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Clinical efficacy of acupuncture at “five spirits acupoints” in treatment of insomnia
針刺“五神穴”治療失眠臨床療效觀察
LU Yong-hui (陸永輝), WU Cheng-zhen (吳承臻)
Department of Acupuncture-Moxibustion of Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, China（中國中醫(yī)科學(xué)院西苑醫(yī)院針灸科，北京 100091，中國）
ARTICLE INFO
First author: LU Yong-hui (1964- ), male, chief physician.
Research field: classical acupuncture manipulations in Língshū (《靈樞》, Miraculous Pivot) in treatment of motility diseases and digestive system diseases.
E-mail: yhlu2008@sina.com
Accepted on May 31, 2016
ABSTRACT
Objective To observe the clinical efficacy of acupuncture at “five spirits acupoints” in treatment of insomnia.
Methods The insomnia patients conforming to the diagnostic criteria were included into the study of “five spirits acupoints”, and statistical analysis was conducted over the 65 patients who completed the courses of treatment. Shéntíng (神庭 GV 24), Běnshén (本神 GB 13), Sìshéncōng (四神聰 EX-HN 1), Shéndào (神道 GV 11) and Shénmén (神門 HT 7) were selected. Manipulation: perpendicular insertion was conducted at GV 11 and HT 7, and transverse insertion was conducted at GV 24, GB 13 and EX-HN 1, with the acupuncture depth of 10–15 mm. Even reinforcing and reducing method was applied. Needles were retained at all the selected acupoints, except GV 11, for 25 min. The treatment was conducted every other day, and treatment for 10 times was considered as one course of treatment. After one course, the changes of PSQI, the time to fall asleep, sleep time and soporific dosage were observed before and after treatment. Results According to the comparison before and after treatment, the mean deviation of PSQI, the time to fall asleep, sleep time and soporific dosage were 10.02±1.75, (0.7±0.5) h, (2.1±1.5) h and (10.3±2.5) mg, respectively, all P<0.05, and="" the="" differences="" were="" all="" significant.="">
Conclusion Acupuncture at “five spirits acupoints” in treatment of insomnia can improve patients’ sleep quality, shorten the time to fall asleep, prolong the actual sleep time, and reduce soporific dosage. With few acupoints selected, superficial needling and small stimulation, acupuncture at “five spirits acupoints” has better efficacy and is easy to be accepted by patients.
KEY WORDS: Insomnia; acupuncture; treatment of spirit; acupuncture therapy
ABSTRACT IN CHINESE
[摘 要]
目的：觀察針刺“五神穴”治療失眠的臨床療效。
方法：將符合診斷標(biāo)準(zhǔn)的失眠患者納入“五神穴”治療觀察，完成全程治療的65例患者進(jìn)行統(tǒng)計。取神庭、本神、四神聰、神道、神門即“五神穴”。針刺操作方法：神道、神門直刺，神庭、本神、四神聰平刺，針刺深度10-15 mm，均施用平補(bǔ)平瀉手法。神道不留針，余穴留針25 min。隔日治療1次，10次為1個療程。治療1個療程后，觀察治療前后PSQI評分、入睡時間、睡眠時間、催眠藥用量的變化。
結(jié)果：治療前后比較，PSQI評分均差10.02±1.75、入睡時間均差（0.7±0.5）h、睡眠時間均差（2.1±1.5）h、催眠藥用量均差（10.3±2.5） mg，差異均有統(tǒng)計學(xué)意義（均P<>
結(jié)論：針刺“五神穴”治療失眠，患者睡眠質(zhì)量顯著改善，入睡時間縮短，實(shí)際睡眠時間延長，催眠藥用量減少。用穴少，針刺淺，刺激小，療效好，易于患者接受。
[關(guān)鍵詞]失眠 針刺 治神 針刺療法
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