摘要
情志与神的关系密不可分,情志病在治疗时必须重视神的调节。根据不同情志病的病位和性质,有所偏重地选择调神方法,必要时可将调元神和调心神二者结合。调神治则不仅可用来指导针灸取穴,同时也应在针刺操作中有所体现。在治疗情志病时,在得气的基础上,根据患者的个体化状态,通过有效的医患沟通,以无痛进针为主,运用和缓轻柔的针刺手法,辨证选择补泻手法,减轻患者心理负担的同时,有效调节患者的神志,达到安神的目的。根据临床需要,针对不同的患者应选用不同的进针方法和手法。情志除与神密切相关外,也常因脏腑功能紊乱,阴阳平衡失调所致,其异常变化与肝心脑有密切关系。应重视患者精神情志调节对疾病发展的作用,在临床治疗中充分发挥调神的作用,从调神的思路出发,以简驭繁,配合针刺治疗,使人体提及调畅,促进人体气机恢复,使其升降有常、出入有序,气得上下;调和人体气血,促进五脏正常功能的恢复,神运机转,以达到减轻患者痛苦,促进患者身心康复的目的。
Emotion and mind are inseparable.Emotional disease must pay attention to the regulation of mind According to the location and nature of different emotional disorders,the method of regulating mind can be selected,and the combination of regulating brain and regulating heart can be used when necessary.The treatment of regulating mind can not only be used to guide the selection of acupoints,but also be reflected in the manipulation of acupuncture.In the treatment of emotional disorders,on the basis of needling sensation,according to the individual state of patients,through effective doctor-patient communication,mainly painless needling,using mild and gentle needling techniques,reinforcing and reducing methods can be selected to alleviate the psychological burden of patients,effectively regulate the patient′s mind,and achieve the purpose of calming the mind.According to the clinical needs,different needle insertion methods and techniques should be selected for different patients.In addition to being closely related to mind,emotional diseases are often caused by the disorder of viscera and the imbalance of yin and yang.Their abnormal changes are closely related to the liver,heart and brain.Attention should be paid to the role of patients′ mental adjustment in the development of disease,giving full play to the role of regulating mind in clinical practice,Starting from the train of thought of regulating mind,using simple rather than complicated manipulation,combined with acupuncture,we can make human body function smoothly,promote the recovery of human vital energy,make it rise and fall regularly,enter and exit orderly,get up and down smoothly,harmonize human qi and blood,and promote the recovery of the normal functions of the five viscera so as to alleviate the pain of patients and enhance the physical and mental recovery of patients.
作者
姚锃钰
张治楠
蔡晓雯
黄泳
YAO Zeng-yu;ZHANG Zhi-nan;CAI Xiao-wen;HUANG Yong(Southern Medical University,Guangzhou,Guangdong,China,510515)
出处
《河南中医》
2019年第12期1901-1905,共5页
Henan Traditional Chinese Medicine
基金
广东省第二批中医临床优秀人才研修项目[粤中医办(2017-267)]
广东省质量工程项目针灸推拿学特色专业建设(C1034458)
关键词
情志病
调神
针灸疗法
emotional disease
regulating mind
acupuncture and moxibustion therapy
