[关键词]
[摘要]
介绍周鹏教授运用调神固本整合针灸治疗广泛性焦虑障碍的临床经验。周鹏教授根据广泛性焦虑障碍的病理特点, 将其病机归结为“气血阴阳失和”,指出“虚”是其发病的本质,其中又以脾肾虚衰为根本。主张从“虚衰”论治,以补脾 益肾、固本培元、兼以调神为治法,采用针刺、精灸、埋针的调神固本整合针灸疗法,针刺调和气血、精灸调补阴阳以固 本,埋针以调神兼巩固针灸疗效。以从提高患者接受治疗的依从性、确保其获得持续的治疗效果为切入点,强调针刺操作 应以快、轻、柔为要点,进针如迅鹤临波,行针如鹿饮清泉,重视患者感受,整体调节全身气血阴阳,使形神重新归于平 衡,从而达到治疗广泛性焦虑障碍的目的。
[Key word]
[Abstract]
This article introduces Professor Zhou Peng’s clinical experience in treating generalized anxiety disorder (GAD) using spirit-regulating and root-strengthening integrated acupuncture. Based on the pathological characteristics of GAD,Professor Zhou Peng summarizes its pathogenesis as “disharmony of qi,blood,yin,and yang,”pointing out that “deficiency” is the essence of its onset,with spleen and kidney deficiency being the root cause. He advocates treating GAD from the perspective of “deficiency and decline,” focusing on strengthening the spleen and kidneys, consolidating the root, and nourishing the source, while also regulating the mind. The integrated acupuncture therapy includes needling, refined moxibustion, and intradermal needle embedding. Needling is used to harmonize qi and blood, refined moxibustion to regulate and supplement yin and yang to consolidate the root, and intradermal needle embedding to regulate the mind and consolidate the therapeutic effects of acupuncture. Starting from improving patients’ compliance with treatment and ensuring sustained therapeutic effects,Professor Zhou emphasizes that acupuncture manipulation should be fast,gentle,and soft, with needle insertion resembling a swift crane touching the waves and needle manipulation like a deer drinking from a clear spring. He places great importance on patients’ sensations and aims to holistically regulate the body’s qi, blood,yin,and yang,restoring the balance of body and mind,thereby effectively treating generalized anxiety disorder.
[中图分类号]
R246.9
[基金项目]
国家自然科学基金资助项目(编号:82305372);深圳市宝安区中医药临床专项资助项目(编号:2023ZYYLCZX-4);深圳市宝安区 中医药发展基金会资助项目(编号:2022KJCX-ZJZL-1)