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失眠患者经络检测特征及分析

Characterization and Analysis of Meridian Detection in Insomnia Patients

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目的 探讨中医经络检测仪客观观测失眠患者脏腑经络分布规律.方法 运用中医经络检测仪JK-02 收集于2023 年4月—2024 年2 月就诊于自贡市中医医院治未病科的128 例失眠患者脏腑经络信息,并进行中医证候问卷调查,分析失眠患者中医证候与脏腑经络状态的相关性.结果 失眠患者异常经络中实证经脉以肝经实证最为多见,后依次为胃经、胆经、心经等.虚证经脉以脾经最为多见,后依次为心包经、肾经、胆经等.且实证和虚证的经脉分布比较,差异有统计学意义(P<0.001).在中医证候表现中以乏力(55.66%)、腰膝酸软或痛(54.72%)、头晕胀痛(53.77%)、烦躁易怒(51.89%)为主要表现.结论 失眠的发生与脏腑经络的失衡相关,异常经脉实证以肝经、胃经、胆经为主,虚证以脾经、心包经、肾经为主,证候表现与经络检测结果相符.
Objective To explore the distribution of zang-fu meridians in insomnia patients by traditional Chinese medicine(TCM)meridians detector.Methods The study collected the zang-fu meridians information of 128 insomnia patients in Zigong Hospital of Traditional Chinese Medicine between April 2023 and February 2024.A TCM meridians detector(model JK-02)was utilized for data collection,and a questionnaire-based survey on TCM syndromes was conducted.The aim was to analyze the correlation between the TCM syndromes of insomnia patients and the state of their zang-fu meridians.Results Among the abnormal meridians in insomnia patients,the liver meridian was the most frequently observed,followed by the stomach,gallbladder,and heart meridians.In cases of deficiency syndrome,the spleen meridian was the most commonly affected,followed by the pericardium,kidney,and gallbladder meridians.There was a statistically significant difference in the distribution of meridians between the empirical and deficiency syndromes(P<0.001).The predominant manifestations of TCM syndromes included fatigue(55.66%),waist and knee pain(54.72%),dizziness and distending pain(53.77%),as well as irritability(51.89%).Conclusion The occurrence of insomnia is associated with the imbalance of zang-fu organ meridians.Specifically,the abnormal meridians primarily involve the liver,stomach,and gallbladder,whereas the deficiency syndromes are predominantly related to the spleen,pericardium,and kidney.The manifestations of these syndromes align with the findings derived from meridian theory.

insomniasleeplessnesszang-fu meridiansmeridian detection

刘瑞、杨柳、张真全、邹学敏、侯宗珍、刘玲、刘宇薇、孙可欣

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成都中医药大学(四川 成都 610072)

自贡市中医医院治未病科(四川 自贡 643011)

不寐 失眠 脏腑经络 经络检测

2025

光明中医
中华中医药学会

光明中医

影响因子:0.535
ISSN:1003-8914
年,卷(期):2025.40(8)