中医康复疗法在卒中后失眠中的应用

Research progress on the application of traditional Chinese medicine rehabilitation techniques in post-stroke sleep disorders based on the theory of “integration of body and spirit”

关键词:  形神一体  卒中后失眠  中医康复技术  形神共调  研究进展

Key words:  integration of body and spirit  post-stroke sleep disorders  traditional Chinese medicine rehabilitation technique  co-regulation of body and spirit  research progress

摘要:

失眠是脑卒中后常见的并发症，发病率高，严重影响患者的神经功能康复与生活质量。文章系统梳理“形神一体”理论对卒中后失眠“形神互损”病机的阐释：中医“形神一体”理论强调整体观念，认为形体与精神相互依存、相互为用，形神和合则健康无病，形神失和则疾病丛生，为卒中后失眠的康复提供了独特的理论指导和治疗思路。文章以此病机为主线，将针灸、中药、推拿、耳穴、五行音乐、传统功法等多种中医康复技术归纳为“调形”“调神”及“形神共调”，系统总结其应用研究进展，并建立技术与病机的对应衔接。同时，文章从多维度探讨其“形神共调”作用机制，结合现代康复医学理论，揭示形神互动的系统调节网络，以期为推动中医康复技术在卒中后失眠防治中的应用提供有益探索。

Abstract:

Sleep disorders are a common complication after stroke，with a high incidence rate that severely impacts patients’neurological recovery and quality of life. The article systematically reviews the core connotations of the theory of“integration of body and spirit”and its interpretation of the pathogenesis of post-stroke insomnia as “mutual impairment between body and spirit”. Traditional Chinese medicine（TCM）emphasizes a holistic view through the“integration of body and spirit”theory，asserting that the body and spirit are interdependent and mutually reinforcing. Harmony between body and spirit ensures health，while disharmony leads to disease，providing unique theoretical guidance and therapeutic approaches for the rehabilitation of post-stroke insomnia. Using this pathogenesis as a framework，this article categorizes various TCM rehabilitation techniques—including acupuncture，herbal medicine，Tuina，auricular acupoints，Five-Element music，and traditional exercises—into three types：“regulating the body”“regulating the spirit”and“co-regulation of body and spirit”. It systematically reviews the current research progress on their application and establishes a direct correspondence between these techniques and the pathogenesis. Furthermore，it explores the multidimensional mechanisms of their“co-regulation of body and spirit”by integrating modern rehabilitation medicine theories，revealing a systemic regulatory network for body-spirit interaction. The aims to offer valuable insights for promoting the application of TCM rehabilitation techniques in managing post-stroke insomnia.