国内外特色推拿与按摩疗法在失眠治疗中的研究现状
Research Status of Characteristic Tuina and Massage Therapy in the Treatment of Insomnia at Home and Abroad
DOI: 10.12677/TCM.2022.113068, PDF,   
作者: 李 浩:湖北中医药大学,湖北 武汉
关键词: 失眠推拿疗法研究现状Insomnia Tuina Massage Research Status
摘要: 失眠是现代社会影响人们生活质量最为常见的疾病之一,随着社会的发展,失眠的发病率也在逐年增高。我国诸多推拿流派虽然在治疗失眠时部位与手法的选择不尽相同,但皆取得了良好的疗效,同时国外也有部分按摩手法在治疗失眠、缓解疲劳中疗效显著。本文旨在总结国内外部分具有代表性的推拿与按摩疗法在治疗失眠时的治疗方法与作用机制。
Abstract: Insomnia is one of the most common diseases that affect people’s quality of life in modern society. With the development of society, the incidence of insomnia is increasing year by year. Although many schools of massage in China have different choices of locations and techniques in the treatment of insomnia, they have achieved good results. At the same time, there are also some massage techniques in foreign countries that are effective in treating insomnia and relieving fatigue. The purpose of this paper is to summarize the therapeutic methods and mechanism of some representative massage and massage therapy in the treatment of insomnia at home and abroad.
文章引用:李浩. 国内外特色推拿与按摩疗法在失眠治疗中的研究现状[J]. 中医学, 2022, 11(3): 478-485. https://doi.org/10.12677/TCM.2022.113068

参考文献

[1] Castro, L.S., Poyares, D., Leger, D., Bittencourt, L. and Tufik, S. (2013) Objective Prevalence of Insomnia in the São Paulo, Brazil Epidemiologic Sleep Study. Annals of Neurology, 74, 537-546. [Google Scholar] [CrossRef] [PubMed]
[2] Uhlig, B.L., Sand, T., Odegård, S.S. and Hagen, K. (2014) Prevalence and Associated Factors of DSM-V Insomnia in Norway: The Nord-Trøndelag Health Study (HUNT 3). Sleep Medicine, 15, 708-713. [Google Scholar] [CrossRef] [PubMed]
[3] Lack, L., Miller, W. and Turner, D. (1988) A Survey of Sleeping Difficulties in an Australian Population. Community Health Studies, 12, 200-207. [Google Scholar] [CrossRef] [PubMed]
[4] Bartlett, D.J., Marshall, N.S., Williams, A. and Grunstein, R.R. (2008) Sleep Health New South Wales: Chronic Sleep Restriction and Daytime Sleepiness. Internal Medicine Journal, 38, 24-31.
[5] 顾平. 中国睡眠研究会睡眠医学教育专业委员会专家讲座答疑第六讲失眠[J]. 世界睡眠医学杂志, 2017, 4(4): 234-242.
[6] 许良. 中医睡眠医学的现状与发展趋势[J]. 中医文献杂志, 2005(2): 55-56.
[7] 徐志鹏, 陈文军, 黎红华, 等. 失眠症的研究与治疗[J]. 中国临床康复, 2006(22): 170.
[8] 薛智慧, 李洪亮, 王欢欢, 等. 失眠临床治疗的研究进展[J]. 中医药导报, 2014, 20(16): 55-57.
[9] 中医中医科学院失眠症中医临床实践指南课题组. 失眠症中医临床实践指南(WHO/WPO) [J]. 世界睡眠医学杂志, 2016, 3(1): 8-25.
[10] 范炳华, 韩明舫, 赵毅, 等. 推拿学[M]. 北京: 中国中医药出版社, 2015: 14.
[11] 龙凌. 头枕部推拿治疗脑梗死后轻度认知障碍合并睡眠障碍的临床观察[D]: [硕士学位论文]. 武汉: 湖北中医药大学, 2017.
[12] 吴剑聪, 耿楠, 李小琴, 潘璠, 冼思彤, 于跃, 高玉峰, 鲁梦倩, 于天源. 推拿影响坐骨神经损伤大鼠行为学及神经营养素3、酪氨酸激酶受体C表达的研究[J]. 环球中医药, 2014, 7(3): 177-183.
