首页|期刊导航|湖南中医药大学学报|常小荣基于"经脉-脏腑相关"理论辨治神志病浅析

常小荣基于"经脉-脏腑相关"理论辨治神志病浅析OA

A brief analysis of Professor CHANG Xiaorong's differentiation and treatment of mental disorders based on the"meridian and zang-fu correlation"theory

中文摘要英文摘要

常小荣教授基于"经脉-脏腑相关"理论,构建了一套神志病诊疗的层次化辨治体系.该体系以"理、法、方、穴、术"为纲,确立"元神为体,心神为用,体用失衡"为核心病机,并形成"首辨阴阳→次辨气血→再辨五脏"的辨证路径.治疗上,创立"五脏背俞穴-五志穴-五脏原穴"的"俞-志-原"三联配穴框架,融合分层(体用、阴阳、气血、五脏)与分期(发作期、缓解期)的选穴策略,配合相应的针刺与灸法技术,形成从理论辨析到临床操作的完整闭环.本文系统阐述该体系的理论基础、逻辑架构与临床应用,旨在为针灸治疗神志病提供立体化、精准化的辨证施治思路,并为"经脉-脏腑相关"理论的现代应用与学术传承提供范例.

Professor CHANG Xiaorong,based on the theory of"meridian and zang-fu correlation",has developed a hierarchical differentiation and treatment system for mental disorders(Shenzhi disorders).This system is structured around the principles of"theories,methods,prescriptions,points,and techniques,"identifying the core pathogenesis as"the imbalance between substance(original spirit)and function(heart spirit)."It establishes a pattern differentiation pathway of"first differentiating yin and yang,then qi and blood,finally the five zang organs."In treatment,it creates a"Shu-Zhi-Yuan"triple acupoints combination framework consisting of"five zang back Shu points,five Zhi(emotions)points,and five zang Yuan-primordial points,"integrating layered(substance-function,yin-yang,qi-blood,five zang organs)and staged(acute attack stage,remission stage)points selection strategies,along with corresponding acupuncture and moxibustion techniques.This forms a complete closed loop from theoretical analysis to clinical operation.This paper systematically elaborates on the theoretical basis,logical framework,and clinical application of this system,aiming to provide a three-dimensional and precise pattern identification approach for acupuncture treatment of mental disorders,as well as a paradigm for the modern application and academic inheritance of the"meridian and zang-fu correlation"theory.

李成文;段乐平;黄嘉怡;罗坚;刘琼;刘祎;刘密;常小荣

湖南中医药大学针灸推拿与康复学院,湖南 长沙 410208||湖南中医药高等专科学校附属第一医院(湖南省直中医医院),湖南 株洲 412000郴州市中医医院,湖南 郴州 423000湖南中医药大学湘杏学院,湖南 岳阳 414615湖南中医药大学针灸推拿与康复学院,湖南 长沙 410208湖南中医药大学针灸推拿与康复学院,湖南 长沙 410208湖南省第二人民医院(湖南省脑科医院),湖南 长沙 410007湖南中医药大学针灸推拿与康复学院,湖南 长沙 410208湖南中医药大学针灸推拿与康复学院,湖南 长沙 410208

医药卫生

神志病经脉-脏腑相关分层辨治元神为体,心神为用五脏背俞穴五志穴五脏原穴针灸

《湖南中医药大学学报》 2026 (5)

946-951,6

国家中医药管理局常小荣全国名老中医药专家传承工作室项目(国中医药人教函[2019]41号)国家中医药管理局"湖湘五经配伍针推流派"传承工作室建设项目(LP0118041)国家中医药管理局 2022年青年岐黄学者培养项目(国中医药人教函[2022]256号)国家中医优势专科建设项目(国中医药医政函[2024]90 号)湖南省自然科学基金项目(2025JJ90053).

10.3969/j.issn.1674-070X.2026.05.010

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