脑卒中后失眠患者中医外治法的应用研究进展

Research Progress of the Application of Traditional Chinese External Therapies for Post-Stroke Insomnia

摘要: 脑卒中后失眠是一种常见的并发症，对患者的生活质量和康复效果产生了一定的影响。传统西医治疗主要依赖药物，但可能伴随副作用和依赖问题。中医外治法因其简便廉易，逐渐成为一种有效的替代治疗方案。本文综述了中医外治法在改善脑卒中后失眠中的应用进展，包括刮痧、穴位贴敷、平衡火罐、中药足浴、五音疗法、针刺疗法、耳穴压豆、传统中医功法等方法，均显示出一定的疗效。研究表明，这些方法不仅有效缓解了失眠症状，还提升了睡眠质量，具有较高的临床推广价值。与传统药物治疗相比，中医外治法更具经济性和安全性，能够减少副作用和药物依赖，值得在临床中广泛应用。

Abstract: Post-stroke insomnia is a common complication that significantly impacts patients’ quality of life and rehabilitation outcomes. Conventional Western medicine primarily relies on pharmacotherapy, which may be associated with side effects and dependency issues. Due to its simplicity, cost-effectiveness, and efficacy, traditional Chinese external therapies have gradually become a viable alternative treatment option. This article reviews the advancements in the application of Chinese external therapies for the management of post-stroke insomnia, including techniques such as gua sha, acupoint application, balance cupping, herbal foot baths, five-tone therapy, acupuncture, auricular acupressure, and traditional Chinese exercises. Studies have demonstrated that these methods not only effectively alleviate insomnia symptoms but also enhance sleep quality, indicating a high potential for clinical promotion. Compared to conventional pharmacotherapy, Chinese external therapies offer greater economic and safety benefits, reducing the risks of side effects and drug dependency, making them worthy of widespread clinical application.