[13] 孙洪生. 不寐病证的文献研究与学术源流探讨[D]: [博士学位论文]. 北京: 北京中医药大学, 2006.
[14] 王玉霞, 周运峰. 三部推拿法治疗心脾两虚型不寐的疗效及其对抑郁的影响[J]. 中华中医药杂志, 2016, 31(9): 3842-3844.
[15] 唐宏亮, 陈昭, 庞军, 莫巧明. 枢经推拿治疗失眠症: 随机对照研究[J]. 中国针灸, 2015, 35(8): 816-818.
[16] 赵焰. 太极推拿[M]. 武汉: 湖北科学技术出版社, 2015: 125.
[17] 彭方, 周晶, 赵焰. 头面部推拿配合耳穴治疗心脾两虚型失眠的疗效分析[J]. 按摩与康复医学, 2016, 7(1): 42-44.
[18] 向雄. 头面部推拿结合耳穴埋针治疗慢性失眠伴焦虑的临床观察[D]: [硕士学位论文]. 武汉: 湖北中医药大学, 2019.
[19] 吴娟, 加健, 赵焰. 太极推拿特色摇法合传统推拿治疗颈源性失眠47例[J]. 湖南中医杂志, 2021, 37(2): 57-59.
[20] Irwin, M.R., Olmstead, R. and Carroll, J.E. (2016) Sleep Disturbance, Sleep Duration, and Inflammation: A Systematic Review and Meta-Analysis of Cohort Studies and Experimental Sleep Deprivation. Biological Psychiatry, 80, 40-52. [Google Scholar] [CrossRef] [PubMed]
[21] Hurtado-Alvarado, G., Domínguez-Salazar, E., Pavon, L., Velázquez-Moctezuma, J. and Gómez-González, B. (2016) Blood-Brain Barrier Disruption Induced by Chronic Sleep Loss: Low-Grade Inflammation May Be the Link. Journal of Immunology Research, 2016, Article ID: 4576012. [Google Scholar] [CrossRef] [PubMed]
[22] Patel, S.R., Zhu, X., Storfer-Isser, A., Mehra, R., Jenny, N.S., Tracy, R. and Redline, S. (2009) Sleep Duration and Biomarkers of Inflammation. Sleep, 32, 200-204. [Google Scholar] [CrossRef] [PubMed]
[23] 魏蒙. 太极推拿治疗慢性失眠的临床观察及对血清CRP、IL-6的影响[D]: [硕士学位论文]. 武汉: 湖北中医药大学, 2020.
[24] 周斌, 马亮亮, 周运峰. 周运峰三部推拿法调气治疗失眠经验[J]. 中华中医药杂志, 2020, 35(10): 5028-5030.
[25] 沈佳. 漫谈“胃不和则卧不安”[J]. 江苏中医药, 2002(5): 36-37.
[26] 耿涛. 三部推拿法治疗失眠的思路探索[J]. 甘肃中医, 2010, 23(4): 43-45.
[27] 罗永宝, 陶善平, 汪健, 周丽艳, 段希栋, 宣守松, 丁金磊, 何天峰, 宋银花, 褚晓彦. 三部推拿联合耳穴贴压治疗心脾两虚型失眠的临床观察[J]. 成都中医药大学学报, 2015, 38(1): 79-81+85.
[28] 赵乐章, 章功良, 高隽, 张景行, 钟明奎, 张瑾. 中缝背核5-羟色胺能神经元在睡眠调节中的作用研究[J]. 中国应用生理学杂志, 2003(2): 72-75.
[29] 姚静静. 三部推拿法对心脾两虚型失眠患者多导睡眠图及5-羟色胺的影响[D]: [硕士学位论文]. 郑州: 河南中医学院, 2014.
[30] 叶金波. 头穴推拿为主治疗重症失眠62例[J]. 浙江中医杂志, 1998(7): 317.
