舌针治疗肝郁气滞型不寐案OA

This article reports 1 case of insomnia of liver qi stagnation syndrome treated with tongue acupuncture.The patient was in a sitting position,with the mouth opened and tongue extended naturally to fully expose the positions of tongue points.Lying position is applicable to release the fear of patient.The physician fixed the patient's head with the left hand,held the handle of sterile filiform needle(0.30 mm×40 mm)for single use with the thumb,index finger and middle finger of the right hand.The needle was pricked at Xin,Naoling,Naozhong,Fudi and Dan points rapidly,one pricking at each tongue point,2 mm to 3 mm in depth,without bleeding required and needle retained.The treatment was given once daily,5 times a week followed by a 2-day interval,and 3 weeks constituted one course of treatment.After one course of treatment,the patient could fall asleep normally without depending on sleeping pills,and the symptoms such as easily awakened,dream-disturbed sleep,irritability and anxiety were markedly attenuated.The score of the Pittsburgh sleep quality index(PSQI)decreased from 18 points to 4 points.The tongue condition turned to be normal from dark tongue with varicose veins under the tongue observed before treatment.The telephone follow-ups in half a month and 1 month after treatment showed that the patient had never taken sleeping pills since the end of treatment.The sleep start time was from 30 min to 60 min,sleep duration was 7 h to 8 h,without dream-disturbed sleep,easily awakened,tinnitus and dizziness.