失眠“同功穴”分析

蒋海琳，王富春*

(长春中医药大学，长春 130117)

摘要：目的总结并分析针灸治疗失眠的“同功穴”，为腧穴配伍和临床针灸处方的规范化提供理论依据。方法统计15部现代较有影响力的针灸教材中主治失眠的腧穴，并与《中华人民共和国国家标准·腧穴主治》和现代临床文献中治疗失眠的选穴进行对比，予以分析。结果15部针灸教材中主治失眠的“同功穴”共计45个,腧穴总频次为296次。其中神门、内关、印堂、四神聪为15部教材的共有腧穴，各出现15次，分别占总频次的5.07%；而三阴交、心俞、神庭、翳明各出现14次，分别占总频次的4.73%。此8穴可归为失眠“同功穴”的一级选穴。失眠“同功穴”主要集中在督脉、膀胱经、肾经、胆经、脾经和心经，其分布主要以头部和四肢部为主。结论失眠“同功穴”中的一级选穴可用于临床腧穴配伍和针灸处方，发挥针灸治疗失眠的最佳疗效，而二、三级选穴则往往作为配穴临证加减使用。

关键词：失眠；同功穴；腧穴配伍；选穴频次；针灸疗法

DOI:10.13463/j.cnki.jlzyy.2015.01.001

中图分类号：R245.2文献标志码： A

文章编号：1003-5699(2015)01-0001-05

基金项目:国家重点基础研究发展计划“973”计划项目(2014CB543100)。

作者简介:蒋海琳(1990-)，女，硕士研究生，主要从事特定穴配伍规律及临床应用研究。

收稿日期:(责任编辑：张晔2014-12-01)

*通信作者:王富春，电话-(0431)86178823，电子信箱-fuchenwang420@126.com

The Analysis of “Tong-gong Points” for treating insomnia

JIANG Hailin,WANG Fuchun*

(Changchun College of Chinese Medicine,Changchun 130117,China)

Abstract：ObjectiveTo summarize and analyze “Tong-gong points” of insomnia treated by acupuncture and provide theoretical basis for the normalization of acupoints compatibility and clinical acupuncture prescription.MethodsShu Point for treating insomnia in 15 modern influential teaching materials was counted to be compared and analyzed with the acupoints of treating insomnia in national standard and modern clinical literature.ResultsIn 15 modern influential teaching materials,there were total 45 acupoints for treating insomnia,and the total frequency of Shu Point was 296 times.Among them,Shen-men point、Nei-guan point、Yin-tang point and Si-shencong point were found in these 15 acupuncture teaching materials,each 15 times,accounting for 5.07% of the total frequency.The using frequency of San-yin jiao point、Xin-shu point、Shen-ting point and yi-ming point was 14 times each,accounting for 4.73% of the total frequency.These 8 acupoints can be classified into one-level chosen acupoints of “Tong-gong point” of treating insomnia.“Tong-gong points” are mainly concentrated on governor meridian,bladder meridian,kidney meridian,gallbladder meridian,spleen meridian and heart meridian,which are mainly distributed in head and the four limbs.ConclusionThe one-level “Tong-gong points” of treating insomnia could be used in acupoints compatibility and clinical acupuncture prescription with the best efficacy to treat insomia by acupuncture.The second-level and the third-level “Tong-gong points” of treating insomnia are often used as matching acupoints in clinical addition and subtraction use.

Keywords:Insomnia;Tong-gong acupoints;acupoints compatibility;frequency of choosing acupoints;acupuncture therapy

失眠，即睡眠失常，中医又称不寐、不眠、不得卧等，主要表现为入睡困难，睡时易醒或早醒，醒后难以入睡，严重者甚至彻夜不眠。运用针灸治疗失眠，其关键在于针灸处方的应用，而针灸处方的应用往往离不开腧穴间的合理配伍。……