针刺治疗中风后睡眠障碍的取穴理论研究进展

Progress in Theoretical Research on Acupoint Selection for Acupuncture Treatment of Post-Stroke Sleep Disorders

摘要: 中风后睡眠障碍是影响脑卒中患者神经功能康复与生活质量的常见并发症，可归属于中医“不寐”“目不瞑”等范畴。大量研究表明针刺疗法可有效改善卒中后患者夜间睡眠障碍的临床症状、提高睡眠质量，已成为重要的治疗选择。文章系统梳理了近年来针刺治疗中风后睡眠障碍的取穴理论相关文献研究，通过提炼针刺治疗中风后睡眠障碍的取穴理论，呈现出以“调神”为核心、以“调理气机”、“调和阴阳营卫”为基础和途径的取穴逻辑，旨在为临床针刺治疗中风后睡眠障碍选穴方案提供参考。

Abstract: Post-stroke sleep disorder is a common complication that affects the neurological recovery and quality of life of stroke patients. It can be categorized under the traditional Chinese medicine patterns of “insomnia” (Bu Mei) or “inability to close the eyes” (Mu Bu Ming). A large number of studies have shown that acupuncture therapy can effectively improve the clinical symptoms of nocturnal sleep disorders in post-stroke patients and enhance sleep quality, making it an important treatment option. This article systematically reviews recent literature on the theoretical principles of acupoint selection for acupuncture treatment of post-stroke sleep disorders. By distilling the theories underlying acupoint selection, it reveals a logic centered on “regulating the spirit” (Tiao Shen), with “regulating qi movement” (Tiao Li Qi Ji) and “harmonizing yin-yang, nutritive and defensive qi” (Tiao He Yin Yang Ying Wei) as the foundation and pathways. The aim is to provide a reference for clinical acupoint selection protocols in treating post-stroke sleep disorders.