基于NVivo 12.0质性分析构建调神理论应用于针刺治疗不寐的理论模型*

作者：夏万颖1，高 越1，杨星月2，秦玲利3，陈 楠4，代晗熙1，赵月纯3，张 路3

单位：1.北京中医药大学研究生院，北京 100029； 2.北京中医药大学针灸推拿学院，北京 100029； 3.中国中医科学院西苑医院，北京 100091； 4.首都医科大学附属北京中医医院，北京 100010

引用：引用：夏万颖，高越，杨星月，秦玲利，陈楠，代晗熙，赵月纯，张路.基于NVivo 12.0质性分析构建调神理论应用于针刺治疗不寐的理论模型[J].中医药导报,2025,31(10):147-151.

DOI：10.13862/j.cn43-1446/r.2025.10.025

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摘要：

目的：构建调神理论应用于针刺治疗不寐的理论模型，为针刺临床应用调神理论治疗不寐提供指导框架。方法：采用主题词与关键词相结合的检索方法，分别在中国知网（CNKI）、万方数据知识服务平台（Wanfang Data）、维普中文期刊服务平台（CSTJ）、中国生物医学文献数据库（CBM）、PubMed、Cochrane Library及EMbase等7个平台或数据库中进行检索，根据纳入标准、排除标准筛选文献。利用NVivo 12.0质性研究软件对所纳入文献进行词频分析与编码分析后，绘制核心编码之间的相互关系并建立调神理论应用于针刺治疗不寐的理论模型。结果：共纳入165篇文献，对其进行逐行编码后，析出750个开放式编码，提炼出5个核心式编码。调神理论应用于针刺治疗不寐的理论模型基于“脏腑-神志动态平衡”“经络-营卫调控”及“形-神共治干预”3条作用路径。结论：调神理论应用于针刺治疗不寐的理论模型核心构成要素为调和五脏、健脑安神、调和阴阳、调神理气及治形调神。这5个核心要素之间相互作用，析出3条作用路径。该模型的建立或可丰富调神理论应用于针刺治疗不寐的相关理论研究，进而为针刺临床治疗不寐提供理论支持和实践指导。

关键词：不寐；调神理论；针刺；质性分析；NVivo；理论模型

Abstract：

Objective: To construct a theoretical model for the application of the "Shen-regulation" theory in acupuncture treatment of insomnia, providing a guiding framework for clinical practice. Methods: A comprehensive search was conducted using subject headings and keywords across seven databases: CNKI, Wanfang Data, CSTJ, CBM, PubMed, Cochrane Library, and Embase. Literature was screened according to predefined inclusion and exclusion criteria. NVivo 12.0 qualitative research software was used for word frequency analysis and coding analysis of the included literature. Relationships between core codes were mapped, and a theoretical model for acupuncture treatment of insomnia based on the "Shen-regulation" theory was established. Results: A total of 165 documents were included. Through line-by-line coding, 750 open codes were extracted, leading to the refinement of 5 core codes. The theoretical model is based on three action pathways: "Viscera-Mental Activity Homeostasis", "Meridian-Nutrient & Defense Qi Regulation", and "Body-Spirit Co-treatment Intervention". Conclusion: The core components of the theoretical model for applying the "Shen-regulation" theory in acupuncture treatment of insomnia are harmonizing the five Zang organs, strengthening the brain and calming the Shen, harmonizing Yin and Yang, regulating Shen and Qi, and treating both the Body and the Shen. These five core elements interact and are realized through three defined pathways. The establishment of this model may enrich theoretical research on the "Shen-regulation" theory in acupuncture treatment of insomnia and provide theoretical support and practical guidance for clinical practice.

Key words：insomnia; Shen-regulation theory; acupuncture; qualitative analysis; NVivo; theoretical model

发布时间：2026-01-08

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