隔药脐灸治疗失眠心脾两虚证的临床疗效观察*
作者：龙 舞1,2，郭 姣2，王 青2，汪 妮2，李兵娇1,2
单位：1.湖南中医药大学，湖南 长沙 410208； 2.湖南中医药高等专科学校附属第一医院/湖南省直中医医院，湖南 株洲 412000
引用：引用：龙舞，郭姣，王青，汪妮，李兵娇.隔药脐灸治疗失眠心脾两虚证的临床疗效观察[J].中医药导报,2025,31(6):135-138.
DOI：10.13862/j.cn43-1446/r.2025.06.023
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摘要：目的：观察隔药脐灸治疗失眠心脾两虚证的临床疗效。方法：将114例失眠心脾两虚证患者按随机数字表法分为试验组和对照组，各57例。两组患者均接受常规治疗，试验组给予隔药脐灸，对照组给予艾箱灸，治疗4周后用匹兹堡睡眠质量指数量表（PSQI）、斯皮格尔睡眠量表（SPIEGEL）及心脾两虚证候积分进行疗效评价，并统计临床总有效率。结果：治疗4周后，两组患者PSQI评分、SPIEGEL评分及中医证候评分均下降，且治疗后试验组患者上述评分均低于对照组（P＜0.05）；试验组有效率达91.49%（43/47），高于对照组的70.21%（33/47），差异有统计学意义（P＜0.05）。结论：隔药脐灸可明显改善失眠心脾两虚证患者的睡眠质量。
关键词：失眠；心脾两虚证；艾灸；隔药脐灸；临床研究
Abstract：
Objective: To observe the clinical efficacy
of medicated umbilical moxibustion in treating insomnia with heart-spleen
deficiency syndrome. Methods: A total of 114 patients with insomnia and
heart-spleen deficiency syndrome were randomly divided into an experimental
group and a control group, with 57 cases in each group. Both groups received
conventional treatment, while the experimental group was treated with medicated
umbilical moxibustion, and the control group received moxibustion with a moxa
box. After 4 weeks of treatment, efficacy was evaluated using the Pittsburgh
Sleep Quality Index (PSQI), Spiegel Sleep Questionnaire (SPIEGEL), and
heart-spleen deficiency syndrome score. The total clinical effective rate was
also calculated. Results: After 4 weeks of treatment, both groups showed
reductions in PSQI scores, SPIEGEL scores, and TCM syndrome scores, with the
experimental group demonstrating significantly lower scores than the control
group (P<0.05). The effective rate in the experimental group was 91.49%
(43/47), significantly higher than the control group's 70.21% (33/47), with a
statistically significant difference (P<0.05). Conclusion: Medicated
umbilical moxibustion can significantly improve sleep quality in patients with
insomnia and heart-spleen deficiency syndrome.
Key words：insomnia; heart-spleen deficiency syndrome; moxibustion; medicated umbilical moxibustion; clinical study
发布时间：2026-01-04
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