孙远征教授调神针刺法治疗失眠的临床经验
Sun Yuanzheng’s Clinical Experience in the Treatment of Insomnia with Tiaoshen Acupuncture Method
DOI: 10.12677/acm.2025.15102748, PDF,   
作者: 耿 暄:黑龙江中医药大学研究生院,黑龙江 哈尔滨;孙远征*:黑龙江中医药大学附属第二医院针灸二科,黑龙江 哈尔滨
关键词: 失眠调神针刺法名医经验孙远征Insomnia Tiaoshen Acupuncture Method Famous Doctor’s Experience Sun Yuanzheng
摘要: 总结孙远征教授调神针刺法治疗失眠的理论基础与临床操作规范。基于《黄帝内经》“形神合一”理论,分别阐述了神、神与心、神与脑对失眠的影响,孙远征教授提出调神针刺法治疗本病,关键在于以百会、神庭调脑神,以神门、内关调心神,同时配合辨证取穴。本案列举了1例心脾两虚型失眠患者,治疗后效果明显,且随访半年未再复发。孙远征教授以其多年临床实践,总结出调神针刺法治疗失眠的经验,彰显了针刺治疗的优势,为医者同仁提供又一新的思路。
Abstract: This summarizes Professor Sun Yuanzheng’s theoretical basis and clinical operational guidelines for the treatment of insomnia using the Tiaoshen Acupuncture Method. Based on the “Unity of Vitality and Spirit” theory from the Huangdineijing, it elaborates on the impacts of spirit, the relationship between spirit and heart, and between spirit and brain on insomnia. Professor Sun proposes that the key to treating this condition with the Tiaoshen Acupuncture Method lies in regulating brain vitality through Baihui and Shenting acupoints and calming heart spirit through Shenmen and Neiguan acupoints, while also incorporating syndrome differentiation for point selection. An example of a patient suffering from insomnia due to dual deficiency of heart and spleen is presented, showing significant improvement after treatment and no recurrence in the six-month follow-up. Drawing from many years of clinical practice, Professor Sun has summarized his experiences in using the Tiaoshen Acupuncture Method to treat insomnia, highlighting the advantages of acupuncture treatment and providing another innovative approach for fellow practitioners.
文章引用:耿暄, 孙远征. 孙远征教授调神针刺法治疗失眠的临床经验[J]. 临床医学进展, 2025, 15(10): 223-227. https://doi.org/10.12677/acm.2025.15102748

参考文献

[1] Morin, C.M., Drake, C.L., Harvey, A.G., Krystal, A.D., Manber, R., Riemann, D., et al. (2015) Insomnia Disorder. Nature Reviews Disease Primers, 1, Article No. 15026. [Google Scholar] [CrossRef] [PubMed]
[2] Souza, J.C. and Reimão, R. (2004) Epidemiologia da insônia. Psicologia em Estudo, 9, 3-7. [Google Scholar] [CrossRef
[3] Kitamura, T., Miyazaki, S., Sulaiman, H.B., Akaike, R., Ito, Y. and Suzuki, H. (2020) Insomnia and Obstructive Sleep Apnea as Potential Triggers of Dementia: Is Personalized Prediction and Prevention of the Pathological Cascade Applicable? EPMA Journal, 11, 355-365. [Google Scholar] [CrossRef] [PubMed]
[4] Xu, X., Wang, X., Zhong, N., Xu, J., Li, C., Wang, G., et al. (2022) Hazardous Use of Benzodiazepine Receptor Agonists in Psychiatric Clinics in China: Electronic Prescription Database Study. BJPsych Open, 8, e188. [Google Scholar] [CrossRef] [PubMed]
[5] Wagner, J. and Wagner, M.L. (2000) Non-Benzodiazepines for the Treatment of Insomnia. Sleep Medicine Reviews, 4, 551-581. [Google Scholar] [CrossRef] [PubMed]
[6] Zhou, H., Lu, S., Yu, Z., Zhang, J. and Mei, Z. (2024) Mechanisms for the Biological Activity of Gastrodia elata Blume and Its Constituents: A Comprehensive Review on Sedative-Hypnotic, and Antidepressant Properties. Phytomedicine, 123, Article ID: 155251. [Google Scholar] [CrossRef] [PubMed]
[7] Srinivasan, V., Brzezinski, A., Pandi-Perumal, S.R., Spence, D.W., Cardinali, D.P. and Brown, G.M. (2011) Melatonin Agonists in Primary Insomnia and Depression-Associated Insomnia: Are They Superior to Sedative-Hypnotics? Progress in Neuro-Psychopharmacology and Biological Psychiatry, 35, 913-923. [Google Scholar] [CrossRef] [PubMed]
[8] Khazaie, H., Sadeghi, M., Khazaie, S., Hirshkowitz, M. and Sharafkhaneh, A. (2022) Dual Orexin Receptor Antagonists for Treatment of Insomnia: A Systematic Review and Meta-Analysis on Randomized, Double-Blind, Placebo-Controlled Trials of Suvorexant and Lemborexant. Frontiers in Psychiatry, 13, Article ID: 1070522. [Google Scholar] [CrossRef] [PubMed]
[9] Atkin, T., Comai, S. and Gobbi, G. (2018) Drugs for Insomnia beyond Benzodiazepines: Pharmacology, Clinical Applications, and Discovery. Pharmacological Reviews, 70, 197-245. [Google Scholar] [CrossRef] [PubMed]
[10] 黄帝. 黄帝内经∙灵枢[M]. 北京: 新疆人民卫生出版社, 2016.
[11] 王冰. 黄帝内经素问[M]. 北京: 人民卫生出版社, 1963.
[12] 曹培华, 王梦玺, 吴晨洁, 等. 中医心理学视角下的双心疾病[J]. 实用中医内科杂志, 2021, 35(6): 25-28.
[13] Harsvardhan, R., Shukla, A. and Shukla, A. (2024) Mind-Body Medicine: Evolving Science and Its Role in Practice. Journal of Academy of Hospital Administration, 36, 33-37. [Google Scholar] [CrossRef
[14] Freire, L.H.R.R., Bomfim, V.V.B.d.S., Ferreira, T.G., Portela, J.G.S., Santos, G.S.B., Farias, G.A.A., et al. (2024) Unraveling the Mysteries of the Brain: Advances and Challenges in Clinical Neurology. Concilium, 24, 468-476. [Google Scholar] [CrossRef
[15] 丁园, 于天洋, 陈存阳, 等. 从“神-脑-心”体系探析“调神”针刺法[J]. 吉林中医药, 2021, 41(8): 1028-1032.