国医大师孙申田“神安病减”理论治疗癫痫抑郁共病探析

Analysis of the treatment of comorbidity of epilepsy and depression based on the theory of tranquilization and disease reduction by Chinese medicine master SUN Shentian

癫痫抑郁共病是癫痫患者最常见的情绪障碍共病模式,国医大师孙申田教授认为本病的病因是风火痰瘀虚等内外邪气致形神失调,病机关键在于神损,在治疗癫痫抑郁共病时,强调“治神”与“治形”相结合,从颅脑(元神)、腹脑(谷神)、肤脑(五脏神)入手调神,治疗原则为调神治本、神安病减,处方为头针百会、宁神,采用经颅重复针刺刺激疗法以安元神,腹一区以调谷神,背俞穴以平五脏神;治法再结合经络辨证,祛除风、火、痰、瘀、虚等内外邪气,标本同治;临证操作强调首尾取穴、动静结合、腹脑结合、肤脑结合四位一体,以达到形与神俱,神安病减。

Comorbidity of epilepsy and depression is the most common comorbidity pattern of mood disorders in epilepsy patients.Sun Shentian,a master of Chinese medicine,believes that the etiology of this disease is the imbalance of body and spirit caused by internal and external pathogenic qi,such as wind,fire,phlegm,blood stasis,and deficiency,and the key to the pathogenesis of this disease lies in the deficiency of the spirit.Professor Sun believes that in the treatment of comorbidity of epilepsy and depression,it is necessary to emphasize the combination of"treating the spirit"and"treating the body".Professor Sun advocates starting from the cranial brain(Yuan Shen),abdominal brain(Gu Shen),and dermal brain(Wu Zang Shen)to regulate the spirit;The principle of treatment is to regulate the spirit and treat the root cause,and calm the spirit and reduce the disease;And the prescription is to use scalp acupuncture therapy for Bai Hui and Ning Shen,using repetitive transcranial acupuncture stimulation therapy to calm Yuan Shen,in the first area of the abdoment for regulating Gu Shen,and in back shu point for calming Wu Zang Shen;The treatment methods are to combine the differentiation of meridians,eliminate internal and external pathogenic qi such as wind,fire,phlegm,blood stasis,and deficiency,and treat both manifestation and root cause of disease;In clinical practice,it is important to emphasize the integration of acupoint selecion at the starting or ending points of meridians,combination of motion and quietness,combination of abdominal brain,and combination of dermal brain,in order to achieve the balance between body and spirit,and relieve uneasiness of mind,and reduce the diseases.