Traditional Chinese Medicine External Treatment Strategies for Somatic Symptoms of Depression：from the Perspective of the Five Body Constituents

WANG Yibei; ZHANG Longyao; WANG Hongwu; ZHAO Jian; GUO Yi

doi:10.13288/j.11-2166/r.2025.20.005

您当前的位置：

首页 >

文章列表页 >

Traditional Chinese Medicine External Treatment Strategies for Somatic Symptoms of Depression：from the Perspective of the Five Body Constituents

更新时间：2025-10-14

- Traditional Chinese Medicine External Treatment Strategies for Somatic Symptoms of Depression：from the Perspective of the Five Body Constituents
- Journal of Traditional Chinese Medicine Vol. 66, Issue 20, Pages: 2098-2102(2025)
- 作者机构：
  
  1.天津中医药大学中医学院，天津市静海区团泊新城西区鄱阳湖路10号，301617
  2.天津中医药大学第一附属医院
  3.国家中医针灸临床医学研究中心
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2025.20.005
  CLC：
- Received：25 March 2025，
  
  Revised：2025-08-01，
  
  Published：17 October 2025
- 稿件说明：
移动端阅览
王艺蓓,张珑耀,王洪武等.五体视域下抑郁症躯体症状的中医外治策略[J].中医杂志,2025,66(20):2098-2102.

WANG Yibei,ZHANG Longyao,WANG Hongwu,et al.Traditional Chinese Medicine External Treatment Strategies for Somatic Symptoms of Depression：from the Perspective of the Five Body Constituents[J].Journal of Traditional Chinese Medicine,2025,66(20):2098-2102.
王艺蓓,张珑耀,王洪武等.五体视域下抑郁症躯体症状的中医外治策略[J].中医杂志,2025,66(20):2098-2102. DOI： 10.13288/j.11-2166/r.2025.20.005.

WANG Yibei,ZHANG Longyao,WANG Hongwu,et al.Traditional Chinese Medicine External Treatment Strategies for Somatic Symptoms of Depression：from the Perspective of the Five Body Constituents[J].Journal of Traditional Chinese Medicine,2025,66(20):2098-2102. DOI： 10.13288/j.11-2166/r.2025.20.005.

摘要

基于中医学经典理论，结合现代医学对抑郁症躯体症状的认识，提出抑郁症“抑郁遏阳-五体失和-躯体表征”病机认识，认为情志抑郁首遏气机，致五脏阳气输布失常，引发筋骨失衡、筋肉拘急、经络阻滞、皮部失司，出现脊柱侧弯、疼痛、形体寒热异常等特征性躯体症状。针对病机，提出“察体定灶-疏郁通阳-五体共调”诊疗思路，通过四诊合参尤其是触诊定位病灶层次；遵循调体畅阳的治疗原则，采用柔性正骨手法以正筋骨枢纽，通阳气运行之路径；采用津沽推拿以舒筋散结，畅气血之流；采用浅刺法调脉通络，以复气机升降；采用拔罐疗法以透达皮部，启卫阳周流。通过外治法实现五体状态的整体调衡，使阳气布散正常，为抑郁症躯体症状的诊治提供理论指导。

Abstract

Based on classical theories of traditional Chinese medicine （TCM） and integrated with modern medical understanding of somatic symptoms in depression， this paper proposes a pathogenesis model of "depressive constraint impeding

yang

-disharmony of the five body constituents-somatic manifestation". It is suggested that emotional depression first constrains the

movement， leading to impaired distribution of

yang

among th

e five

zang

organs， which in turn causes imbalance of the bones and tendons， muscular tension， obstruction of the meridians， and dysfunction of the skin system. These processes manifest as characteristic somatic symptoms such as scoliosis， pain， and abnormal cold and heat of the body. In response to this pathogenesis， a therapeutic approach of "examining the body constituents to locate the lesion-relieving depression and unblocking

yang

-harmonizing the five body constituents" is proposed. The strategy emphasizes comprehensive syndrome differentiation with a focus on palpation to identify the depth and location of lesions. Following the principle of regulating the body and promoting the smooth flow of

yang

， flexible bone-setting manipulations are applied to realign skeletal balance and open

yang

pathways； tendon and bone massage is used to relax tendons， disperse nodules， and promote the circulation of

and blood； shallow needling is employed to regulate the vessels and unblock the channels， restoring the ascending and descending of

； and cupping therapy is performed to dredge the skin region and facilitate the circulation of defensive

yang

. Through these external therapies， an overall balance of the five body constituents is achieved， ensuring the proper dispersion of

yang qi

， and this may provide theoretical guidance for the diagnosis and treatment of somatic symptoms in depression.

