耳穴压豆联合耳部刮痧对心脾两虚型失眠患者 中医证候积分的影响

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Effect of Auricular Point Seed-pressing Combined with Auricular Scraping Therapy on Traditional Chinese Medicine Syndrome Scores in Patients with Insomnia Due to Heart-spleen Deficiency

CHEN Alan，LIU Wei，HULinhua，CHENLilan （Longyan Hospital ofTraditional Chinese Medicine，Longyan 364ooo，China）

AbstractObjective：Toexplore theefectofauricular pointseed-pressingcombined withauricularscrapingtherapyontraditional Chinese medicine（TCM）syndrome scores inpatients with insomniaduetoheart-spleendeficiency.Methods：Atotalof86patientswithinsomniaoftheheart-speedeficiencytypeadmittedtoLongyanHospitalofTraditional ChineseMedicinefromJanuary2024to June2025were selectedandrandomlydividedintoacontrol groupandanoservationgroup，with43 patients ineach group.Thecontrolgroupreceivedroutineintervention，whiletheobservationgroup wastreatedwithauricularpointsed-pressing combined withauricularscrapingtherapyinaddition totheroutinecare.ThePitsburgh SleepQualityIndex（PSQI）wasused to assesschanges insleepqualitybeforeandafterintervention.The Hyperarousal Scale（HAS）wasaplied toevaluatearousal levels，and the TCMsyndromescore scale wasused toassesstheimprovementofTCMsymptoms beforeandafterinterventioninboth groups.Results：Before intervention，there werenostatisticallsignificant diferences betweenthetwogroupsinPSQIsore，HA score，or TCM syndrome score（ P>0.05 ）. After intervention，the PSQI，HAS，and TCM syndrome scores in the observation group wersignificantlylower thanthoseinthecontrolgroup，andthediferences betweenthetwogroupswerestatisicallsignificant （ P<0.05 ）.Conclusion;Auricular point seed-pressng combined with auricular scraping therapy shows significant clinical value inpatients withinsomniaduetoheart-spleendeficiencyThiscombinedapproachcanimprovesleepquality，reducearousalevels， and alleviate TCM-related symptoms，and thus is worthyof clinical promotionand application.

KeywordsAuricular point seed-pressing;；Auricular sraping therapy；Heart-spleen deficiency type；Insomnia；Sleepquality; Traditional Chinese medicine syndrome score

中图分类号：R338.63;R256.23 文献标识码：A doi：10.3969/j. issn.2095-7130.2025.10.027

失眠是现代社会常见的睡眠障碍。（剩余5763字）