Yan Xing-ke, Zhang Yan, Yu Lu, Yue Gong-lei, Li Tie, Chen Cheng, Cui Hai-fu, Wang Fu-chun
Acupuncture and Massage College, Changchun University of TCM, Changchun 130117, China.
Zhongguo Zhen Jiu. 2010 Feb;30(2):113-6.
To observe the therapeutic effect of tranquilizing and allaying excitement needling method on insomnia of heart and spleen deficiency and the effect of brain blood flow.
Sixty cases were randomly divided into a tranquilizing and allaying excitement needling method group (observation group) and an eight confluence points selected group (control group), 30 cases in each group. The observation group was treated by acupuncture at Sishencong (EX-HN 1), Shenmen (HT 7), and Sanyinjiao (SP 6) with tranquilizing and allaying excitement needling method. The control group was treated by acupuncture at Shenmai (BL 62) and Zhaohai (KI 6). Their therapeutic effects and changes of brain blood flow were observed.
The total effective rate was 93.3% (28/30) in the observation group which was better than 83.3% (25/30) in the control group (P < 0.05). After treatment, the peak velocity of systolic (Vp) and diastolic blood flow velocity (Vd) of middle cerebral artery, basilar artery and vertebral artery were increased in the both groups (P < 0.01, P < 0.05), with more obvious increase in the observation group (P < 0.01, P < 0.05), except the Vd of left vertebral artery.
Both the tranquilizing and allaying excitement needling method and the eight confluence points selected needling method can improve the clinical signs and symptoms. Meanwhile, the therapeutic effect of acupuncture is related with improvement of brain blood flow. However, the tranquilizing and allaying excitement needling method has better therapeutic effect on insomnia of heart and spleen deficiency.
观察安神定志针法治疗心脾两虚型失眠症的疗效及对脑血流的影响。
将60例患者随机分为安神定志针法组（观察组）和八脉交会穴组（对照组），每组30例。观察组采用安神定志针法针刺四神聪（EX-HN 1）、神门（HT 7）、三阴交（SP 6）；对照组针刺申脉（BL 62）、照海（KI 6）。观察两组疗效及脑血流变化。
观察组总有效率为93.3%（28/30），优于对照组的83.3%（25/30）（P<0.05）。治疗后，两组大脑中动脉、基底动脉及椎动脉收缩期峰值流速（Vp）和舒张期血流速度（Vd）均升高（P<0.01，P<0.05），观察组升高更明显（P<0.01，P<0.05），除左侧椎动脉Vd外。
安神定志针法和八脉交会穴针法均能改善临床症状，针刺疗效与脑血流改善有关，但安神定志针法治疗心脾两虚型失眠症疗效更佳。
