山西中医药大学学报2026，Vol.27Issue(8)：903-908,6.DOI:10.19763/j.cnki.2096-7403.2026.05.07
多元化优势技术综合干预脑卒中后失眠理论探讨
Theoretical exploration of comprehensive intervention with diversified superior techniques for post-stroke insomnia
摘要
Abstract
Post-stroke insomnia(PSI)is one of the common sleep disorders after stroke.Its main manifestations include difficulty falling asleep,impaired sleep maintenance,early morning awakening,and difficulty returning to sleep after awaken-ing,often accompanied by daytime fatigue,decreased attention,and emotional instability,which severely affect patients' neu-rological recovery and quality of life.Current western medical treatment primarily relies on sedative-hypnotic drugs.Although these can improve sleep in the short term,long-term use easily leads to dependence and cognitive adverse reactions,limiting their clinical application.Traditional Chinese medicine(TCM)theory holds that the core pathogenesis of PSI lies in"heart-brain disharmony and Yin-Yang imbalance",and treatment should be based on the principles of holistic regulation and mind-calming sleep promotion.Based on TCM theory,this paper systematically explores the theoretical basis and mechanisms of comprehensive intervention with diversified superior techniques,including acupuncture,auricular bean pressing,magnetic round-handle plum-blossom needle,and Tuina,for PSI.Specifically,acupuncture is applied to two pairs of acupoints—Dan-zhong(CV17)to Neiguan(PC6)and Shenmen(HT7)to Sanyinjiao(SP6)—to harmonize heart-brain qi and blood,calm the spirit,and stabilize the mind.The magnetic round-handle plum-blossom needle is used to tap along the Governing Vessel and related meridians to nourish the brain marrow and balance Yin and Yang.Tuina is performed along the Gallbladder Meridian of the head[from Shuaigu(GB8)to Fengchi(GB20)],with acupoint pressing and kneading at Baihui(GV20)and Tianzhu(BL12)using gradually increasing pressure,followed by palm kneading of the posterior neck muscles to improve local blood circulation.Auricular bean pressing is applied at acupoints such as Shenmen,Subcortex,and Sympathetic to regulate auto-nomic nervous function through auricular holographic stimulation.The combined application of multiple techniques enables multi-target synergistic intervention,which not only helps improve sleep quality but also promotes overall functional recovery after stroke.This comprehensive intervention model is safe,simple,economical,and has good potential for clinical promotion.关键词
脑卒中后失眠/针刺/耳穴压豆/磁圆梅针/推拿Key words
PSI/acupuncture/auricular bean pressing/magnetic round-handle plum-blossom needle/Tuina分类
医药卫生引用本文复制引用
李亚丽,张晨辉,赵波,倪海波,司路佳,李蕾..多元化优势技术综合干预脑卒中后失眠理论探讨[J].山西中医药大学学报,2026,27(8):903-908,6.基金项目
山西省研究生教育创新项目(2025SJ392) （2025SJ392）
山西中医药大学科研实践创新项目(X2025SJ025) （X2025SJ025）
