近十年推拿治疗心脾两虚型不寐的文献分析

Literature Analysis of Massages in the Treatment of Insomnia of Deficiency of Heart and Spleen in Recent Ten Years

目的探讨推拿治疗心脾两虚型失眠的操作方法及选穴规律,为推拿治疗心脾两虚型失眠提供规范化实践依据。方法通过检索中国知网、万方、维普三大中文数据库,以'心脾两虚''失眠''推拿'为关键词,对2007年1月至2017年1月出版的文献进行检索。排除文献综述、实验研究及治疗方法不以推拿为主的文献,对文献中的研究方法、疗效评定标准、穴位选用、手法操作进行汇总分析。结果共获得符合条件的文献52篇,其中使用最多的疗效评价标准为匹兹堡量表,使用最多的穴位为头面部穴位,频次最高的手法为揉法。结论在治疗心脾两虚型不寐选穴时可采用头面部穴位配合腹部穴位、背俞穴和经穴,在手法选取上可以选择揉法、摩法、抹法、扫散等不同手法相结合进行治疗。

Objective Discuss the method and the law of choosing acupoints in the treatment of insomnia of deficiency of heart and spleen by tuina,in order to provide practice basis in curing insomnia of deficiency of heart and spleen by tuina.Methods By searching the three Chinese databases of China knowledge Network,Wanfang and Weipu,the literature published from January 2007 to January 2017 was searched with the keywords of'deficiency of heart and spleen'and'insomnia'and'massage'.Excluding literature review,experimental research and treatment methods are not based on massage,the research methods,curative effect evaluation criteria,acupoint selection and manipulation are summarized and analyzed.Results A total of 52 literatures were obtained.PSQI was the most frequently used therapeutic effect evaluation standard,the most frequently used acupoints were head and face acupoints,and the highest frequency of manipulation was kneading manipulation.Conclusion The acpoints on head,face,abdomen,back and collateral channels can be used in curing insomnia of deficiency of heart and spleen.The manipulation such as kneading,rubbing,wiping,sweeping can be used in treating insomnia of deficiency of heart and spleen together.