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电针结合慈经音乐疗法治疗抑郁症的临床研究
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  • 英文题名:Clinic Research on Metta-music Electro-accupunture Treatment Against Depression
  • 作者:释传根
  • 论文级别:博士
  • 学科专业名称:针灸推拿学
  • 学位年度:2010
  • 导师:王玲玲
  • 学科代码:100512
  • 学位授予单位:南京中医药大学
  • 论文提交日期:2010-04-10
摘要
抑郁症是一种患病率、复发率、自杀率三高的身心病症。目前传统西药治疗虽然具有肯定的疗效,但这类药物具有突出的抗胆碱能副作用和中枢毒性以及心血管、胃肠道等系统的不良反应,限制了其对老年伴躯体疾病的抑郁症患者的使用。目前临床使用的各种抗抑郁药物都存在一定的局限性。因此研制慈经音乐电针仪疗法,优化治疗方案,为临床提供一个疗效较好的治疗方案及措施。本课题的研究分成理论研究,慈经音乐电针仪研制及临床研究三部分内容。
     第一部分理论研究:
     1.明确抑郁症是中西医病名的定义。
     2.明确历代中医学对于抑郁症的认识及渊源:即抑制症起源于秦汉,发展于唐宋,完善于金元,而鼎盛于明清,统一於近代。
     3.明确抑郁症病位在脑,并与脑、心的损害或功能紊乱有关,气机失调时,脑神紊乱而使五脏功能失调,引致郁证发生。所以治郁必先治脑,脑气通调,心血充足,则郁自解,神自宁。
     4.明确抑郁症的病因是情志不遂,气机郁滞、气血阴阳失调、脏腑功能失常、精神异常;其病机核心是“气机失调,脑神失控”,导致血瘀、痰蕴、精亏、气虚、血虚、阴虚、阳虚等病态链的病理反应,形成机体“气机失调,脑神失控”。
     5.明确西医对抑郁症发病机制主要集中在心理社会因素、遗传学因素、神经生化、神经内分泌以及免疫机制研究几个方面。
     6.探讨慈经音乐电针疗法概念及优势。并简叙对抑郁症的治疗机理。
     7.剖析佛家慈经音乐电针治疗抑郁症的机理:
     (1)因感于佛法即是解脱宇宙生命的各种生灭现象。佛陀以弘扬佛法之法,开悟众生,了脱苦恼之束缚以佛家慈经音乐电针治疗此症,借助佛法的智慧,体会佛法看破放下的真义,通过幽美宁静的音律蕴含佛学精神的词句,使低潮郁闷的情绪霍然开朗,用每个音符,每句话语,抚平受创的心灵,祛除内在的虚妄执着,进而调适身心灵的括静,平和,当心调意摄,自然达到安乐自在,清净无忧的境界
     (2)慈经的文献综述资料很少,也末曾有人作过临床研究,所以对它的研究及发展是有特殊的学术价值和意义。
     8.明确佛学与医疗关系及佛教音乐医疗的特征,具有修行性、感化性、传承性的特性。
     《慈经》是来自释迦牟尼的教示,是有关于对宇宙众生无限爱心的启示。
     (1)“大悲为首”,“慈悲喜舍”。
     (2)“诸恶莫作,诸善奉行”
     (3)“自利利他”,“自觉觉人”。
     (4)正念而住的特奌。配合音乐治疗作用具有一定的感化性及心理疏导作用。
     9.慈经音乐电针疗法的介绍及探究。
     10.慈经电针特点与优势。
     11.中医角度分析慈经疗法的作用,慈经音乐电针具有舒心活血、镇静
     催眠、解痉止痛、抗炎消肿、蠲痹降压、预防肌肉的痿缩等功效第二部分慈经音乐电针仪研制的设计,参数及原理第三部分临床研究
     1.2008年10月~2009年10月随机选取60例新加坡菩提施诊所,新加坡佛教施诊所,门诊病人。(均由西医精神科医生诊断为抑郁症)。
     2.随机对照性分为2组,治疗组与对照组各30例。两组病人治疗前性别、年龄、病程基本相同,具有可比性(P>0.05)
     治疗组为慈经电针1组:选主穴:百会、印堂。基本配穴:风池(双)、大椎、神门、神道、三阴交(双)。灵活配穴:临床针灸医生根据患者病情特点及体质状态结合个人临床经验灵活配穴1-2个。每次电针30min,并播放慈经音乐,音量在60贝,播放前说明慈经含意,每星期二次,共治疗6周。
     对照组为慈经2组:播放慈经音乐,音量在60贝,播放前说明慈经含意,连续时间30分钟,每星期二次,共治疗6周。(并由专人进行操作及评估)两组于治疗前治疗后第6周观察汉密顿(HAND)量表、自评抑郁量表(SDS)。
     经过6周治疗后,慈经电针治疗组的汉密尔顿(HAMD)显效5例,有效24例,无效1例,有效率达到96.67%。单只听慈经音乐的对照组显效1例,有效13例,无效16例,有效率达到46.67%。说明慈经音乐结合电针的治疗组优于单只听慈经音乐的对照组。(X2=19.172,P<0.01)
