热敏灸申脉照海穴治疗失眠的研究进展与展望

Researching progress of Heat-sensitive moxibustion with Shenmai(BL 62)and Zhaohai(KI 6)in Interfering Insomnia

失眠,是常见的困扰人们的疾病之一,表现为入睡困难,睡后多梦,早醒、易醒,醒后难以入睡,甚至彻夜不眠,常伴有头晕、健忘、心悸等症,可出现不同程度的焦虑不安、记忆力减退等,严重影响患者的工作效率及日常生活。临床上热敏灸疗法治疗失眠有显著的疗效,且具有操作方便、无副反应、经济费用低等优点。祖国医学认为失眠的基本病机为阳不入阴,而申脉通于阳跷,照海通于阴跷,只有当阴阳跷脉通畅,生理功能正常,才能共同濡养眼目,保持“昼精夜瞑”,拥有良好的睡眠。笔者归纳整理了跷脉理论指导下的针灸疗法、热敏灸治疗失眠的临床应用及相关机制,以及在跷脉理论指导下的热敏灸(申脉、照海为主)治疗失眠的临床应用等方面,将近10年来热敏灸治疗失眠的相关文献进行归纳梳理,以期对临床研究有所帮助。

Insomnia,is one of the common problems of people's disease,characterized by difficulty falling asleep,multitude of dreams,wake up early,easy to wake up,unable to sleep after wake up,even sleepless.Insomnia often accompanied by dizziness,forgetfulness,heart palpitations and so on,which can appear different degrees of anxiety,memory loss,etc,seriously affect the work efficiency and the daily life of patients.According to the Chinese medicine,the basic pathogenesis of insomnia is that Yang dose not go into the Yin.Shenmai(BL62)connects with Yang Heel Vessel and Zhaohai(KI6)connects with Yin Heel Vessel.Only when Yin-Yang Qiao Meridians keep unobstructed and maintain normal physiological function can we hold spirit during the day,sleep during the night and co-nourishing the eyes.In recent years,the heat-sensitive moxibustion created by professor Chen Rixin of Jiangxi University of Traditional Chinese Medicine.Based on the theory of“the essence of moxibustion lies in the arrival of qi because it ensures the curative effect”and the guiding principle of“locating acupoint by feeling,moxibustion by differentiate sensation,dosage varies individually,ending after sufficient dosage”,the suspension of moxibustion sensitizes the acupoints,stimulate the transmission of Qi sensation at the acupoints,and applies individual desensitizing moxibustion to achieve the“a little irritation,a strong reaction”treatment effect and maximize the curative effect.Therefore,this paper mainly discusses the mechanism of heat-sensitive moxibustion Shenmai(BL 62)and Zhaohai(KI 6)in the intervention of insomnia.Put forward my opinion,in order to better understand its meaning and application in the clinic.The viewpoint of this paper is inevitably biased,please do not hesitate to correct.