从嗜睡症案看跷脉与睡眠的关系.pdfVIP

· 56· WorldJ．Acu—moxi．Vo1．17，No．4，December，2007 RELATIoNSHIP BETⅥ，=EEN HEEL VESSEL AND SLEEP IN LETHARGY 从嗜睡症案看跷脉与睡眠的关系 WANG Qiao-mei(王巧妹) Institute ofAcu—moxibustion，China Academy ofChinese Medical Sciences，BeOing 100700，China(中国中 医科学院针灸研究所，北京 100700，中国) Lethargy refers to oversleep at daytime or sleep attack．Sleep attach cannot be explained as insufficient sleep time，it refers to the prolonged transient time from waking state to complete wakefulness and happens everyday， continuously for over one month，excluding various organic diseases． Frequent attack of lethargy during some situations，such as eating，talking，having a meeting or driving，severe— ly disturbs the life or even brings dangers．Even though，the morbidity of the disease is rather low，it still draws the attentions to the medical staffs．In 1999，the writer adopted the theory of Heel Vessel to the treatment of lethargy and had obtained quite good effects．The following is the case report to probe into the mechanism of acupuncture on lethargy． Case：Zhang，female，54 years old，visited on 4仇December 1999．Lethargy lasted for 5 months without definite reasons and she had to sleep for a while no matter in walking，meeting or talking when lethargy attacked．Physi— cal examination：moderate physical figure，lassitude，dark complexion，pale tongue with thin and white coating， deep and thready pulse．Selection of points：ZhfohSi(照海KI 6)，Shfinmfii(申脉BL 62)，Ji6oxln(交信KI 8)，Ffiydng(跗阳BL 59)．Even needling technique was applied and needles were retained for 20 min．The treatment was given once a day．After two treatments，the attack frequency of lethargy was reduced remarkably and the symptoms disappeared after four treatments．The case was not reoccurred in two-month follow—up obser— vation． Based on the case，the writer related briefly the relationship between the physiological function of Heel Vessel and abnormal sleep． 1 RELATIONSHIP AMONG HEEL VESSEL，DEFENS