基于“通元理论”探讨脑卒中后抑郁因机证治

关键词：通元理论；针刺；脑卒中；抑郁；调气养神；固本解郁

中图分类号：R246.9 文献标志码：A 文章编号：1007-3213（2025）06-1527-06

DOI：10.13359/j.cnki.gzxbtcm.2025.06.034

Exploring the Etiology，Pathogenesis，and Syndrome Treatment of Post-stroke Depression Based on“ Tongyuan Theory’

HAN Yifan'，NING Fei²，ZHANG Xinting² （1.Guangzhou UniversityofChineseMedicine，Guangzhou510o6Guangdong，China；2.ClifordHospitalAfiliatedtoJinan University/Cliffordd Hospital，Guangzhou 5114Oo Guangdong，China）

Abstract：Under the guidanceof the Tongyuan theory，this study organizes the diagnostic and therapeutic approach for post-stroke depression（PSD）.Based on the pathological characteristics of PSD patients，such as mental malnourishment and deficiency of primordial qi ，combined with the etiology and pathogenesis，the Tongyuan theory suggests that the key to treating PSD lies in“unblocking the governor vessel and nourishing primordial qε ”.In clinical practice，the combination of acupuncture and herbal medicine is used to cultivate primordial qi ，regulate the mind，and harmonize yin and yang，thereby achieving the effects of regulating qi and nourishing the spirit， strengthening body resistance and resolving depression.

Keywords： Tongyuan theory； acupuncture； stroke; depression； regulating qi and nourishing the spirit;strengthening body resistance

脑卒中（stroke）是指因脑血管突发破裂或发生阻塞导致大脑血液供应受阻进而引发脑组织缺血性损害的一类疾病，包括缺血性及出血性两种类型。（剩余9994字）