Integrated Acupuncture and Moxibustion Program for Treating Bipolar Disorder

YANG Qing; ZHANG Fangyuan; LIU Lu; WAN Min; FU Wenbin

doi:10.13288/j.11-2166/r.2024.14.014

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Integrated Acupuncture and Moxibustion Program for Treating Bipolar Disorder

更新时间：2024-07-19

- Integrated Acupuncture and Moxibustion Program for Treating Bipolar Disorder
- Journal of Traditional Chinese Medicine Vol. 65, Issue 14, Pages: 1504-1509(2024)
- 作者机构：
  
  1.广州中医药大学，广东省广州市白云区机场路12号，510405
  2.广东药科大学
  3.佛山市三水区人民医院
  4.中国人民解放军南部战区总医院
  5.广州中医药大学第二附属医院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2024.14.014
  CLC：
- Received：26 December 2023，
  
  Revised：2024-03-07，
  
  Published：17 July 2024
- 稿件说明：
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杨晴,张方圆,刘露等.整合针灸方案治疗双相情感障碍经验[J].中医杂志,2024,65(14):1504-1509.

YANG Qing,ZHANG Fangyuan,LIU Lu,et al.Integrated Acupuncture and Moxibustion Program for Treating Bipolar Disorder[J].Journal of Traditional Chinese Medicine,2024,65(14):1504-1509.
杨晴,张方圆,刘露等.整合针灸方案治疗双相情感障碍经验[J].中医杂志,2024,65(14):1504-1509. DOI： 10.13288/j.11-2166/r.2024.14.014.

YANG Qing,ZHANG Fangyuan,LIU Lu,et al.Integrated Acupuncture and Moxibustion Program for Treating Bipolar Disorder[J].Journal of Traditional Chinese Medicine,2024,65(14):1504-1509. DOI： 10.13288/j.11-2166/r.2024.14.014.

摘要

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。

Abstract

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

， the spleen failing to transport， phlegm-heat harassing the heart spirit. The pathogenesis of depressive episode is mainly

constraint， and the mo

st common syndromes are liver

constraint， liver constraint accompanied by spleen deficiency， phlegm and

constraint，

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

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

， fortifying the spleen and dissolving phlegm， calming the heart and draining fire.

关键词

Keywords

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