本研究以病位病机为出发点,基于本病"肾虚精亏,阴阳失交"的病机特点,以针灸特有的"理、法、方、穴、术"为纲要,运用脏腑辨证辨明病位在心,与肝、脾、胃与肾等脏腑有关;结合经络辨证明确疾病与阴跷脉、阳跷脉、任脉、督脉、手足少阴经及足太阳膀胱经有关,确立"益肾填精、交通阴阳、宁心安神"的治疗大法,选取百会、神门、三阴交、申脉、照海、太溪与安眠为主穴,根据不同临床表现进行辨证辨经配穴,并配合一定的补泻手法,探讨针灸治疗围绝经期失眠的针灸诊治思路.
This study differentiated the disease location of menopausal insomnia in Heart,and related with Liver,Spleen,Stomach and Kidney by Zang-Fu syndrome differentiation,based on the pathogenesis feature of'Kideny-essence deficiency and disharmony of Yin and Yang',guided by the specific characteristic of'principle,method,prescription,acupoint,technique'by taking disease location and pathogenesis as the starting point.It was clarified that the disease was associated with Yinqiao channel,Yangqiao channel,Ren channel,Du meridian,Shaoyin meridians of foot and hand,and Bladder meridian of foot Taiyang by meridian differentiation.The treatment principle of tonifying Kidney-essence,harmonizing Yin and Yang,calming Heart-Shen was established.Baihui(DU20),Shenmen(HT7),Sanyinjiao(SP6),Shenmai(BL62),Zhaohai(KI6),Taixi(KI3)and Anmian point were selected for compatibility according to different clinical manifestations,syndrome differentiation and meridian differentiation,accompanied by different reinforcing and reducing manipulations,aiming to explore the diagnosis and treatment ideas of acupuncture and moxibustion for perimenopausal insomnia.