1.大通回族土族自治县中医院 藏医科, 青海 西宁, 810100
2.北京按摩医院 中医护理门诊, 北京, 100021
3.大通回族土族自治县中医院 治未病科, 青海 西宁, 810100
4.北京按摩医院 脏腑推拿科, 北京, 100021
收稿:2026-04-07,
修回:2026-04-30,
录用:2026-05-06,
网络首发:2026-05-26,
移动端阅览
王子玲, 刘冬梅, 王兴梅, 等. 基于阴阳跷脉取穴的揿针疗法在失眠调护中的应用体会[DB/OL].中西医结合临床案例库, 2026.
WANG Ziling, LIU Dongmei, WANG Xingmei, et al. Clinical Application of Press-needle Therapy Based on Acupoint Selection from Yin-Yang Heel Vessels in Insomnia Care[DB/OL].Clinical Archives of Integrative Medicine, 2026.
王子玲, 刘冬梅, 王兴梅, 等. 基于阴阳跷脉取穴的揿针疗法在失眠调护中的应用体会[DB/OL].中西医结合临床案例库, 2026. DOI: 10.12209/CAIM202604070003.
WANG Ziling, LIU Dongmei, WANG Xingmei, et al. Clinical Application of Press-needle Therapy Based on Acupoint Selection from Yin-Yang Heel Vessels in Insomnia Care[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI: 10.12209/CAIM202604070003.
本文总结1例因跨地域出差,经纬度、海拔跨度大引发水土不服导致失眠患者的中医护理效果与经验。基于中医经络学说及阴阳平衡理论,采用揿针疗法于阴阳跷脉取穴,以疏通经络、平衡阴阳、调和气血,并配合情志调护、起居调护与饮食调护,有效改善患者睡眠状态,缓解不适症状,为地域因素所致失眠的中医护理提供参考。
This article summarizes the clinical outcomes and nursing experience of a patient with insomnia induced by acclimatization disorder due to cross-regional travel involving significant variations in longitude, latitude, and altitude. Guided by the theories of meridian doctrine and yin-yang balance, press-needle therapy was applied to acupoints along the Yin-Yang Heel Vessels to unblock meridians, harmonize yin and yang, and regulate qi-blood. Combined with emotional, lifestyle, and dietary interventions, the patient’s sleep quality and discomfort symptoms were significantly improved. This case provides a reference for TCM nursing approaches to insomnia caused by geographical factors.
张玉婷 , 秦珊 , 王晓秋 , 等 . “心脑共主神明”的科学内涵及其在针灸治疗失眠症中的应用 [J]. 南京中医药大学学报 , 2025 , 41 ( 2 ): 181 - 188 .
ZHANG Y T , QIN S , WANG X Q , et al . The scientific connotation of“heart and brain co-dominating the mind”and its application in the treatment of insomnia by acupuncture [J]. J Nanjing Univ Tradit Chin Med , 2025 , 41 ( 2 ): 181 - 188 . (in Chinese)
CUNNINGTON D , JUNGE M F , FERNANDO A T . Insomnia: prevalence, consequences and effective treatment [J]. Med J Aust , 2013 , 199 ( S8 ): S36 - 40 .
蒲春萍 , 吴永平 , 胡桥 , 等 . 自拟额三针配合阴阳跷脉治疗心肾不交型失眠疗效观察 [J]. 现代中西医结合杂志 , 2023 , 32 ( 7 ): 942 - 945 .
PU C P , WU Y P , HU Q , et al . Observation on the therapeutic effect of self-made forehead three needles combined with Yin-Yang Qiaomai on insomnia of heart-kidney disharmony [J]. Mod J Integr Tradit Chin West Med , 2023 , 32 ( 7 ): 942 - 945 . (in Chinese)
董画千 , 谢薇 , 罗茵 , 等 . 火龙灸不同艾绒量治疗心脾两虚型老年不寐的临床疗效研究 [J]. 贵州医药 , 2026 , 50 ( 1 ): 147 - 150, 154 .
DONG H Q , XIE W , LUO Y , et al . Clinical efficacy study of Fire Dragon Moxibustion with different amounts of moxa in treating insomnia in elderly patients with heart and spleen deficiency type [J]. Guizhou Med J , 2026 , 50 ( 1 ): 147 - 150, 154 . (in Chinese)
蔡群峰 , 林丹椿 , 王渊俊 . 针刺联合揿针治疗前庭性偏头痛的疗效及对眩晕症状、情绪改善的影响 [J]. 湖北中医杂志 , 2023 , 45 ( 8 ): 45 - 48 .
CAI Q F , LIN D C , WANG Y J . Therapeutic effect of acupuncture combined with press acupuncture on vestibular migraine and its influence on vertigo symptoms and emotional improvement [J]. Hubei J Tradit Chin Med , 2023 , 45 ( 8 ): 45 - 48 . (in Chinese)
刘志喜 , 石倩萍 , 杨洪霞 , 等 . 匹兹堡睡眠质量指数量表在护理人群中的信效度评价 [J]. 汕头大学医学院学报 , 2020 , 33 ( 3 ): 173 - 176 .
LIU Z X , SHI Q P , YANG H X , et al . Reliability and validity evaluation of Pittsburgh sleep quality index in nursing population [J]. J Shantou Univ Med Coll , 2020 , 33 ( 3 ): 173 - 176 . (in Chinese)
张凤霞 . 基于焦虑自评量表(SAS)的三甲医院护士群体心理健康状况及影响因素研究 [D]. 中国医学科学院 , 2023 .