[31] Yano, J.M., Yu, K., Donaldson, G.P., Shastri, G.G., Ann, P., Ma, L., Nagler, C.R., Ismagilov, R.F., Mazmanian, S.K. and Hsiao, E.Y. (2015) Indigenous Bacteria from the Gut Microbiota Regulate Host Serotonin Biosynthesis. Cell, 161, 264-276. [Google Scholar] [CrossRef] [PubMed]
[32] Sjögren, K., Engdahl, C., Henning, P., Lerner, U.H., Tremaroli, V., Lagerquist, M.K., Bäckhed, F. and Ohlsson, C. (2012) The Gut Microbiota Regulates Bone Mass in Mice. Journal of Bone and Mineral Research, 27, 1357-1367. [Google Scholar] [CrossRef] [PubMed]
[33] 周运峰, 魏玉龙, 张璞, 高山, 宁国利, 张振强, 胡斌, 王单一, 燕美荣, 刘文军. 三部推拿法治疗心脾两虚型不寐: 多中心对照研究[J]. 中国针灸, 2006(6): 385-388.
[34] 李华南, 张玮, 刘斯文, 骆雄飞, 董桦, 范青, 王金贵, 马永利. 津沽推拿流派学术概要[J]. 天津中医药, 2020, 37(2): 182-186.
[35] 孙庆, 董华. “疏肝行气, 调神解郁”腹部推拿法治疗广泛性焦虑症的理论研究[J]. 天津中医药大学学报, 2011, 30(3): 134-136.
[36] 谭涛, 王金贵, 孙庆. “津沽推拿”之通脉调神手法对心脾两虚型心理生理性失眠患者多导睡眠图总睡眠时间、各期睡眠百分比的影响[J]. 辽宁中医杂志, 2014, 41(9): 1811-1814.
[37] 樊炜骏, 田少飞, 杨莹, 房纬. 津沽脏腑推拿治疗原发性失眠临床观察[J]. 辽宁中医药大学学报, 2016, 18(11): 50-52.
[38] 王海腾, 谭涛. 津沽推拿之通脉调神手法对心脾两虚型心理生理性失眠患者SCL-90量表评分及多导睡眠图睡眠效率的影响[J]. 四川中医, 2014, 32(5): 156-158.
[39] 谭涛, 王金贵, 赵红义. “津沽推拿”之通脉调神手法对心脾两虚型心理生理性失眠患者血五羟色胺及去甲肾上腺素的影响[J]. 天津中医药, 2014, 31(9): 529-533.
[40] 江帆, 颜崇淮, 沈晓明. 与睡眠相关的中枢单胺类递质[J]. 国外医学. 精神病学分册, 2001(1): 55-58.
[41] 徐莉萍, 谢永标, 刘破资, 岳伟华. 原发性失眠患者血浆5-羟色胺和去甲肾上腺素与心理状况的相关分析[J]. 中国行为医学科学, 2006(3): 240-241.
[42] 陈星宇, 诸毅晖, 邹婷婷, 易玉辉, 潘早波. 针灸辨治“肝病不寐”[J]. 辽宁中医杂志, 2017, 44(11): 2401-2403.
[43] 张瑞春, 彭进. 头面部推拿结合足底反射区推拿治疗不寐症36例[J]. 新疆中医药, 2008, 26(6): 37-38.
[44] 丁勇. 头面部推拿结合音乐疗法治疗心肾不交型失眠[J]. 湖北中医杂志, 2016, 38(10): 53-54.
[45] 黄凤, 张雅丽. 引阳入阴推拿配合气息导引法治疗不寐症效果观察[J]. 护理研究, 2012, 26(35): 3310-3311.
[46] 邹家莉. 引阳入阴推拿法配合耳穴埋籽对失眠患者的影响研究[J]. 护士进修杂志, 2018, 33(18): 1710-1711.
[47] 陈玉龙, 王剑锋. 唐宋教授治疗失眠经验撷箐[J]. 河南中医, 2001(6): 11-12.
[48] 张晓乐, 杨海侠, 李小波, 雷思敏. 以阴阳理论指导下“引阳入阴穴位按摩法”治疗不寐病理论探讨[J]. 陕西中医药大学学报, 2019, 42(6): 100-104.
