基于阳虚寒凝血瘀病机以温阳活血法针刺治疗郁证OA北大核心CSTPCD
Treatment of depression with acupuncture:warming yang and activating blood circulation method based on the mechanism of cold-congealed blood stasis due to yang deficiency
人体结构与功能复杂,虽有五脏六腑之分、气血阴阳之别,但生命活动恒而不止的根本仍在于一身之阳气.生理上,人体阳气充足,则血行滑利而不滞,五脏皆得所养,故五神可安;病理上,寒伤阳气造成血行凝涩,久之血瘀脉中,导致五脏失养,进而五神飞扬.郁证正是寒凝血瘀容易引发的疾病之一,对此采用针刺疗法,遵循温阳活血的原则,主取百会、大椎、至阳、命门、关元、足三里以温阳补气,血海、委中、三阴交以活血通脉;辅以膻中、中脘、气海、合谷、太冲等穴理气开滞,以助气血运行.全方标本兼顾,攻补兼施,可使虚阳得复,瘀血得行,随之气血盈满平和,五脏五神皆得其滋养,则郁证自愈.
The human body's structure and function are complex,encompassing five viscera,six bowels,as well as differences in qi,blood,yin,and yang.However,the fundamental life activity primarily relies on the body's yang.Physiologically,when the body has sufficient yang and smooth blood circulation without stagnation,the five organs are nourished,ensuring their proper function.Conversely,pathologically,the deficiency of yang caused by cold injury leads to blood stagnation and prolonged stasis,resulting in inadequate nourishment of the five viscera and subsequent dysfunction.Depression is a condition that can be triggered by cold condensation and blood stasis.Acupuncture treatment follows the principle of warming yang and activating blood circulation.Key acupuncture points such as Baihui(GV20),Dazhui(GV14),Zhiyang(GV9),Mingmen(GV4),Guanyuan(CV4),and Zusanli(ST36)are used to warm yang and replenish qi,while Xuehai(SP10),Weizhong(BL40),and Sanyinjiao(SP6)are utilized to activate blood circulation and open up the veins.Additionally,supplementary points like Danzhong(CV17),Zhongwan(CV12),Qihai(CV6),Hegu(LI4),and Taichong(LR3)are employed to regulate qi and alleviate stagnation,facilitating the smooth flow of qi and blood.This comprehensive approach addresses both the symptoms and the root cause,simultaneously addressing deficiencies and replenishing the body.It aims to restore deficient yang,resolve blood stasis,promote the full and calm flow of qi and blood,nourish the five viscera and restore their proper function,ultimately leading to the self-healing of depression.
杜耀文;王珑
黑龙江中医药大学 哈尔滨 150040黑龙江中医药大学附属第一医院
中医学
郁证阳虚寒凝血瘀温阳活血针刺
depressionyang deficiencycold-congealed blood stasiswarming yang and activating blood circulationacupuncture
《北京中医药大学学报》 2024 (007)
1012-1016 / 5
国家自然科学基金青年基金项目(No.81303044);全国中医药创新骨干人才项目(No.2019-2022);黑龙江省自然科学基金项目(No.LH2022H082);黑龙江省博士后科研启动金项目(No.LBH-Q19185);黑龙江省中医药管理局项目(No.ZHY2020-120);黑龙江中医药大学研究生创新科研项目(No.2020yjscx016) National Natural Science Foundation of China(No.81303044)
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