基于“火土合德”理论探析针灸治疗抑郁障碍的临证思路

陈相宜; 付贤昆; 苏奔; 杨颖; 黄鑫; 郭立中

doi:10.13703/j.0255-2930.20250118-0001

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基于“火土合德”理论探析针灸治疗抑郁障碍的临证思路

思路与方法 | 更新时间：2026-01-16

- 基于“火土合德”理论探析针灸治疗抑郁障碍的临证思路
- Clinical approach of acupuncture and moxibustion in treatment of depressive disorder based on the "fire-earth harmonization"
- 中国针灸 2026年46卷第1期页码：111-116
- 作者机构：
  
  南京中医药大学第一临床医学院，江苏南京　210023
  广西中医药大学附属瑞康医院，南宁　530011
  上海中医药大学附属龙华医院
- 作者简介：
  
  陈相宜，南京中医药大学博士研究生。E-mail：497764624@qq.com
  ✉郭立中，教授。E-mail：lzg1073@sina.com
- 基金信息：
  
  中国中医科学院学部委员学术传承与传播专项项目(CI2022E028XB);南京中医药大学横向课题项目(012009220048;KYXMYYSQ202408200001);广西中医药大学校级青年科学基金项目(2024QN037)
- DOI：10.13703/j.0255-2930.20250118-0001
  中图分类号：
- 收稿：2025-01-18，
  
  网络首发：2025-11-10，
  
  纸质出版：2026-01-12
- 稿件说明：
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陈相宜, 付贤昆, 苏奔, 等. 基于“火土合德”理论探析针灸治疗抑郁障碍的临证思路[J]. 中国针灸, 2026,46(1):111-116.

CHEN Xiangyi, FU Xiankun, SU Ben, et al. Clinical approach of acupuncture and moxibustion in treatment of depressive disorder based on the "fire-earth harmonization"[J]. Chinese Acupuncture & Moxibustion, 2026, 46(1): 111-116.
陈相宜, 付贤昆, 苏奔, 等. 基于“火土合德”理论探析针灸治疗抑郁障碍的临证思路[J]. 中国针灸, 2026,46(1):111-116. DOI： 10.13703/j.0255-2930.20250118-0001.

CHEN Xiangyi, FU Xiankun, SU Ben, et al. Clinical approach of acupuncture and moxibustion in treatment of depressive disorder based on the "fire-earth harmonization"[J]. Chinese Acupuncture & Moxibustion, 2026, 46(1): 111-116. DOI： 10.13703/j.0255-2930.20250118-0001.

摘要

阐释运用“火土合德”理论针灸辨治抑郁障碍的临证思路。以“火土合德”理论为基础，结合临床实践及古今文献研究，认为阳虚气弱或阳郁不达导致神失所养是本病发生的根本。针灸治疗应察观患者之精神，明辨元阳之虚实，审中土之盛衰，治以宣阳散寒、交通君相二火、温运脾土等法而调神，主用俞原配穴，重用灸法，和气血、平阴阳，以复人体“火土合德”之常态，形神合一，抑郁自解。

Abstract

The paper expounds the clinical approach of acupuncture and moxibustion in treatment of depressive disorder under the theoretic support

"fire-earth harmonization". Based on this theory

and combined with clinical practice

and ancient and modern literature research

it is believed that the root cause of depressive disorder is malnutrition of the mind due to

yang qi

deficiency or stagnation. In treatment with acupuncture and moxibustion

the mental/emotional conditions (mind) of patients should be observed to identify the deficiency from the excess of primary

yang

and examine the ups and downs of the "earth". Spirit is adjusted by promoting

yang qi

circulation

dispelling cold

harmonizing the "fire" of "monarch" (heart) and "minister" (kidney) and promoting the transportation and transformation of spleen-earth. The back-

shu

points and

yuan

-source points are combined

and moxibustion therapy is used particularly to obtain the balance

and blood

and

yin

and

yang

. As a result

the fire and the earth

the body and the mind are harmonized

and depressive disorder is alleviated naturally.

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