通讯作者: 卓越, 18686691176@163.com

DOI：10.12201/bmr.202503.00085

• 摘要：卓越认为卒中后抑郁发病以神机失守、肝气失疏为本，常伴有气血亏虚，或夹杂痰浊、郁热、血瘀等实邪而虚实并见，临床基于“木郁达之”理论治疗卒中后抑郁，以疏肝调神贯穿始末，平调气血、平衡阴阳，灵活化裁柴胡疏肝散、逍遥散等经典名方，配合针刺关元、印堂、中脘、气海、关元等穴，效如桴鼓。

  关键词： 卒中后抑郁；木郁达之；柴胡疏肝散；针刺；卓越; ; ; ; 

   

  Abstract: Zhuoyue believes that the pathogenesis of post-stroke depression is essentially characterized by the loss of control of the mental mechanism and the failure of the liver qi to flow smoothly. It is often accompanied by deficiency of qi and blood, or complicated by excess pathogenic factors such as phlegm-turbidity, stagnant heat, and blood stasis, presenting a pattern of both deficiency and excess. Clinically, based on the theory of relieving the stagnation of the wood element, the treatment of post-stroke depression is carried out. The principle of soothing the liver and regulating the spirit runs through the whole treatment process, regulating qi and blood in a balanced way, and balancing yin and yang. Classic formulas such as Chaihu Shugan San and Xiaoyao San are flexibly modified. At the same time, acupuncture at acupoints such as Guanyuan, Yintang, Zhongwan, Qihai, and Guanyuan is applied, and the therapeutic effect is remarkable.

  Key words: post-stroke depression; Muyu Dazhi; Chaihu Shugan San; acupuncture; Zhuo Yue

  提交时间：2025-03-29

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
• html

• 图表

• 姚雨, 钱锐. 基于“木郁达之”论治围绝经期综合征伴失眠经验. 2025. doi: 10.12201/bmr.202501.00023

  周建国. 磁共振成像技术在卒中后认知功能障碍中的临床应用. 2024. doi: 10.12201/bmr.202411.00056

  刘菲菲. 调肠针法联合火龙罐治疗老年脑卒中后便秘的疗效观察. 2025. doi: 10.12201/bmr.202503.00075

  杨竣雅, 李晓丽, 金璐, 杨文裕, 郭君, 李颖, 柯俊吉, 乐琳. 肺康复在脑卒中后吞咽障碍患者中的应用进展. 2025. doi: 10.12201/bmr.202501.00056

  肖桐, 陈海涛, 张尊敬. 宣肺利咽汤治疗感染后咳嗽风热犯肺证临床观察. 2024. doi: 10.12201/bmr.202408.00008

  奴尔艾力·卡的, 王子高, 努尔艾力·卡地尔, 胡彦兵, 艾斯卡尔·艾沙, 马海鸿, 朱小磊, 陈天翔. 医疗援疆背景下卒中中心建设运行的实践与探索. 2024. doi: 10.12201/bmr.202409.00007

  李芳凤, 徐莉霞, 谢春, 刘洋, 龙威彪. 卒中后上肢功能障碍评估工具的研究进展. 2025. doi: 10.12201/bmr.202503.00001

  向宪文. 升清益髓开窍针法联合补阳还五汤对缺血性脑卒中患者运动障碍及Hcy的影响. 2025. doi: 10.12201/bmr.202503.00053

  金玉香, 张一. 双重任务训练对卒中后认知功能影响的meta分析. 2025. doi: 10.12201/bmr.202502.00002

  周张青, 崔龚臻, 汪雪芬, 刘涧, 徐方燕, 李惠莉. 基于结构方程模型(SEM)分析艾滋病血液透析治疗患者抑郁影响因素. 2024. doi: 10.12201/bmr.202410.00037

• 序号	提交日期	编号	操作
  1	2025-03-06	bmr.202503.00085V1	下载

• 公开评论  匿名评论  仅发给作者 提交评论