通元针法治疗原发性失眠临床观察

经验的基础上所创的治疗体系，以五脏背腧穴通 督养神和腹部关元、气海、归来、天枢为主穴引气 归元，同时依据病情配合五俞穴或开四关，参以传 统的针灸补泻手法。本研究运用通元针法治疗失 眠，并与常规针刺治疗进行对照。现将结果报道如下： 1 资料与方法 1.1 临床资料 将北京中医药大学深圳医院(龙 岗)针推康复科门诊就诊的失眠症患者 50 例由 Excel 产生随机数字表，填写随机分配卡，随机分
［关键词］ 失眠，原发性；通元针法；治疗，临床研究性 ［中图分类号］ R256 ［文献标识码］ B ［文章编号］ 1004-6852(2019)09-0102-03
Clinical Observation on Treating Primary Insomnia by Tongyuan Needling
·特 色 医 疗
W estern Journal of Traditional Chinese Medicቤተ መጻሕፍቲ ባይዱne,2019 V ol.32 No.9
通元针法治疗原发性失眠临床观察 *
罗玳红 1，王玉妹 2，周罗林 2，黄 琼 1，张爱民 1，赖新生 2△ 1 北京中医药大学深圳医院(龙岗)，广东 深圳 518172；2 广州中医药大学
LUO Daihong1, W A NG Y umei2, ZHOU Luolin2, HUA NG Qiong1, ZHA NG A imin1, LA I Xinsheng2△ 1 Shenzhen Hospital (Longgang), Beijing University of Chinese Medicine, Shenzhen 518172, China;
2 Guangzhou University of Chinese Medicine
Objective: To survey curative effects of Tongyuan needling in the treatment for primary insomnia. Methods: Fifty patients were randomly allocated to the treatment group and the control group, 25 casers each group, the treatment group selected the main acupoints including Baihui (DU20), Xinshu (BL15), Geshu (BL17) and Tianshu (ST25), and the combination acupoints containing Back shu points, Qihai(RN6), Guanyuan(RN4) and Guilai (KI12); the control group chose conventional needling method of Sishencong (EX-HN1), Sanyinjiao (SP6) and others. Both groups were treated for once each day, five times each week, improvement effective rate of sleep quality and PSQI scores were observed after treating for four weeks. Results: Improvement effective rate of sleep quality and PSQI scores of the treatment group and the control group after treating were 80.0%, (7.14依0.66) points and 76.0%, (8.27依0.63) points respectively, and the difference had no statistical meaning (P＞ 0.05). The difference could be found in improvement of sleep quality between both groups in the three-month follow-up (Z=2.094, P ＜0.05). Conclusion: Tongyuanneedlingcouldimprovelong-termsleepqualityand reduce PSQI scores of the patients with primary insomnia.
［摘 要］ 目的：观察通元针法治疗原发性失眠的临床疗效。方法:将原发性失眠患者 50 例随机分为治疗 组和对照组各 25 例，治疗组以通元针法治疗，选穴以百会、心俞、膈俞、天枢为主穴，配穴取背俞穴、气海、关 元、归来；对照组以常规针刺法治疗，选取四神聪、三阴交等穴。2 组均每日治疗 1 次，每周治疗 5 次，治疗 4 周 后观察患者睡眠质量改善有效率、匹兹堡睡眠质量指数量表(PSQI)评分情况。结果：治疗后治疗组和对照组患 者睡眠质量改善有效率、匹兹堡睡眠治疗指数总评分分别为 80.0%、（7.14±0.66）分与 76.0%、（8.27±0.63） 分，2 组比较差异均无统计学意义(P＞0.05)。3 个月后随访 2 组患者睡眠质量改善情况，2 组比较差异具有统 计学意义(Z=2.094，P＜0.05)。结论：通元针法能够提高失眠患者远期睡眠质量，降低匹兹堡睡眠质量指数评 分。
insomnia, primary; Tongyuan needling method; treatment, clinical study
失眠症是一种以失眠为主的对睡眠质量不满 意的症状或疾病，中医称之为“不寐”“不得眠”或 “不得卧”等。失眠症可引起患者焦虑、抑郁或恐 惧，并导致精神活动效率下降，影响患者生活质量， 加重和诱发躯体的其他疾病［1 ］。慢性失眠患者需 要长期服药，疗效波动，且药物依赖性、成瘾性等 不良反应的几率升高［2 ］。针灸治疗以疗效好、副 作用小而越来越受到重视。通督养神，引气归元针 法，简称通元针法，是赖新生教授在多年针灸临床