符教授整合针灸体系下八脉交会穴治疗情志病的选穴思路与临床实践
Thinking on Point Selection and Clinical Practice of Eight Confluent Points in the Treatment of Emotional Disorders under Professor Fu’s Integrated Acupuncture System
DOI: 10.12677/acm.2025.15123699, PDF,    国家自然科学基金支持
作者: 王顺吉*, 佟 磊, 冶尕西#:宁夏医科大学附属自治区中医院针灸科、宁夏回族自治区中医医院(宁夏回族自治区中医研究院),宁夏 银川;符文彬:广州中医药大学第二附属医院针灸科,广东 广州
关键词: 八脉交会穴疏肝调神心胆论治情志病针灸治疗Eight Confluent Points Liver-Soothing and Spirit-Regulating Heart-Gallbladder Regulating Therapy Emotional Disorders Acupuncture Treatment
摘要: 八脉交会穴作为奇经八脉与十二正经的气血枢纽,兼具疏通经络、调和阴阳、调理气血之效,是针灸治疗情志病的关键穴位体系。符文彬教授基于“疏肝调神”针法与“心胆论治”技术,在整合针灸体系下运用八脉交会穴治疗情志病,形成“辨证定穴、病机配穴、动态调穴”的核心思路。本研究系统阐释该体系下八脉交会穴的选穴原则、辨证加减规律及动态调整策略,结合典型病例解析其在情志病中的具体应用,为该病的针灸临床治疗提供理论支撑与实操参考。
Abstract: As the vital hub for qi and blood communication between the Eight Extra Meridians and the Twelve Regular Meridians, the Eight Confluent Points possess the effects of dredging meridians, harmonizing yin and yang, and regulating qi and blood, serving as a key acupoint system in acupuncture treatment of emotional disorders. Based on the “liver-soothing and spirit-regulating” acupuncture method and the “heart-gallbladder regulating therapy,” Professor Fu Wenbin has developed a distinctive integrated acupuncture system. In the treatment of emotional disorders using the Eight Confluent Points under this system, he has formed the core thinking of “syndrome-differentiated point determination, pathogenesis-based point combination, and dynamic point adjustment.” This study systematically elaborates on the principles of point selection, rules of syndrome-differentiated modification, and strategies of clinical dynamic adjustment of the Eight Confluent Points within this system. Combined with typical clinical cases, it analyzes their specific application in emotional disorders, providing theoretical support and practical reference for the clinical acupuncture treatment of emotional disorders.
文章引用:王顺吉, 佟磊, 符文彬, 冶尕西. 符教授整合针灸体系下八脉交会穴治疗情志病的选穴思路与临床实践[J]. 临床医学进展, 2025, 15(12): 2644-2650. https://doi.org/10.12677/acm.2025.15123699

参考文献

[1] Ratheesh, A., Berk, M. and Schmaal, L. (2023) Can We Overcome the Heterogeneity of Mood Disorders in Clinical Trials? Australian & New Zealand Journal of Psychiatry, 57, 309-311. [Google Scholar] [CrossRef] [PubMed]
[2] Lu, J., Xu, X., Huang, Y., Li, T., Ma, C., Xu, G., et al. (2021) Prevalence of Depressive Disorders and Treatment in China: A Cross-Sectional Epidemiological Study. The Lancet Psychiatry, 8, 981-990. [Google Scholar] [CrossRef] [PubMed]
[3] Yoldemir, T., Yassa, M. and Atasayan, K. (2020) Comparison of Depression between Primary and Secondary Infertile Couples. Gynecological Endocrinology, 36, 1131-1135. [Google Scholar] [CrossRef] [PubMed]
[4] 吴倩, 王舢泽, 林德晖, 等. 岭南疏肝调神针灸技术治疗抑郁障碍的理论与实践[J]. 四川师范大学学报, 2024, 47(6): 753-758.
[5] 许能贵, 符文彬. 临床针灸学[M]. 北京: 科学出版社, 2015: 221.
[6] 符文彬, 宁百乐, 吴倩, 等. 岭南疏肝调神针灸技术的传承创新与研究应用[J]. 广州中医药大学学报, 2024, 41(10): 2740-2744.
[7] 符文彬, 黄东勉, 王聪. 符文彬针灸医道精微[M]. 北京: 科学出版社, 2017: 174.
[8] 杨帅, 秦丽娜, 宋裕如. 从《针方六集》论“八脉交会穴” [J]. 中医临床研究, 2024, 16(13): 69-72.
[9] 冉维佳. 奇经八脉的结构观探讨[J]. 中医药导报, 2020, 26(4): 67-71.
[10] 王冰卉, 邓瑜. 后溪穴治疗颈项部筋伤的中医理论发微[J]. 内蒙古中医药, 2020, 39(2): 74-76.
[11] 黄静娴, 王超. 后溪穴治疗失眠的理论浅析[J]. 四川中医, 2022, 40(1): 30-31.
[12] 邓涵之, 张超月, 李佳莹, 等. 超声下针刺后溪穴治疗椎动脉型颈椎病的疗效观察[J]. 上海针灸杂志, 2025, 44(6): 704-708.
[13] 刘小红, 周熙, 王韵, 等. 针刺照海、申脉穴联合耳穴贴压治疗脑卒中后失眠症疗效观察[J]. 四川中医, 2022, 40(10): 194-196.
[14] 陈敏. 浅述运用训诂学研究腧穴名称的意义[J]. 中国针灸, 2016, 36(5): 539-542.
[15] 杨彧婷, 童伯瑛, 游世晶. 列缺穴的穴性及临床应用[J]. 内蒙古中医药, 2024, 43(1): 128-130.
[16] 冉扬雪, 侯中伟. 照海穴命名内涵及其在《针灸大成》中主治作用探析[J]. 中华中医药杂志, 2024, 39(12): 6361-6364.
[17] 王锋. 针刺治疗惊恐障碍验案[J]. 中华针灸电子杂志, 2020, 9(3): 95.
[18] 马东云, 颜培正, 张庆祥. 内关穴醒脑开窍机制探析[J]. 山东中医杂志, 2024, 43(9): 982-986.
[19] 李晓陵, 姜海洋, 王丰, 等. 针刺外关穴脑功能磁共振成像研究进展[J]. 中医药学报, 2020, 48(4): 72-75.
[20] 顾梦宇, 万小曼, 郭高帅, 等. 基于四焦理论阐述足临泣穴的临床应用[J]. 湖北中医杂志, 2024, 46(11): 48-51.
[21] 贺晋芳, 晏军. 从奇经论治结缔组织相关间质性肺疾病[J]. 浙江中医药大学学报, 2020, 44(10): 967-972.
[22] 胡木, 汤阳, 黄毅君, 等. 叶天士奇经辨证及其方药探析[J]. 中医杂志, 2019, 60(13): 1164-1166.
[23] 赖美琪, 符文彬, 黎庆连, 等. 符文彬从心胆论治抑郁共病强迫障碍经验[J]. 中国针灸, 2022, 42(3): 303-306.
[24] 冒冬冬. 针刺跷脉对失眠大鼠自发活动昼夜节律及海马内5-HT1A、5-HT2A受体mRNA及蛋白表达的影响[D]: [硕士学位论文]. 成都: 成都中医药大学, 2016.
[25] 符文彬. 针灸对抑郁性神经症的治疗作用[J]. 中国临床康复, 2002, 6(5): 679.
[26] 符文彬, 樊莉, 朱晓平, 等. 针刺治疗抑郁性神经症: 多中心随机对照研究[J]. 中国针灸, 2008, 28(1): 3-6.