| 引用本文:张静莎1，李风霞1，耿连岐1，郭义2.针刺治疗卒中后抑郁的腧穴配伍规律文献研究[J].世界中医药,2023,(23):. |
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| 针刺治疗卒中后抑郁的腧穴配伍规律文献研究 |
| Literature Study on Acupoint Compatibility Law of Acupuncture in the Treatment of Post-stroke Depression |
| 投稿时间：2021-05-09 |
| DOI：10.3969/j.issn.1673-7202.2023.23.007 |
| 中文关键词: 卒中后抑郁 病因 病机 治疗特点 复杂网络 权重 配伍规律 气机升降 |
| English Keywords:Post-stroke depression Pathogeny Pathogenesis Treatment characteristics Complex network Weight Compatibility law Rise and fall of Qi |
| 基金项目:国家自然科学基金青年科学基金项目（81603679） |
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| 中文摘要: |
| 目的：借鉴古典文献中针刺治疗抑郁症的经验，基于复杂网络技术挖掘针刺治疗卒中后抑郁的腧穴配伍规律。方法：查阅《黄帝内经》《伤寒杂病论》《针灸甲乙经》《针灸大成》等中医经典古籍中探讨古人对针刺治疗抑郁症的认识。检索现代发表的文献，经过层层筛选，对入选文献进行质量评价，建立针刺治疗卒中后抑郁的处方数据库，用复杂网络技术挖掘针刺治疗卒中后抑郁的腧穴配伍规律，归纳总结针刺治疗卒中后抑郁的腧穴配伍规律。结果：抑郁症分“因郁致病”和“因病致郁”，卒中后抑郁属于后者。病机是神不足则悲，治疗以调整气机为主，最终达到气血冲和状态。从现代文献来看，针刺治疗卒中后抑郁的核心腧穴为百会、印堂、四神聪、神庭、三阴交、内关、太冲、神门。结论：卒中后抑郁的治疗以调整气机为主，针刺治疗卒中后抑郁的核心腧穴为百会、印堂、内关、三阴交、太冲、神门。 |
| English Summary: |
| This paper reviewed the methods of acupuncture in the treatment of depression in classical literature and used complex network technology to find the acupoint compatibility law of acupuncture in the treatment of post-stroke depression.Methods:The ancient books of traditional Chinese medicine were consulted，such as Huangdi Internal Classic，Treatise on Typhoid and Miscellaneous Diseases，A-B Classic of Acupuncture and Moxibustion，and Compendium of Acupuncture and Moxibustion，so as to explore the ancients' understanding of acupuncture in the treatment of depression.The modern published literature was checked，and the quality of the selected literature was evaluated.The prescription database of acupuncture in the treatment of post-stroke depression was established，and the acupoint compatibility law of acupuncture in the treatment of post-stroke depression was explored by complex network technology.Results:Depression can be caused by emotion and illness，and post-stroke depression is caused by disease.The pathogenesis is that if the spirit is insufficient，people will be sad.The treatment is mainly to adjust the Qi mechanism and finally achieve the state of Qi and blood impulse.The core acupoints for acupuncture treatment of post-stroke depression are Baihui，Yintang，Sishencong，Shenting，Sanyinjiao，Neiguan，Taichong，and Shenmen according to modern literature.Conclusion:The treatment of post-stroke depression is mainly to adjust Qi mechanism.The core acupoints of acupuncture in the treatment of post-stroke depression are Baihui，Yintang，Neiguan，Sanyinjiao，Taichong，and Shenmen. |
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