Discussion On Acupuncture And Moxibustion Treatment Of Insomnia In Clinical Selection

Objective:This study according to modern acupuncture literature to do the acupuncture insomnia prescriptions finishing, sum up the points law of modern acupuncture treatment of insomnia, exploring the structure of the composition of prescription on the basis of it. For clinical treatment of insomnia provide theoretical basis for optimizing choose acupuncture point, improve the curative effect and guidance, and provide research direction. Methods:Computer use "insomnia", "egersis", "sleepness", "can not fall asleep", "sleep disorder", "sleep disturbance", "acupuncture and moxibustion therapy", "acupuncture treatment", "moxibustion treatment", "random" as a search term to screen in CNKI, classify and finishing the literature retrieved, descriptive analysis by SPSS software package and statistical method of cluster analysis.Results:1. Literature retrieval overall conditionThe first retrieval:a total of 820,229 selected literature brought into it. Among the 229 literature brought into study, in recent 5 years, the number of publishing literature every year is stationary, the quality of literature is low.2. Acupuncture point law for the treatment of insomnia chose by the modern physicians The prescriptions of acupuncture treating insomnia, mentioned in literature are a total of 262, among them, single-point prescriptions are a total of 18 (account for6.9%), double-point prescriptions are a total of 30 (account for11.5%), three-point prescriptions are a total of 214 (account for81.7%).The number of points used is 118,the frequency of points used is 1345.2.1 the acupuncture points and adjunct points commonly usedThe points commonly used to treat Insomnia by modern Chinese acupuncture including Shen Men, Bai Hui, San Yin Jiao, Si Shen Cong, An Mian, Nei Guan,Zhao Hai,Yin Tang, Shen Mai, Zu San Li, Shen Ting, Xin Shu,Tai Chong,Pi Shu, Feng Chi, Shen Shu, Gan Shu, Zhong Wan, Tai Xi,Qi Hai,Guan Yuan, Xia Wan, among them, Shen Men and Bai Hui are the points used most commonly.The common compatibility of points:Shen Mai matches Zhao Hai;Tai Chong matches Zu San Li;Pi Shu matches Shen Shu, Xin Shu, Gan Shu;Qi Hai matches Guan Yuan, Zhong Wan, Xia Wan;Si Shen Cong matches An Mian;San Yin Jiao matches Shen Men, Nei Guan, Bai Hui.2.2 selecting acupuncture point along meridiansModern physicians treat insomnia, the first choice is the points of bladder meridian of foot-taiyang, the second are the points of Du meridian,heart meridian of hand-shaoyin, spleen meridian of foot-taiyin, used commonly. Such as Shen Mai, Xin Shu, Pi Shu, Shen Shu,Gan Shu, from the bladder meridian;Bai Hui,Shen Ting, Da Zhui, from Du meridian;the heart meridian’s Shen Men;the spleen meridian’s San Yin Jiao. Thirdly, modern physicians also commonly used Zhao Hai,Tai Xi, Yong Quan, from kidney meridian;Nei Guan, Lao Gong, from heart meridian;Zhong Wan, Qi Hai, Guan Yuan, from Ren meridian; the stomach meridian’s Zu San Li;the liver meridian’s Tai Chong. At the same time,modern physicians also used the extra-meridian’s points, such as Si Shen Cong, An Mian, Yin Tang, all used commonly to treat insomnia.2.3 select the points by partsThe common points used by modern Chinese medicine to treat insomnia are from head, face and neck, the second are lower limb, upper limb, such as Bai Hui, Si Shen Cong, An Mian, Yin Tang, from head, face and neck;San Yin Jiao, Zhao Hai, Shen Mai, Zu San Li, Tai Chong, from lower limb;Shen Men, Nei Guan, etc, from upper limb.2.4 select specific pointsModern physicians often use specific points to treat insomnia, the specific points most commonly used are crossing point and five shu point. Among it, the common crossing points are Bai Hui, San Yin Jiao, the second are Shen Ting, Feng Chi, etc. The most commonly used five shu point is Shen Men, the second is Nei Guan;Zu San Li, Tai