符文彬疏肝调神整合针灸治疗卒中后抑郁临床经验  

FU Wenbin's experience in treatment of post-stroke depression with holistic therapy of acupuncture and moxibusiton for Shugan Tiaoshen

作　　者：李雅雯 吴炳鑫 顾小钗 符文彬 LI Yawen;WU Bingxin;GU Xiaochai;FU Wenbin(Clinical Medical College of Acupuncture-Moxibustion and Rehabilitation,Guangzhou University of CM,Guangzhou 510000,Guangdong Province,China;Second Clinical Medical College of Guangzhou University of CM;Institute of Basic Research in Clinical Medicine,China Academy of Chinese Medical Sciences;Department of Acupuncture and Moxibustion,Second Affliated Hospital of Guangzhou University of CM,Guangzhou 510006,Guangdong Province)

机构地区：[1]广州中医药大学针灸康复临床医学院,广东广州510000 [2]广州中医药大学第二临床医学院 [3]中国中医科学院中医临床基医学研究所 [4]广州中医药大学第二附属医院针灸科,广东广州510006

出　　处：《中国针灸》2025年第4期510-515,共6页Chinese Acupuncture & Moxibustion

基　　金：广东省岭南“疏肝调神针灸”传承与创新研究项目:财2022CCCX02;广东省本科高校针灸学线下一流本科课程:粤教高函[2023]33号;广东省研究生教育创新计划项目:粤教研函[2024]1号;广州中医药大学高等教育教学改革项目:广中医校办[2023]276号。

摘　　要：介绍符文彬教授采用疏肝调神整合针灸治疗卒中后抑郁的临床经验。符文彬教授认为卒中后抑郁病机为神机失守、肝失疏泄,治疗上应重视疏肝与调神并举,配合多种疗法整体调治。治疗过程中,首刺四关,疏肝行气;配合任脉、督脉腧穴(中脘、关元、百会、印堂等)调神醒神;辨别虚实,根据证型相应加减取穴;精灸风池、风府、完骨等以温通并行、扶阳养神;最后采用刺络放血及皮内针、耳针等浅刺疗法以巩固疗效。This paper introduces FU Wenbin's clinical experience in treatment of post-stroke depression with holistic therapy of acupuncture and moxibusiton for Shugan Tiaoshen(soothing the liver and regulating the mind).In pathogenesis,post-stroke depression is associated with the loss of the mind control and the failure of the liver in maintaining the free flow of qi.In treating principle,soothing the liver qi and regulating the mind are equally important,and the holistic regulation is applicable with the combination of multiple therapies.During treatment,the four-gate points are stimulated at first to promote liver qi flowing,the acupoints of the conception vessel and the governor vessel(e.g.Zhongwan[CV12],Guanyuan[CV4],Baihui[GV20],Yintang[GV24^(+)]) are combined to regulate the mind and regain the consciousness.The conditions of illness are differentiated in terms of excess and deficiency,and the point prescription is modified accordingly.Refined moxibustion is applied specially at Fengchi(GB20),Fengfu(GV16)and Wangu(GB12)to warm meridians,strengthen yang and nourish the mind.In the last step of treatment,shallow needling techniques,such as the pricking and bloodletting,intradermal needling and auricular acupuncture,are used to consolidate the curative effect.

关 键 词：卒中后抑郁 疏肝调神 整合针灸 名医经验 符文彬 

分 类 号：R246.6[医药卫生—针灸推拿学]