中医杂志2024,Vol.65Issue(14) :1504-1509.DOI:10.13288/j.11-2166/r.2024.14.014

整合针灸方案治疗双相情感障碍经验

Integrated Acupuncture and Moxibustion Program for Treating Bipolar Disorder

杨晴 张方圆 刘露 万敏 符文彬
中医杂志2024,Vol.65Issue(14) :1504-1509.DOI:10.13288/j.11-2166/r.2024.14.014

整合针灸方案治疗双相情感障碍经验

Integrated Acupuncture and Moxibustion Program for Treating Bipolar Disorder

杨晴 1张方圆 2刘露 3万敏 4符文彬5
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作者信息

  • 1. 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
  • 2. 佛山市三水区人民医院
  • 3. 中国人民解放军南部战区总医院
  • 4. 广州中医药大学,广东省广州市白云区机场路12号,510405
  • 5. 广州中医药大学,广东省广州市白云区机场路12号,510405;广州中医药大学第二附属医院
  • 折叠

摘要

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.

Abstract

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.

关键词

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

Key words

bipolar disorder/qi constraint/fire-heat/liver-soothing and mind-regulating acupuncture/refined moxi-bustion therapy/collateral bloodletting and cupping/needle-embedding therapy

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基金项目

国家自然科学基金(82074522)

广东省重点领域研发计划(2020B1111100007)

广东省自然科学基金(2019A1515012043)

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(2021xk22)

出版年

2024
中医杂志
中华中医药学会 中国中医科学院

中医杂志

CSTPCDCSCD北大核心
影响因子:1.464
ISSN:1001-1668
参考文献量19
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