Chong are also used commonly by modern physicians. Besides crossing point and five shu point, modern physicians like to use, source point, back point, eight influential point, luo point, front mu point, eight confluence point, cleft point, lower he point also used commonly. The source points most commonly used is Shen Men, the second are Nei Guan, Tai Chong, Tai Xi,He Gu, used by modern physicians. The lower he point’s Zu San Li, the front mu point’s Zhong Wan and Guan Yuan, eight influential point’s Zhong Wan are all the commonly used points by modern physicians to treat insomnia. Gong Sun, Wai Guan, Lie Que, from luo point;Jiao Xin, Fu Yang, Liang Qiu, from cleft point, are also used commonly by modern physicians,but relatively less than others.2.5 points selection based on syndromic differentationAccording to literature research, modern physicians divide insomnia into 7syndromes:deficiency of heart and spleen syndrome, yin deficiency and fire excess syndrome, heart-Qi and gall bladder-Qi deficiency syndrome, liver-yang hyperactivity syndrome, internal disturbance of phlegm heat syndrome, disharmony between the heart and kidney syndrome, disharmony between the spleen and stomach syndrome. Points selection according to syndromic differentation to change.For deficiency of heart and spleen syndrome, physicians often use Pi Shu,Xin Shu,San Yin Jiao, Zu San Li, etc. Shen Men, Nei Guan, Yin Ling Quan, Tian Shu, Jue Yin Shu are also the points used for deficiency of heart and spleen syndrome. Among them,Pi Shu often matches Xin Shu, San Yin Jiao often matches Zu San Li to treat insomnia.For yin deficiency and fire excess syndrome, Tai Xi is the most commonly used point, the second are Tai Chong, Shen Shu, Yong Quan, Da Ling,Xin Shu, San Yin Jiao, etc. Among them, Tai Xi often matches Tai Chong and Yong Quan, Xin Shu often matches Shen Shu, San Yin Jiao often matches Da Ling.For heart-Qi and gall bladder-Qi deficiency syndrome, physicians often use Xin Shu, Dan Shu,the second are Qiu Xu, Da Ling, Nei Guan, Yang Ling Quan, used by many people. Among them, Xin Shu often matches Dan Shu, Nei Guan often matches Yang Ling Quan.For liver-yang hyperactivity syndrome, physicians often use Tai Chong, Xing Jian, Gan Shu, Feng Chi, Xia Xi. Among them, Gan Shu often matches Tai Chong, Xing Jian often matches Feng Chi and Xia Xi to treat insomnia.For internal disturbance of phlegm heat syndrome, physicians often use Feng Long, Nei Ting, Zhong Wan all together.For disharmony between the heart and kidney syndrome, physicians often use Shen Shu,Tai Xi,Xin Shu,all together to treat insomnia.For disharmony between the spleen and stomach syndrome, physicians often use Zu San Li, Zhong Wan, Wei Shu, Feng Long, Pi Shu. Among them, Feng Long often matches Zhong Wan, Pi Shu often matches Wei Shu, this two couple points often matches Zu San Li. Conclusion:According to the finishing of modern literature, using acupuncture to treat insomnia, we sum up the acupuncture prescriptions law of treating insomnia by modern Chinese medicine, and form a spreading prescription of insomnia acupuncture treatment. The main points:Shen Men, Bai Hui.San Yin Jiao, Si Shen Cong, An Mian, Nei Guan, Shen Mai, Zhao Hai; the adjunct points:Pi Shu, Xin Shu, Zu San Li, used for deficiency of heart and spleen syndrome;Tai Xi, Tai Chong, Yong Quan, Xin Shu,Shen Shu, Da Ling, used for yin deficiency and fire excess syndrome;Xin Shu, Dan Shu,Qiu Xu, Da Ling, Yang Ling Quan, used forheart-Qi and gall bladder-Qi deficiency syndrome; Gan Shu, Tai Chong, Xing Jian, Feng Chi, Xia Xi, used for liver-yang hyperactivity syndrome;Feng Long, Nei Ting, Zhong Wan, used for internal disturbance of phlegm heat syndrome; Shen Shu, Xin Shu, Tai Xi,used for disharmony between the heart and kidney syndrome;Zu San Li, Zhong Wan, Feng Long, Wei Shu, Pi Shu, used for disharmony between the heart and kidney syndrome.