairment,potential addiction and other adverse reactions. In contrast,the superiority of traditional Chinese medicine treatments gradually appears. Among them,acupoints has been widely used in clinical treatment of insomnia. It can not only be used to stimulate the acupuncture points and meridian Qi,but also benefit the drug delivery from the skin to the body,through the meridians to the organs,through the dual role of drugs and acupuncture points to achieve the regulation of organs Qi,blood,Yin and Yang,to treat insomnia,has been widely used in clinic. This article aims to review the treatments of insomnia by acupoint application of Chinese medicine.
Insomnia is a complex disease. The cause and development of the insomnia is related to many factors such as the emotion,psychological and physiological state of the patients. At present,oral administration of sedative and hypnotic western medicine is commonly used in the clinical treatment of insomnia. It shows some advantages like quick effectiveness and apparent treatment effect in hypnosis. However,long-term use of western medicine may lead to cognitive impairment,potential addiction and other adverse reactions. In contrast,the superiority of traditional Chinese medicine treatments gradually appears. Among them,acupoints has been widely used in clinical treatment of insomnia. It can not only be used to stimulate the acupuncture points and meridian Qi,but also benefit the drug delivery from the skin to the body,through the meridians to the organs,through the dual role of drugs and acupuncture points to achieve the regulation of organs Qi,blood,Yin and Yang,to treat insomnia,has been widely used in clinic. This article aims to review the treatments of insomnia by acupoint application of Chinese medicine.
引文
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[2]毛继先,方习红,杨青.穴位贴敷配合耳穴压豆对中风后抑郁患者失眠的影响[J].光明中医,2016,31(6):829-830.
[3]陈府芳.头面部按摩联合吴茱萸粉涌泉穴贴敷对失眠的干预效果评价[J].浙江中医杂志,2016(12):890-890.
[4]戢美英,陈小兰,张维.中药足浴联合穴位贴敷提高胃癌患者术前睡眠质量临床研究[J].临床心身疾病杂志,2015,21(s1).
[5]梁冰莲,谭锦秀.耳穴压豆配合贴敷涌泉穴治疗脑卒中病人失眠的效果观察[J].循证护理,2015,1(2):86-88.
[6]王冬梅.艾灸结合穴位贴敷在治疗失眠中的疗效观察及护理[J].光明中医,2016,31(9):1318-1319.
[7]邹萍,方庆霞,张雪,等.加味逍遥丸联合穴位贴敷治疗肝郁型围绝经期失眠[J].吉林中医药,2016,36(5):448-451.
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[9]盖海云,聂亚娥,吕富荣.安神足浴散足浴与穴位贴敷配合西药治疗失眠症疗效观察[J].陕西中医,2014(8):1009-1010.
[10]顾静意.艾灸联合中药贴敷对术前患者入睡性失眠的效果观察[C].上海:中医对睡眠疾病的机理探讨和辨证论治新进展论文集,2015.
[11]阙艳,何泮.穴位贴敷配合耳穴压籽治疗顽固性失眠63例[J].河南中医,2015,35(3):633-634.
[12]魏清.景衣安神散穴位贴敷治疗失眠患者104例临床疗效观察[D].乌鲁木齐:新疆医科大学,2012.
[13]韩红.韩旭教授从虚论治老年人失眠经验[J].环球中医药,2016,9(1):58-60.
[14]计彦新,王志栋,王艳君,等.调督安神针法结合穴位贴敷治疗心肾不交型失眠疗效观察[J].现代中西医结合杂志,2017,26(3):248-251.
[15]房彩平,陈琰,牛凝,等.交泰丸穴位贴敷治疗更年期失眠症的临床观察[J].黑龙江中医药,2016,45(2).
[16]杨跃涛.交泰丸膏穴位贴敷治疗心肾不交型失眠随机平行对照研究[J].实用中医内科杂志,2016(7):17-19.
[17]张彬.丹梔逍遥散穴位贴敷结合电针对肝郁化火型失眠临床观察[D].广州:广州中医药大学,2015.
[18]辜锐鑫,焦杨,徐丹丹.俞募配穴埋线治疗失眠症临床观察[J].上海针灸杂志,2011,30(2):101-103.
[19]史华伟,邢佳,王嘉麟,等.节气穴位贴敷对失眠患者睡眠质量的影响[J].中医学报,2016,31(1):135-137.
[20]林萍.穴位贴敷治疗抑郁性失眠的护理观察[C].2014浙江省医学会精神病学分会学术年会、浙江省医师协会精神科医师分会第七届年会论文集汇编,2014.
[21]周燕.中药穴位贴敷配合艾灸治疗失眠35例[J].中医外治杂志,2015,24(2):36-37.
[22]刘亚波.中药涌泉穴贴敷治疗老年患者失眠症疗效观察[J].中华护理杂志,2010,45(1):43-44.
