Snoring, this is no small thing. It not only affects the quality of an individual's sleep, but can also cause a burden on the family and society that cannot be ignored. Snoring may seem like a physiological phenomenon, but there may be serious pathological problems hidden behind it. In medicine, we call this sleep apnea syndrome (SAS) or obstructive sleep apnea-hypopnea syndrome (OSAHS). These conditions can cause thunderous snoring during sleep and even apnea. More seriously, OSAHS has been shown to be an independent risk factor for a variety of diseases, including hypertension, coronary heart disease, stroke, diabetes, cough, etc.
In the face of such a disease, we need an effective ** method. However, existing methods, such as non-invasive continuous positive airway pressure (NCPAP), are effective, but they are costly, and long-term use can also bring some adverse effects, such as dry mouth, itchy eyes, runny nose, or facial injuries, which makes patient compliance poor.
Fortunately, acupuncture has been found to be an effective alternative** method. Studies have shown that acupuncture can improve sleep quality by regulating apnea-hypopnea index (AHI) in patients with snoring, increasing minimum oxygen saturation at night, and improving symptoms such as snoring during sleep and daytime sleepiness.
This article will **acupuncture** snoring ideas. In the past clinical practice, our team has found that "restlessness due to disharmony of qi" is the key pathogenesis of snoring. Therefore, we put forward the best method of "regulating qi and accessibility, stopping snoring and sleeping". Through the different methods of acupuncture, we can directly regulate the qi of the sick place, regulate the qi of the viscera, and regulate the qi of the meridians, and finally achieve the purpose of harmonizing qi, stopping snoring, and sleeping peacefully.
We hope that through our research and practice, we can provide some reference and enlightenment for clinical snoring.
Acupuncture treats snoring from the theory of qi regulation
Clinical application
After a comprehensive analysis of the literature on snoring, it was found that the general principle of "regulating qi" ran through the entire process. In clinical practice, acupoints with the functions of opening meridians, regulating qi and blood, and removing phlegm and stasis are usually selected, or combined with other treatment methods with qi regulating effects, so as to improve ventilation function and reduce the number of apnea, so as to achieve the effect of "regulating qi and access".
It has been found that acupuncture of Yintang, Yingxiang, Lianquan (1 inch on the left and right sides of Lianquan), Fengfu and other nasal and throat acupoints can reach the local meridians and blood, so that the nasopharyngeal airway can be restored to smoothness, thus playing the role of meridian clearance, pharyngeal opening, qi regulation and snoring. In addition, under the guidance of the theory of health care, some researchers have comprehensively used intranasal acupuncture and traditional Chinese medicine to snoring patients at different stages to regulate health care, ventilators, dispel dampness, improve throat and clear nose.
In the process of snoring, the author pays special attention to "regulating qi", and often uses He's fire needle to puncture Baihui, Lianquan, Panlianquan, Zusanli, Fenglong, Sanyinjiao and other acupuncture points. Among them, Baihui belongs to the Du Mai, which has the effect of invigorating yang qi, cultivating and replenishing positive qi, and can regulate the qi and blood of the five internal organsLianquan and Bianlian Spring can regulate the qi and blood of the tongue and pharynx, regulate the excitability of the glossopharynx, vagus nerve and genioglossal muscle, and have the effect of directly regulating the diseaseZusanli and Fenglong are respectively the stomach meridian acupoint and the Luo acupoint, which can regulate the rise and fall of the spleen and stomach qi and remove phlegm and dampness in the bodyThe three yin intersections can regulate the qi of the three meridians of the spleen, kidney and liver, and have the effect of promoting qi and invigorating blood, dispelling dampness and passing through menstruation.
With the help of fire needles with strong warmth, the above-mentioned acupoints can play a role in regulating qi, stopping snoring, and sleeping. The team's exploratory clinical observations in the early stage also preliminarily confirmed the feasibility and effectiveness of fire acupuncture** snoring. For patients who are unwilling to accept fire acupuncture or are not suitable for fire acupuncture**, nano needles can be used to micro-pass the meridians to regulate their qi and blood, which can also achieve good results.