关键词

Keywords

references

World Health Organization . Depressive disorder （depression）［EB/OL］.（ 2023-03-31 ）［ 2025-06-13 ］. https：//www. who.int/news-room/fact-sheets/detail/depression https://www.who.int/news-room/fact-sheets/detail/depression .

梁婷婷，尹平，徐世芬 . 针灸治疗抑郁症躯体化症状的临床研究概况［J］. 辽宁中医杂志， 2020 ， 47 （ 1 ）： 203 - 206 .

胡文悦，韩振蕴，王振亦，等 . 抑郁障碍与中医体质相关性研究的系统评价和Meta分析［J］. 世界中医药， 2023 ， 18 （ 14 ）： 1986 - 1994 .

陈羽楠，林丹红，陈立典 . 试析五体理论与中医运动功能［J］. 中医杂志， 2018 ， 59 （ 4 ）： 276 - 280 .

刘晨，陈韶，肖鲁伟，等 . 基于“五脏偏倾”理论探析青少年特发性脊柱侧弯中医病机与治则［J］. 浙江中医药大学学报， 2024 ， 48 （ 6 ）： 674 - 679 .

龙层花 . 脊椎病因治疗学［M］. 北京：世界图书出版社， 2012 ： 42 - 45 .

王仁杰，余志勇，熊巍 . 胸椎小关节紊乱致心悸的临床病例分析［J］. 亚太传统医药， 2023 ， 19 （ 9 ）： 152 - 155 .

YAP AU ， SULTANA R ， NATU VP . Somatic and temporomandibular disorder symptoms-idioms of psychological distress in Southeast Asian youths ［J］. Cranio ， 2024 ， 42 （ 4 ）： 364 - 371 .

马强，王茎，曾永蕾 . 早期经筋理论特点刍议［J］. 中国针灸， 2022 ， 42 （ 5 ）： 569 - 572 .

ZHANG Y ， SONG Y ， MIAO Y ， et al . The causal relationship of depression， anxiety， and neuroticism with main indicators of sarcopenia： a mendelian randomization study ［J］. Int J Geriatr Psychiatry ， 2023 ， 38 （ 7 ）： 2636 - 2646 .

LIAO H ， SATYANARAYANAN SK ， LIN YW ， et al . Clinical efficacy and immune effects of acupuncture in patients with comorbid chronic pain and major depression disorder： a double-blinded， randomized controlled crossover study ［J］. Brain Behav Immun ， 2023 ， 5 （ 110 ）： 339 - 347 .

HUANG Z ， HUANG J ， LEUNG CK ， et al . Hemorr-hoidal disease and its genetic association with depression， bipolar disorder， anxiety disorders， and schizophrenia： a bidirectional mendelian randomization study ［J］. Hum Genomics ， 2024 ， 5 （ 18 ）： 18 - 27 .

杨佩诗，贺娟 . 《黄帝内经》经脉表里层次论的形成及相关理论阐释［J］. 中医杂志， 2025 ， 66 （ 1 ）： 6 - 11 .

廉坤，罗鹏，叶嘉豪，等 . 从气络理论探讨抑郁症的病理机制与治疗原则［J］. 北京中医药大学学报， 2023 ， 46 （ 10 ）： 1449 - 1453 .

KEFAUVER JM ， WARD AB ， PATAPOUTIAN A . Discoveries in structure and physiology of mechanically activated ion channels ［J］. Nature ， 2020 ， 587 （ 7835 ）： 567 - 576 .

MASON AE ， KASL P ， SOLTANI S ， et al . Elevated body temperature is associated with depressive symptoms： results from the TemPredict Study ［J］. Sci Rep ， 2024 ， 14 （ 1 ）： 1884 .

KASHIF M ， TAHIR S ， ASHFAQ F ， et al . Association of myofascial trigger points in neck and shoulder region with depression， anxiety and stress among university students ［J］. J Pak Med Assoc ， 2021 ， 71 （ 9 ）： 2139 - 2142 .

