Clinical Research Progress of Tuina Therapy for Insomnia
The basic pathogenesis of insomnia is that yang cannot enter yin,and the disease is in the heart,closely related to the liver,gallbladder,spleen,stomach,lung and kidney.The congenital endowment,personality characteristics,emotional disorders,irregular di-ets,pathological products,etc.are all related factors of the disease.The dysfunction of the viscera,qi disorder movement,qi-blood defi-ciency,etc.are all important pathogenesis.The methods of tuina therapy for insomnia include simple tuina therapy(such as tuina along the affected meridian;point-pressing tuina therapy;abdominal tuina therapy,etc.),tuina combined with acupuncture therapy,tuina combined with Chinese drugs,tuina combined with cupping,tuina combined with other therapies,etc.However,there are still the follow-ing shortcomings in the treatment of insomnia with tuina:(1)The choice of manipulation,point and treatment site is complicated,mak-ing it difficult to compare the efficacy of different manipulations and different points;(2)There is no unified standard for the strength,frequency and stimulation of the manipulation;(3)The evaluation criteria for the efficacy are not unified,most of which are clinical sub-jective evaluation scales,lacking objective evidence;(4)There is a lack of case visit reports,and there are few studies on the long-term efficacy and recurrence rate of tuina;(5)There is a lack of multi-center,large sample,double-blind controlled trials;(6)There is a lack of high-quality foreign literature.Many foreign countries mostly use tuina as a supplementary therapy for insomnia,with few related stud-ies.Chinese literature mostly focuses on the effectiveness of tuina for insomnia,with few studies on its mechanism of action.
insomniatuina therapymassageyang failing to enter yintuina along the affected meridianpoint-pressing tuina therapyabdominal tuina therapy
万方数据
维普