In the application of fire acupuncture snoring, it is required to be fast, accurate and stable to give full play to the warmth of fire acupunctureIn the case of milli-needle acupuncture, the tonic method or laxative method is applied to achieve the purpose of "gaining qi". In addition, according to the specific situation of the patient, the corresponding acupuncture method and acupuncture techniques can be adopted to achieve the best effect.
2 Modern Studies
In recent years, the research on acupuncture**snoring has been in full swing, mainly focusing on how to regulate non-anatomical factors such as neuromuscular control disorders, respiratory center instability, and abnormal regulation of the geniolingual muscle center, so as to regulate airway pressure and improve ventilation function. It was found that the ultrasound-guided electroacupuncture of Jinjin and jade fluid could effectively regulate the qi and blood in the throat, regulate the excitability of the geniolingual muscle and hypoglossal nerve, promote the functional recovery of airway dilated muscles, and then improve the negative pressure environment and ventilation function in the airway. This discovery not only reveals the internal mechanism of acupuncture**snoring, but also provides a strong basis for clinical snoring.
Zhang et al. found in a study that acupuncture Lianquan acupoint combined with Western medicine was effective in relieving snoring symptoms and improving sleep quality and nerve function in stroke patients. The underlying mechanism may be stimulation and regulation of local nerve and muscle excitability. This discovery is of great significance for the development of stroke, and also provides a new idea for the development of snoring.
In addition, it has been found that the underlying mechanism of the onset of acupuncture** snoring also includes the activation of the serotonergic neural pathway in the midcaudal suture. This pathway is closely related to snoring symptoms, and by stimulating the motor neurons of the upper respiratory tract, it strengthens the central regulation of muscle tone such as the genioglossus muscle in the throat region, thereby effectively improving ventilation function. This finding provides a more in-depth explanation for acupuncture**snoring, and also provides a new research direction for snoring symptoms**.
In summary, the study of acupuncture** snoring has made great progress in recent years. By regulating non-anatomical factors such as neuromuscular control dysregulation and respiratory center instability, the airway pressure can be adjusted to improve ventilation function. At the same time, acupuncture snoring also has the effect of improving sleep quality and nerve function, which provides a strong basis for clinical snoring. Future research should further investigate the underlying mechanisms of snoring in order to better apply them to clinical practice.
The idea of acupuncture to regulate snoring
It has been recorded in "Lingshu - The End of the Beginning": "The way of thorns is to stop at adjusting the qi", and it is also mentioned in "Lingshu - Thorn Festival True Evil": "The key to using needles is to regulate qi". It can be seen that qi regulation is the key to acupuncture treatment. For the first snoring disease, the core pathogenesis lies in the "disharmony of qi", so the treatment of qi regulation and accessibility, anti-snoring and sleep is particularly important. Among them, "regulating qi" is a key step in snoring.
In the specific process, we need to adjust the gas from the following three aspects:
First of all, we need to directly regulate the qi of the sick place. By directly adjusting the qi at the lesion site, the local qi and blood flow is smoother, thereby improving the symptoms of snoring.
Secondly, we need to regulate the qi of the internal organs. By regulating the functional activities of the five internal organs, the qi of the internal organs can be unblocked, so as to further adjust the qi of the whole body and restore the balance of the body.
Finally, we need to tune in to the meridians. By dredging the 12 meridians, the qi of the meridians can be unblocked, so as to adjust the qi inside the body and make the body reach a balanced state.
Through the above three aspects of qi regulation measures, all qi can go their own way, and finally achieve the best effect of qi regulating blood and snoring. At the same time, we also need to carry out individualized program design according to the specific situation of the patient to ensure the effectiveness and safety of the patient.
1. Directly regulate the qi of the sick place
Snoring, a seemingly ordinary condition that affects the quality of sleep, is located deep in the throat. "On the Origin and Syndrome of Diseases" has a cloud: "Pressing the throat, astringent and unfavorable also make a sound", which is true. Snoring can be caused by various reasons such as poor flow of qi and blood, stagnation of blood flow, obstruction of the throat, and unfavorable airway. In addition to conventional drugs and surgery, acupuncture, as a non-drug, has significant advantages.