彭健，陶国水，陆曙，等 . 龙砂医家柳宝诒六经辨证思维与用药特色初探［J］. 中医杂志， 2020 ， 61 （ 17 ）： 1562 - 1564 .

翁文水，陈长贤，王金鑫，等 . 牵臂旋提推肋复位法治疗胸椎小关节紊乱症183例［J］. 中国中医骨伤科杂志， 2019 ， 27 （ 5 ）： 55 - 57 .

陈磊，许鸿智，黄帆，等 . 东方柔性正骨思想渊源与技术体系简析［J］. 辽宁中医药大学学报， 2019 ， 21 （ 3 ）： 191 - 193 .

张海宁，李华南，范顺，等 . 从“气能调神，神可御气”角度探讨津沽脏腑推拿治疗郁证的理论依据［J］. 天津中医药， 2022 ， 39 （ 5 ）： 600 - 603 .

苏志超，杜鑫，闫华琼，等 . 基于“四海理论”的腹部推拿治疗慢性下腰痛伴发抑郁状态的临床随机对照研究［J］. 天津中医药， 2020 ， 37 （ 10 ）： 1136 - 1141 .

KIANI AK ， MALTESE PE ， DAUTAJ A ， et al . Neuro-biological basis of chiropractic manipulative treatment of the spine in the care of major depression ［J］. Acta Biomed ， 2020 ， 91 （ 13 -S）：e2020006.

章晓梅，张伟英，张红波，等 . 艾司西酞普兰联合捏脊法治疗首发抑郁症患者的临床疗效研究［J］. 中国全科医学， 2021 ， 24 （ 14 ）： 1800 - 1804 .

何芹芹，张阔，陈波，等 . 郭义教授中脘穴“老驴拉磨”法治疗神志病临证心得［J］. 上海针灸杂志， 2016 ， 35 （ 7 ）： 775 - 777 .

边致远，石焱，李心悦，等 . 从《景岳全书》情志之郁理论探讨情志致痛［J］. 中医杂志， 2019 ， 60 （ 16 ）： 1367 - 1370 .

夏至虹，朱才丰 . 调任通督针刺结合电针治疗2型糖尿病抑郁症临床观察［J］. 辽宁中医杂志， 2021 ， 48 （ 4 ）： 151 - 154 .

龚婉琪，苏云海 . 刺络拔罐法治疗抑郁症的疗效［J］. 中国医药指南， 2024 ， 22 （ 1 ）： 132 - 134 .

查看原文

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Theoretical Basis and Application Prospects of Aromatherapy in Traditional Chinese Medicine for Treating Depression

Comparison of the Ideological Structures Between Doctrine of Five Evolutive Phases and Six Climate Factors and The Book of Changes （《周易》） from the Perspectives of "Time，Position，and Virtue"

The Connotation and Application of Toxicity Theory in Traditional Chinese Medicine from the Perspective of The Inner Canon of Yellow Emperor （《黄帝内经》）

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

Theory of "Yin-Yang Five-State People" in Inner Canon of Yellow Emperor （《黄帝内经》） and Its Application in the Prevention and Treatment of Psychosomatic Diseases in the Elderly

Related Author

JIANG Molin

SHEN Hui

LI Yang

LU Wei

JIANG Yunfeng

HE Juan

ZHANG Xiyan

XING Yurui

Related Institution

Beijing Hospital of Traditional Chinese Medicine，Capital Medical University

Beijing University of Chinese Medicine

Shaanxi University of Chinese Medicine

School of Traditional Chinese Medicine，Hubei University of Chinese Medicine

Engineering Research Center of Traditional Chinese Medicine Protection Technology and New Product Development for the Elderly Brain Health，Ministry of Education，Hubei University of Chinese Medicine

Address：No.16, Nanxiao street, Dongzhimen, Dongcheng District, Beijing Postal code：100700
Tel：010-64035632 Email：jtcmcn@188.com
Technical support is provided by Beijing Founder electronics co., LTD 京ICP备09064830号-19 京公网安备11010102007558号
It is recommended to read the content of this site in Chrome&IE9+. Please switch to extreme mode in browser 360.
Cookies We use cookies to help provide and enhance our service and tailor content. By continuing, you agree to the use of cookies.

⁰