Current Status of Research on the Treatment of Insomnia with Acupuncture
DOI:
https://doi.org/10.53469/jcmp.2024.06(06).35Keywords:
Acupuncture, Insomnia, Treatment, Clinical randomised controlled trialAbstract
Insomnia is a non-organic sleep disorder that currently affects the quality of life of people around the globe, and has received widespread attention at home and abroad. Current treatments such as psychotherapy, medication, and physical therapy can improve patients' sleep quality, but they have drawbacks such as high price, drug resistance, and easy to damage the skin, whereas acupuncture has significant efficacy, few side effects, low price, and ease of use in the treatment of insomnia. Acupuncture is widely recognised in the treatment of insomnia, and research on different acupuncture therapies is increasing year by year. By searching the Chinese Journal Full Text Database (CNKI), Wanfang Database and PubMed Database, relevant clinical randomised controlled trials of acupuncture for insomnia in the past 6 years were included for generalisation and summary, aiming to provide clinicians with new ideas and methods for the treatment of insomnia.
References
AAOS. International classification of sleep disorders [EB/OL]. [2023-02-19]. http://www.doc88.com/p-0406416305195.html.
LIU Hai'er, SU Wenli. Current status of research on the treatment of insomnia from the theory of Ying and Wei[C]//Professional Committee on Psychology of Traditional Chinese Medicine of the World Federation of Chinese Medicine Societies. Proceedings of the Ninth International Conference on Psychology of Traditional Chinese Medicine and the 2023 Annual Conference of the Committee on Psychology of Traditional Chinese Medicine of the World Federation of Chinese Medicine Societies. Department of Sleep Psychology, Sanming Combined Hospital of Traditional Chinese and Western Medicine, 2023:7.
Meng Lei. Insomnia Treated by Modified Xuefuzhuyu Decoction[J]. Shaanxi Journal of Traditional Chinese Medicine, 2004(08):700-701.
CHEN Chunfang. Clinical Research Progress of Insomnia Treated by Traditional Chinese Medicine[J]. Clinical Journal of Traditional Chinese Medicine, 2019, 31(9):1776-1780.
HE Jingwen, SU Tong, TANG Yunxiang. Care for sleep, care for health: interpretation of Annual Sleep Report of China 2023[J]. Academic Journal of Naval Medical University, 2023, 44(11):1261-1267.
Chinese Guidelines for the Diagnosis and Treatment of Insomnia in Adults (2017 Edition). Chinese Journal of Neurology, 2018, 51(5):324.
Koffel E, Bramoweth AD, Ulmer CS. Increasing access to and utilization of cognitive behavioral therapy for insomnia (CBT-I): a narrative review. J Gen Intern Med, 2018, 33(6):955-962.
XING Jia, DONG Fei, ZHANG Ying, et al. Advances in Diagnosis and Group Psychological Behavioral Therapy for Chronic Insomnia[J]. Chinese General Practice, 2019, 22(30):3762-3767.
Jacoby RJ, Brown ML, Wieman ST, et al. Effect of cognitive behavioural therapy and yoga for generalized anxiety disorder on sleep quality in a randomized controlles trial:the role of worry, nindfulness, and perceived stress as mediators. J Sleep Res. 2024, 33(1):13992.
Chung S, Cho IK, Kim J, et al. Efficacy and safety of digital therapeutic applicationof Sleep Index-Based Treatment for Insomnia:a pilot study. J Sleep Res, 2024, 33(1):14039.
Edinger JD, Arbedt JT, Bertisch SM, et al. Behavioral and psychological treatmentsfor chronic insomnia disorder in adults:an Amerixan Academy of Sleep Medicine clinica clinical practice guideline.J Clin Sleep Med, 2021, 17(2):255-262.
WEI Wanting, LYU Dongsheng, SUI Xiaojie, et al. Application of cognitive behavioral therapy for insomnia in special patients[J]. Chinese Mental Health Journal, 2023, 37(10):854-859.
HU Jin, WEI Shan-shan, JIANG Hai-zhou, et al. Research progress in pharmacotherapy of insomnia[J]. China Journal of Chinese Materia Medica, 2023, 48(19):5122-5130.
