中医研究2026，Vol.39Issue(4)：63-67,5.DOI:10.3969/j.issn.1001-6910.2026.04.15
灵龟八法开穴针刺治疗阈下焦虑抑郁肝郁化火证的研究
Treatment of Subthreshold Anxiety and Depression with Liver Deression Transforming into Fire Syndrome Appling the Linggui Bafa Acupoint-Opening Method
摘要
Abstract
Objective:To observe the clinical efficacy of Linggui Bafa acupoint-opening method in treatment of subthreshold anxiety and depression with liver depression transforming into fire syndrome.Methods:A total 60 patients with subthreshold anxiety and depression of liver depression transforming into fire syndrome were randomly divided into a treatment group and a control group using a random number table,with 30 cases in each group.The patients in control group were treated with conventional acupuncture at Baihui(GV20),Yintang(EX-HN3),bilateral Hegu(LI4),and bilateral Taichong(LR3).The patients in treatment group were treated with Linggui Bafa acupoint-opening method firstly.The opening points were speculated as Lieque LU7,Zhaohai KI6,Neiguan PC6,Waiguan TE5,Gongsun SP4,Shenmai BL62,Houxi SI3,and Zu Lingqiao GB41 according to the treatment time.The opening points and their associated points were fixed as following:Gongsun with Neiguan,Zu Lingqiao with Waiguan,Houxi with Shenmai,and Lieque with Zhaohai.After the opening points were punctured,their associated points and conventional acupuncture points were punctured consecutively.The patients in both groups were treated three times per week for a total of 4 weeks,with 1-month and 3-month telephone follow-up.The Hamilton Depression Scale(HAMD)and Hamilton Anxiety Scale(HAMA)scores in both groups were compared.Results:After treatment,the HAMD scores of 7 cases in treatment group showed clinical control,19 marked obvious improvement,2 improvement,and 2 cases of null and void,with an efficient rate of 93.33%(28/30),with 3,14,9,and 4 cases in control group respectively,and the efficient rate was 86.67%(26/30).There was efficacy difference between the HAMD scores of treatment group and control group(P<0.05).The HAMA scores of 9 cases in treatment group showed clinical control,17 marked obvious improvement,2 improvement,and 2 cases of null and void,with an efficient rate of 93.33%(28/30),and 4,11,7,and 8 cases in control group respectively,with an efficient rate of 73.33%(22/30).There was efficacy difference between the HAMA scores of treatment group and control group(P<0.01).The scores of HAMD and HAMA in treatment group after treated 2 or 4 weeks and the scores of 1-month or 3-month follow-ups were lower than the corresponding scores of control group(P<0.05).In 3-month of follow-up,HAMD scores of 7 cases in treatment group showed clinical control,16 marked obvious improvement,0 improvement,and 7 cases of null and void,with an efficient rate of 76.67%(23/30),and 1,7,6,and 16 cases in control group respectively,with an efficient rate of 46.67%(14/30).There was efficacy difference between the HAMD scores of treatment group and control group(P<0.01).In 3-month of follow-up,HAMA scores of 4 cases in treatment group showed clinical control,14 marked obvious improvement,5 improvement,and 7 cases of null and void,with an efficient rate of 76.67%(23/30),and 1,3,9,and 17 cases in control group respectively,with an efficient rate of 43.33%(13/30).There was efficacy difference between the HAMA scores of treatment group and the corresponding scores in control group(P<0.01).Conclusion:Linggui Bafa acupoint-opening method can alleviate the symptoms of subthreshold anxiety and depression with liver depression transforming into fire syndrome,and the effect is more durable.Linggui Bafa acupoint-opening method coincides with the holistic regulatory advantages of traditional Chinese medicine according to the theories of temporal adaptability and unity of human and nature.The efficacy of Linggui Bafa acupoint-opening method is superior to the conventional acupuncture without opening points.关键词
阈下焦虑抑郁/肝郁化火证/灵龟八法开穴针刺/汉密尔顿抑郁量表/汉密尔顿焦虑量表Key words
subthreshold anxiety and depression/liver depression transforming into fire syndrome/Linggui Bafa acupoint-opening method/Hamilton Depression Scale/Hamilton Anxiety Scale分类
医药卫生引用本文复制引用
黄倩怡,陈珺珺,杨兴伟,唐江飞..灵龟八法开穴针刺治疗阈下焦虑抑郁肝郁化火证的研究[J].中医研究,2026,39(4):63-67,5.基金项目
云南省科技厅科技计划项目(202101AZ070001-157) （202101AZ070001-157）