The theory of acupuncture and moxibustion snoring originates from the idea of "regulating qi and sleeping" in the "Neijing". In acupuncture, Lianquan and Bianlian Spring, which are located in the throat, are the key acupuncture points for snoring. Among them, the Lianquan acupoint is located in the throat, which is the origin of the meridian qi of the Ren pulse, which is the meeting of the Ren pulse and the yin dimension, and can directly act on the glossopharyngeal disease. Although the Lian Spring is not on the Lianquan Cave, it is an important part of the Lian Spring. It communicates with the kidney meridian, and can play the function of clearing the throat and dissipating knots together with Lianquan.
Modern studies have shown that acupuncture of local acupoints in the throat can directly stimulate the densely distributed nerves and muscles under the acupuncture points and enhance the excitability of the nerves and muscles. At the same time, acupuncture can also promote the voluntary movement of pharyngeal muscles and the recovery of pharyngeal contractile muscle function, so that the upper airways such as pharyngeal cavity and laryngeal cavity can return to normal, and then restore normal ventilation. This method not only directly regulates the disease and improves respiratory function, but also stops the patient's snoring and improves the quality of sleep.
Overall, acupuncture, as a non-drug, has significant advantages for snoring. It not only has the characteristics of safety and non-compliance, but also solves the problem at the root. For patients who have been suffering from snoring for a long time, you may want to try acupuncture**, which may have unexpected results.
2. Regulate the qi of the internal organs
There is a saying in "Analogous Classics: No Lying Down": "All the five internal organs are injured, they can make lying restless", and the dysfunction of the internal organs and the disharmony of qi can also lead to "lying restless". * The author often stimulates the corresponding acupoints through acupuncture, regulates the qi of the meridian tunnels, and then stimulates and adjusts the qi of the internal organs, and promotes the recovery of the function of the internal organs to smooth the qi and blood, stop snoring and sleeping.
In the selection of acupoints, the author usually uses Yu Zhao to match acupoints to ** corresponding visceral diseases. For example, if the lung and kidney deficiency is severe, the author will choose Lung Yu, Zhongfu, Kidney Yu and Jingmen, or with Zhaohai and Lieqi acupuncture points, so as to promote lung qi and help kidney qi, so that the breath can be absorbed and evenly harmonized, so as to achieve the purpose of co-treating the lungs and kidneys, regulating the dirty qi and stopping snoring.
In addition, if the pharyngeal muscles collapse, we can blame the spleen, ** can take the spleen Yu, stomach Yu, Zhongguan, Zhangmen, Zusanli and other acupuncture points to replenish the spleen, inflatable blood, so as to play a role in nourishing muscles, improving pharyngeal weakness and airway narrowing.
At the same time, when the spleen and stomach are full, the function of transportation and transformation is normal, and the metaplasia of qi and blood is sufficient, it can not only provide sufficient material basis for the normal entry and exit of the health qi, but also provide the necessary conditions for improving the patient's restlessness. All kinds of visible and invisible phlegm that are blocked in the airways will also dissipate.
In addition, we will also cooperate with the back Yu acupoints such as the pricking heart and liver to reconcile the heart qi and dredge the liver qi. If the phlegm is removed, the pharyngeal is opened, the qi is ventilated, and the dirty qi is harmonized, then the snoring stops.
When regulating qi, we will also cooperate with acupuncture points such as diaphragm and blood sea to activate blood and dispel stasis and qi. Because qi is the handsome of blood, if the qi of the viscera is not in harmony for a long time, the blood flow will be blocked and stasis. When regulating qi, it can be used to promote blood circulation and eliminate stasis and qi when it is used to puncture acupuncture points such as diaphragm and blood sea.
3. Regulate the qi of the meridians
Meridians play an important role in the human body, they communicate inside and outside, network the whole body, so that all parts of the body are connected to each other and maintain overall balance. In the traditional Chinese medicine classic "The Yellow Emperor's Neijing", there are 13 meridians that directly follow the throat, in addition, the meridians and tendons of the three yang meridians of the hands and feet also follow the throat. Therefore, when there are various diseases, regulating the meridian qi of the three yang meridians is the key, among which the Shaoyang meridian is the hub of the qi machine lifting and exiting, so if you want to regulate the meridian qi, you should first regulate the Shaoyang meridian.
