首页|基于"轮轴"理论探讨肝郁脾虚型郁证的腹针治疗

基于"轮轴"理论探讨肝郁脾虚型郁证的腹针治疗

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人以五脏为中心,五脏之气周流不息,人体活动才能动而不止;五脏藏五神而主五志,脏气盈满平和,情志方可安而不乱.五脏对应五行,构成"中土"与"四维","中轴"与"外轮"的关系,即脾胃之气居中为"轴",肝心肺肾在四维为"轮";人体本身也存在轮轴关系,即躯干在中为"轴",四肢在外为"轮".生理状态下,轴运而轮行,五脏之气旋转升降,自成一圆,故身心无恙;病理状态下,轮滞而轴停,五脏之气不相交通,圆周中断,则郁病始生.轴停者常责之于土虚,轮滞者多归咎于木郁,故郁证分型虽多,但肝郁脾虚证临床最为常见.此类患者除有典型的精神症状外,还有不同程度的腹部表现,属于轮轴皆滞、形神共病,故应从整体出发选择轮轴并运法进行治疗.临床采用腹针,主取脘腹部中脘、下脘、气海、关元、气穴和天枢等穴,重在健运脾胃以恢复中轴旋转;辅以四肢远端的太冲、合谷、内关、三阴交与足三里等穴位,通调心肝肺肾,来促进四维升降.诸穴相配,相得益彰,从而轴运轮行,郁证可愈.
Discussion on Abdominal Acupuncture Treatment for Depression due to Liver Depression and Spleen Deficiency Based on'Axis and Periphery'Theory
The human body revolves around the five Zang-organs,with the continuous circulation of Qi among them,allowing bodily activities to proceed ceaselessly.The five Zang-organs house five spirits and govern the five emotions.When the Qi of the Zang-organ is abundant and harmonious,the emotions and thoughts can be peaceful and undisturbed.The five Zang-organs correspond to the five phases,forming the relationship between the center and the four directions,the axis and the periphery,with Spleen and Stomach occupying the center as the axis,and Liver,Heart,Lung and Kindey as the periphery in the four directions.The human body also exhibits an axis-periphery relationship,with the trunk as the axis and the limbs as the periphery.Patients of this type not only exhibit typical psychiatric symptoms,but also show varying degrees of abdominal manifestations,indicating a disturbance in both physical and mental aspects.Therefore,treatment should be approached holistically by selecting appropriate acupoints and techniques based on the principles of regulating the axis and it related periphery.In clinical practice of abdominal acupuncture,the main selection of points includes Zhongwan(RN12),Xiawan(RN10),Qihai(RN6),Guanyuan(RN4),Qixue(KI 13)and Tianzhu(BL10),focusing on regulating the function of Spleen and Stomach to restore the rotation of axis.Additionally,points such as Taichong(LR3),Hegu(LI4),Neiguan(PC6),Sanyinjiao(SP6)and Zusanli(ST36)on the extremities are used to harmonize Heart,Liver,Lung and Kidney,facilitating the ascending and descending of the four dimensions.The synergistic effect of these points promotes the smooth movement of the axis,thus alleviating the symptoms of depression.

DepressionLiver depression and Spleen deficiencyAxis and periphery theoryAbdominal acupunctureAcupuncture treatment

杜耀文、王珑

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黑龙江中医药大学,黑龙江哈尔滨 150040

黑龙江中医药大学附属第一医院,黑龙江哈尔滨 150040

郁证 肝郁脾虚 轮轴论 腹针 针刺治疗

国家自然科学基金青年项目全国中医药创新骨干人才项目(2019年)

81303044

2024

针灸临床杂志
中华中医药学会 黑龙江中医药大学 中国针灸学会临床分会

针灸临床杂志

CSTPCD
影响因子:1.242
ISSN:1005-0779
年,卷(期):2024.40(8)