[1]刘梦华,杨珺,唐锐,等.基于子午流注理论运用揿针干预胸痹心痛病心阴不足证不寐患者睡眠障碍疗效观察[J].西部中医药,2026,39(04):131-135.[doi:10.12174/j.issn.2096-9600.2026.04.28]
　LIU Menghua,YANG Jun,TANG Rui,et al.Clinical Observation of Press Needle Intervention Based on the Midnight-Noon Ebb-Flow Theory on Insomnia Due to Heart Yin Deficiency Pattern in Patients with Chest Impediment and Heart Pain[J].Western Journal of Traditional Chinese Medicine,2026,39(04):131-135.[doi:10.12174/j.issn.2096-9600.2026.04.28]
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基于子午流注理论运用揿针干预胸痹心痛病心阴不足证不寐患者睡眠障碍疗效观察()

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
39
期数:
2026年04期
页码:
131-135
栏目:
特色医疗
出版日期:
2026-04-15

文章信息/Info

Title:
Clinical Observation of Press Needle Intervention Based on the Midnight-Noon Ebb-Flow Theory on Insomnia Due to Heart Yin Deficiency Pattern in Patients with Chest Impediment and Heart Pain
作者:
刘梦华1, 杨珺1,2, 唐锐1, 狄艳薇2
1.甘肃省中医院，甘肃 兰州 730050
2.甘肃中医药大学，甘肃 兰州 730000
Author(s):
LIU Menghua1, YANG Jun1,2, TANG Rui1, DI Yanwei2
1.Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou 730050, China
2.Gansu University of Chinese Medicine, Lanzhou 730000, China
关键词:
胸痹心痛病; 子午流注理论; 揿针; 心阴不足证; 不寐
Keywords:
chest impediment and heart pain; the midnight-noon ebb-flow theory; press needle; heart deficiency pattern; insomnia
分类号:
R225.9
DOI:
10.12174/j.issn.2096-9600.2026.04.28
文献标志码:
B
摘要:
目的观察基于子午流注理论运用揿针干预胸痹心痛病心阴不足证不寐患者的临床治疗效果。 方法选取76例胸痹心痛病心阴不足证不寐患者，随机分为对照组和观察组，每组38例。对照组予以常规护理，观察组在对照组的基础上给予选穴揿针治疗，同时结合子午流注理论定时予以穴位按压。比较两组治疗前后不同时间点的汉密尔顿焦虑量表（Hamilton anxiety scale，HAMA）评分、匹兹堡睡眠质量指数量表（pittsburgh sleep quality index，PSQI）评分、血压、心率，以及两组总有效率。 结果治疗后，与对照组比较，观察组HAMA评分、PSQI评分、血压及心率均降低（P＜0.05）；观察组的总有效率及随访时总有效率均高于对照组（P＜0.05）。 结论基于子午流注理论运用揿针干预胸痹心痛病心阴不足证不寐患者，能够显著改善心血管病合并睡眠障碍患者的睡眠质量，同时治疗效果存在时间依赖性，可依据患者病情适当延长治疗时间。
Abstract:
Objective: To observe clinical therapeutic effects of press needle intervention based on the midnight-noon ebb-flow theory on insomnia due to heart Yin deficiency pattern in patients with chest impediment and heart pain. MethodsA total of 76 patients with insomnia due to heart Yin deficiency pattern in chest impediment and heart pain were randomly divided into a control group and an observation group, with 38 cases in each group. The control group received routine nursing care, while the observation group received acupoint pressing therapy with thumb-tack needles based on the treatment given to the control group, combined with timed acupressure according to the midnight-noon ebb-flow theory. To compare the Hamilton Anxiety Scale (HAMA) scores, Pittsburgh Sleep Quality Index (PSQI) scores, blood pressure, and heart rate between the two groups at different time points before and after treatment, as well as the total effective rate of the two groups. ResultsAfter the treatment, compared with the control group, HAMA scores, PSQI scores, blood pressure, and heart rate all decreased in the observation group (P<0.05); the total effective rate of the observa-tion group and the total effective rate at follow-up were higher than those of the control group (P<0.05). ConclusionBased on the midnight-noon ebb-flow theory, press needle intervention for insomnia patients with heart Yin deficiency pattern in chest impediment and heart pain could significantly improve the sleep quality of patients with cardiovascular diseases complicated by sleep disorders. Meanwhile, the therapeutic effect is time-dependent, and the treatment duration can be appropriately extended based on the patient’s condition.

相似文献/References:

[1]杨阿妮,柳树英,王煜.王自立主任医师从阴阳论治胸痹心痛病经验点滴[J].西部中医药,2015,28(07):38.
[2]庄平,陈凤梅,易玲,等.基于子午流注理论的腕踝针技术在急性缺血性脑卒中偏瘫患者中的应用效果[J].西部中医药,2022,35(02):111.[doi:10.12174/j.issn.2096-9600.2022.02.28]
　ZHUANG Ping,CHEN Fengmei,YI Ling,et al.Application Effects of Wrist-ankle Acupuncture Based on Midnight-noon Ebb-flow Theory in Patients with Acute Ischemic Stroke and Hemiplegia[J].Western Journal of Traditional Chinese Medicine,2022,35(04):111.[doi:10.12174/j.issn.2096-9600.2022.02.28]

备注/Memo

备注/Memo:
甘肃省中医药管理局科研项目（GZKP-2020-17）。刘梦华（1963—），女，主任护师。研究方向：护理管理及心血管病临床护理。Email：1030937744@qq.com。
更新日期/Last Update: 2026-04-15