陈贵珍教授治疗围绝经期惊恐障碍经验撷要

Professor CHEN Gui-zhen’s experience of acupuncture for perimenopausal panic disorder

介绍陈贵珍教授针灸治疗围绝经期惊恐障碍的经验。陈教授认为围绝经期惊恐障碍的病因病机乃先天肾精渐亏,后天脾胃受损,终致脑窍失养,神机失用。临床治疗应以"滋先天,补后天,通督益髓,调理冲任"为原则。临证选穴重视俞募相配;针法讲究飞针速刺,巧施穴位埋线;针药结合,相得益彰;以情胜情,身心同治。提倡"一针、二线、三药、四情"综合治疗围绝经期惊恐障碍。

Professor CHEN Gui-zhen’s experience of acupuncture for perimenopausal panic disorder was summarized.Professor CHEN believes that the etiology and pathogenesis of perimenopausal panic disorder are the deficiency of congenital kidney essence and the injury of acquired spleen and stomach,leading to mental dysfunction.The clinical treatment should be based on the principle of"nourishing the congenital,tonifying the acquired,and regulating thoroughfare vessel and conception vessel".As for the acupoint selection,the combination of back-shu point and the front-mu point is valued;as for the acupuncture technique,quick needling and skillful application of catgut embedding are recommended.The combination of acupuncture and medicine shows synergistic effect.In addition,emotional therapy is also applied for this condition.In conclusion,it is advocated to treat perimenopausal panic disorder with the combination of acupuncture,catgut embedding,herbs and emotional therapy.