SU Liang, LU Zheng. Interpretation of Chinese guideline for insomnia disorder diagnosis and its treatment in 2017[J]. World Clinical Drug, 2018, 39(4):217-222.
Lisa Burry Maria Greco Cara Tannenbaum.Advise non-pharmacological therapy as first line treatment for chronic insomnia[J].The BMJ Chinese Edition, 2021, 24(8):3760.
ZHANG Lina, JIANG Lingyan, WANG Zhengyan, et al. Research Progress of Treating Drug-Dependent Insomnia from the Liver[J]. Chinese Journal of Medicinal Guide, 2022, 24(8):827-829.
GONG Jueru, TANG Ling. Progress in physical therapy of sleep disorders[J]. China Modern Medicine, 2023, 30(10):48-53.
Gu P, He JC, Liu YJ, et al. Guidelines for the diagnosis and treatment of insomnia disorders in China[C]//Chinese Sleep Research Society, Heilongjiang Society of Integrative Medicine. Conference Manual of the First Academic Annual Meeting of the Northeast Sleep Working Committee of the Chinese Sleep Research Society and the Second Academic Annual Meeting of the Sleep Branch of the Heilongjiang Society of Integrative Chinese and Western Medicine. Chinese Sleep Research Society, Chinese Insomnia Disorder Diagnosis and Treatment Guidelines Writing Group. 2019:10.
LI Jie, CHEN Yunfei. Progress of research on the mechanism of acupuncture in the treatment of insomnia[C]//Chinese Sleep Research Society. Compendium of the 15th National Annual Conference of the Chinese Sleep Research Society. Yueyang Hospital of Integrative Medicine, Shanghai University of Traditional Chinese Medicine, 2023:1.
HONG Qiu-yang, YANG Hui-min, ZHAO Ji-ping, et al. Effect of Ling Gui Ba Fa combined with TCM fire-needle acupuncture therapy for insomnia due to heart-spleen deficiency[J]. Chinese Journal of General Practice, 2018, 16(2):296-298+312.
Lin Shiyu, Li Jingjing, Pei Wenya, et al. The Origin and Brief Introduction of Lingnan Fire-needling Therapy[J]. Journal of Clinical Acupuncture and Moxibustion, 2017, 33(9):69-71.
Song Yuxuan. Observation on the clinical efficacy of Lingnan fire for chronic insomnia[D]. Guangzhou: Guangzhou University of Traditional Chinese Medicine, 2019.
WANG Bin, YANG Huayuan, HU Yin'e. Compilation experience of national standard Standardized Manipulation of Acupuncture and Moxibustion, Part 11, Electroacupuncture[J]. Chinese Acupuncture & Moxibustion, 2010, 30(5):413-419.
Yin X, Li W, Liang T, et al. Effect of Electroacupunture on Insomnia in Patients With Depression: A Randomized Clinical Trial. JAMA Netw Open. 2022, 5(7):e2220563.
Wen Jie, Xu Peng, Hu Fangmei, et al. Clinical Efficacy Observation on Electric Nape Acupuncture Combined with Western Medicine on Stroke Aura Caused by Carotid Stenosis[J]. Journal of Emergency in Traditional Chinese Medicine, 2023, 32(4):691-694.
WU Jian-li, QI Mei-hui, LIANG Ji, et al. Clinical Observation of Electroacupuncture at Nape Acupoints for Primary Insomnia[J]. Shanghai Journal of Acupuncture and Moxibustion, 2020, 39(2):153-157.
CAO Jun-jie, DU Jiong. Intradermal needling for 57 cases of lateral epicondylitis[J].Chinese Acupuncture & Moxibustion, 2020, 40(08):885-886.
ZHANG Yuanlin, LIN Jie, WANG Guanying. Observation on the efficacy of intradermal needling (snap needling) in treating insomnia in elderly diabetic patients[C]//Nanjing Rehabilitation Medical Association. Proceedings of the Third National Conference on Rehabilitation and Clinical Pharmacy (II). [Publisher unknown], 2022:6.
