Mao Lei-Lei, Jin Ya-Pei
Second Clinical Medical School, Zhejiang Chinese Medical University, Hangzhou 310053, China.
Hangzhou Red-Cross Hospital, Hangzhou 310003, Zhejiang Province.
Zhongguo Zhen Jiu. 2020 Mar 12;40(3):295-8. doi: 10.13703/j.0255-2930.20190407-0002.
Professor 's thinking on the diagnosis and treatment of perimenopausal insomnia and the characteristics of acupuncture and moxibustion were summarized. Professor believes that the pathogenesis of perimenopausal insomnia is imbalance of and , and disharmony of the heart and the kidney. Additionally, it is also closely related to liver stagnation and spleen deficiency. The syndrome differentiation and treatment principle of traditional Chinese medicine is combined with the theory of I Ching. Navel acupuncture is adopted at the points around the umbilicus to achieve the tonification for the deficiency condition and the reducing for the excess one. Additionally, the body acupuncture is used to regulate menstruation. The coordination of these two acupuncture regimens achieves the significant effect on perimenopausal insomnia, which provides a new reference and approach to the clinical treatment of perimenopausal insomnia.
总结了教授对围绝经期失眠症诊治的思路及针灸特点。教授认为围绝经期失眠症的发病机制是阴阳失衡、心肾不交，此外还与肝郁脾虚密切相关。中医辨证论治原则结合了《易经》理论。采用脐周穴位进行脐针，虚证补之，实证泻之。此外，运用体针调节月经。这两种针灸疗法协同作用，对围绝经期失眠症疗效显著，为围绝经期失眠症的临床治疗提供了新的参考和方法。
