Theoretical Exploration of Acupuncture Treatment for Perimenopausal Insomnia Focusing on Regulating the Governing Vessel, Soothing the Liver, and Calming the Spirit

睡眠对围绝经期女性至关重要，围绝经期失眠(perimenopausal insomnia, PI)发病率逐年升高，严重影响围绝经期女性正常工作、学习与生活的质量。口服药物与激素虽能短暂缓解症状，但存在较大的副作用，针刺治疗围绝经期失眠的疗效明显，且副作用小，在临床中应用广泛。督脉，肝经、神志与围绝经期失眠关系密切。因此，本文研究针刺治疗围绝经期失眠的治疗方法从督脉、肝经、神志三方面为主入手，为临床针刺提供一些方向的指引。Sleep is crucial for perimenopausal women. The incidence of perimenopausal insomnia (PI) is increasing year by year, which seriously affects the quality of normal work, study, and life for perimenopausal women. Although oral medications and hormone therapies can provide temporary relief of symptoms, they are associated with significant side effects. Acupuncture has been proven to be effective in treating perimenopausal insomnia, with minimal side effects and is widely used in clinical practice. The Governing Vessel, Liver Meridian, and mental state are closely related to perimenopausal insomnia. Therefore, this paper explores acupuncture treatment for perimenopausal insomnia, focusing primarily on the Governing Vessel, Liver Meridian, and mental state, to provide directional guidance for clinical acupuncture practice.