整合针灸方案治疗双相情感障碍经验

Integrated Acupuncture and Moxibustion Program for Treating Bipolar Disorder

总结整合针灸方案治疗双相情感障碍的临证经验。认为双相情感障碍病机虚实夹杂,与肝失疏泄、脾失健运、痰热扰心密切相关。双相情感障碍中抑郁相的病机以气郁为主,多见肝气郁结证、肝郁脾虚证、痰气郁结证、气滞血瘀证;躁狂相的病机以火热为主,多见阳明热盛证、心肝火炽证、痰火扰心证、火盛伤阴证。其治疗可采用整合针灸方案,毫针针刺疏肝调神,精灸通阳补阳,刺络拔罐行气泻火,埋针疗法巩固疗效,共奏疏肝理气、健脾化痰、宁心泻火之效。

This paper summarized the experience of integrated acupuncture and moxibustion program in the treatment of bipolar disorder(BD).The pathogenesis of BD is a complex of deficiency and excess,which is closely related to the liver failing to govern the free flow of qi,the spleen failing to transport,phlegm-heat harassing the heart spirit.The pathogenesis of depressive episode is mainly qi constraint,and the most common syndromes are liver qi constraint,liver constraint accompanied by spleen deficiency,phlegm and qi constraint,qi stagnation and blood stasis.The pathogenesis of manic episode is mainly fire-heat,and the most common syndromes are exuberant heat in yangming(阳明),intense heart-liver fire,phlegm-fire disturbing heart,and exuberant fire damaging yin.BD can be treated by the integrated acupuncture and moxibustion program,in which acupuncture is used to soothe the liver and regulate the mind,and refined moxibustion is to unblock and replenish yang;collateral bloodletting and cupping is used to move qi and drain fire,and needle-embedding therapy can be used to consolidate the curative effect.These therapies together have the effects of soothing the liver and regulating qi,fortifying the spleen and dissolving phlegm,calming the heart and draining fire.