推拿治疗原发性失眠的中医理论基础与机制探讨

Discussion of the Basis Theoretical and Mechanism of Traditional Chinese Massage Treatment for Primary Insomnia

目的:总结探讨推拿治疗原发性失眠的作用机制,为临床推拿的应用提供参考。方法:计算机检索中国知识资源总库(CNKI)、万方数据库、维普中文科技期刊数据库(VIP)等中文数据库近十年内推拿治疗失眠的临床研究类文献,对所选文献进行总结和分析。结果:失眠的病机主要为阴阳失调、脾胃失调、心肾不交,针对上述的推拿治疗分别为“引阳入阴”推拿、腹部推拿与背部推拿,推拿通过刺激特定的经脉和腧穴产生效应。结论:推拿治疗失眠发挥调和脏腑、疏经通络等作用,疗效突出,有操作安全、无副作用、治疗感受舒适等优点。

Objective To summarize and explore the mechanism of action of Tuina in the treatment of primary insomnia,and to provide reference for the clinical application of Tuina.Methods Clinical trials about Tuina for the treatment of insomnia were retrieved from chinese national knowledge infrastructure(CNKI),Wanfang and VIP database for chinese technical periodicals(VIP)within the last ten years.Then the selected articles were summarized and analyzed.Results The pathogenesis of insomnia primarily involves imbalance between yin and yang,as well as disturbances in the functions of the spleen and the stomach,the heart and the kidney.The corresponding Tuina treatments include"drawing yang into yin"Tuina,abdominal Tuina and back Tuina,which stimulate specific meridians and acupoints to produce effects.Conclusion Tuina for insomnia plays the roles of harmonizing viscera,dredging meridians and collaterals,with outstanding therapeutic effects,and has the advantages of safe operation and comfortable therapeutic feeling without any side-effects.