围绝经期失眠在中医学中被称为“经断前后诸证”“不寐”“脏躁”，认为肝肾阴虚以致肝郁化火、上扰心神以及气血 不足以致肝失濡养、神不安和为围绝经期失眠的主要病机，故此提出疏肝调神的治疗大法，并配合针刺、精灸、刺络、耳 针、背俞穴埋针等治疗手段，共同构成“一针二灸三巩固”整合针灸方案，为围绝经期失眠提供治疗思路。

Perimenopausal insomnia is referred to as “syndromes occured before and after amenorrhea”， “insomnia” and “visceral irritability” in traditional Chinese medicine. It is believed that yin deficiency of the liver and kidney leads to liver constraint transforming into fire，which harassing the upper body of the heart and spirit， as well as qi and blood insufficiency that leads to the dysfunction of liver， which is the main pathogenesis of perimenopausal insomnia. Therefore， the treatment method of soothing the liver and regulating the mind is proposed， and combined with acupuncture， fine moxibustion， pricking collaterals， auricular acupuncture， back-shu point embedding acupuncture and other treatment methods， which together constitute the “firstly applying needling， secondly using moxibustion， thirdly focusing on consolidation” integrated acupuncture and moxibustion program to provide treatment ideas for perimenopausal insomnia.

R246.9

广东省自然科学基金资助项目（编号：2019A1515012043，2018A030310531）；广东省重点领域研发计划——岭南中医药现代化 重点专项资助项目（编号：2020B1111100007）；深圳宝安区针灸临床研究中心资助项目（编号：BAZJ2018239）；深圳市政府 “医疗卫生三名工程”广东省中医院符文彬教授针灸学团队资助项目（编号：SZSM201806077）；广东省中医药局符文彬广东省 名中医传承工作室资助项目（编号：粤中医办函 〔2020〕 1号）