Article(id=1319291662581478010, tenantId=1146029695717560320, journalId=1255847919539208197, issueId=1319291472856338924, articleNumber=null, orderNo=null, doi=10.13193/j.issn.1673-7717.2026.07.039, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=null, receivedDateStr=null, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1792473243612, onlineDateStr=2026-10-20, pubDate=1783612800000, pubDateStr=2026-07-10, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1792473243612, onlineIssueDateStr=2026-10-20, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1792473243612, creator=13701087609, updateTime=1792473243612, updator=13701087609, issue=Issue{id=1319291472856338924, tenantId=1146029695717560320, journalId=1255847919539208197, year='2026', volume='44', issue='7', pageStart='1', pageEnd='258', issueExtLink='null', onlineDate='null', pubDate='1783612800000', pubDateStr='2026-07-10', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1792473198379, creator='13701087609', updateTime=1792473406504, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1319292345858773669, tenantId=1146029695717560320, journalId=1255847919539208197, issueId=1319291472856338924, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1319292345858773670, tenantId=1146029695717560320, journalId=1255847919539208197, issueId=1319291472856338924, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=222, endPage=225, ext={EN=ArticleExt(id=1319291662766027387, articleId=1319291662581478010, tenantId=1146029695717560320, journalId=1255847919539208197, language=EN, title=A Randomized Controlled Study of “Dredging Du Meridian to Benefit Brain and Tranquilize the Mind” of Combination of Acupuncture and Medicine in Treatment of Insomnia Syndrome of Qi Stagnation and Blood Stasis After Stroke, columnId=1256183365644968140, journalTitle=Chinese Archives of Traditional Chinese Medicine, columnName=Platform of Provincial Project, runingTitle=null, highlight=null, articleAbstract=
Objective To study the clinical efficacy of “dredging Du meridian to benefit brain and tranquilize the mind” method of the combination of acupuncture and medicine in the treatment of the patients with post-stroke insomnia syndrome of Qi stagnation and blood stasis.
Methods A total of 195 patients with post-stroke insomnia admitted to Shunyi Hospital of Beijing Hospital of Traditional Chinese Medicine from December 2018 to March 2022 were included and randomly divided into an acupuncture group, a traditional Chinese medicine group and a combination of acupuncture and medicine group, with 65 patients in each. The three groups were all given the conventional basic treatment. The traditional Chinese medicine group received “dredging Du meridian to benefit brain and tranquilize the mind” treatment, the acupuncture group received acupuncture at Jiaji points on the neck and occipital three needles, and the acupuncture and drug combination group received a combination of the two. The clinical efficacy of the three groups after treatment, the Pittsburgh Sleep Index (PSQI), Hamilton Anxiety Rating Scale (HAMA), Hamilton Depression Rating Scale (HAMD) and Stroke-specific Quality of Life Scale (SS-QOL) scores at different time points and adverse reactions were compared.
Results The clinical effective rate of the acupuncture and drug combination group was 91.53%(54/59) which was higher than that of the traditional Chinese medicine group (74.58%, 44/59) and the acupuncture group (69.09%, 38/55)(P<0.05). After 28 days of treatment and 7 days of follow-up, the PSQI scores of the three groups decreased, and score of the acupuncture and drug combination group was the lowest (P<0.01). After 28 days of treatment and 7 days of follow-up, the scores of HAMA and HAMD of the three groups were lower than those before treatment, the SS-QOL score was higher than that before treatment (P<0.05), there was no significant difference among the three groups (P>0.05). Two patients had mild diarrhea, which were resolved spontaneously after stopping the treatment, and there were no other adverse reactions.
Conclusion “Dredging Du meridian to benefit brain and tranquilize the mind” method of acupuncture and medicine has a high efficacy in treating the patients with post-stroke insomnia. It can improve the patients' sleep quality, reduce the PSQI scores, relieve the anxiety and depression, and improve the quality of life while ensuring safety.
, authors=Xuelei JIAO, Changcong LI, Yanpeng ZHOU, Xin LI, Changmin XU, Jingjing LIU, authorsList=Xuelei JIAO, Changcong LI, Yanpeng ZHOU, Xin LI, Changmin XU, Jingjing LIU, authorCompany=null, correspAuthors=Jingjing LIU, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1319291663177069180, articleId=1319291662581478010, tenantId=1146029695717560320, journalId=1255847919539208197, language=CN, title=“通督益脑安神”针药结合治疗卒中后失眠气滞血瘀证的随机对照研究, columnId=1256183369033965799, journalTitle=中华中医药学刊, columnName=省级项目平台, runingTitle=null, highlight=null, articleAbstract=
目的 研究“通督益脑安神”针药结合治疗卒中后失眠气滞血瘀证患者的临床疗效。
方法 纳入2018年12月—2022年3月北京中医医院顺义医院收治的195例脑卒中后失眠患者，随机分为针刺组、中药组、针药结合组各65例。3组均给予常规基础治疗，中药组给予口服通督益脑安神方治疗，针刺组采用针刺颈夹脊穴、枕三针治疗，针药结合组将二者结合。对比3组治疗后的临床疗效、不同时间节点的匹兹堡睡眠指数量表（Pittsburgh sleep quality index，PSQI）、汉密尔顿焦虑量表（Hamilton Anxiety Scale，HAMA）、汉密尔顿抑郁量表（Hamilton Depression Scale，HAMD）、脑卒中专用生活质量量表（Stroke-Specific Quality of Life Scale，SS-QOL）评分及不良反应。
结果 针药结合组临床有效率（91.53%，54/59）高于中药组（74.58%，44/59）及针刺组（69.09%，38/55）（P<0.05）；治疗28 d、随访7 d后3组PSQI降低，且针药结合组最低（P<0.01）；治疗28 d、随访7 d后3组HAMA、HAMD均低于治疗前，SS-QOL高于治疗前（P<0.05），3组间差异无统计学意义（P>0.05）；2例患者出现轻度腹泻，停药后自行缓解，无其他不良反应。
结论 “通督益脑安神”针药结合治疗卒中后失眠患者有较高的疗效，其能在保障安全性的基础上改善患者睡眠质量，降低PSQI指数，改善焦虑、抑郁情绪从而提高生活质量。
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焦雪蕾（1984-），女，北京人，副主任医师，硕士，研究方向：中医脑病。
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