针灸治疗失眠的古今处方对比分析

Comparative analysis of ancient and mordern acupuncture prescription in treating insomnia

目的：对比古今针灸治疗失眠处方规律之不同。方法收集古今针灸治疗失眠处方文献，运用频数、百分数对针灸治疗失眠常用穴位、所用穴的十四经分布及取穴部位、特定穴应用情况及处方用穴特点进行比较。结果古代医家选穴较为分散，取穴主要集中在胸腹部、下肢部；现代医者选穴相对集中，处方相对固定，取穴主要集中在头颈部、下肢部；取穴主要集中在足太阳膀胱经上，古代医家还多选用任脉穴，现代医家则更多选用督脉穴。结论古今医家组方选穴差异较大，但在用穴的归经、类型上较为相似，选穴多集中在足太阳膀胱经，均看重俞穴的使用。

Objective To compare the differences of insomnia prescription laws between ancient and mordern acupuncture. Methods Collected ancient and mordern acupuncture treatment of insomnia prescriptions literature, using fourteen frequency, percentage of acupuncture acupoints, the points of the distribution and distribution in different parts of the body, the specific acupoint application and prescription features for statistical description. Results The ancient physicians selected points more dispersed, acupoints are mainly concentrated in the chest , abdomen and leg. Modern physicians point selection is relatively concentrated, prescription relatively fixed, the acupoints are mainly concentrated in the head and neck and lower limb;acupoints are mainly concentrated in the Urinary bladder meridian of foot Taiyang, the ancient physicians also more choice of Ren pointss, modern physicians are more optional Du points. Conclusion The physicians prescriptions are quite different, but in the meridian points and the type of use is similar, mostly concentrated in the selection of points Urinary bladder meridian of foot Taiyang, especially the five Shu points. Du, Ren, Spleen meridian and Stomach meridian of Foot Yangming using positive significance for the treatment of insomnia by acupuncture choice.