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电针联合耳尖放血治疗痰火扰心型失眠60例

[Electroacupuncture combined with ear tip bloodletting for 60 cases of insomnia with phlegm-fire disturbing heart].

作者信息

Zhong Runfen, Xiao Xiaoling, Yin Xuhui, Zhang Yanan, Guo Bing

机构信息

Department of Acupuncture and Moxibustion, Beijing Shijingshan Hospital of TCM, Beijing 100043, China.

出版信息

Zhongguo Zhen Jiu. 2025 Jan 12;45(1):10-2. doi: 10.13703/j.0255-2930.20240316-k0002.

Abstract

OBJECTIVE

To observe the clinical efficacy of electroacupuncture combined with ear tip bloodletting for insomnia with phlegm-fire disturbing heart.

METHODS

A total of 60 cases with insomnia of phlegm-fire disturbing heart were selected, and the treatment of electroacupuncture combined with ear tip bloodletting was delivered. Acupuncture was applied at Yintang (GV24), Shenting (GV24), Sishencong (EX-HN1) and bilateral Shenmen (HT7), Quchi (LI11), Zhaohai (KI6), Shenmai (BL62), Fenglong (ST40), Neiting (ST4), Yintang (GV24) and Shenting (GV24) were connected to electroacupuncture, continuous wave, 2 Hz in frequency. In addition, bloodletting was applied at ear tip. The treatment was given for 4 weeks. Before treatment, and after 1,4 weeks into treatment, the scores of Pittsburgh sleep quality index (PSQI), Athens insomnia scale (AIS), insomnia severity index (ISI) and TCM syndrome were compared, and the clinical efficacy was evaluated in the patients.

RESULTS

After 1,4 weeks into treatment, the scores of PSQI, AIS, ISI and TCM syndrome were decreased compared with those before treatment in the patients (<0.05). Of 60 cases, 30 cases were cured, 19 cases markedly effective, 9 cases effective and 2 cases failed, and the total effective rate was 96.7% (58/60).

CONCLUSION

Electroacupuncture combined with ear tip bloodletting can improve the sleep quality and clinical symptoms in patients with insomnia of phlegm-fire disturbing heart.

摘要

目的

观察电针联合耳尖放血治疗痰火扰心型失眠的临床疗效。

方法

选取60例痰火扰心型失眠患者,给予电针联合耳尖放血治疗。针刺穴位为印堂(GV24)、神庭(GV24)、四神聪(EX-HN1)及双侧神门(HT7)、曲池(LI11)、照海(KI6)、申脉(BL62)、丰隆(ST40)、内庭(ST4),印堂(GV24)、神庭(GV24)接电针,连续波,频率2Hz。此外,进行耳尖放血。治疗4周。比较治疗前及治疗1、4周后患者的匹兹堡睡眠质量指数(PSQI)、雅典失眠量表(AIS)、失眠严重程度指数(ISI)评分及中医证候积分,并评价患者的临床疗效。

结果

治疗1、4周后,患者的PSQI、AIS、ISI评分及中医证候积分较治疗前降低(<0.05)。60例患者中,治愈30例,显效19例,有效9例,无效2例,总有效率为96.7%(58/60)。

结论

电针联合耳尖放血可改善痰火扰心型失眠患者的睡眠质量及临床症状。

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