针灸治疗原发性失眠的交叉取穴思路

摘要 针灸治疗失眠疗效肯定，安全可行。失眠病机复杂，需平衡阴阳同时调脏安神，单纯依据辨证取双侧相同穴位不能满足多病机需求。交叉取穴理论起源于左病右治，右病左治，可从阴引阳，从阳引阴，调和失眠之阳不入阴，形神同调。兹以交叉取穴思路，探讨原发性失眠的针灸治疗。

关键词 针灸；原发性失眠；交叉取穴

Acupuncture Treatment of Primary Insomnia with the Idea of Cross Point SelectionSUN Linlin

（Rehabilitation Medicine Department of Peking University Shougang Hospital，Beijing 100043，China）

Abstract Acupuncture and moxibustion treatment of insomnia curative effect is certain，safe and feasible.The pathogenesis of insomnia is complex，it is necessary to balance Yin and Yang and regulate viscera and calm the mind，and simply taking the same acupoints on both sides based on dialectics cannot meet the needs of multiple pathogenesis.Cross point selection theory originated from left disease right treatment，right disease left treatment，can lead Yin into Yang，Yang into Yin，harmonizing insomnia Yang not into Yin，form and spirit in tune.This paper discusses the acupuncture treatment of primary insomnia with the idea of cross point selection.

Keywords Acupuncture； Primary Insomnia； Cross Point Selection

中图分类号：R338.63；R246.6文献标识码：Adoi：10.3969/j.issn.2095-7130.2023.09.015

原发性失眠指非其他疾病导致的，以失眠为几乎唯一症状的疾病，睡眠时间<6 h/d，睡眠障碍至少3晚/周，且持续3个月以上［1］。（剩余6225字）