基于心身医学视角下镇静安神针法治疗失眠理论探析

Theoretical analysis of the treatment of insomnia with acupuncture for sedation and tranquilization based on the perspective of psychosomatic medicine

心身医学是从生理和心理两个方面对人体健康与疾病状态进行研究的一门学科,突出了心理因素与躯体之间的交互关系,这与中医整体观具有一致性。失眠是一种常见的心身疾病,主要表现为经常性的入睡困难,睡眠时间短,病位在心与脑,二者共为藏神之所,因此治疗当以调神为主。“镇静安神针法”是王富春教授基于中医“整体观”理论并结合现代医学模式提出的针刺方案,在减轻患者失眠症状的同时注重调神,进而形神共调,可提高临床疗效。通过中医学与心身医学相结合的方式理清疾病脉络,从调“神”角度剖析镇静安神针法的选穴原则、针刺手法、治疗时机,探讨其治疗失眠的整体治疗思路,为针灸临床治疗该病提供参考。

Psychosomatic medicine is a discipline that studies human health and diseases from both physiological and psychological aspects.It mainly highlights the interaction between psychological factors and the body,a concept that is consistent with the holism in Chinese medicine.Insomnia is a common psychosomatic disease,mainly manifested as frequent difficulty in falling asleep,short sleep time.The disease is located in the heart and brain,both of which are the places where spirit is stored.Therefore,its treatment should focus on regulating the spirit.Acupuncture for sedation and tranquilization is an acupuncture protocol proposed by Professor Wang Fuchun on the basis of the holism theory of traditional Chinese medicine and in combination with modern medical models,which focuses on regulating the spirit while alleviating the insomnia symptoms of patients to improve its clinical efficacy in a way that the spirit and the body are co-regulated.This paper intends to clarify the etiology and pathogenesis of the disease through the combination of Chinese medicine and psychosomatic medicine,to analyze the theoretical basis for the selection of acupuncture points,the needling manipulations and the therapeutic timing of the unique acupuncture therapy from the perspective of regulating the spirit.At the same time,the holistic treatment idea of insomnia is explored so as to provide some insights into the clinical treatment of the disease with acupuncture.