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