Systematic review on the auricular acupressure in treatment of insomnia of circadian rhythm sleep-wake disorders

WANG Jiamin; LI Qian; HE Lian; XU Zhaojuan; FENG Huiling

doi:10.3969/j.issn.1671-315x.2025.02.010

Abstract：Objective To systematically review the intervention effect of auricular acupressure in treatment of insomnia of circadian rhythm sleep-wake disorders.Methods PubMed,Cochrane Library,Embase,Web of Science,Chinese journal full-text database,Wanfang Data Knowledge Service Platform,and VIP Chinese Science and Technology Journal Database were searched to collect randomized controlled trials on auricular acupressure for circadian rhythm sleep-wake disorder insomnia from the establishment of the database to October 10,2024.The researchers strictly screened the literature,extracted data,and evaluated the quality according to the specifications.Review Manager 5.4.1 soft-ware was used for Meta-analysis.Results Finally,12 articles were included,with a total sample size of 979 cases.The results showed that:TF4-Shen men,AT4-Subcortex,CO15-Heart and AH6 a-Otopoint AH6a Sympathetic could be used as the main acupoints for circadian rhythm sleep-wake disorders,with 3～5 times a day,1 change of ear peas every 3 days,and intervene of 28～30 days.Pittsburgh Sleep Quality Index(PSQI)was recommended as an evaluation index.Meta-analysis showed that compared with the control group,auricular acupressure could improve the sleep quality[MD=-2.60,95%CI(-3.91,-1.29),P＜0.001]and insomnia symptoms[MD=-4.37,95%CI(-4.68,-4.06),P＜0.001],and improve efficacy of sleep disorders in patients[RR=1.33,95%CI(1.18,1.50),P＜0.001].Conclusion The auricu-lar acupressure has positive significance for patients with insomnia of circadian rhythm sleep-wake disorders.In addition,the recommended regimen in the study can be used as one of the intervention methods to promote the formation of standardized schemes and reduce the occur-rence of insomnia of circadian rhythm sleep-wake disorders.