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基于“脑肠同治”探讨针刺治疗失眠伴抑郁状态
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Abstract:
失眠是临床常见的睡眠障碍，长期失眠伴随多种慢性的并发症，继而导致生理和心理功能紊乱，其中以同时伴有抑郁状态的患者居多，占有失眠患者总体约3/5，以往的心身研究认为抑郁症对失眠的效应不显著，而失眠人群是抑郁症的易感人群，在现代有关失眠与抑郁症之间的双向因果关系研究中支持了失眠和抑郁之间的双向关系，提示可通过对患者的失眠进行干预以降低其患抑郁症的风险。现代医学已明确脑–肠轴在失眠及抑郁等情志问题的发病中具有重要意义，与中医学中脑神与胃肠相通的理论相对应，基于上述病理关系，文章将从针刺对机体脑–肠轴的调控作用为基点，详细论述针刺治疗失眠伴抑郁状态的思路和内涵，以达到脑肠同治的疗效目的。
Insomnia is a common clinical sleep disorder, long-term insomnia is accompanied by a variety of chronic complications, which in turn lead to physiological and psychological dysfunction, which is accompanied by depression in the majority of patients, accounting for about 3/5 of the total number of patients with insomnia, previous psychosomatic studies that the effect of depression on insomnia is not significant, and insomnia is a susceptible population of depression, the bi-directional causality between insomnia and depression is supported by modern research on insomnia and depression. The bidirectional relationship between insomnia and depression has been supported in studies suggesting that interventions can be made to reduce a patient’s risk of depression by intervening in their insomnia. Modern medicine has made it clear that the brain-gut axis is of great significance in the pathogenesis of insomnia and depression and other affective problems, corresponding to the theory that the brain and god are connected with the stomach and intestines in Chinese medicine. Based on the above pathological relationship, the article will discuss in detail the ideas and connotations of the acupuncture treatment of insomnia with depression from the basis of acupuncture’s regulation of the brain-gut axis of the organism in order to achieve the therapeutic effect of brain-gut homoeopathy.
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