从脾胃经络角度探讨针灸治疗焦虑抑郁的古今研究

冯培培; 余伟; 何敏; 沈醉

doi:10.16766/j.cnki.issn.1674-4152.004139

从脾胃经络角度探讨针灸治疗焦虑抑郁的古今研究

doi: 10.16766/j.cnki.issn.1674-4152.004139

冯培培¹,
余伟^{2, 3},
何敏^{2, 3},
沈醉^{2, 3, ,}

1.
浙江省中医药研究院, 浙江中医药大学附属省立同德医院针灸科, 浙江杭州 310012
2.
浙江中医药大学附属第三医院针灸科, 浙江杭州 310005
3.
浙江中医药大学第三临床医学院康复医学院, 浙江杭州 310053

基金项目:

国家自然科学基金项目 82205278

浙江省自然科学基金项目 LY24H270006

浙江省医药卫生科技计划项目 2024KY1232

浙江中医药大学科研项目 2022JKZKTS46

详细信息

通讯作者:
沈醉，E-mail：shenzui1228@163.com

中图分类号: R246.6
计量
- 文章访问数: 13
- HTML全文浏览量: 11
- PDF下载量: 2
- 被引次数: 0
出版历程
- 收稿日期: 2024-09-23
- 网络出版日期: 2025-10-31

Ancient and modern studies on acupuncture for anxiety and depression from the perspective of spleen and stomach meridians

FENG Peipei¹,
YU Wei^{2, 3},
HE Min^{2, 3},
SHEN Zui^{2, 3
, ,}

1.
Zhejiang Academy of Traditional Chinese Medicine, Department of Acupuncture-Moxibustion, Tongde Hospital of Zhejiang Province of Zhejiang Chinese Medical University, Hangzhou, Zhejiang 310012, China

摘要

摘要: 近年来，焦虑抑郁的发病率逐年增高，针灸科遇到的焦虑抑郁患者也越来越多。目前，针灸临床治疗焦虑抑郁多从十二经脉的心经(心包经)和肝经入手，侧重于宁心安神和疏肝解郁。但是，针灸科接诊的焦虑症和抑郁症患者往往不是初诊，其焦虑抑郁症状均已持续较长时间，鉴于“多思伤脾”和“久病伤脾”的原则，焦虑抑郁的针灸临床治疗需要更加重视脾胃经络(腧穴)的干预和调控。然而，目前从脾胃经络(腧穴)角度论治焦虑抑郁的研究则相对较少。中医对焦虑抑郁的认识由来已久，虽没有直接使用“焦虑”“抑郁”，但其症状的描述散见于“癫狂”“郁证”等疾病中。本文首先基于中医经典古籍的记载，从脾胃经络(腧穴)与焦虑抑郁直接相关、脾胃经络通过气血与焦虑抑郁相关、脾胃经络通过心/肝与焦虑抑郁相关等几个方面，挖掘和梳理总结了中医经络理论指导下的脾胃经络(腧穴)与焦虑抑郁的相关性。并从现代科学技术的角度，聚焦肠道微生物-迷走神经-脑轴，解析了脾胃经络(腧穴)与焦虑抑郁相关联的可能物质基础和科学内涵。本文旨在为丰富和完善针灸防治焦虑抑郁的临床应用提供诊疗思路和启发，以期为未来精神疾病的防治策略提供针灸诊疗方案。
- 焦虑抑郁 /
- 针灸 /
- 经络理论 /
- 脾胃经 /
- 脾胃经腧穴
Abstract: In recent years, the incidence of anxiety and depression has continued to rise, with an increasing number of affected patients seeking treatment in acupuncture departments. Currently, clinical acupuncture treatment for anxiety and depression focused on the Heart Meridian (Pericardium Meridian) and Liver Meridian, aiming to calm the mind and spirit while relieving liver stagnation and depression. However, patients with anxiety and depression in acupuncture department are not experiencing these symptoms for the first-time, rarely, they have endured long-term or recurrent conditions. In light of the principles that "excessive thinking injures the spleen" and "prolonged illness injures the spleen", the clinical treatment of anxiety and depression with acupuncture needs to emphasize the regulation of the spleen-stomach meridians (acupoints). However, relatively little research has investigated the treatment of anxiety and depression from the perspective of the spleen-stomach meridians (acupoints). Traditional Chinese medicine (TCM) has a long-standing understanding of anxiety and depression, although it does not refer to them explicitly as "anxiety" or "depression". Instead, relevant symptoms are dispersed among diseases such as "dian kuang" (mania and delirium) and "yu zheng" (depression syndrome). This article begins by examining records from classical Chinese medical literature to explore the relationship between the spleen-stomach meridians (acupoints) and anxiety and depression from four aspects: the direct correlation with anxiety and depression, the relationship through the regulation of qi and blood, and their indirect connections through the heart/liver with anxiety and depression. It excavates and summarizes the relevance of the spleen-stomach meridians (acupoints) to anxiety and depression within the theoretical framework of TCM theory. Finally, from the perspective of modern biomedical science, the article focuses on the gut microbiota-vagus nerve-brain axis to elucidate the potential material basis and scientific underpinnings of the association between the spleen-stomach meridians (acupoints) and anxiety and depression. In summary, this article aims to deepen the clinical application of acupuncture in the prevention and treatment of anxiety and depression by integrating classical theory with modern research. It provides diagnostic and therapeutic insights and contributes to the development of acupuncture treatment strategies for mental health conditions.
- Anxiety and depression /
- Acupuncture /
- Meridian theory /
- Spleen-stomach meridians /
- Spleen-stomach acupoints

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参考文献(36)

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