[49] 谷凌云, 王蕴伶, 查青山. 从阴阳失调辨治失眠[J]. 云南中医学院学报, 2013, 36(5): 20-22+27.
[50] 庞军. 枢经学说的理论和应用研究[D]: [博士学位论文]. 武汉: 湖北中医药大学, 2010.
[51] 庞军, 唐宏亮, 李建敏, 王开龙, 芦玥, 甘炜. “枢经”学说初探[J]. 辽宁中医杂志, 2011, 38(3): 440-442.
[52] 庞军, 陈昭, 唐宏亮, 莫巧明. 足少阳胆经推拿治疗失眠症的随机对照研究[J]. 广州中医药大学学报, 2015, 32(2): 247-250+254.
[53] 马伯英. 中国医学文化史[M]. 上海: 上海人民出版社, 2010.
[54] 飒兰. 中国推拿与泰式按摩的源流与发展的比较研究[D]: [硕士学位论文]. 北京: 首都体育学院, 2013.
[55] Buttagat, V., Eungpinichpong, W., Chatchawan, U. and Kharmwan, S. (2011) The Immediate Effects of Traditional Thai Massage on Heart Rate Variability and Stress-Related Parameters in Patients with Back Pain Associated with Myofascial Trigger Points. Journal of Bodywork and Movement Therapies, 15, 15-23. [Google Scholar] [CrossRef] [PubMed]
[56] Thayer, R.E. (1978) Factor Analytic and Reliability Studies on the Activation-Deactivation Adjective Check List. Psychological Reports, 42, 747-756. [Google Scholar] [CrossRef] [PubMed]
[57] Košćec, A. and Radoševićvidaček, B. (2001) Cross-Cultural Validity of Scores in Thayer’s Activation-Deactivation Adjective Check List (AD ACL). Drutvena Istraivanja, 10, 887-902.
[58] Kimura, A. (2003) Japanese Anma. Ounkai, Tokyo.
[59] Donoyama, N., Munakata, T. and Shibasaki, M. (2010) Effects of Anma Therapy (Traditional Japanese Massage) on Body and Mind. Journal of Bodywork and Movement Therapies, 14, 55-64. [Google Scholar] [CrossRef] [PubMed]
[60] Cao, W.H., Sato, A., Sato, Y. and Zhou, W. (1992) Somatosensory Regulation of Regional Hippocampal Blood Flow in Anesthetized Rats. The Japanese Journal of Physiology, 42, 731-740. [Google Scholar] [CrossRef] [PubMed]
[61] Donoyama, N. and Katahira, A. (2002) The Situation of Use of Acupuncture, Moxibustion and Anma/Massage Therapy: The Results from a Questionnaire Survey for Clients. Journal of the Japan Society of Acupuncture and Moxibustion, 52, 296. (in Japanese)
[62] Donoyama, N., Satoh, T., Hamano, T., Ohkoshi, N. and Onuki, M. (2018) Effects of Anma Therapy (Japanese Massage) on Health-Related Quality of Life in Gynecologic Cancer Survivors: A Randomized Controlled Trial. PLoS ONE, 13, e0196638. [Google Scholar] [CrossRef] [PubMed]
[63] Cutshall, S.M., Cha, S.S., Ness, S.M., et al. (2015) Symptom Burden and Integrative Medicine in Cancer Survivorship. Support Care Cancer, 23, 2989-2994. [Google Scholar] [CrossRef] [PubMed]
[64] Edman, J.S., Roberts, R.S., Dusek, J.A., Dolor, R., Wolever, R.Q. and Abrams, D.I. (2014) Characteristics of Cancer Patients Presenting to an Integrative Medicine Practice-Based Research Network. Integrative Cancer Therapies, 13, 405-410. [Google Scholar] [CrossRef] [PubMed]
[65] Samuel, C.A. and Faithfull, S. (2014) Complementary Therapy Support in Cancer Survivorship: A Survey of Complementary and Alternative Medicine Practitioners’ Provision and Perception of Skills. European Journal of Cancer Care, 23, 180-188. [Google Scholar] [CrossRef] [PubMed]