世界中医药
文章摘要
引用本文:梁毓恬1,2,图娅1,3,李亚欢1,3,戚思民1,姜会梨1,3.针刺治疗抑郁症的临床取穴特点分析[J].世界中医药,2023,(08):.  
针刺治疗抑郁症的临床取穴特点分析
Characteristic Analysis of Acupoint Selection by Acupuncture for Clinically Treating Depression
投稿时间:2021-07-22  
DOI:10.3969/j.issn.1673-7202.2023.08.019
中文关键词:  抑郁症  针刺  十四经  经外奇穴  特定穴  取穴特点  腧穴配伍规律  文献计量学
English Keywords:Depression  Acupuncture  Fourteen meridians  Extra points  Specific points  Acupoint selection characteristic  Compatibility law of acupoints  Bibliometrics
基金项目:国家自然科学基金青年科学基金项目(81904313)——针刺对抑郁症小胶质细胞M1/M2型极化紊乱诱导神经炎症的调控机制研究;北京中医药大学重点攻关项目(2020-JYB-ZDGG-060)——针刺对抑郁症“脑-肠轴”功能失调介导神经炎症的调控机制研究
作者单位
梁毓恬1,2,图娅1,3,李亚欢1,3,戚思民1,姜会梨1,3 1 北京中医药大学针灸推拿学院北京100029 2 中国中医科学院广安门医院北京100053 3 北京中医药大学国际精神疾患研究中心北京100029 
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中文摘要:
      目的:探究临床针刺治疗抑郁症的取穴特点。方法:检索国家知识基础设施数据库(CNKI)、中国学术期刊数据库(CSPD)、中文科技期刊数据库(CCD)、中国生物医学文献数据库(CBM)、PubMed、Cochrane Library、Embase建库至2020年12月31日公开发表关于针刺治疗抑郁症的临床研究文献,将符合纳入标准的文献录入Excel数据库,运用SPSS Statistics 20软件进行统计分析。结果:结果显示,针刺治疗抑郁症的临床取穴腧穴使用频次由低到高依次为百会、太冲、印堂;腧穴归经主要集中为督脉、足太阳膀胱经和足厥阴肝经;最常用的特定穴依次为五输穴、原穴及交会穴;证型出现频次由高到低依次为肝郁证、心脾两虚证、肝肾阴虚证;处方以多穴配伍为主,配伍方法以远近配穴为主;针刺方法以单纯毫针针刺为最,其次为单纯电针。结论:针刺治疗抑郁症取穴集中为百会、太冲、印堂,主要以远近配穴法多穴配伍为主,推荐使用督脉腧穴、膀胱经背俞穴及肝经原穴,可为抑郁症的临床治疗提供依据。
English Summary:
      The present study aims to explore the characteristics of acupoint selection by acupuncture for clinically treating depression.Methods:All relevant literature on acupuncture for clinically treating depression was retrieved from China national knowledge infrastructure(CNKI),China science periodical database(CSPD),Chinese citation database(CCD),Chinese biomedical literature database(CBM),PubMed,Cochrane Library,and Embase from their establishment to December 31,2020.The literature that met the inclusion criteria was included in the Excel database and analyzed by SPSS Statistics 20 software.Results:The frequency of acupoint selection by acupuncture for clinically treating depression from low to high was Baihui,Taichong,and Yintang.The meridian of acupoints is mainly concentrated in the governor vessel,the foot greater yang bladder channel,and the foot reverting yin liver channel.The most commonly used specific acupoints are five transport points,source points,and crossing points in turn.The frequency of syndromes from high to low is liver stagnation syndrome,syndrome of deficiency of both heart and spleen,and liver-kidney yin deficiency syndrome.The prescription involves multiple acupoint compatibility,and the compatibility method emphasizes far and near acupoints.Simple filiform needle acupuncture is the most important method,followed by simple electroacupuncture.Conclusion:The acupoint selection by acupuncture for treating depression focuses on Baihui,Taichong,and Yintang,and multiple acupoint compatibility involving far and near acupoints is the main method.Acupuncture in the governor vessel,back transport point of the bladder channel,and source point of the liver channel is recommended,which can provide a basis for the clinical treatment of depression.
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