产后抑郁症病因病机及中医针灸治疗进展

Research progress of etiology and pathogenesis of postpartum depression and TCM acupuncture treatment

伴随全球疾病谱的日益演变,产后抑郁的发病率逐年升高。中医学认为产后抑郁病机为血不养心以致神明失守,主张通过健脾益气、活血化瘀、养心安神的理念进行治疗,或通过“内病外治”的治疗理念,将中医针灸等方式应用于产后抑郁的治疗方案中。现代医学认为影响产后抑郁的发生因素是多方面的,应该从调整激素水平、恢复机体神经内分泌平衡角度进行治疗。本文通过对产后抑郁的古代和现代文献进行梳理,总结了产后抑郁的发生发展机制以及中医针灸治疗本病的理论基础与实践价值。

With the evolution of the global disease spectrum,the incidence of postpartum depression is increasing year by year.Traditional Chinese medicine believes that the pathogenesis of postpartum depression is that blood does not nourish the heart so that the gods lose control,and advocates treatment through the concept of invigorating the spleen and replenishing qi,promoting blood circulation and removing stasis,nourishing the heart and calming the mind,or through the treatment concept of"internal disease and external treatment",and applying traditional Chinese acupuncture and other methods in the treatment of postpartum depression.Modern medicine believes that there are many factors affecting the occurrence of postpartum depression,which should be treated from the angle of adjusting hormone level and restoring the body’s neuroendocrine balance.This paper summarizes the occurrence and development mechanism of postpartum depression and the theoretical basis and practical value of TCM acupuncture treatment of postpartum depression by combing the ancient and modern literature.