头部透穴联合腹针治疗抑郁障碍的进展与产后应用展望

Progress and Postpartum Application Prospect of Scalp Point Penetration Acupuncture Combined with Abdominal Acupuncture in the Treatment of Depressive Disorder

摘要: 抑郁障碍发病率逐年攀升，产后女性因生理、心理及社会因素成为高危人群，现有药物治疗受哺乳等限制接受度较低。头部透穴通过精准透刺头部穴位，可直接调节脑神功能、改善神经递质平衡，起效迅速；薄氏腹针以神阙为枢纽，能调理脏腑气血、平衡神经–内分泌–免疫网络，适配产后虚弱体质。二者联合形成“头腹同治”模式，标本兼顾，既快速缓解抑郁核心症状，又培补产后元气，且安全无副作用、患者依从性高。本文综述二者单独及联合治疗抑郁障碍的机制与临床疗效，重点分析其在产后抑郁治疗中的适配性与优势，展望未来需通过多中心大样本研究、规范操作标准等，推动该联合疗法临床推广，为产后抑郁提供更优质的非药物治疗选择。

Abstract: The incidence of depressive disorder is increasing year by year, and postpartum women have become a high-risk group due to physiological, psychological and social factors, while the acceptance of existing drug therapy is relatively low due to restrictions such as lactation. Scalp point penetration acupuncture can directly regulate cerebral mental function and improve neurotransmitter balance with quick effect by accurately performing penetration needling on scalp acupoints. Bo’s abdominal acupuncture, with the Shenque (CV8) as the core hub, can regulate zang-fu organs’ qi and blood and balance the neuro-endocrine-immune network, which is suitable for the weak physical condition of postpartum women. The combination of the two therapies forms a “scalp and abdomen simultaneous treatment” mode, which addresses both the symptoms and root causes. It not only rapidly alleviates the core symptoms of depression, but also tonifies the primordial qi of postpartum women, with the advantages of safety, no side effects and high patient compliance. This paper reviews the mechanisms and clinical efficacy of the two therapies alone and in combination for depressive disorder, focuses on analyzing their adaptability and advantages in the treatment of postpartum depression, and prospects that future multi-center large-sample studies and standardized operation criteria are needed to promote the clinical popularization of this combined therapy, so as to provide a better non-drug treatment option for postpartum depression.