在通元理论指导下，梳理脑卒中后抑郁（PSD）的诊疗思路。根据PSD患者心神失养、元气亏虚等病理特点，结合病因 病机，基于“通元”理论，认为 PSD 患者治疗的关键在于“通督养元”。临床诊疗中通过针药结合以培元、调神，阴阳同 调，从而可达到调气养神、固本解郁之效。

Under the guidance of the Tongyuan theory， this study organizes the diagnostic and therapeutic approach for post-stroke depression （PSD）. Based on the pathological characteristics of PSD patients， such as mental malnourishment and deficiency of primordial qi， combined with the etiology and pathogenesis， the Tongyuan theory suggests that the key to treating PSD lies in “unblocking the governor vessel and nourishing primordial qi”. In clinical practice， the combination of acupuncture and herbal medicine is used to cultivate primordial qi，regulate the mind，and harmonize yin and yang，thereby achieving the effects of regulating qi and nourishing the spirit，strengthening body resistance and resolving depression.

R246.9

广州市科技计划项目市校（院）联合资助项目（编号：202201020079）