石华锋 , 罗桂青 , 李磊 . 揿针疗法治疗痛证的临床研究进展 [J]. 湖南中医杂志 , 2013 , 29 ( 5 ): 148 - 149 .
SHI H F , LUO G Q , LI L . Clinical research progress of acupuncture therapy in the treatment of pain syndrome [J]. Hunan J Tradit Chin Med , 2013 , 29 ( 5 ): 148 - 149 . (in Chinese)
赵孟婷 , 杨凛然 , 廖菁 , 等 . 基于“肝肾同源”理论探讨失眠的病机及论治 [J]. 实用中医内科杂志 , 2026 , 40 ( 4 ): 20 - 23 .
ZHAO M T , YANG L R , LIAO J , et al . Exploring the pathogenesis and treatment of insomnia based on the theory of homology of liver and kidney [J]. J Pract Tradit Chin Intern Med , 2026 , 40 ( 4 ): 20 - 23 . (in Chinese)
张新渝 , 马烈光 . 黄帝内经·灵枢 [M]. 成都 : 四川科学技术出版社 , 2008 .
刘海燕 . 老年人失眠诊治心得 [J]. 四川中医 , 2013 , 31 ( 2 ): 48 - 49 .
LIU H Y . Experience in diagnosis and treatment of insomnia in the elderly [J]. J Sichuan Tradit Chin Med , 2013 , 31 ( 2 ): 48 - 49 . (in Chinese)
王子敬 , 徐一可 , 陈顶立 , 等 . 基于额叶氧合血红蛋白变化探讨针刺对不同年龄失眠患者的影响 [J]. 中医药导报 , 2022 , 28 ( 8 ): 86 - 90 .
WANG Z J , XU Y K , CHEN D L , et al . The effect of acupuncture on insomnia patients of different ages based on the changes of oxy-hb in frontal lobe [J]. Guid J Tradit Chin Med Pharmacol , 2022 , 28 ( 8 ): 86 - 90 . (in Chinese)
赵正浩 . 基于《黄帝内经》“昼精夜瞑”理论论治失眠 [J]. 基层中医药 , 2024 , 3 ( 7 ): 53 - 58 .
ZHAO Z H . Treatment of insomnia based on theory of “daytime spirit and nighttime sleep” in huangdi neijing [J]. Basic Tradit Chin Med , 2024 , 3 ( 7 ): 53 - 58 . (in Chinese)
韩慧 , 刘洋 . 针刺跷脉与穴位埋线治疗围绝经期失眠的疗效对比研究 [J]. 针灸临床杂志 , 2020 , 36 ( 2 ): 14 - 18 .
HAN H , LIU Y . Comparative study on the therapeutic effects of needling Qiao vessel with acupoint catgut embedding in the treatment of perimenopausal insomnia [J]. J Clin Acupunct Moxibustion , 2020 , 36 ( 2 ): 14 - 18 . (in Chinese)
许金钗 , 刘建阳 , 徐桂花 . 揿针疗法在失代偿期肝硬化合并顽固性呃逆患者中的应用 [J]. 中西医结合肝病杂志 , 2021 , 31 ( 2 ): 186 - 187 .
XU J C , LIU J Y , XU G H . Application of acupuncture therapy in patients with decompensated cirrhosis complicated with intractable hiccup [J]. Chin J Integr Tradit West Med Liver Dis , 2021 , 31 ( 2 ): 186 - 187 . (in Chinese)
岳公雷 . 镇静安神法与阴阳跷脉法治疗失眠(心脾两虚型)疗效对照研究 [D]. 长春 : 长春中医药大学 , 2008 .
苗慧君 , 鲍一韧 , 王睿 . 基于数据挖掘探究中医古籍文献足三里三阴交穴对临床应用规律 [J]. 光明中医 , 2025 , 40 ( 24 ): 5381 - 5386 .
MIAO H J , BAO Y R , WANG R . Based on data mining, this paper explores the clinical application law of Zusanli Sanyinjiao, an ancient Chinese medicine document [J]. Guangming J Chin Med , 2025 , 40 ( 24 ): 5381 - 5386 . (in Chinese)
张蕾 , 张政 , 徐海燕 , 等 . 艾灸百会、涌泉穴治疗心肾不交型原发性失眠症的临床疗效观察 [J]. 中华养生保健 , 2025 , 43 ( 5 ): 17 - 20 .
ZHANG L , ZHANG Z , XU H Y , et al . Clinical effect of moxibustion at Baihui and Yongquan acupoints on patients with primary insomnia with cardio-renal incompatibility [J]. Zhonghua Yangsheng Baojian , 2025 , 43 ( 5 ): 17 - 20 . (in Chinese)
吴康 , 冯思同 , 于婷婷 , 等 . 针刺神门穴对急性睡眠剥夺后海马功能影响的fMRI研究 [J]. 世界科学技术-中医药现代化 , 2026 , 28 ( 2 ): 463 - 469 .
WU K , FENG S T , YU T T , et al . An fMRI study on the effects of acupuncture at Shenmen acupoint(HT7)on hippocampal function following acute sleep deprivation [J]. World Sci Technol Mod Tradit Chin Med , 2026 , 28 ( 2 ): 463 - 469 . (in Chinese)
0
浏览量
5
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010802024621
