Director YU Hongwu's experience in treating senile depression by acupuncture
Senile depression is a common disease in elderly patients,although its pathogenesis has not yet been elucidated by Western medicine,it can be roughly classified into the categories of depression syndrome,lily disease,irritability and insomnia.Senile depression has the characteristics of high incidence,lingering course and easy recurrence.Through the summary of years of clinical experience,Director YU Hongwu believes that the disease can be roughly divided into depression caused by illness and illness caused by depression,and at the same time proposes that the pathogenesis of the disease is imbalance of Qi(气)and organs,disharmony of Yin(阴)and Yang(阳),stagnation of liver Qi,and loss of nourishment of the mind.Therefore,in the treatment,the treatment principle of regulating the Qi,untying the knots in patients'mind,and unwinding the emotions has always been carried out,and the Tancheng acupuncture method(坛城针法)plus the Xia Sanhuang acupoints(下三皇穴)is used based on syndrome differentiation,and at the same time,it is supplemented by Chinese physical and breathing exercises to treat senile depression.Among them,the acupuncture points of the Tancheng acupuncture method are composed of Xiaotianxin(小 天 心 穴)(double),Taichong(LR3)(double),Fenglong(ST40)(double)and one acupoint each in the upper and lower 1 inch.The acupuncture prescription is mainly used in the treatment for regulating Qi,harmonizing Qi and blood,and balancing Yin and Yang through the combination of Xiaotianxin,Taichong and Fenglong,the Daoma acupuncture method(倒马针法),which mainly plays the therapeutic role of regulating Qi,harmonizing Qi and blood,and balancing Yin and Yang,so as to achieve the therapeutic purpose of regulating Qi and self-dissolving knots.Tonifying the kidney and strengthening the spleen is a common treatment method for elderly patients,and based on syndrome differentiation,the Xia Sanhuang acupoints play a role of nourishing the spleen and kidney,and cultivating and replenishing the congenital and acquired physical foundation.The combination of the two not only cuts into the pathogenesis,but also adjusts the deficiency-oriented physique of the elderly by nourishing the spleen and kidney.Encouraging patients to cooperate with Chinese physical and breathing exercises during treatment can play an adjunctive role of transference.This article summarizes Director YU'experience in the treatment of senile depression by acupuncture,and makes a comprehensive analysis of the pathogenesis,principle andmethods in combination with the medical records.