Waiguan is the meridian acupoint of the Sanjiao meridian, and the Sanjiao gas machine can be adjusted through acupuncture, which can be used to express the inside and the throat. In addition, it is mentioned in the "Su Wen Reverse Adjustment Theory": "Those who do not lie down and breathe with sound are the reverse of Yang Ming", the Yang Ming meridian is a meridian with many qi and blood, starting from the Yang Ming meridian, selecting the hub of the meridian acupoints and the lifting of the qi machine, which can effectively regulate the meridian qi, regulate the qi machine, and channel and treat the qi and blood of the body, so that the yang Ming meridian qi and blood rise and fall back to normal.
Wu Kun pointed out: "The sun is on the surface, apply the yang qi", the yang qi is dispersed and the meridians of the body are smooth and harmonized, the author often uses fire needles or milli needles to puncture the bladder meridians to warm the meridians, lead the yang to reach the meridians, warm and channel the sun meridians, promote the yang qi to spread around the body, so that the meridians are smooth. After the evil of wind and temperature invades the body, the snoring caused by the congestion of the wind, the unfavorable health qi, and the loss of the lungs can be used to prick the wind gate, the wind or the lungs to make the evil qi go and defend the qi.
Typical case
The patient is a 47-year-old male. Date of initial visit: March 11, 2022.
Chief complaint: Snoring while sleeping, sometimes waking up for more than 20 years.
History of present illness: More than 20 years ago, there was no obvious cause of snoring during sleep, sometimes waking up, and the partner reported that his snoring at night was like thunder, which was unbearable, and after polysomnography (PSG) in the hospital, it was suggested that he had moderate osahs (AHI 21).
Tick syndrome: Snoring during sleep, snoring like thunder, often being awakened more than 5 times at night, dreaming, daytime fatigue, napping from time to time during driving, slightly fat, pale tongue, tooth marks, thin white moss, weak pulse.
Western medicine diagnosis：osahs。
TCM diagnosis: Snoring (deficiency of lungs and spleen qi, disharmony of dirty qi).
The treatment is to nourish the lungs and strengthen the spleen, regulate the dirty qi, and improve the pharynx and stop snoring.
Use fire needle pricking**, acupuncture points take Baihui, Lianquan and bilateral side Lianquan, lung Yu, spleen Yu, Lieqi, Zusanli, Sanyinjiao, Zhaohai。The patient was seated, and the local routine disinfection was carried out, and 2 needles were punctured per acupoint with He's fine fire needle, twice a week. **After 2 weeks, the patient's self-reported snoring symptoms were relieved compared with before, the number of awakenings during sleep was reduced, the quality of sleep was also improved, and daytime sleepiness and napping while driving were improved. **After 7 times, there was occasional snoring during sleep, but the intensity of snoring was lower than before. **After 10 times, waking up during sleep no longer happens, dreams are less, energy is more abundant during the day, and no more napping while driving. The patient was satisfied with the response and was re-monitored with PSG, which showed that the patient had changed from moderate to mild OSAHS (AHI 13).
By languageIn this case, considering that the patient's condition was more serious, and it was feared that it would be difficult for the needle to be effective, the fire needle was used in order to stimulate and regulate the qi of the lungs and spleen by taking advantage of the warmth of the fire. Take Lian Spring and Pan Lian Spring to directly regulate the qi of the sick place, and cooperate with Zusanli, Lung Yu, and Spleen Yu to make the meridian qi and blood flow smoothly, nourish the qi of the lungs and spleen, and regulate the yang and Ming meridian qi. Because snoring is essentially a sleep problem, it is necessary to take Baihui and Sanyin to calm down and sleep, nourish the heart and calm the nerves. All the acupoints work together to regulate the dirty qi, regulate the qi and access, regulate the breathing, improve the pharynx and eliminate snoring, and calm the mind and sleep.
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