| 引用本文: |
李成文, 段乐平, 黄嘉怡, 罗坚, 刘琼, 刘祎, 刘密, 常小荣.常小荣基于“经脉-脏腑相关”理论辨治神志病浅析[J].湖南中医药大学学报,2026,46(5):946-951[点击复制] |
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| 常小荣基于“经脉-脏腑相关”理论辨治神志病浅析 |
| 李成文,段乐平,黄嘉怡,罗坚,刘琼,刘祎,刘密,常小荣 |
| (湖南中医药大学针灸推拿与康复学院, 湖南 长沙 410208;郴州市中医医院, 湖南 郴州 423000;湖南中医药大学湘杏学院, 湖南 岳阳 414615;湖南省第二人民医院(湖南省脑科医院), 湖南 长沙 410007;湖南中医药高等专科学校附属第一医院(湖南省直中医医院), 湖南 株洲 412000) |
| 摘要: |
| 常小荣教授基于“经脉-脏腑相关”理论，构建了一套神志病诊疗的层次化辨治体系。该体系以“理、法、方、穴、术”为纲，确立“元神为体，心神为用，体用失衡”为核心病机，并形成“首辨阴阳→次辨气血→再辨五脏”的辨证路径。治疗上，创立“五脏背俞穴-五志穴-五脏原穴”的“俞-志-原”三联配穴框架，融合分层（体用、阴阳、气血、五脏）与分期（发作期、缓解期）的选穴策略，配合相应的针刺与灸法技术，形成从理论辨析到临床操作的完整闭环。本文系统阐述该体系的理论基础、逻辑架构与临床应用，旨在为针灸治疗神志病提供立体化、精准化的辨证施治思路，并为“经脉-脏腑相关”理论的现代应用与学术传承提供范例。 |
| 关键词: 神志病|经脉-脏腑相关|分层辨治|元神为体，心神为用|五脏背俞穴|五志穴|五脏原穴|针灸 |
| DOI：10.3969/j.issn.1674-070X.2026.05.010 |
| 投稿时间：2025-11-12 |
| 基金项目:国家中医药管理局常小荣全国名老中医药专家传承工作室项目（国中医药人教函〔2019〕41号）；国家中医药管理局“湖湘五经配伍针推流派”传承工作室建设项目（LP0118041）；国家中医药管理局2022年青年岐黄学者培养项目（国中医药人教函〔2022〕256号）；国家中医优势专科建设项目（国中医药医政函〔2024〕90号）；湖南省自然科学基金项目（2025JJ90053）。 |
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| A brief analysis of Professor CHANG Xiaorong's differentiation and treatment of mental disorders based on the "meridian and zang-fu correlation" theory |
| LI Chengwen, DUAN Leping, HUANG Jiayi, LUO Jian, LIU Qiong, LIU Yi, LIU Mi, CHANG Xiaorong |
| (The School of Acupuncture, Moxibustion and Tuina, Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;Chenzhou Municipal Hospital of TCM, Chenzhou, Hunan 423000, China;Xiangxing College, Hunan University of Chinese Medicine, Yueyang, Hunan 414615, China;The Second People's Hospital of Hunan Province (Brain Hospital of Hunan Province), Changsha, Hunan 410007, China;The First Affiliated Hospital of Hunan Traditional Chinese Medical College (Hunan Province Directly Affiliated TCM Hospital), Zhuzhou, Hunan 412000, China) |
| Abstract: |
| Professor CHANG Xiaorong, based on the theory of "meridian and zang-fu correlation", has developed a hierarchical differentiation and treatment system for mental disorders (Shenzhi disorders). This system is structured around the principles of "theories, methods, prescriptions, points, and techniques," identifying the core pathogenesis as "the imbalance between substance (original spirit) and function (heart spirit)." It establishes a pattern differentiation pathway of "first differentiating yin and yang, then qi and blood, finally the five zang organs." In treatment, it creates a "Shu-Zhi-Yuan" triple acupoints combination framework consisting of "five zang back Shu points, five Zhi (emotions) points, and five zang Yuan-primordial points," integrating layered (substance-function, yin-yang, qi-blood, five zang organs) and staged (acute attack stage, remission stage) points selection strategies, along with corresponding acupuncture and moxibustion techniques. This forms a complete closed loop from theoretical analysis to clinical operation. This paper systematically elaborates on the theoretical basis, logical framework, and clinical application of this system, aiming to provide a three-dimensional and precise pattern identification approach for acupuncture treatment of mental disorders, as well as a paradigm for the modern application and academic inheritance of the "meridian and zang-fu correlation" theory. |
| Key words: mental disorders|meridian and zang-fu correlation|hierarchical differentiation and treatment|primordial original spirit as substance, heart spirit as function|five zang back Shu points|five Zhi (emotions) points|five zang Yuan-primordial points|acupuncture and moxibustion |
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