上海针灸杂志2025，Vol.44Issue(10)：1181-1187,7.DOI:10.13460/j.issn.1005-0957.2025.10.1181
针刺治疗肝郁化火型失眠的疗效观察
Therapeutic observation of acupuncture in treating insomnia due to liver Qi stagnation transforming into fire
摘要
Abstract
Objective To observe the clinical efficacy of scalp point-toward-point needle insertion combined with acupuncture at back-Shu and front-Mu points in treating insomnia due to liver Qi stagnation transforming into fire.Method Seventy-eight patients with insomnia due to liver Qi stagnation were randomly divided into a treatment group and a control group,with 39 cases in each group.The treatment group received scalp point-toward-point needle insertion plus acupuncture at back-Shu and front-Mu points,and the control group received conventional acupuncture.Before and after the treatment,as well as 1 month after the treatment,the two groups were observed for changes in the Pittsburgh sleep quality index(PSQI),fatigue scale-14(FS-14)score,insomnia severity index(ISI),and traditional Chinese medicine(TCM)symptom score.The clinical efficacy was compared between the two groups.Result The total effective rate was 91.9%in the treatment group,versus 73.0%in the control group,and the between-group difference was statistically significant(P＜0.05).After the treatment and 1 month later,the PSQI total and individual scores,FS-14 score,ISI,and TCM symptom score all dropped in both groups(P＜0.05).One month after the treatment,the PSQI sleep quality score and FS-14 score were lower compared to those after the treatment in the treatment group(P＜0.05),and the PSQI sleep disturbance score was higher compared to that after the treatment(P＜0.05).In the control group,the PSQI total,sleep duration,sleep efficiency,and sleep disturbance scores,FS-14 score,ISI,and TCM symptom score were higher at 1 month after the treatment compared to those after the treatment(P＜0.05).After the treatment,the PSQI total,sleep latency,sleep quality,sleep disturbance,and daytime dysfunction scores,FS-14 score,ISI,and TCM symptom score were lower in the treatment group than in the control group(P＜0.05).One month after the treatment,the PSQI total and individual scores,FS-14 score,ISI,and TCM symptom score were lower in the treatment group than in the control group(P＜0.05).There was no significant difference in the adverse reaction rate between the two groups(P＞0.05).Conclusion Scalp point-toward-point needle insertion plus acupuncture at back-Shu and front-Mu points can produce more significant clinical efficacy than conventional acupuncture in treating insomnia due to liver Qi stagnation transforming into fire,significantly enhancing sleep quality,reducing fatigue,and improving symptoms.关键词
针刺疗法/透刺/穴,背俞/穴,募/入睡和睡眠障碍/失眠/肝郁化火Key words
Acupuncture therapy/Point-toward-point needle insertion/Point,Back-Shu/Point,Front-Mu/Sleep initiation and maintenance disorders/Insomnia/Liver Qi stagnation transforming into fire分类
医药卫生引用本文复制引用
陈静,戴明,徐红,朱源,宋明霞..针刺治疗肝郁化火型失眠的疗效观察[J].上海针灸杂志,2025,44(10):1181-1187,7.基金项目
上海市金山区卫生健康委员会科研项目(JSKJ-KTZY-2021-09) （JSKJ-KTZY-2021-09）
上海市金山区卫健系统第七周期医学重点专科"攀登计划"建设项目(JSZK2023H05) （JSZK2023H05）
