Abstract: Chronic insomnia is a highly prevalent sleep disorder that severely impacts daytime functioning and quality of life, and is frequently comorbid with conditions such as pain, anxiety, and depression. Electroacupuncture, which integrates traditional acupuncture with modern electrical stimulation technology, enhances acupoint stimulation through continuous and controllable electrical current. This approach demonstrated unique advantages in treating insomnia and its comorbidities, characterized by significant efficacy, standardized procedures, and ease of promotion. This protocol specifically explored electroacupuncture-based therapeutic strategies for chronic insomnia and its common comorbidities—pain, anxiety, and depression. It provided targeted recommendations for acupoint combinations, waveform selection, and treatment duration. Furthermore, the protocol detailed the standard operating procedure, clearly defined indications and contraindications, and established emergency plans for managing adverse reactions, including needle fainting, stuck needle, and hematoma, thereby ensuring treatment safety.

Key words: Insomnia, Electroacupuncture, Acupuncture needling, Technical specification

摘要： 慢性失眠是一种严重影响日间功能与生活质量的高发性睡眠障碍，且常与疼痛、焦虑、抑郁等病症共病。电针疗法将传统针刺与现代电刺激技术相结合，通过持续、可控的电流增强穴位刺激，在治疗失眠及其共病方面展现出独特优势，具有疗效显著、操作规范、易于推广的特点。本方案特别探讨了电针对慢性失眠症及其与疼痛、焦虑、抑郁共病的治疗策略，分别就穴位配伍、波形选择和治疗时间提供建议。同时，详细规范了操作流程、明确了适应证与禁忌证，并制定了针对晕针、滞针、血肿等不良反应的应急预案，确保了治疗的安全性。

关键词: 失眠, 电针, 针刺, 技术规范