基于“五脏藏神”理论探析背俞穴治疗焦虑症的理论内涵  

Connotation of Back Transport Points in Treating Anxiety Disorder Based on the Theory of Five Zang-organs Storing Spirit

作　　者：张麒 张帅攀 何佩 郭光昕 姚斐[1] 房敏[1] 陆萍[1] ZHANG Qi;ZHANG Shuaipan;HE Pei;GUO Guangxin;YAO Fei;FANG Min;LU Ping(School of Acupuncture-Moxibustion and Tuina,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Shanghai Municipal Hospital of Traditional Chinese Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200071,China)

机构地区：[1]上海中医药大学针灸推拿学院,上海201203 [2]上海中医药大学附属市中医医院,上海200071

出　　处：《世界中医药》2024年第8期1139-1143,共5页World Chinese Medicine

基　　金：国家自然科学基金面上项目(81973974)——指按膀胱经穴干预焦虑障碍的海马区神经递质及其代谢的MAPK信号通路调控机制研究;上海市超级博士后激励计划项目(2021316);上海市科委启明星“扬帆专项”(22YF1449000);上海中医药大学预算内项目(2021LK101)。

摘　　要：焦虑症是以持续的紧张、担忧或反复发作的惊恐为主要临床表现,《黄帝内经》关于“藏神”与“失神”的论述,发现五脏病变与情志失调共同作用引起焦虑,是焦虑症重要的病理基础。五脏神通过情志环路相互作用,形成对外界刺激的情绪和行为反应。“心神”被视为五脏神中的统帅,主导精神意识思维活动,而“脑神”则与记忆、视听觉等相关联,二者在调节人体精神活动中具有主次关系。本文基于“五脏藏神”理论探讨了背俞穴在治疗焦虑症中的应用和机制,认为刺激背俞穴调节五脏功能可能激活脊髓节段,产生神经体液调节影响自主神经系统,实现对焦虑症患者的身心共病特征的全面调节,达到抗焦虑样效应。Anxiety disorder is characterized by persistent tension and worry or repeated panic attacks.According to the descriptions of storing spirit and loss of vitality in the Huangdi′s Internal Classic(Huang Di Nei Jing),the interactions between five zang-organ lesions and emotional disorders produce anxiety,which is the pathological basis of anxiety disorder.The circuit interactions between five zang-organ spirits form emotional and behavioral responses to external stimuli.Heart spirit is regarded as the commander of five zang-organ spirits,leading the spiritual consciousness and thinking activities.Brain spirit is related to memory,sight,and hearing.Heart spirit and brain spirit have a primary and secondary relationship in regulating human spiritual activities.According to the theory of five zang-organs storing spirits,this paper elaborates on the application and mechanism of back transport points in treating anxiety disorder.It is believed that back transport points can regulate the functions of five zang-organs to active the spinal segments and trigger neurohumoral control of the vegetative nervous system,thus comprehensively treating both the physical and psychological disorders of the patients with anxiety disorder.

关 键 词：五脏藏神 焦虑症 情志失调 身心共病 背俞穴 五脏调神 抗焦虑 非药物疗法 

分 类 号：R256[医药卫生—中医内科学]