疏肝调神针法结合择时耳穴压豆治疗阈下抑郁  

Exploratory study of acupuncture therapy using liver-soothing and mind-regulating method and well-timed auricular acupressure for patients with subthreshold depression

作　　者：黄丽霞 张俊萍 张玉莹 罗倩 杨佃会[1,2,3] Li-Xia HUANG;Jun-Ping ZHANG;Yu-Ying ZHANG;Qian LUO;Dian-Hui YANG(School of Acupuncture-Moxibustion and Tuina,Shandong University of Traditional Chinese Medicine,Jinan 250355,China;Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250355,China;Shan Qiu-hua's Inheritance Studio of National Veteran Experts of TCM,Jinan 250014,China)

机构地区：[1]山东中医药大学针灸推拿学院,济南250355 [2]山东中医药大学附属医院,济南250355 [3]单秋华全国名老中医药专家传承工作室,济南250014

出　　处：《World Journal of Acupuncture-Moxibustion》2023年第2期164-167,共4页世界针灸杂志（英文版）

基　　金：Supported by 2020 Shandong Inheritance Project of Traditional Chinese Medicine Academic School:Shandong Health:2020-132。

摘　　要：ObjectiveTo observe the clinical therapeutic effect on subthreshold depression of liver stagnation and spleen deficiency treated with acupuncture therapy for soothing the liver and regulating the mind combined with the well-timed auricular acupressure.MethodsA total of 34 patients were treated with acupuncture therapy for soothing the liver and regulating the mind combined with well-timed auricular acupressure.In acupuncture therapy for soothing the liver and regulating the mind,main acupoints included Baihui(BL20),Neiguan(PC6)and Taichong(LR3),and supplementary acupoints included Sishencong(EX-HN1),Shenting(GV24),Benshen(GB13),Zusanli(ST36),Ganshu(BL18)and Pishu(BL20).Acupuncture was given three times a week as one course and 4 courses of treatment were required.In well-timed auricular acupressure,auricular points included Xin(CO15),Pizhixia(AT4),Shenmen(TF4),Gan(CO12)and Pi(CO13).Acupressure with herbal seeds at those auricular points was applied at three time divisions,i.e.9:00 to 11:00,11:00 to 13:00 and 15:00 to 17:00 successively.The auricular acupressure with herbal seeds was given once every 3 days,the treatment for 1 week was 1 course and 4 courses were required.At the end of treatment and in 3 months of follow-up,the score of Hamilton depression scale-24(HAMD-24),syndrome score of traditional Chinese medicine(TCM),the score of Center for epidemiologic studies depression scale(CES-D)and the score of Short-form 36 item health survey(SF-36)were adopted to evaluate clinical therapeutic effect.ResultsAfter treatment and in three months of follow-up,HAMD-24 score,TCM syndrome score and CES-D score were all reduced as compared with the scores before treatment(all P<0.05)and SF-36 score was higher than the score before treatment,respectively(both P<0.05).In comparison of the scores after treatment with those in 3 months of follow-up,differences were not statistically significant(all P>0.05).Of 34 patients with subthreshold depression,8 cases were cured,15 cases effective remarkably,9 cases improved and 2 cases

关 键 词：Acupuncture therapy Soothing the liver and regulating the mind Auricular acupressure Subthreshold depression Midnight-noon and ebb-flow doctrine 

分 类 号：R246.6[医药卫生—针灸推拿学]