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吕景山针灸治疗卒中后抑郁经验撷菁OA

LYU Jingshan's experience in treatment of post-stroke depression with acupuncture and moxibustion

中文摘要英文摘要

介绍吕景山教授针灸治疗卒中后抑郁的临证经验.吕景山教授认为本病病机以脑髓损伤、神机失用为本,肝郁气滞、痰气互结为标,治疗时强调以"治神"为要,标本兼顾,确立调神驭气的治疗原则;临证运用调神驭气针法及吕氏脐药灸联合治疗,选取对穴百会-水沟、神门-内关以调神,复驭气统精之本,合谷-太冲、丰隆-阴陵泉以驭气,复肝脾疏运之职;针刺时施以同步行针手法,共奏解郁之效,为卒中后抑郁的治疗提供思路.

This paper introduces the clinical experience of Professor LYU Jingshan in the treatment of post-stroke depression with acupuncture and moxibustion.Professor LYU Jingshan believes that this disease results from the damage of brain marrow and dysfunction of mind activity,and was manifested as liver qi stagnation and interaction of phlegm and qi.The treatment emphasizes"treating the mind"as the primary approach,addressing the root causes and symptoms,and establishes the therapeutic principle of regulating the mind and controlling qi.In clinical practice,the acupuncture technique for regulating the mind and controlling qi,and LYU 's umbilical medicine moxibustion are adopted.The paired acupoints,Baihui(GV20)and Shuigou(GV26),Shenmen(HT7)and Neiguan(PC6),are selected to regulate the mind and restore the controlling of qi and the governing of essence;Hegu(LI4)and Taichong(LR3),Fenglong(ST40)and Yinlingquan(SP9)are selected to regulate qi movement and recover the functions of liver and spleen in transportation and free flow of qi.During acupuncture,the needles are manipulated with two hands coordinately to obtain the synchronous therapeutic effect on post-stroke depression.This approach provides a new idea for the treatment of post-stroke depression.

武春慧;吕玉娥;吕景山

山西省针灸医院针灸科,太原 030006山西省针灸医院针灸科,太原 030006山西省针灸医院针灸科,太原 030006

卒中后抑郁针灸名医经验吕景山

post-stroke depressionacupuncture and moxibustionfamous doctor's experienceLYU Jingshan

《中国针灸》 2026 (7)

1161-1165,5

山西省卫生健康委员会第三批山西省老中医药专家学术经验继承工作项目:晋卫中医药函[2023]8号山西省吕景山针药对法传承技术创新中心项目中国中医科学院科技创新工程项目:CI2022E010XB首批三晋中医学术流派项目山西省中医药科技创新工程项目山西省科技创新领军人才团队项目:202204051002011三晋英才医疗卫生领军人才项目2025年山西中医药大学腧穴配伍研究学科(培育)建设项目山西中医药大学科技创新团队项目:2022TD1006山西省中医药管理局课题项目:2022ZYYC046、2024ZYY2D019

10.13703/j.0255-2930.20260209-k0004

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