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从跷脉论针刺治疗卒中后抑郁

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结合跷脉的生理功能与卒中后抑郁病因病机，探析针刺跷脉治疗卒中后抑郁的机制。肾精亏虚、脑神失用、心失所养为卒中后抑郁根本所在。跷脉循经肾、心、脑，奉冲脉血气养先天以充肾精，携精血济脑府以养脑神，调营卫安寤寐以彰心神，与卒中后抑郁的病机联系密切;治疗上，跷脉司肾水以强志、调卫气以安寐、利五官开灵机，同卒中后抑郁的典型症状紧密相连。卒中后抑郁属形神共病范畴，形神互病为其发病的重要特点，形神并治是临床诊治的重要手段，而针刺跷脉直指心脑，二者同调，摄御神机，可缓形病之消废、神病之昏聩。
Acupuncture Treatment of Post-Stroke Depression from Qiao Meridian
This paper explores the mechanism of acupuncture Qiao meridian in treating post-stroke depression by combining the physiological function of Qiao meridian and the etiology and pathogenesis of post-stroke depression.The fundamental causes of post-stroke depression include deficiency of kidney essence,loss of brain and mind function,and loss of support for the heart.Qiao meridian runs through the kidney,heart,and brain,receiving blood and energy from Chong meridian to supplement kidney essence,transmitting essence and blood to the brain to nourish the mind,regulating ying qi and wei qi to calm the mind,and is closely related to the pathogenesis of post-stroke depression.In terms of treatment,Qiao meridian is responsible for regulating the physiological function of the kidney to regulate emotion,ensuring sleeping by regulating wei qi,and regulating the movement of solar terms by promoting facial features,which are closely related to the typical symptoms of post-stroke depression.Post-stroke depression belongs to the co-morbidity of physical and mental health,and the mutual patho-genic relationship between physical and mental health is an important characteristic.Treatment of physical and mental is an important means of clinical diagnosis and treatment.Acupuncture of Qiao meridian can affect the heart and brain,relieving physical symptoms and mental depression.

post-stroke depressionQiao meridianacupuncturedeficiency of kidney essenceloss of brain and mind functionloss of support for the heartholism of body and spirit

史经昊、张明宽、周苗苗、吴建林

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山东中医药大学,山东济南 250355

卒中后抑郁 跷脉 针刺 肾精亏虚 脑神失用 心失所养 形神一体观

国家自然科学基金面上项目山东省自然科学基金联合基金全国名老中医药专家传承工作室建设项目

81673843ZR2022LZY016国中医药人教函[2022]75号

2024

10.16295/j.cnki.0257-358x.2024.05.005

山东中医杂志
山东中医药学会 山东中医药大学

山东中医杂志

CSTPCD
影响因子：0.431
ISSN：0257-358X
年,卷(期)：2024.43(5)
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