【作者】 王浩宇；

【导师】 陈英华；

【作者基本信息】 黑龙江中医药大学 ， 针灸推拿学（专业学位）， 2019， 硕士

【摘要】 目的:探讨于太冲穴行透天凉手法配合常规针刺治疗抑郁症(气郁化火型)的临床疗效及其对汉密尔顿抑郁量表(HAMD)评分、抑郁自评量表(SD S)评分和中医证候量表评分的影响。进一步改进和优化抑郁症的中医特色治疗方案,为临床提供一种行之有效的治疗方法,以便临床推广运用。方法:将60例符合纳入、排除标准的抑郁症(气郁化火型)患者随机分为治疗组和对照组,每组各30例。对照组采用梁繁荣主编的“十三五”规划教材第十版《针灸学》里气郁化火型抑郁症的常规针刺治疗方案,针刺水沟穴、百会穴、内关穴、神门穴、太冲穴、侠溪穴、膻中穴。治疗组为在对照组治疗方法的基础上,于太冲穴行透天凉手法。两组治疗疗程均为4周。治疗前后进行汉密尔顿抑郁量表(HAMD)评分、抑郁自评量表(SDS)、中医证候量表的评分比较。结果:两组患者治疗后HAMD量表评分、SDS量表评分与治疗前比较,均显著降低,组内治疗前后比较,差异具有统计学意义(p<0.05或p<0.01)。治疗后,治疗组HAMD评分和SDS评分均显著优于对照组(p<0.05)。两组中医证候疗效,治疗组显效6例,良好14例,有效9例,无效1例;对照组显效4例,良好9例,有效11例,无效6例,经秩和检验,两组中医证候疗效比较差异具有统计学意义(p<0.05)。结论:于太冲穴行透天凉手法配合常规针刺的方法和常规针刺均能够降低气郁化火型抑郁症患者的HAMD量表、SDS量表和中医证候量表评分。且前者治疗效果优于后者。于太冲穴行透天凉手法配合常规针刺是一种治疗气郁化火型抑郁症的行之有效的方法,值得临床推广。更多还原

【Abstract】 Objective:To investigate the clinical effect and the effect on Hamilton score,depression self-rating scale(SDS)score and TCM syndromes of taichon g point treated with acupuncture through toutianliang manipulation and conventional acupuncture.To further improve and optimize the characteri stic treatment of depression in traditional Chinese medicine,and to pro vide an effective treatment for clinical application.Methods:Sixty patients with depression(gas stasis and fire type)who met th e inclusion and exclusion criteria were randomly divided into the treatm ent group and the control group,with 30 patients in each group.The con trol group used the "13th Five-Year Plan" textbook edited by Liang Xin g,the tenth edition of "Acupuncture and Moxibustion",the conventional acupuncture treatment program for stagnation of stagnation of stagnatio n and stagnation,and the sputum sputum method for acupuncture at Sh uigou and Baihui,Neiguan,Shenmen,Taichong,Xiaxi,and Yuzhong.T he treatment group was based on the treatment method of the control g roup,and it was used in the Tai Chong acupoint.Both groups were tre ated for 4 weeks.Before and after treatment,the Hamilton Depression Scale(HAMD)score,the Self-rating Depression Scale(SDS),and the T CM Syndrome Scale were compared.Results:There were 16 cases of obvious effect,10 cases of good effect,4 c ases of effective effect and 0 cases of invalid effect in the experimenta l group.In the control group,there were 12 cases of obvious effect.8 c ases of good effect,7 cases of effective effect,and 3 cases of ineffectiv e effect By rank sum test,the difference of disease efficacy between th e two groups was statistically significant(P<0.05),suggesting that the t reatment group had better disease efficacy than the control group Aftertreatment,the scores of hamilton depression scale(HAMD)and self-rati ng depression scale(SDS)of the two groups were significantly reduced compared with those before and after treatment,and the difference was statistically significant(P<0.05,or P<0.01).After treatment,Hamilton d epression scale(HAMD)score and self-rating depression scale(sds)sco re in the test group were significantly better than those in the control group(P<0.05).The effect of TCM syndromes in the two groups was ob vious in 6 cases,good in 14 cases,effective in 9 cases and ineffective in 1 case.In the control group,there were 4 cases of obvious effect,9 cases of good effect,11 cases of effective effect,and 6 cases of ineff ective effect By rank-sum test,there were statistically significant differ ences in TCM syndrome efficacy between the two groups(P<0.05).Conclusion:The combination of the technique of penetrating the cool sky at tai chong point with the routine acupuncture and the routine acupuncture c an reduce the scores of HAMD scale,SDS scale and TCM syndrome sc ale in patients with qi stagnation and fire depression.The treatment eff ect of the former is better than that of the latter.It is an effective method to treat the depression caused by qi stag nation and fire,and it is worth popularizing in clinic.更多还原