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Acupressure Tips for Helping Patients with Delirium 幫助譫妄症病人穴位按摩須知

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Acupressure Tips for Helping Patients with Delirium 幫助譫妄症病人穴位按摩須知

11/11/2025

Common Symptoms

Delirium may cause the following problems:

  1. Mood changes: The patient may suddenly become fearful, anxious, suspicious, angry, depressed, or overly happy.
  2. Thinking and memory problems: The patient may forget the time or place, have poor memory, or speak unclearly.
  3. Sleep problems: They may sleep a lot during the day but stay awake at night, or their sleep may be broken or reversed (day and night switched).
  4. Perception problems: Some may see or hear things that aren’t there (illusions or hallucinations). For example, they might say they hear or see a deceased relative, which can be frightening for family or caregivers.

How Can Acupressure Help?

  • Acupressure can help stimulate nerves and improve blood flow, helping the body relax and restore balance between organs and tissues.

Important Tips Before and During Acupressure

  • How to acupressureUse your fingertips to gently press on each acupoint until you feel a mild soreness or pressure.
  • When to acupressureYou can do it at most times of the day, but avoid pressing within one hour before or after meals.
  • How long and how often: Choose 2–3 acupoints each time and press both sides at the same time if possible.
  • Acupressure each point for 3–5 minutes, then move to the next one.
  • Avoid acupressure if the patient has: Bone fractures, tumors, pregnancy, or skin wounds.
  • Before you begin: Trim your fingernails to avoid scratching the skin.
  • Measuring finger width: When the instruction mentions “one finger width,” use your own finger for reference.

Recommended Acupoints

1. For Mood Problems

  • Baihui (GV20):
    Located at the top of the head, where the line between both ears meets the midline of the head.
    → Helps calm anxiety and agitation by balancing brain activity.

  • Daling (PC7):
    Found in the middle of the wrist crease, between the tendons of the palmaris longus and flexor carpi radialis.
    → Calms the mind and relieves restlessness.

  • Shenmen (HT7):
    On the wrist crease, at the little-finger side of the wrist.
    → Helps “nourish the heart and calm the spirit,” reducing anxiety and irritability.

2. For Thinking and Memory Problems

  • Sishencong (EX-HN1):
    Four points located one thumb-width in front of, behind, and to each side of Baihui.
    → Traditionally used to strengthen memory, improve concentration, and increase blood flow to the brain.

  • Neiguan (PC6):
    About two finger-widths above the wrist crease, between the same tendons as Daling.
    → Used to help with forgetfulness, dementia, and heart regulation.

3. For Sleep Problems

  • Shenmai (BL62):
    Found just below the outer ankle bone in a small hollow.
    → Helps improve sleep and relieve insomnia.

  • Anmian (EX-HN22):
    Behind the ear, halfway between the Yifeng (SJ17) and Fengchi (GB20) points.
    → Promotes calmness and better sleep.

4. For Hallucinations or Perception Problems

  • Yintang (EX-HN3):
    Located between the eyebrows.
    → Calms the mind, reduces hallucinations, and eases agitation.

Reference
  • 林舜榖(2021)‧症狀與病位判別在中醫失智症治療的運用‧台北市中醫醫學雜誌27(1),41-46。https://doi.org/10.6718/TJCM.202103_27(1).0006
  • 陳毓姍、趙崔曲、宋昀潔、莊采臻、詹雅筑、湯仕媛、林恩澤、黃帟紳、魏紫羽、魏秀靜(2023)‧芳香療法結合穴位按壓是否能緩解失智症患者的躁動情緒‧實證健康照護,(印製中),1-16。https://doi.org/10.30131/TWNA_EBHC_Library.DB_2022070006A/Text
  • 陳玟(2019)‧中藥+穴位按摩改善失智症之精神行為症狀‧中華民國內膜異位症婦女協會會刊26(7&8),14-15。https://doi.org/10.6498/EA.201908_26(07_08).9
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