Moxibustion Based on the Midnight-Noon Ebb-Flow Theory for Insomnia Patients with Heart-Spleen Deficiency Pattern

Author：ZHANG Huixia1, GAO Juan2, OU Yan1, XU Xiang1, FENG Lan1, LI Qiong1

Unit：1.Hunan Provincial Hospital of Integrated Traditional Chinese and Western Medicine/The Affiliated Hospital of Hunan Academy of Chinese Medicine, Changsha Hunan 410006, China; 2.The Second Hospital of Hunan University of Chinese Medicine, Changsha Hunan 410005, China

Quote：引用：张慧霞，高娟，欧严，许享，冯岚，黎琼.基于子午流注理论的耳穴压豆联合脐灸对心脾两虚型失眠症患者的真实世界研究[J].中医药导报,2026,32(4):109-114.

DOI：10.13862/j.cn43-1446/r.2026.04.017

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Abstract：

Objective: To explore the clinical efficacy of auricular point pressing with beans combined with umbilical moxibustion based on the TCM Midnight-Noon Ebb-Flow Theory in the treatment of patients with insomnia of heart-spleen deficiency pattern. Methods: A real-world study method was adopted, and 121 patients with insomnia of heart-spleen deficiency pattern were selected as the research subjects. The subjects were divided into four groups according to the actual conditions such as their illness state and willingness: the auricular point pressing with beans group (n=33), the umbilical moxibustion group (n=28), the auricular point pressing with beans combined with umbilical moxibustion group (n=29), and the medication treatment group (n=31). The subscale scores and total score of the Pittsburgh Sleep Quality Index (PSQI), the total score of the Insomnia Severity Index (ISI), and the TCM syndrome scores of the four groups were compared at 3 weeks after intervention and 3 months after intervention. Results: After 3 weeks of intervention, the total PSQI scores and total ISI scores of the four groups were all lower than those before intervention, and there was a statistically significant difference in sleep time among the four groups (P<0.05); while there was no statistically significant difference in sleep time among the four groups at 3 months after intervention (P>0.05). The reduction ranges of the total PSQI score and total ISI score in the combined treatment group were significantly more obvious than those in the other three groups. There was no statistically significant difference in the TCM syndrome scores among the four groups either at 3 weeks or 3 months after intervention (P>0.05). Conclusion: The combined therapy of auricular point pressing with beans and umbilical moxibustion based on the Midnight-Noon Ebb-Flow Theory can improve the clinical efficacy in the initial stage, effectively enhance the sleep quality and sleep status of patients with insomnia of heart-spleen deficiency pattern, but its therapeutic effect tends to decline with the extension of time.

Key words：auricular point pressing with beans; umbilical moxibustion; insomnia; heart-spleen deficiency; TCM midnight-noon ebb-flow theory; real-world study

摘要：

目的：探究基于子午流注理论的耳穴压豆联合脐灸对心脾两虚型失眠症患者的临床疗效。方法:采用真实世界研究方法，选取121例心脾两虚型失眠症患者为研究对象，按照病情和患者意愿等实际情况将研究对象分为耳穴压豆组（33例）、脐灸组（28例）、耳穴压豆联合脐灸组（29例）、药物治疗组（31例），在干预3周后和干预后3个月比较4组患者的匹兹堡睡眠质量指数（PSQI）各因子和总分，失眠严重指数（ISI）总分和中医证候积分情况。结果：4组患者的PSQI总分及ISI总分在干预3周后均较干预前有所下降，且干预3周后睡眠时间比较，差异有统计学意义（P＜0.05），干预后3个月睡眠时间比较，差异无统计学意义（P＞0.05）；耳穴联合脐灸组PSQI总分及ISI总分下降幅度较其他组明显。而4组患者的中医证候积分在干预3周后和干预3个月后比较，差异均无统计学意义（P＞0.05）。结论：基于子午流注理论的耳穴压豆联合脐灸初期能够提高临床疗效，有效改善心脾两虚型失眠症患者的睡眠质量和睡眠状况，但疗效随时间推移呈现下降趋势。

关键词：耳穴压豆；脐灸；失眠症；心脾两虚；子午流注；真实世界研究

Release time：2026-04-26

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