南京中医药大学学报2026，Vol.42Issue(2)：239-246,8.DOI:10.14148/j.issn.1672-0482.2026.0239
药物依赖性失眠的针灸减药干预模式探索
Exploration of Acupuncture and Moxibustion-Based Medication Reduction Intervention Model for Drug-Dependent Insomnia
摘要
Abstract
This paper explores the pathogenesis and treatment methods of acupuncture and moxibustion intervention for drug-dependent insomnia.It argues that treatment faces the dual challenges of drug tolerance and withdrawal reactions.Based on this,an in-tervention system of sequential acupuncture and moxibustion-based medication reduction therapy is constructed.By establishing a three-stage diagnostic and treatment pathway—maintaining drug efficacy,stepwise medication reduction,and efficacy consolidation—combined with an internet-based traditional Chinese medicine sleep management platform for dynamic sleep monitoring,this therapeu-tic regimen employs principal acupoint combinations based on the unblocking the Governor Vessel and regulating spirit needling tech-nique alongside personalized auxiliary point selections.It demonstrates efficacy in improving sleep quality,facilitating gradual medica-tion reduction,and exhibits distinctive advantages in mitigating withdrawal symptoms and reducing relapse rates.The diagnostic and therapeutic rationale provides valuable insights for clinical management of chronic insomnia with comorbid drug dependence.关键词
药物依赖性失眠/针灸治疗/序贯疗法/减药干预/通督调神/药物耐受/戒断反应Key words
drug-dependent insomnia/acupuncture and moxibustion treatment/sequential therapy/medication reduction interven-tion/unblocking the Governor Vessel and regulating spirit/drug tolerance/withdrawal reaction分类
医药卫生引用本文复制引用
曹紫琼,刘成勇,王晓秋,秦珊,李沐风,程海波,吴文忠..药物依赖性失眠的针灸减药干预模式探索[J].南京中医药大学学报,2026,42(2):239-246,8.基金项目
国家自然科学基金面上项目(82274631,82575216) （82274631,82575216）
国家自然科学基金青年科学基金项目(82205252,82405587,82305384) （82205252,82405587,82305384）
江苏省中医药领军人才(SLJ0313) （SLJ0313）
江苏省重点研发(社会发展)面上项目(BE2023793) （社会发展）
南京中医药大学针药结合教育部重点实验室主任基金项目(AML202301) （AML202301）
针灸防治老年疾病教育部重点实验室青年项目(ZJLNKF202503) （ZJLNKF202503）
江苏省中医药管理局基地项目(JD2022SZXMS01) （JD2022SZXMS01）
江苏省中医药科技发展计划(MS2023026) （MS2023026）
