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
维普
万方数据
