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系统辨证脉针疗法治疗失眠临床诊疗规范OA

Clinical Practice Guidelines for Treatment of Insomnia Using Systematic Syndrome Differentiation Pulse-Needle Approach

中文摘要英文摘要

系统辨证脉针疗法是在系统辨证脉学理论指导下,将脉诊与针刺技术相结合形成的特色诊疗方法,在临床上可以对多种疾病进行精准治疗.该规范以脉诊为核心,通过识别脉象要素,实现以脉定性、以脉定证、以脉定位,指导针刺选穴与手法操作,建立脉-证-穴协同的诊疗体系.临床操作涵盖脉诊技术、腧穴定位、针刺手法及脉针互参动态调整策略,强调在治疗过程中依据脉象变化实时优化治疗方案.本规范经多学科专家论证及临床验证,具有较高的可操作性与重复性,为失眠的中医针刺治疗提供了标准化路径,有助于提升临床疗效,推动中医针灸诊疗的规范化与精准化发展.

Systematic Differentiation Pulse-Needle Approach is a distinctive diagnostic and therapeutic approach developed under the guidance of systemic pulse diagnosis theory and integrated with acupuncture techniques.It has been widely applied clinically and enables targeted and precise treatment of diseases.This protocol centers on pulse diagnosis,identifying pulse characteristics to achieve pulse-based characterization,pulse-based syndrome differentiation,and pulse-based location determination.It guides acupuncture point selection and technique application,establishing a coordinated diagnostic and therapeutic system linking pulse,syndrome,and acupoint.Clinical practice encompasses pulse diagnosis techniques,acupoint localization,needling methods,and a dynamic adjustment strategy of integrating pulse findings with needling.It emphasizes real-time optimization of treatment protocols based on pulse pattern changes during therapy.This protocol,validated through multidisciplinary expert review and clinical practice,demonstrates high operability and reproducibility.It provides a standardized pathway for acupuncture treatment of insomnia,enhancing clinical efficacy while advancing the standardization and scientific development of acupuncture and moxibustion practice in traditional Chinese Medicine.

滕晶;齐向华;闫伟;许希迎;丁晓;康晨;李甲民;周雪

山东中医药大学,山东济南 250355山东中医药大学附属医院,山东济南 250014山东中医药大学附属医院,山东济南 250014山东中医药大学附属医院,山东济南 250014山东中医药大学附属医院,山东济南 250014山东中医药大学附属医院,山东济南 250014山东中医药大学附属医院,山东济南 250014山东中医药大学附属医院,山东济南 250014

医药卫生

系统辨证脉学系统辨证脉针疗法失眠临床诊疗规范

systematic syndrome differentiation pulse diagnosissystematic syndrome differentiation pulse-needle approachinsomniaclinicalpractice specification

《山东中医杂志》 2026 (5)

469-475,7

山东省医务系统职工科技创新计划项目(编号:SDYWZGKCJH2024007)国家中医药综合改革示范区科技共建项目(编号:GZY-KJS-SD-2024-070)山东省中医药科技项目(编号:ZT20241853)山东中医药大学附属医院清廉医院建设专项课题(编号:QL20240110)

10.16295/j.cnki.0257-358x.2026.05.004

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