Study On The Regularity Of Acupuncture And Moxibustion In Treating Insomnia In Recent 10 Years

BackgroundWith the rapid pace of life,people are under increasing pressure and the incidence of insomnia is on the rise.In the clinical work of treating insomnia,acupuncture and moxibustion,as a green therapy,is more and more accepted by insomnia patients because of its advantages of safe treatment,less adverse reactions and no dependence.At present,there are many kinds of acupuncture and moxibustion in the treatment of insomnia,and there is a phenomenon that "one disease is totally surrounded".In order to explore the application of acupoints in modern acupuncture and moxibustion treatment of insomnia,this paper aims to provide a reference for clinical practice by searching the literature of clinical journals of acupuncture and moxibustion for insomnia from January 2007 to December 2016.ObjectiveIn this study,we summarized the clinical randomized controlled trials of acupuncture and moxibustion for insomnia in the past 10 years,and finally classified the acupoints according to the distribution of fourteen points,the locations and the specific points.This paper summarizes the law of acupuncture and moxibustion in the treatment of insomnia in modern literature,and analyzes the prescription compatibility of acupuncture and moxibustion for insomnia.MethodBy combining computer and manual retrieval,the clinical randomized controlled study of acupuncture and moxibustion for insomnia in recent 10 years published in common database was searched.By systematic arrangement,107 articles were included in accordance with the inclusion criteria.The acupoints,meridians,parts,specific points selected in the literature are summarized,statistics and data are obtained,and the rules of acupuncture and moxibustion for insomnia selection and prescription in modern literature are summarized.Result1.Therapeutic method:Simple acupuncture is the most commonly used method in the treatment of primary insomnia,and its frequency of use is 42.06%,followed by acupuncture combined with moxibustion,acupuncture combined with auricular points,other treatment methods account for a low proportion.2.Acupoint selection:A total of 97 acupoints were selected,and the total frequency of acupoints was 1098,with an average of 11.31 points.There are 25 points used more often than the average number of points.In the main points,the accumulative frequency of the five acupoints,Shenmen,Baihui,Sishen Cong,Anmian and Sanyinjiao is more than 50%(51.93%),which are the first choice for acupuncture and moxibustion in the treatment of insomnia,while Xinshu,Taichong,Pishu,Fenglong are the first choice of matching points.3.Channel selection:13 meridians are involved.According to the total frequency of the main points,the five meridians with the highest frequency are the governor meridian,the bladder channel of foot-taiyang,the heart channel of hand-shaoyin,the kidney channel of foot-shaoyin,the spleen channel of foot-taiyin.Its meridian points use frequency exceeds the total main acupoint frequency to 70%(74.95%).4.Acupoint position selection:According to the statistics of 97 acupoints,there were more points in the head and neck,lower limbs and upper limbs in the main points,and the frequency of the points was 42.66%,24.74%and 17.92% respectively.5.Specific point selection:The specific points are widely used,selection of the main points,most are the confluent acupoint,the five-shu acupoint,yuan-primary point,the eight confluence acupoint.The selection of frequency were 33.43%,20.97%,16.57%,10.18% respectively.6.In the 39 articles of pattern identification type,patterns with more frequent occurrences were heart and spleen deficiency pattern(35 times),pattern of liver fire disturbing heart(30 times),qi deficiency of heart and gallbladder(30 times),and pattern of disharmony between heart and kidney(24 times).Among different patterns,the heart and spleen deficiency pattern is mostly matched with Xinshu,Pishu,Sanyinjiao,Zusanli,and Fenglong;pattern of liver fire disturbing heart with Taichong,Xingjian,Ganshu;qi deficiency of heart and gallbladder with Danshu,Xinshu,Qiuxu,Taichong;pattern of disharmony between heart and kidney is mostly matched with Xinshu,Taixi,Shenshu,Guanyuan;the pattern of phlegm-heat internal disturbance is combined with Fenglong,Neiting and Zusanli;the pattern of yin-deficiency and fire-hyperactivity is more matched with Taixi,Shenshu,Zhaohai,Sanyin jiao,Taichong;the spleen and stomach disharmony pattern is more matched with Zusanli and Pishu,Weishu.ConclusionConsidering the use frequency of each acupuncture point,the selection rules of meridians,the rules of acupoint selection and the application law of specific points,the following points are recommended for the main points and the matching points of acupuncture treatment of insomnia: Main points: Shenmen,Baihui,Sishencong,Anmian,Sanyinjiao;matching points: the heart and spleen deficiency pattern is matched with Xinshu,Pishu;pattern of liver fire disturbing heart with Taichong,Xingjian,Ganshu;qi deficiency of heart and gallbladder with Danshu,Xinshu,Qiuxu,Taichong;pattern of disharmony between heart and kidney is matched with Xinshu,Taixi,Shenshu;the pattern of phlegm-heat internal disturbance is matched with Fenglong,Neiting and Zusanli;the pattern of yin-deficiency and fire-hyperactivity is matched with Taixi,Shenshu,Zhaohai;the spleen and stomach disharmony pattern is more matched with Zusanli and Pishu,Weishu.