穴位按揉辅助治疗失眠临床观察

为了提高中医临床治疗失眠的效果,改善失眠患者的睡眠质量,选取肝郁血虚型不寐失眠病例30例,以入睡时间、睡眠质量、醒后精神状态为指标,在服用中汤药治疗的基础上,配合运用穴位按揉的方法进行辅助治疗。治疗中,采用匹兹堡睡眠质量指数量表、中医症状积分量表对比观察分析了中医汤药配合膻中穴、百会穴等穴位按揉和中医汤药配合口服地西泮中西医结合两种临床辅助治疗失眠的方法。观察分析表明,辅助穴位按揉在实际临床应用中达到了疏肝解郁、调理阴阳、补益气血、安神宁心等功效,突出了中医特色优势,为临床改善失眠提供了一种简洁有效的方法。

Clinical Observation on Point Massage in the Adjuvant Treatment of Insomnia

To improve the therapeutic effect of TCM in the treatment of insomnia and ameliorate sleeping quality , in this paper , 30 cases of patients with stagnation of liver qi and blood deficiency type insomnias were selected .The sleeping time , sleeping quality and mental state after waking up as the index , and patients applied acupoint massage in the adjuvant treatment of insomnias based on taking TCM herb tea . Using Pittsburgh sleep quality index ( PSQI ) and TCM symptom score scale , this paper contrastively observed two kinds of treatment insomnia cases as follows:one case was taking traditional Chinese medicine herb tea cooperating adjuvant acupoint massage , and other case took traditional Chinese medicine herb tea cooperating adjuvant diazepam .The observation result showed that adjuvant acupoint massage can disperse stagnated liver qi for relieving qi stagnation , coordinate yin and yang , benefit qi and blood , tranquilize the mind and calm the mood , highlight the characteristics of advantages of TCM , and provide a simple and effective method for clinical treatment of the insomnia .