通讯作者: 王恩龙, pat999@sohu.com

DOI：10.12201/bmr.202605.00091

Study on Acupuncture Treatment of Post-Stroke Insomnia Based on the Theory of

• 摘要：脑卒中后失眠是卒中后常见并发症，严重影响患者康复与生活质量，现代医学治疗存在一定局限。本病属中医“不寐”范畴，病位在心脑，核心在肝，以肝失疏泄、木郁气滞、肝心失调、神失所主为主要病机。本文基于“木郁达之”理论，梳理其源流内涵，探讨脑卒中后失眠针刺治疗思路，确立疏肝解郁、调畅气机、肝心同调、宁心安神的治疗原则，选取太冲、肝俞、百会、神门、安眠穴为主穴，并针对肝郁化火、肝脾不和、阴虚火旺分型辨证配穴。以“木郁达之”为指导的针刺方案，从疏肝调气入手，兼顾调神安神，契合本病病机，可为临床针刺治疗脑卒中后失眠提供理论参考。

  关键词： 木郁达之; 针刺; 脑卒中后失眠; 不寐; 疏肝解郁

   

  Abstract: Post-stroke insomnia is a common complication after stroke, which seriously affects patients’ rehabilitation and quality of life, while modern medical treatment has certain limitations. In traditional Chinese medicine, it belongs to the category of insomnia, located in the heart and brain, with the liver as the core. The main pathogenesis is failure of the liver to govern coursing and dispersion, stagnation of liver qi, disharmony between liver and heart, and disturbance of spirit. Based on the theory of Mu Yu Da Zhi, this paper reviews its origin and connotation, discusses the acupuncture thinking for post-stroke insomnia, and establishes the therapeutic principles of soothing the liver, regulating qi, harmonizing liver and heart, and tranquilizing mind. The main acupoints are Taichong (LR3), Ganshu (BL18), Baihui (GV20), Shenmen (HT7) and Anmian (EX-HN22), combined with syndrome differentiation of liver fire transforming from stagnation, disharmony of liver and spleen, and yin deficiency with fire hyperactivity. The acupuncture protocol starting with soothing liver qi and calming spirit conforms to the pathogenesis, and can provide theoretical reference for clinical acupuncture treatment of post-stroke insomnia.

  Key words: Mu Yu Da Zhi; acupuncture; post-stroke insomnia; insomnia; soothing liver and relieving stagnation

  提交时间：2026-05-25

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
• html

• 图表

• 凹永芳, 张琰, 姜焰菱, 成航, 段晓荣. 基于“木郁达之”理论与“肠-脑-肝轴”浅谈肠易激综合征的病因病机及辨治. 2026. doi: 10.12201/bmr.202604.00031

  高乙心, 曾俏俏, 李晓洁, 卓越. 基于“木郁达之”治疗卒中后抑郁临证经验. 2025. doi: 10.12201/bmr.202503.00085

  黄雅菲, 陈思思. 针刺从筋论治中风后痉挛性偏瘫的临床及作用机制研究进展. 2025. doi: 10.12201/bmr.202510.00001

  张颖, 余灵芝, 刘小英, 刘若婷, 秦茵. 基于喉镜吞咽功能评估的分层康复对卒中后吞咽障碍患者的疗效影响. 2025. doi: 10.12201/bmr.202510.00033

  黄梦琪, 王翠. 基于养元通络理论的同源点针刺疗法治疗中风后偏瘫的临床研究. 2026. doi: 10.12201/bmr.202602.00007

  邱占爽, 金瑛, 冯志涛. 调腑安神选穴法针刺治疗脾胃不和型慢性失眠的临床疗效观察. 2026. doi: 10.12201/bmr.202610.00011

  杨帆, 杜垫玲, 余金罡, 朱轩林. 近代名家针法治疗失眠临床研究概况. 2025. doi: 10.12201/bmr.202501.00059

  姚雨, 钱锐. 基于“木郁达之”论治围绝经期综合征伴失眠经验. 2025. doi: 10.12201/bmr.202501.00023

  李娟, 候中豪, 宋珊珊, 贾炜豪, 宋子贤, 牛天福. 基于伏痰理论探讨老年性失眠防治思路. 2024. doi: 10.12201/bmr.202410.00064

  龙晨曦, 叶海敏. 从痰气郁结角度治疗失眠经验用方. 2025. doi: 10.12201/bmr.202511.00082

• 序号	提交日期	编号	操作
  1	2026-04-16	10.12201/bmr.202605.00091V1	下载

• 公开评论  匿名评论  仅发给作者 提交评论