药物依赖性失眠的针灸减药干预模式探索OA

This paper explores the pathogenesis and treatment methods of acupuncture and moxibustion intervention for drug-dependent insomnia.It argues that treatment faces the dual challenges of drug tolerance and withdrawal reactions.Based on this,an in-tervention system of sequential acupuncture and moxibustion-based medication reduction therapy is constructed.By establishing a three-stage diagnostic and treatment pathway—maintaining drug efficacy,stepwise medication reduction,and efficacy consolidation—combined with an internet-based traditional Chinese medicine sleep management platform for dynamic sleep monitoring,this therapeu-tic regimen employs principal acupoint combinations based on the unblocking the Governor Vessel and regulating spirit needling tech-nique alongside personalized auxiliary point selections.It demonstrates efficacy in improving sleep quality,facilitating gradual medica-tion reduction,and exhibits distinctive advantages in mitigating withdrawal symptoms and reducing relapse rates.The diagnostic and therapeutic rationale provides valuable insights for clinical management of chronic insomnia with comorbid drug dependence.