失眠症现代针灸的腧穴谱

Application of Frequently-Used Acupoints for Insomnia

目的:对现代针灸防治失眠的临床选穴进行归纳研究,为确立标准化临床治疗方案提供依据。方法:检索1994年1月1日—2015年10月1日中国期刊全文数据库(CNKI)中失眠文献。检索项:主题或全文,检索词:"失眠"或含"不寐"。检索并记录针灸防治失眠文献量及所有腧穴使用频次,分析针灸防治失眠的临床推荐腧穴及其归经、分部、穴位特性。结果:纳入179篇文献,涉及119个腧穴,临床(频次>23者)有神门、三阴交、百会、四神聪等共计20个腧穴;腧穴分部以头面颈项部、下肢部居多;十四条经脉均有涉及,以督脉、足太阳膀胱经、手少阴心经为主。结论:结合古代文献及教材,现代针灸防治失眠推荐纳选腧穴有神门或心俞、百会或四神聪、三阴交、申脉、照海、足三里、风池或风府等。

Objective： To research the modern acupoints rules for insomnia so as to provide a reference to clinical practice.Methods： The articles on insomnia from 1st January 1994 to 1st October 2015 were searched in China National Knowledge Internet（ CNKI）. The article numbers on acupuncture and moxibution for insomnia and the frequency of acupoints application were recorded. The frequently- used acupoints,less- used acupoints and channel entry were analyzed. Results： Totally 179 related articles were searched and 119 acupoints were involved. The frequently- used 20 acupoints such as Shenmen（ TF4）,Sanyinjiao（ SP6）,Baihui（ GV20）,Sishencong（ EX- HN1）,mainly distributed in the lower limbs and head. The fourteen meridians were involved,mainly on bladder meridian,Du meridian and heart meridian. Conclusion： The recommend acupoints for insomnia were Shenmen（ TF4） or Xinshu（ BL15）,Baihui（ GV20） or Sishencong（ EX- HN1）,Sanyinjiao（ SP6）,Shenmai（ BL62）,Zhaohai（ KI6）,Zusanli（ ST36）,Fengchi（ G20） or Fengfu（ GV16）.