失眠“同功穴”分析

The Analysis of “Tong-gong Points” for treating insomnia

目的总结并分析针灸治疗失眠的"同功穴",为腧穴配伍和临床针灸处方的规范化提供理论依据。方法统计15部现代较有影响力的针灸教材中主治失眠的腧穴,并与《中华人民共和国国家标准·腧穴主治》和现代临床文献中治疗失眠的选穴进行对比,予以分析。结果 15部针灸教材中主治失眠的"同功穴"共计45个,腧穴总频次为296次。其中神门、内关、印堂、四神聪为15部教材的共有腧穴,各出现15次,分别占总频次的5.07%;而三阴交、心俞、神庭、翳明各出现14次,分别占总频次的4.73%。此8穴可归为失眠"同功穴"的一级选穴。失眠"同功穴"主要集中在督脉、膀胱经、肾经、胆经、脾经和心经,其分布主要以头部和四肢部为主。结论失眠"同功穴"中的一级选穴可用于临床腧穴配伍和针灸处方,发挥针灸治疗失眠的最佳疗效,而二、三级选穴则往往作为配穴临证加减使用。

Objective To summarize and analyze ＂Tong-gong points＂of insomnia treated by acupuncture and provide theoretical basis for the normalization of acupoints compatibility and clinical acupuncture prescription. Methods Shu Point for treating insomnia in 15 modern influential teaching materials was counted to be compared and analyzed with the acupoints of treating insomnia in national standard and modern clinical literature. Results In 15 modern influential teaching materials,there were total 45 acupoints for treating insomnia,and the total frequency of Shu Point was 296 times. Among them,Shen-men point、Nei-guan point、Yin-tang point and Si-shencong point were found in these 15 acupuncture teaching materials,each 15 times,accounting for 5. 07% of the total frequency. The using frequency of Sanyin jiao point、Xin-shu point、Shen-ting point and yi-ming point was 14 times each,accounting for 4. 73% of the total frequency. These 8 acupoints can be classified into one-level chosen acupoints of ＂Tong-gong point＂of treating insomnia.＂Tong-gong points＂are mainly concentrated on governor meridian,bladder meridian,kidney meridian,gallbladder meridian,spleen meridian and heart meridian,which are mainly distributed in head and the four limbs. Conclusion The one-level ＂Tong-gong points＂of treating insomnia could be used in acupoints compatibility and clinical acupuncture prescription with the best efficacy to treat insomia by acupuncture. The second-level and the third-level ＂Tonggong points＂of treating insomnia are often used as matching acupoints in clinical addition and subtraction use.