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整合针灸方案治疗双相情感障碍经验

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总结整合针灸方案治疗双相情感障碍的临证经验.认为双相情感障碍病机虚实夹杂,与肝失疏泄、脾失健运、痰热扰心密切相关.双相情感障碍中抑郁相的病机以气郁为主,多见肝气郁结证、肝郁脾虚证、痰气郁结证、气滞血瘀证;躁狂相的病机以火热为主,多见阳明热盛证、心肝火炽证、痰火扰心证、火盛伤阴证.其治疗可采用整合针灸方案,毫针针刺疏肝调神,精灸通阳补阳,刺络拔罐行气泻火,埋针疗法巩固疗效,共奏疏肝理气、健脾化痰、宁心泻火之效.
Integrated Acupuncture and Moxibustion Program for Treating Bipolar Disorder
This paper summarized the experience of integrated acupuncture and moxibustion program in the treat-ment of bipolar disorder(BD).The pathogenesis of BD is a complex of deficiency and excess,which is closely related to the liver failing to govern the free flow of qi,the spleen failing to transport,phlegm-heat harassing the heart spirit.The pathogenesis of depressive episode is mainly qi constraint,and the most common syndromes are liver qi con-straint,liver constraint accompanied by spleen deficiency,phlegm and qi constraint,qi stagnation and blood stasis.The pathogenesis of manic episode is mainly fire-heat,and the most common syndromes are exuberant heat in yang-ming(阳明),intense heart-liver fire,phlegm-fire disturbing heart,and exuberant fire damaging yin.BD can be treat-ed by the integrated acupuncture and moxibustion program,in which acupuncture is used to soothe the liver and regu-late the mind,and refined moxibustion is to unblock and replenish yang;collateral bloodletting and cupping is used to move qi and drain fire,and needle-embedding therapy can be used to consolidate the curative effect.These thera-pies together have the effects of soothing the liver and regulating qi,fortifying the spleen and dissolving phlegm,calm-ing the heart and draining fire.

bipolar disorderqi constraintfire-heatliver-soothing and mind-regulating acupuncturerefined moxi-bustion therapycollateral bloodletting and cuppingneedle-embedding therapy

杨晴、张方圆、刘露、万敏、符文彬

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广州中医药大学,广东省广州市白云区机场路12号,510405

广东药科大学

佛山市三水区人民医院

中国人民解放军南部战区总医院

广州中医药大学第二附属医院

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双相情感障碍 气郁 火热 疏肝调神针法 精灸疗法 刺络拔罐 埋针

国家自然科学基金广东省重点领域研发计划广东省自然科学基金广州中医药大学"双一流"与高水平大学学科协同创新团队项目

820745222020B11111000072019A15150120432021xk22

2024

10.13288/j.11-2166/r.2024.14.014

中医杂志
中华中医药学会 中国中医科学院

中医杂志

CSTPCD北大核心
影响因子：1.464
ISSN：1001-1668
年,卷(期)：2024.65(14)