中医非药物疗法治疗失眠概况

Overview of Traditional Chinese Medicine Non-pharmaceutical Therapy for Insomnia

中医药非药物疗法治疗失眠,辨证论治为前提。针刺可单独使用,联合其他方法对疗效有促进作用;毫针、电针、皮肤针、皮内针、三棱针均有疗效;水针治疗药物多为中成药或其提取成分,活血通络、平肝疏风,调和五脏气血,平衡阴阳,改善睡眠;虚证睡眠可用生脉注射液等补虚药物,扶正安神。针刺辨证取穴以神门、内关、三阴交、安眠、百会、四神聪及背俞穴、原穴使用频率相对较高。临证强调补虚泻实等手法的应用。灸法包括艾条灸、艾卷灸等,安全、简便,往往与其他疗法联合,温针灸更是常用手段;单纯灸法多选四肢、胸背部位,尤以背俞穴最为常见。穴位敷贴、王不留行籽耳穴压豆、磁疗贴常用,温经通络、活血化瘀药物可打磨成粉调制后外敷使用;即可利用药物本身的作用,也可刺激局部穴位,调整阴阳,安神促眠。推拿直接作用于体表,刺激经络、穴位,调节血行,沟通脏腑,激发人体自身康复能力,无内用药物的不良反应,疗效确切,易于接受。

Chinese traditional medicine non-pharmaceutical therapy treats insomnia, syndrome differentiation and treatment as a premise. Acupuncture can be used alone, combined with other methods to promote the effect;filiform needle, electro-acupuncture, dermal needle, intradermal needle, three edged needle have curative effect;hydro-acupuncture treatment drugs are mostly proprietary Chinese medicine or its extract, promote blood circulation to remove meridian obstruction, calm the liver and dispelling wind, reconcile the five viscera and Qi-blood, balance Yin and Yang, and improve sleep. Deficiency syndrome sleep can be supplemented with Shengmai injection and other tonic drugs, strengthening the body resistance and soothe the nerves. Syndrome differentiation acupoint selection of acupuncture takes a relatively high frequency in Shenmen, Neiguan, Sanyinjiao, Anmian, Baihui, Sishencong and Backshu points. The clinical emphasizes the application of methods such as reinforcing deficiency and reducing excess. Moxibustion therapy include moxa stick moxibustion, moxa roll moxibustion, etc., safe and simple, often combined with other therapies, needle warming moxibustion is a more often means;the simple moxibustion therapy is mainly used in the position of limbs, chest and back, especially the most common in back-shu point. Acupoint application, vaccaria seeds ear pressure beans, magnetic therapy paste are commonly used, the drugs of warming and activating meridian, promoting blood circulation to remove blood stasis can be grinded into powder and modulated for external application;it can use the drug itself, also stimulate the local acupuncture points, regulate Yin-Yang , soothe the nerves and promote sleep. Massage directly acts on the body surface, stimulates meridians, acupuncture points, regulates blood circulation, communicates organs, stimulates the body’s own ability to recover, it has no adverse reactions of internal medicines, and is effective and easy to accept.