YANG Ling, LI Yuxia, YU Xiaogang, et al. Clinical effect of press needle embedded in back-shu points of five zang and Geshu (BL 17) in treatment of insomnia[J]. The Journal of Practical Medicine, 2021, 37(13):1765-1768.
GUAN Ling, ZUO Fang, SONG Qi, et al. Study on standardization of thread-embedding technique: elucidation on the establishment of the national standard Standardized Manipulation of Acupuncture and Moxibustion, Part X, Thread-Embedding[J]. Chinese Acupuncture & Moxibustion, 2009, 29(5):401-405.
Tian Qianruo, Wu Wenzhong, Lu Wen, et al. Subcutaneous superficial fasciocutaneous catgut implantation for 40 cases of female sub-health insomnia[J]. Chinese Acupuncture & Moxibustion, 2019, 39(1):16-18.
Fu X, LiHua X, HaiJiang Z, et al. Acupoint Catgut Embedding Alleviates Insomnia in Different Chinese Medicine Syndrome Types: A Randomized Controlled Trial[J]. Chinese journal of integrative medicine, 2019.
Chu Haoran, Yang Jun, Liu Gang. Debating on the formulation of Standardized Manipulation of Acupuncture and Moxibustion, Part Ⅰ: Moxibustion[J]. Chinese Acupuncture & Moxibustion, 2010, 30(06):499-501.
ZHANG Wan-rong, GUO Hua, TAN Shao-hua, et al. Moxibustion therapy is superior to manual acupuncture in the treatment of perimenopausal insomnia:a randomized controlled trial[J].Acupuncture Research, 2019, 44(5):358-362.
Wang Qiang. Observation on the clinical efficacy of wheat grain moxibustion of the five viscera yu together with oral eszopiclone tablets in the treatment of insomnia of heart-spleen deficiency type[D]. Anhui: Anhui University of Traditional Chinese Medicine, 2023.
GUO Yi, CHEN Zelin, LI Guilan. Interpretation of the National Table Needle "Acupuncture and Moxibustion Technical Code of Practice, Part 4, Three Pronged Needle"[C]//Chinese Acupuncture and Moxibustion Association, China-Tianjin Wuqing Hospital of Traditional Chinese Medicine. Proceedings of the 6th International Chinese Medicine Symposium on Acupuncture and Cupping in China-Tianjin, the Inaugural Meeting of the Acupuncture and Cupping Committee of the Chinese Acupuncture and Moxibustion Society and the Academic Exchange Conference. [Publisher unknown], 2008:4.
Lai Huanjie. Therapeutic effect of bloodletting by auricular puncture on patients with yin deficiency and fire type insomnia[D]. Guangzhou: Guangzhou University of Traditional Chinese Medicine, 2021.
Chen H, Zhang MJ, Wu JA, etc. Effect of Auricular Acupoint Bloodletting plus Auricular Acupressure on Sleep Quality and Neuroendocrine Level in College Students with Primary Insomnia: A Randomized Controlled Trial. Chin J Integr Med. 2022, 28(12):1096-1104.
National standard of the People's Republic of China (GB/T21709.9-2008) "Acupuncture and moxibustion technical specifications Part 9: Acupuncture point application"[J]. Chinese Acupuncture & Moxibustion, 2009, 29(4):329-331.
ZHAO Na, XIE Chen, FU Cong, et al. Effect of acupoint application on sleep structure in patients with chronic insomnia[J]. Shanghai Journal of Acupuncture and Moxibustion, 2023, 42(9):917-922.
Chen Y, Ma X, Mao SH, et al. A randomised controlled trial of acupoint patch therapy for patients with insomnia combined with stroke recovery period[J]. JOURNAL OF BASIC CHINESE MEDICINE, 2020, 26(1):85-87.
ZHANG Xinshu, LING Changquan, ZHOU Qinghui. Practical Wrist and Ankle Acupuncture. Beijing: People's Health Publishing House, 2002:1-39.
ZHAO Xue, GUO Yi, CHEN Zelin, et al. Discussion on Some Problems of National Standard "Standardized Manipulation of Acupuncture and Moxibustion Part 19 Wrist-ankle Acupuncture"[J]. Journal of Clinical Acupuncture and Moxibustion, 2011, 27(9):1-3.
