<italic style="font-style: italic">Daoqi</italic> acupuncture technique in <italic style="font-style: italic">Huangdi Neijing</italic> for moderate-to-severe obstructive sleep apnea-hypopnea syndrome: a randomized controlled trial

ZHU Guoqing; ZHAO Na; TANG Lin; SONG Weihua; YU Xintong; YANG Wenjia; LIANG Ruilong

doi:10.13703/j.0255-2930.20241011-k0001

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Daoqi acupuncture technique in Huangdi Neijing for moderate-to-severe obstructive sleep apnea-hypopnea syndrome: a randomized controlled trial

Clinical Research | 更新时间：2025-07-17

- Daoqi acupuncture technique in Huangdi Neijing for moderate-to-severe obstructive sleep apnea-hypopnea syndrome: a randomized controlled trial
- Chinese Acupuncture & Moxibustion Vol. 45, Issue 7, Pages: 911-917(2025)
- 作者机构：
  
  义乌市中医医院针灸推拿/康复科，浙江义乌　322000
  上海中医药大学附属岳阳中西医结合医院针灸科，上海　200437
  上海中医药大学附属岳阳中西医结合医院康复科，上海　200437
  上海中医药大学附属岳阳中西医结合医院口腔科，上海　200437
  上海中医药大学附属岳阳中西医结合医院针麻临床研究室，上海　200437
- 作者简介：
- 基金信息：
- DOI：10.13703/j.0255-2930.20241011-k0001
  CLC：
- Received：11 October 2024，
  
  Online First：22 May 2025，
  
  Published：12 July 2025
- 稿件说明：
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ZHU Guoqing, ZHAO Na, TANG Lin, et al. Daoqi acupuncture technique in Huangdi Neijing for moderate-to-severe obstructive sleep apnea-hypopnea syndrome: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2025, 45(7): 911-917. DOI: 10.13703/j.0255-2930.20241011-k0001.
DOI：

ZHU Guoqing, ZHAO Na, TANG Lin, et al. Daoqi acupuncture technique in Huangdi Neijing for moderate-to-severe obstructive sleep apnea-hypopnea syndrome: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2025, 45(7): 911-917. DOI: 10.13703/j.0255-2930.20241011-k0001. DOI：

摘要

目的：

观察《黄帝内经》导气针法治疗中重度阻塞性睡眠呼吸暂停低通气综合征（OSAHS）的临床疗效。

方法：

将60例中重度OSAHS患者随机分为导气针法组（30例）和常规针刺组（30例，脱落1例）。导气针法组给予《黄帝内经》导气针法治疗，穴取上廉泉、风府和双侧列缺、照海；常规针刺组给予常规针刺治疗，穴取上廉泉、风府、哑门和双侧列缺、照海、足三里、丰隆。均隔日1次，每周3次，4周为一疗程，共治疗3个疗程。分别于治疗前后观察两组患者多导睡眠图（PSG）监测指标[呼吸暂停低通气指数（AHI）、呼吸低通气指数（HI）、呼吸暂停指数（AI）、最长呼吸暂停持续时间、夜间最低动脉血氧饱和度（LSaO

）

]

及Epworth嗜睡量表（ESS）、匹兹堡睡眠质量指数（PSQI）、世界卫生组织生存质量量表简表（WHOQOL-BREF）评分，并于治疗后评定临床疗效。

结果：

治疗后，两组患者AHI、HI、AI和最长呼吸暂停持续时间较治疗前降低（

0.01），导气针法组患者LSaO

较治疗前升高（

0.01）；治疗后，导气针法组患者AHI、HI、AI、最长呼吸暂停持续时间低于常规针刺组（

0.05），LSaO

高于常规针刺组（

0.05）。治疗后，两组患者ESS和PSQI评分较治疗前降低（

0.01），WHOQOL-BREF评分较治疗前升高（

0.01）；导气针法组患者ESS和PSQI评分低于常规针刺组（

0.05，

0.01），WHOQOL-BREF评分高于常规针刺组（

0.05）。导气针法组总有效率为93.3%（28/30），高于常规针刺组的82.8%（24/29，

0.01）。

结论：

《黄帝内经》导气针法可有效治疗中重度OSAHS，改善临床症状，提高生活质量，且具有取穴少和刺激柔和等优势。

Abstract

Objective

To observe the clinical efficacy of

Daoqi

(directing

flowing) acupuncture technique in

Huangdi Neijing

(

Yellow Emperor's Inner Classic

) for moderate-to-severe obstructive sleep apnea-hypopnea syndrome (OSAHS).

Methods

Sixty patients with moderate-to-severe OSAHS were randomly divided into a Daoqi acupuncture group (30 cases) and a conventional acupuncture group (30 cases

1 case dropped out). In the Daoqi acupuncture group

Daoqi

acupuncture technique in

Huangdi Neijing

was applied at Shanglianquan (Extra)

Fengfu (GV16)

and bilateral Lieque (LU7)

Zhaohai (KI6); in the conventional acupuncture group

conventional acupuncture was applied at Shanglianquan (Extra)

Fengfu (GV16)

Yamen (GV15)

and bilateral Lieque (LU7)

Zhaohai (KI6)

Zusanli (ST36)

Fenglong (ST40). The treatment was adopted once every other day

3 times a week

4 weeks as one course and 3 courses were required totally in both groups. Before and after treatment

the polysomnography (PSG) indexes [apnea-hypopnea index (AHI)

hypopnea index (HI)

apnea index (AI)

longest apnea duration

lowest nocturnal SaO

(LSaO

)

]

and scores of Epworth sleepiness scale (ESS)

Pittsburgh sleep quality index (PSQI)

World Health Organization quality of life-BREF (WHOQOL-BREF) were observed

and the clinical efficacy was evaluated after treatment in the two groups.

Results

After treatment

the AHI

AI and longest apnea duration were reduced compared with those before treatment in the two groups (

0.01)

the LSaO

was increased in the Daoqi acupuncture group (

0.01); in the Daoqi acupuncture group

the AHI

AI and longest apnea duration were lower than those in the conventional acupuncture group (

0.05)

and the LSaO

was higher than that in the conventional acupuncture group (

0.05). After treatment

the ESS and PSQI scores were decreased compared with those before treatment (

0.01)

while the WHOQOL-BREF scores were increased compared with those before treatment (

0.01) in the two groups; in the Daoqi acupuncture group

the ESS and PSQI scores were lower than those in the conventional acupuncture group (

0.05

0.01)

and the WHOQOL-BREF score was higher than that in the conventional acupuncture group (

0.05). The total effective rate was 93.3% (28/30) in the Daoqi acupuncture group

which was higher than 82.8% (24/29) in the conventional acupuncture group (

0.01).

Conclusion

Daoqi

acupuncture technique in

Huangdi Neijing

can effectively treat moderate-to-severe OSAHS patients

improve the clinical symptoms and quality of life

and has the advantages i.e. simpler acupoints selection and gentler stimulation.

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⁰

Daoqi acupuncture technique in Huangdi Neijing for moderate-to-severe obstructive sleep apnea-hypopnea syndrome: a randomized controlled trial

DOI：10.13703/j.0255-2930.20241011-k0001

摘要

Abstract

关键词

Keywords

references