孙申田基于"心身医学"视角针灸治疗郁证经验撷菁

Professor SUN Shen-tian's experience in acupuncture treatment of depression based on"psychosomatic medicine"

介绍国医大师孙申田基于"心身医学"视角针灸治疗郁证的临证思路与针法特色.孙教授认为郁证属于"心""身"同病,"形""神"失和,神为主导;病在脑,伤于神,与心肝密切相关,"脑神失用,形神不安"为主要病机.提出"调神益智,腹脑同调,心身兼治"的治疗理念.临证时选百会、宁神、情感区为头部主穴以益智安神,选取"孙氏腹针"腹一区、腹八区为腹部主穴以腹调脑,配穴因病因证加减;强调经颅重复针刺刺激疗法的关键作用,重视电针,予低频刺激(2 Hz),以增强疗效;针前舒神减虑,针时守神得气贯彻始终.

This paper introduces professor SUN Shen-tian's clinical thoughts and his characteristics of acupuncture techniques for the treatment of depression based on"psychosomatic medicine".Professor SUN,the master of traditional Chinese medicine,believes that depression refers to comorbidity of"heart mind"and"body",resulting from the"body-mind"disharmony,specially dominated by the emotional disorder.This disease is located in the brain,with the injury of mind and closely related to the heart and liver dysfunction.In pathogenesis,the dysfunction of brain mind and the unhealthy conditions of body and mind are involved.The treatment should focus on"regulating the mind,improving the intelligence,co-modulating the abdominal and brain functions and treating the physical and mental disorders".Baihui(GV 20),Ningshen(Extra)and emotional area on the head are selected as the main points to benefit the intelligence and calming down the mind;the abdominal region 1 and region 8 of"Sun's abdominal acupuncture"are used as the main points of the abdomen to regulate the brain functions.The point prescription is modified according to the symptoms and etiologies.The repeated transcranial acupuncture stimulation and electroacupuncture at low frequency(2 Hz)are crucial to the therapeutic effect.Reliving anxious emotions is specially considered before acupuncture,and the mind is protected and deqi is consolidated during acupuncture.