Research Advance on Mechanism of Acupuncture and Moxibustion in Treating Post-Stroke Insomnia
Acupuncture and moxibustion is one of the effective modalities for the treatment of post-stroke insomnia,but its action mechanism has rarely been elaborated.This study summarized the research literature on the mechanism of acupuncture and moxibustion in the treatment of post-stroke insomnia at home and abroad in recent years.It is found that acupuncture and moxibustion can improve sleep quality and alleviate insomnia symptoms by interfering with the content of related neurotransmitters and cytokines,improving sleep structure,and increasing REM sleep time.Acupuncture and moxibustion can also regulate human circadian rhythm and biological clock function to further harmonize the sleep-wake cycle and restore normal sleep.In addition,acupuncture and moxibustion regulates cerebrovascular reactivity and increases local cerebral blood flow supply to treat post-stroke insomnia effectively.Future researches should gradually shift from the study of a single factor to the exploration of interactions between multiple targets.It is suggested to further explore the advantageous selection of acupuncture points,stimulation parameters,and treatment protocols for different types of evidence,so as to explore the mechanisms related to the treatment of post-stroke insomnia with acupuncture and moxibustion from multiple perspectives and at multiple levels.
StrokeInsomniaAcupuncture and moxibutionMechanismsReview