[1]袁 芳,李 彬,王少松,等.升降出入辨证思维在针灸治疗抑郁症中的应用探讨[J].陕西中医,2022,(2):215-218.[doi:DOI:10.3969/j.issn.1000-7369.2022.02.018]
　YUAN Fang,LI Bin,WANG Shaosong,et al.Application of dialectical thinking on the theory of qi movement ascending and descending in acupuncture treatment of depressive disorder[J].,2022,(2):215-218.[doi:DOI:10.3969/j.issn.1000-7369.2022.02.018]
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升降出入辨证思维在针灸治疗抑郁症中的应用探讨
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2022年2期
页码:
215-218
栏目:
学术探讨
出版日期:
2022-02-05

文章信息/Info

Title:
Application of dialectical thinking on the theory of qi movement ascending and descending in acupuncture treatment of depressive disorder
作者:
袁 芳; 李 彬; 王少松; 陈 鹏; 赵冰骢; 侯学思
(首都医科大学附属北京中医医院针灸科,北京 100010)
Author(s):
YUAN Fang; LI Bin; WANG Shaosong; CHEN Peng; ZHAO Bingcong; HOU Xuesi
(Acupuncture and Moxibustion Department,Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010,China)
关键词:
抑郁症;  升降出入;  病因;  病机;  气机;  针灸
Keywords:
Depression;  Ascending descending;  Etiology;  Pathogenesis;  Qi movement;  Acupuncture and moxibustion
分类号:
R 749.41
DOI:
DOI:10.3969/j.issn.1000-7369.2022.02.018
文献标志码:
A
摘要:
升降出入辨证思维认为疾病的发生是由于气机的异常所导致的,通过调理气机并且针对不同的病理产物进行用药能达到有效治疗的目的,该理论已应用于多种疾病的诊疗中,并获得临床验证。气是精神意识思维活动的主导因素,情绪变化与气机密切相关。抑郁症是精神运动性迟滞症状为主要表现的一类心境障碍综合征,其发病具有生物、社会、心理等多方面的因素。本病属于中医“郁证”范畴,其病机关键在于气机失常,多脏腑受累所致,治疗当以调气为先。针灸疗法不仅是抗抑郁治疗的有效手段,还具有良好的安全性,并且耐受性良好。现以升降出入理论为指导,分析抑郁症发病的病因病机,从病势、病位、思维方式等角度,对针灸治疗的可行性方案加以梳理和探讨,以期提高临床疗效。
Abstract:
According to the theory of dialectical thinking of qi movement ascending and descending,the occurrence of disease is caused by the abnormality of qi movement.The purpose of effective treatment can be achieved by regulating qi movement and using drugs for different pathological products.The theory has been applied to the diagnosis and treatment of a variety of diseases and has been clinically verified.Qi is the dominant factor of mental consciousness thinking activity,and emotional change is closely related to qi movement.Depression is a kind of mood disorder syndrome mainly manifested by psychomotor retardation.Its pathogenesis has many biological,social,psychological and other factors.It belongs to the category of “depression syndrome” in traditional Chinese medicine,and the key to the pathogenesis of depression is the dysfunction of qi movement,and many viscera have been involved.The treatment should be based on regulating qi movement.Acupuncture and moxibustion therapy is not only an effective means of antidepressant treatment,but also has good safety and good tolerance.Therefore,under the guidance of qi movement ascending and descending,we analyze the pathogenesis characteristics of depression,from the perspective of disease situation,location and way of thinking,and combs and discusses the feasible scheme of acupuncture and moxibustion treatment in order to improve the clinical curative effect.

参考文献/References:

[1] 王晓强,于佳佳,王晓雷,等.从“升降出入”理论探讨糖尿病肾病蛋白尿治法[J].陕西中医,2020,41(3):368-370,386.
[2] 刘珊珊,李 祥,刘树辉,等.从“升降出入”论治妊娠便秘[J].湖北中医杂志,2020,42(8):45-47.
[3] 唐启盛.抑郁障碍中西医基础与临床[M].北京:人民卫生出版社,2012:1.
[4] 抑郁障碍中西医整合诊治专家共识组,中国民族医药学会神志病分会.抑郁障碍中西医整合专家共识[J].中国医药导报,2021,18(6):4-12.
[5] 倪凤扬,姬新才,吴可君,等.慢性心力衰竭患者血清胱抑素C水平与抑郁障碍相关性分析[J].陕西医学杂志,2019,48(4):424-426,431.
[6] 孙小霞.帕罗西汀配伍心可舒治疗冠心病并发抑郁障碍75例分析[J].陕西医学杂志,2016,45(5):604-605.
[7] Smith CA,Armour M,Lee MS,et al.Acupuncture for depression[J].Cochrane Database Syst Rev,2018,3(3):4046.
[8] Armour M,Smith CA,Wang LQ,et al.Acupuncture for depression:A systematic review and meta-analysis[J]. J Clin Med,2019,8(8):1140.
[9] Zhao B,Li Z,Wang Y,et al.Manual or electroacupuncture as an add on therapy to SSRIs for depression:A randomized controlled trial[J].J Psychiatr Res,2019(114):24-33.
[10] 清?周学海.读医随笔[M].北京:人民军医出版社,2010:19.
[11] 唐启盛,曲 淼.抑郁症的中西医结合治疗[J].中国中西医结合杂志,2009,29(3):283-288.
[12] 王旭东,乔明琦,张樟进,等.中医药治疗抑郁症的研究进展[J].南京中医药大学学报,2016,32(1):93-96.
[13] 中国针灸学会.循证针灸临床实践指南:抑郁症[M].北京:中国中医药出版社,2014:27.
[14] 罗 丁,王 聪,符文彬.符文彬“整合针灸”模式治疗抑郁障碍思路探析[J].中华中医药杂志,2020,35(4):1832-1835.
[15] 赵吉平.针灸学[M].北京:人民卫生出版社,2016:25.
[16] 郭盛楠,陈 晟.中医“气”的思维对针刺治疗的指导作用[J].中华中医药杂志,2021,36(1):373-375.
[17] 冯 明.浅论周学海升降出入辨证理论及治法[J].中国医药学报,2004,19(2):79-81.
[18] 黄海量,吕 征,臧运华,等.现代中医药文献中治疗抑郁症方剂组方规律分析[J].中医药信息,2014,31(5):67-69.
[19] 唐启盛.抑郁障碍中西医基础与临床[M].北京:中国中医药出版社,2006:191-203.
[20] 季建林.中国抑郁障碍防治指南修订与抑郁障碍的规范治疗[J].中华行为医学与脑科学杂志,2015,24(4):292-293.

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备注/Memo

备注/Memo:
基金项目:国家自然科学基金青年科学基金资助项目(82004445); 北京市属医院科研培育计划项目(PZ2019019); 针灸神经调控北京市重点实验室(BZ0437)
更新日期/Last Update: 2022-02-09