【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。更多还原

【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.更多还原