[23]许幸仪,王春雷.足底穴位贴敷治疗失眠60例[J].现代中西医结合杂志,2003,12(21):2344.
[24]赵福康,张洪耀.子午流注全息解[J].天津:天津科学技术出版社,2007.
[25]张颖新,陈新华.子午流注纳子法治疗失眠临床研究[J].长春中医药大学学报,2012,28(4):611-612.
[26]许良,XULiang.学习“五脏皆有不寐”证治经验的体会[J].中国中医基础医学杂志,2006,12(2):155-156.
[27]于秀梅.子午流注纳支法治疗失眠临床观察[J].辽宁中医杂志,2006,33(12):1633-1633.
[28]梁小利,彭德忠,张先庚.子午流注学说及其在失眠症中的应用[J].中国疗养医学,2012,21(10):877-878.
[29]陈菲,张选国,陈伟铭,等.安眠贴穴位贴敷配合穴位埋线治疗亚健康失眠症状患者30例[J].陕西中医,2012,33(9):1172-1172.
[30]钟芳芬.针灸配合穴位贴敷治疗失眠40例[J].中国中医药咨讯,2011,3(16):85-85.
[31]赵鹏飞.从体质辨析失眠病机[J].江西中医药,2012,43(5):19-20.
[32]张斌,荣润国.失眠性别差异的荟萃分析[J].中国心理卫生杂,2007,21(10):731-736.
[33]TAO J,YANG T D,LI H,et al.Effect of terbutaline on alveolar liquid clearance after oleic acid-induced lung injury in rats[J].Chinese journal of traumatology=Zhonghua chuang shang za zhi/Chinese Medical Association,2006,9(4):211.
[34]王琳,向静,付华斌,等.慢性失眠患者不同负性生活事件后的睡眠质量分析[J].重庆医学,2009,38(10):1155-1157.
[35]王琳,周娟,雷红.慢性失眠患者年龄、受教育水平、人格特征与应激性生活事件的相互影响[J].重庆医学,2007,36(22):2302-2303.
[36]王海智,王波,陈练,等.医学生睡眠质量及其相关因素研究[J].中华临床医师杂志:电子版,2010,4(6):776-779.
[37]DAUVILLIERS Y,MORIN C,CERVENA K,et al.Family studies in insomnia.[J].Journal of Psychosomatic Research,2005,58(3):271-278.
[38]VON K R,TOSCHKE A M,WURMSER H,et al.Reduced risk for overweight and obesity in 5-and 6-y-old children by duration of sleep-a cross-sectional study[J].International Journal of Obesity&Related Metabolic Disorders Journal of the International Association for the Study of Obesity,2002,26(5):710.
[39]HASLER G,BUYSSE D J,KLAGHOFER R,et al.The association between short sleep duration and obesity in young adults:a 13-year prospective study.[J].Sleep,2004,27(4):661-666.
[40]蒋尚融,王传刘,林子江,等.失眠的预后及影响因素分析[J].医学研究杂志,2012,41(4):38-40.
[2]毛继先,方习红,杨青.穴位贴敷配合耳穴压豆对中风后抑郁患者失眠的影响[J].光明中医,2016,31(6):829-830.
[3]陈府芳.头面部按摩联合吴茱萸粉涌泉穴贴敷对失眠的干预效果评价[J].浙江中医杂志,2016(12):890-890.
[4]戢美英,陈小兰,张维.中药足浴联合穴位贴敷提高胃癌患者术前睡眠质量临床研究[J].临床心身疾病杂志,2015,21(s1).
[5]梁冰莲,谭锦秀.耳穴压豆配合贴敷涌泉穴治疗脑卒中病人失眠的效果观察[J].循证护理,2015,1(2):86-88.
[6]王冬梅.艾灸结合穴位贴敷在治疗失眠中的疗效观察及护理[J].光明中医,2016,31(9):1318-1319.
[7]邹萍,方庆霞,张雪,等.加味逍遥丸联合穴位贴敷治疗肝郁型围绝经期失眠[J].吉林中医药,2016,36(5):448-451.
[8]丛榕,董兰芬,田燕丽.中药穴位贴敷治疗失眠护理体会[J].世界最新医学信息文摘:连续型电子期刊,2015,15(88).
[9]盖海云,聂亚娥,吕富荣.安神足浴散足浴与穴位贴敷配合西药治疗失眠症疗效观察[J].陕西中医,2014(8):1009-1010.
[10]顾静意.艾灸联合中药贴敷对术前患者入睡性失眠的效果观察[C].上海:中医对睡眠疾病的机理探讨和辨证论治新进展论文集,2015.
[11]阙艳,何泮.穴位贴敷配合耳穴压籽治疗顽固性失眠63例[J].河南中医,2015,35(3):633-634.
