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整合针灸方案治疗双相情感障碍经验
2024年
总结整合针灸方案治疗双相情感障碍的临证经验。认为双相情感障碍病机虚实夹杂,与肝失疏泄、脾失健运、痰热扰心密切相关。双相情感障碍中抑郁相的病机以气郁为主,多见肝气郁结证、肝郁脾虚证、痰气郁结证、气滞血瘀证;躁狂相的病机以火热为主,多见阳明热盛证、心肝火炽证、痰火扰心证、火盛伤阴证。其治疗可采用整合针灸方案,毫针针刺疏肝调神,精灸通阳补阳,刺络拔罐行气泻火,埋针疗法巩固疗效,共奏疏肝理气、健脾化痰、宁心泻火之效。
杨晴张方圆刘露万敏符文彬
关键词:双相情感障碍气郁刺络拔罐埋针
广东地区2204名公务员中医体质调查被引量:8
2016年
目的探讨广东地区公务员中医体质分布特征。方法采用方便抽样的方法,以《中医体质量表》对2 204名广东地区公务员进行问卷调查,依据中华中医药学会《中医体质分类与判定》标准实施中医体质辨识。结果2 204名公务员中,单一体质1 504名(占68.2%),兼夹体质700名(占31.8%);平和质809名(占36.7%),偏颇质(含单一偏颇质和兼夹体质)1 395名(占63.3%);单一偏颇质中以阳虚质最多见,占15.9%(351/2 204);700名兼夹体质以存在有2种偏颇质最多见,占13.1%(288/2 204)。公务员中平和质体质检出率从高到低依次为专业技术类>行政执法类>综合管理类(63.1%vs 43.0%vs 27.7%,P<0.01);兼夹体质检出率从高到低依次为综合管理类>行政执法类>专业技术类(42.8%vs 20.5%vs 8.0%,P<0.01);行政执法类公务员特禀质和阳虚质体质检出率分别高于综合管理类公务员(2.2%vs 0.7%,18.4%vs 14.1%,P<0.01);专业技术类公务员阳虚质体质检出率高于综合管理类(18.3%vs 14.1%,P<0.01),阴虚质体质检出率分别低于行政执法类和综合管理类公务员(0.0%vs 4.7%,0.0%vs 4.8%,P<0.01)。男性公务员平和质体质检出率高于女性公务员(56.6%vs 27.2%,P<0.01),阳虚质和兼夹体质检出率分别低于女性公务员(7.2%vs 20.1%,21.5%vs 36.6%,P<0.01)。随着公务员年龄的增长,平和质体质有增加的趋势(P<0.01),气虚质和痰湿质体质均有下降的趋势(P<0.05)。结论广东地区公务员单一中医体质以平和质、阳虚质和阴虚质为主,且存在2种以上的兼夹体质较多,受年龄、性别和工作性质等因素影响。
樊少仪唐佩华杨晴陈博南张万年刘佳蕾张秀
关键词:中医体质公务员
针刺通过增加前额叶皮层突触蛋白的表达对两种抑郁症动物模型的快速抗抑郁作用
2024年
Objective:To investigate the effect of acupuncture onset time and synaptic structure in two different models of depression.Methods:A total of 150 healthy male adult SPF C57BL/6J mice were divided into five time-point groups:1 h,3 h,6 h,12 h and 24 h.Each time-point group was further divided into three groups:the model,scopolamine and acupuncture groups with 10 rats each.Rats were given forced swimming stimulation(15 min,once)before the intervention.A total of 200 healthy male adult specific pathogen-free(SPF)Sprague-Dawley(SD)rats were divided into 30 normal rats,and 170 modelling ones.A total of 90 rats were successfully modeled,and were randomly divided into three time-point groups:1 h,6 h and 24 h.And each time-point group was further divided into the normal,model,scopolamine,and acupuncture group.Chronic unpredictable mild stress(CUMS)combined with individual feeding was used to establish the depressed rat model.The sucrose preference test(SPT)and open field test(OFT)were used to evaluate the success of the model.There were 10 rats in each group.The acupuncture intervention was performed once for 20 min on"Baihui(GV20)","Yintang(GV29)","Hegu(LI4)",and"Taichong(LR3)"without any other operations for the corresponding animals.Other groups were given corresponding medications.According to different time points,the forced swimming test(FST)was conducted in mice,and the FST and novelty-suppressed feeding test(NSFT)were measured in rats.Monoamine neurotransmitters(NE,DA,DOPAC,5-HT,5-HIAA,HVA)in the prefrontal cortex and hippocampus were detected with high performance liquid chromatography(HPLC).The expression of synapsin I,PSD95,p-mTOR,mTOR,and BDNF in the prefrontal cortex and hippocampus was determined by western blot.Results:At the 1 h time point,compared with the model group,the immobility time was significantly decreased in the acupuncture group(P<0.05).At 3 h,6 h,12 h,and 24 h,compared with the model group,the immobility time was significantly reduced in both scopolamine and acupuncture groups(P<0.05).At the 1
宁百乐宁百乐杨晴吴倩杨晴高静吴倩邓颖吴炳鑫傅文王聪邓颖
关键词:DEPRESSIONACUPUNCTURE
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