隔物灸治疗失眠的临床研究综述

A Review on Treatment of Insomnia by Indirect Moxibustion

隔物灸是失眠的可行治疗手段之一。现行多个版本的关于失眠的治疗指南均提倡:(1)在失眠的治疗过程中,应尽量避免短期失眠发展为长期失眠;(2)在失眠的治疗中首选包含中医药在内的非药物疗法。因此,研究隔物灸的起效机理对失眠的治疗具有重要意义。文章综述近年来隔物灸治疗失眠的临床报道,发现隔物灸,特别是督灸对失眠具有突出的治疗效果。大多数医家以姜蓉覆盖大椎至腰俞节段的督脉和膀胱经第一、第二侧线,再于姜蓉上点燃艾炷施灸,取得了很好的疗效。其机理可以从中医理论中调理阳气,调理心神的作用得到解释:按"阳气者,精则养神,柔则养筋"的说法,艾灸督脉可鼓动阳气,使神气得养,神养于心。也能从调节交感神经、副交感神经之间的兴奋、抑制平衡的西医学角度得到解释:即艾灸的温热刺激和药物的药效可借助脊髓侧角将刺激传入脊髓,抑制过度兴奋的交感神经,并兴奋以迷走神经为主的副交感神经,达到调理睡眠的作用。

Indirect moxibustion is a kind of effective therapeutic method for insomnia.According to treatment guidelines on insomnia,it is important to avoid further development of short-term insomnia into chronic insomnia.And traditional Chinese medicine non-drug therapies are recommended as first choices for treatment of insomnia.Therefore,it is essential to study the mechanism of indirect moxibustion treating insomnia.This article reviewed recent years′ clinical reports on treatment of insomnia by indirect moxibustion.It has found out that indirect moxibustion,especially indirect moxibustion applied on Du Meridian has outstanding effect on insomnia.To apply the therapy,the practitioner should cover the processing lines of Du Meridian and Urinary Bladder Meridian from the first thoracic vertebrae to the fifth lumbar vertebrae with mashed ginger.And then moxa cones should be ignited on the ginger.The effect can be explained by traditional Chinese medicine′s viewpoints of boosting Yangqi and regulating heart spirit.According to traditional Chinese medicine,Yangqi can nourish the one′s sinew and spirit.And moxibustion applied on Du Meridian can boost Yangqi to nourish the spirit and the heart.It can also be explained by western medicine theory that it harmonizes the balance of sympathetic nerve and parasympathetic nerve functions.By stimulating lateral horn of spinal cord with thermo stimulation and drug stimulation of moxibustion therapy,it restrains functions of sympathetic nerve and stimulates functions of parasympathetic nerve,and then regulates one′s sleeping and treats insomnia.