LI Ran, LIU Jinglu, SONG Hongli, et al. Clinical efficacy study of wrist and ankle acupuncture in patients with insomnia[J]. Journal of Hebei Traditional Chinese Medicine and Pharmacology, 2019, 34(3):42-44.
Shi Jinhua, Xu Zhanqiong. Clinical efficacy observation of wrist and ankle acupuncture combined with traditional Chinese medicine in the treatment of intractable insomnia[J]. Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease, 2018, 16(16):2408-2410.
YAN Xingke, WANG Fuchun, WANG Hongfeng, et al.Perspective on the national standard Standardized Manipulation of Acupuncture and Moxibustion Part Ⅱ:Scalp Acupuncture[J].Chinese Acupuncture & Moxibustion, 2009, 29(12):1001-1007.
DENG Kai-feng, SHENG Fu-fang, CHEN Ri-lan, et al. Clinical research summary on the treatment of insomnia with scalp acupuncture in different schools[J]. China Journal of Traditional Chinese Medicine and Pharmacy, 2020, 35(9):4565-4568.
ZHANG Zi-di, WANG Rui-qing, LIU Jing-xuan, et al. Comparison and analysis on different academic schools of scalp acupuncture[J]. Acupuncture Research, 2021, 46(9):809-814.
World Health Organisation. International standard naming of acupuncture points [M]. Beijing: People's Health Press, 2009:1-2.
DING Dingming, LI Sikang, WANG Zhongju, et al. Clinical effect of scalp acupuncture in the treatment of primary insomnia based on the theory of"brain as marrow sea" [J]. China Medical Herald, 2023, 20(17):144-148.
DONG Guojuan, CAO Di, DONG Yue, et al. Clinical study of head acupuncture therapy for the treatment of sleep disorders caused by pre-test anxiety in college students (In English) [J]. World Journal of Acupuncture-Moxibustion, 2018, 28(03):156-160+229-230.
LIU Hui. Clinical efficacy of Jin's "Sleep Three Needles" in the treatment of persistent insomnia[D]. Hunan: Hunan University of Traditional Chinese Medicine, 2023.
LIAO Peng-Qi, WANG Wen-Hui, YUAN-Qing. Clinical Observation of JIN's Three-needle Therapy for the Treatment of Perimenopausal Insomnia of Incoordination Between Heart and Kidney Syndrome Type[J]. Journal of Guangzhou University of Traditional Chinese Medicine, 2023, 40(3):636-640.
CHEN Jiayao, LAO Jinxiong. Clinical Study of ZHU's Scalp Acupuncture Combined with Body Acupuncture in Treating Insomnia Caused by Deficiency of Heart and Spleen[J]. Journal of Clinical Acupuncture and Moxibustion, 2019, 35(11):25-28.
ZHANG Ya-ling, YU Hong-wu, YANG Jing. Clinical Observation of Zhu's Scalp Acupuncture Combined with Kaisiguan in Treating Insomnia[J]. Chinese Manipulation and Rehabilitation Medicine, 2021, 12(23):54-57.
YAN Hao Yue, NI Jin Xia, XU Jing Ni, et al. Exploration of the idea of Yu's head acupuncture in treating tinnitus from Yang theory[J]. Jiangsu Journal of Traditional Chinese Medicine, 2023, 55(3):39-42.
LIU Xudong, YU Zhiguo, LI Tongjun. Effect of Clustering Needling of Scalp Acupuncture Combined with Cervical Joint Loosening on Cervical Insomnia[J]. Journal of Clinical Acupuncture and Moxibustion, 2019, 35(8):23-26.
Zhang Ye. Clinical observation on the treatment of heart-spleen deficiency type of insomnia by plexus stabbing at head acupoints together with original acupoints [D]. Heilongjiang: Heilongjiang University of Traditional Chinese Medicine, 2022.
Jiao Shunfa. Jiao Shunfa head acupuncture. Beijing: People's Health Publishing House, 2009:41-43.
PENG Liu, HUANG Zubo, FU Lixia, et al. Curative Observation of Applying Head and Neck Anshen Five Acupoints in Treatment of Menopausal Women with Sub-healthy Insomnia[J]. Journal of Sichuan of Traditional Chinese Medicine, 2021, 39(10):189-192.
