基于形神一体论针刺治疗不宁腿综合征验案1则

A Case of Restless Legs Syndrome Treated by Acupuncture Based on the Theory of the Unity of Form and Spirit

摘要: 不宁腿综合征是临床常见的神经系统感觉运动障碍性疾病，同时也是睡眠障碍中行为障碍的一种。临床表现为下肢深部产生难以名状或忍受的酸、胀、烦、麻等不适感，有强烈的活动腿的欲望，且于夜间睡眠时和安静状态下明显，对患者的睡眠质量影响较大。其确切发病机制不明，目前尚无特效治疗药物。不宁腿综合征在中医典籍中无专病记载，根据临床表现多归属于“痹证”“血痹”或“痉病”范畴。其病因病机可概括为本虚标实，以肝肾亏虚为本，邪瘀阻滞经络为标。肝主筋，筋得肝养，方能运动自如。心藏神，心得血养，才能安然入眠。临床诊治中当以形神一体论为纲，辩证选穴，以达到标本兼治，形神共安的目的。

Abstract: Restless legs syndrome is a common neurological sensorimotor disorder in clinical practice and also a behavioral disorder in sleep disorders. The clinical manifestations are that the deep parts of the lower limbs produce indescribable or unbearable discomfort such as aching, distension, restlessness and numbness. There is a strong desire to move the legs, which is more obvious at night during sleep and in a quiet state, and has a significant impact on the sleep quality of patients. The exact pathogenesis is unknown and there are currently no specific therapeutic drugs. Restless legs syndrome has no specific disease records in traditional Chinese medical classics. According to clinical manifestations, it is mostly classified under the categories of “arthralgia syndrome”, “blood arthralgia” or “spasm disease”. The etiology and pathogenesis can be summarized as “deficiency at the root and excess at the symptoms”, with liver and kidney deficiency as the root and pathogenic stasis blocking the meridians as the symptoms. The liver governs the tendons. Only when the tendons are nourished by the liver can they move freely. Only when the heart stores the spirit and the heart is nourished by blood can one fall asleep peacefully. In clinical diagnosis and treatment, the theory of the unity of form and spirit should be taken as the guiding principle, and acupoints should be selected based on syndrome differentiation to achieve the goal of treating both the symptoms and the root cause, and bringing peace to both form and spirit.