和胃针法治疗失眠理论探析

Exploration of the Theory of the Treatment of Insomnia by Hewei-Acupuncture

[目的]总结马睿杰教授运用和胃针法治疗失眠的临床经验,阐释和胃针法治疗失眠的理论依据及临床应用思路。[方法]通过临床跟师学习,并查阅中医典籍和现代医学对失眠的临床研究文献,从马睿杰教授对失眠的病因病机认识、和胃针法的组成及取穴依据、和胃针法治疗失眠的理论及机制研究等方面进行阐述,分析马睿杰教授对本病的辨治思路。[结果]马睿杰教授认为,人之寤寐由心神主导,依靠营卫阴阳调节,与脏腑功能相关,其中脾胃功能的失常与失眠的发生密切相关。治疗本病,重视经络病候理论和中焦脾胃气机,认为足阳明胃经经气逆乱、营卫失和,脾胃亏虚、心神失养,升降失常、斡旋失司是失眠发生的重要原因。和胃针法是马睿杰教授以天枢、足三里、内关、公孙为主穴治疗失眠等神经系统疾病的临床经验总结,此针法通过调畅脾胃气机、健运脾胃功能、平衡机体阴阳等改善失眠。[结论]和胃针法在失眠的临床治疗中具有取穴精简、疼痛感轻、远期疗效好的特点,对于指导临床治疗失眠具有切实意义。

[Objective Objective]To summarize the clinical experience of Professor MA Ruijie in the treatment of insomnia by using Hewei acupuncture,with a view to illustrating the theoretical basis and clinical application of Hewei-acupuncture in the treatment of insomnia.[Methods Methods]Through the clinical study with the teacher,combined with the review of Chinese medical textbooks and modern medical clinical research literature on insomnia.Professor MA’s understanding of the etiology and pathogenesis of insomnia,the composition and basis of the acupuncture points of Hewei-acupuncture,and the theoretical and mechanistic study of Hewei-acupuncture for the treatment of insomnia were elaborated,and Professor MA’s ideas of identification and treatment of this disease were analyzed.[Results Results]Professor MA believes that the sleep and wakefulness of human beings are controlled by the heart and spirit,and regulated by the Yin and Yang of Ying and Wei,which are related to the functions of internal organs,among which the malfunctioning of the spleen and stomach is closely related to the occurrence of insomnia.Professor MA’s treatment of this disease is characterized by the importance of the theory of meridian and collateral disease and the Qi of the spleen and stomach in the middle-Jiao,and she believes that the foot Yangming stomach meridian Qi reversal,Ying and Wei are out of harmony;the spleen and stomach deficiency,the heart and spirit of the loss of nourishment;and elevation disorders,misdirection of the good offices are important reasons for the occurrence of insomnia.Hewei-acupuncture is a summary of Professor MA’s clinical experience in treating insomnia and other neurological disorders by taking“Tianshu”(ST 25),“Zusanli”(ST 36),“Neiguan”(PC 6)and“Gongsun”(SP 4)as the main acupoints.This method relieves insomnia by regulating Qi of the spleen and stomach,strengthening the function of the spleen and stomach,and balancing Yin and Yang of the organism.[Conclusion Conclusion]Hewei-acupuncture in the clinical treatment of insomnia is characterized by streamlining of acupoints,light pain,and good long-term efficacy,which is of practical significance in guiding the clinical treatment of insomnia.