LI Xinhao, LI Min, WU Jiamin, et al. Clinical observation on Jiao's head acupuncture in treating insomnia of liver depression and fire type[J]. Guiding Journal of Traditional Chinese Medicine and Pharmacy, 2018, 24(21):93-94+108.
DENG Kai-feng, SHENG Fu-fang, CHEN Ri-lan, et al. Clinical research summary on the treatment of insomnia with scalp acupuncture in different schools[J]. China Journal of Traditional Chinese Medicine and Pharmacy, 2020, 35(9):4565-4568.
YANG Yue, MO Xuerui, CHEN Shanshan, et al. Curative Effect of Qin's Eight Head Acupuncture Combined with Estazolam for Refractory Insomnia in Middle-Aged and Elderly Patients and Its Effect on Anxiety Level[J]. Guiding Journal of Traditional Chinese Medicine and Pharmacy, 2023, 29(4):57-61.
SHEN Zhiqin, ZHAO Haiyin. Clinical observation on the treatment of insomnia due to insufficiency of heart yin by combining Qin's "head eight needles" and Tianwang Xinxin Tonic Dan[J]. Shanxi Medical Journal, 2020, 49(14):1878-1880.
XU Xiao-ying, MA Jun-hui, OU Jing-xi, et al. Effect of Fang′s scalp acupuncture on perceived stress and sleep structure in insomnia patients: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2022, 42(4):371-376.
Qiao Yiqi. Clinical observation of Fang's scalp acupuncture combined with body acupuncture in treating insomnia of heart and spleen deficiency type[D]. Guangzhou: Guangzhou University of Traditional Chinese Medicine, 2019.
Wang Pengqin, Wang Jian, Zhou Hongfei, et al.Eye-acupuncture Therapy on the Theoretical Foundation[J].Chinese Archives of Traditional Chinese Medicine, 2008, 04:700-703.
LUO Yuanyuan, YANG Sen. Clinical Observation on Eye Acupuncture Combined with Body Acupuncture for Patients with Post-stroke Insomnia[J]. Liaoning Journal of Traditional Chinese Medicine, 2020, 47(5):171-173.
Zhao Jianwei. Clinical study of eye-acupuncture therapy in treating insomnia of heart-spleen deficiency type[D]. Liaoning: Liaoning University of Traditional Chinese Medicine, 2022.
ZHANG Honglin, BO Congyan. A review of the progress of abdominal acupuncture[C]//Professional Committee of Abdominal Acupuncture, Chinese Acupuncture and Moxibustion Society. Proceedings of the Third International Symposium on Abdominal Acupuncture 40th Anniversary Review and Prospect. College of Acupuncture and Moxibustion, Beijing University of Chinese Medicine, Beijing Zhiyuntang, 2012:3.
YU Mei, WANG Yingchao, LI Ling, et al. Clinical effect of abdominal acupuncture combined with Chaihu Shugan Powder in the treatment of perimenopausal insomnia with qi stagnation type[J]. China Medical Herald, 2020, 17(20):160-163.
Pan Shuxia. Clinical efficacy study of abdominal acupuncture therapy for the treatment of insomnia in menopause [D]. Shanxi: Shanxi University of Traditional Chinese Medicine, 2020.
LIU Jing-xuan, WANG Rui-qing, ZHANG Zi-di, et al. Comparison and analysis of different schools of Chinese auricular acupuncture[J]. Chinese Acupuncture & Moxibustion, 2020, 40(12):1363-1368.
FENG Xiaojian, YANG Tingling, FU Hongxing. Clinical Application of Auricular Acupoint Pellet Pressure Therapy for Stress Insomnia[J]. Military Medical Journal of South China, 2019, 33(01):42-44.
LIU Juan, MA Lishuang, WANG Donghong, et al. Clinical observation on the treatment of perimenopausal insomnia of kidney deficiency and liver depression type by auricular acupuncture combined with fenmaltone[J]. Modern Journal of Integrated Traditional Chinese and Western Medicine, 2023, 32(17):2444-2447.
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