[12]魏清.景衣安神散穴位贴敷治疗失眠患者104例临床疗效观察[D].乌鲁木齐:新疆医科大学,2012.
[13]韩红.韩旭教授从虚论治老年人失眠经验[J].环球中医药,2016,9(1):58-60.
[14]计彦新,王志栋,王艳君,等.调督安神针法结合穴位贴敷治疗心肾不交型失眠疗效观察[J].现代中西医结合杂志,2017,26(3):248-251.
[15]房彩平,陈琰,牛凝,等.交泰丸穴位贴敷治疗更年期失眠症的临床观察[J].黑龙江中医药,2016,45(2).
[16]杨跃涛.交泰丸膏穴位贴敷治疗心肾不交型失眠随机平行对照研究[J].实用中医内科杂志,2016(7):17-19.
[17]张彬.丹梔逍遥散穴位贴敷结合电针对肝郁化火型失眠临床观察[D].广州:广州中医药大学,2015.
[18]辜锐鑫,焦杨,徐丹丹.俞募配穴埋线治疗失眠症临床观察[J].上海针灸杂志,2011,30(2):101-103.
[19]史华伟,邢佳,王嘉麟,等.节气穴位贴敷对失眠患者睡眠质量的影响[J].中医学报,2016,31(1):135-137.
[20]林萍.穴位贴敷治疗抑郁性失眠的护理观察[C].2014浙江省医学会精神病学分会学术年会、浙江省医师协会精神科医师分会第七届年会论文集汇编,2014.
[21]周燕.中药穴位贴敷配合艾灸治疗失眠35例[J].中医外治杂志,2015,24(2):36-37.
[22]刘亚波.中药涌泉穴贴敷治疗老年患者失眠症疗效观察[J].中华护理杂志,2010,45(1):43-44.
[23]许幸仪,王春雷.足底穴位贴敷治疗失眠60例[J].现代中西医结合杂志,2003,12(21):2344.
[24]赵福康,张洪耀.子午流注全息解[J].天津:天津科学技术出版社,2007.
[25]张颖新,陈新华.子午流注纳子法治疗失眠临床研究[J].长春中医药大学学报,2012,28(4):611-612.
[26]许良,XULiang.学习“五脏皆有不寐”证治经验的体会[J].中国中医基础医学杂志,2006,12(2):155-156.
[27]于秀梅.子午流注纳支法治疗失眠临床观察[J].辽宁中医杂志,2006,33(12):1633-1633.
[28]梁小利,彭德忠,张先庚.子午流注学说及其在失眠症中的应用[J].中国疗养医学,2012,21(10):877-878.
[29]陈菲,张选国,陈伟铭,等.安眠贴穴位贴敷配合穴位埋线治疗亚健康失眠症状患者30例[J].陕西中医,2012,33(9):1172-1172.
[30]钟芳芬.针灸配合穴位贴敷治疗失眠40例[J].中国中医药咨讯,2011,3(16):85-85.
[31]赵鹏飞.从体质辨析失眠病机[J].江西中医药,2012,43(5):19-20.
[32]张斌,荣润国.失眠性别差异的荟萃分析[J].中国心理卫生杂,2007,21(10):731-736.
[33]TAO J,YANG T D,LI H,et al.Effect of terbutaline on alveolar liquid clearance after oleic acid-induced lung injury in rats[J].Chinese journal of traumatology=Zhonghua chuang shang za zhi/Chinese Medical Association,2006,9(4):211.
[34]王琳,向静,付华斌,等.慢性失眠患者不同负性生活事件后的睡眠质量分析[J].重庆医学,2009,38(10):1155-1157.
[35]王琳,周娟,雷红.慢性失眠患者年龄、受教育水平、人格特征与应激性生活事件的相互影响[J].重庆医学,2007,36(22):2302-2303.
[36]王海智,王波,陈练,等.医学生睡眠质量及其相关因素研究[J].中华临床医师杂志:电子版,2010,4(6):776-779.
[37]DAUVILLIERS Y,MORIN C,CERVENA K,et al.Family studies in insomnia.[J].Journal of Psychosomatic Research,2005,58(3):271-278.
[38]VON K R,TOSCHKE A M,WURMSER H,et al.Reduced risk for overweight and obesity in 5-and 6-y-old children by duration of sleep-a cross-sectional study[J].International Journal of Obesity&Related Metabolic Disorders Journal of the International Association for the Study of Obesity,2002,26(5):710.
[39]HASLER G,BUYSSE D J,KLAGHOFER R,et al.The association between short sleep duration and obesity in young adults:a 13-year prospective study.[J].Sleep,2004,27(4):661-666.
[40]蒋尚融,王传刘,林子江,等.失眠的预后及影响因素分析[J].医学研究杂志,2012,41(4):38-40.