Experience in Treating Depression with the Combined Use of Acupuncture and Herbal Medicine Under the Guiding Principle of Deficiency and Excess

WANG Yuxian; LU Wei; LIU Hengjia; YANG Jing; FU Qingnan; ZHANG Jie

doi:10.13288/j.11-2166/r.2025.14.015

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Experience in Treating Depression with the Combined Use of Acupuncture and Herbal Medicine Under the Guiding Principle of Deficiency and Excess

更新时间：2025-07-11

- Experience in Treating Depression with the Combined Use of Acupuncture and Herbal Medicine Under the Guiding Principle of Deficiency and Excess
- Journal of Traditional Chinese Medicine Vol. 66, Issue 14, Pages: 1499-1503(2025)
- 作者机构：
  
  首都医科大学附属北京中医医院，北京市东城区美术馆后街23号，100010
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2025.14.015
  CLC：
- Received：27 February 2025，
  
  Revised：2025-06-05，
  
  Published：17 July 2025
- 稿件说明：
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王玉贤,卢伟,刘恒嘉等.虚实为纲、针药并用治疗抑郁症经验[J].中医杂志,2025,66(14):1499-1503.

WANG Yuxian,LU Wei,LIU Hengjia,et al.Experience in Treating Depression with the Combined Use of Acupuncture and Herbal Medicine Under the Guiding Principle of Deficiency and Excess[J].Journal of Traditional Chinese Medicine,2025,66(14):1499-1503.
王玉贤,卢伟,刘恒嘉等.虚实为纲、针药并用治疗抑郁症经验[J].中医杂志,2025,66(14):1499-1503. DOI： 10.13288/j.11-2166/r.2025.14.015.

WANG Yuxian,LU Wei,LIU Hengjia,et al.Experience in Treating Depression with the Combined Use of Acupuncture and Herbal Medicine Under the Guiding Principle of Deficiency and Excess[J].Journal of Traditional Chinese Medicine,2025,66(14):1499-1503. DOI： 10.13288/j.11-2166/r.2025.14.015.

摘要

总结“虚实为纲、针药并用”辨治抑郁症的经验。认为抑郁症病机复杂，主张以虚实作为抑郁症辨治总纲，针药并用治疗。针刺采用调神基础针方，实证再配合宁神除躁针方，虚证再配合调补五脏针方，虚实夹杂则两组针方交替使用，并在治疗过程中依虚实变化灵活调整。中药治疗以虚实辨证结果为据，实证注重疏泄，以疏肝清热除烦、理气化痰安神为主，虚证注重补益，以健脾养血安神、益气补虚固本为主。

Abstract

This paper summarizes clinical experience in treating depression with a combined approach of acupuncture and herbal medicine under the guiding principle of deficiency and excess. Given the complex pathogenesis of depression， it is proposed that syndrome differentiation based on deficiency and excess should serve as the overarching principle. Acupuncture is prioritized， supplemented by Chinese herbal medicine. Acupuncture is based on the spirit-regulating protocol； for excess syndromes， it is combined with the calming and restoring protocol， while for deficiency syndromes， it is combined with the five

zang

organs tonification protocol. In cases of mixed deficiency and excess， the two protocols are alternated， and adjustments are made dynamically throughout the treatment based on syndrome evolution. Herbal prescriptions are also guided by the differentiation of deficiency and excess. For excess patterns， dispersion and clea

rance should be emphasized， focusing on soothing the liver， clearing heat， relieving irritability， regulating

， transforming phlegm， and calming the mind； for deficiency patterns， tonification is emphasized， aiming to strengthen the spleen， nourish the blood， calm the spirit， tonify

， and consolidate the root.

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references

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