     经过6周治疗后,慈经电针治疗组的自评抑郁量表(SDS)完全改善无抑郁17例,轻度抑郁12例,中至重度抑郁1例,有效率达到96.67%。单只听慈经音乐的对照组完全改善无抑郁4例,轻度抑郁18例,中至重度抑郁8例,有效率达到73.33%。说明自评量表(SDS),慈经音乐结合电针的治疗组优于单只听慈经音乐的对照组。(X~2=14.692,P<0.01)
     结论
     1.慈经音乐结合电针刺督脉百会印堂等穴具有调整阴阳、醒脑开窍、宁心安神之功。针刺此穴能改善脑组织血液供应及血管弹性,并能通过大脑皮层的反射调节自主神经,进而对神经系统疾病起到治疗你用,电针刺百会穴能抑制脑的异常兴奋,使紊乱的脑功能恢复平衡、协调疗效优于单纯播放慈经音乐组
     2.慈经音乐结合电针抑郁症的患者,初期接受电针时紧张感所具备的舒缓情绪,放松身心的作用在抗焦虑、抑郁情绪等方面,慈经音乐起到了促进作用,而电针仪可弥补音乐不能达到的作用,两者可互为补充提高优化治疗,值得临床进一步的推广应用。
Mental illness such as depression has a high chance being contracted; it also has a high relapse rate and results in high suicide rate. Although at present, modern medicine has effective measures against depression, but those drugs in use do have prominent anti-cholinergic side effects, CNS toxicity, as well as causing adverse reactions on cardiovascular, gastrointestinal and other systems. This restricts the use of such drugs on both elderly patients and patients who are stricken with both physical and mental diseases concurrently. Therefore, current clinical uses of anti-depressant drugs are limited. As such, a study on the use of electro-acupuncture with Metta music therapy is implemented so as to investigate how it can increase clinical efficacy of depression treatment, and eventually enhance treatment programs for patients stricken with depression.
     PURPOSE AND ITS SIGNIFICANCE
     (1) Theoretical Research
     1 Depression is a modern disease name in the traditional Chinese and Western medicine.
     2 To affirm that studies made on depression in TCM literature and its originality were first found in Qin and Han dynasties, developed during Tang and Song dynasties, fully established in Ming and Qing dynasties and finally unified recently.
     3 To affirm that the location of illness of depression are related to brain and heart functional deficiencies and disorders. When disorder in qi flow and brain spirit results in disorder of visceral functions, and consequently depression syndromes manifest. As such, the treatment for depression starts with treating the disorder in brain and heart. When the brain's spirit is ordered and heart's blood is sufficient, depression shall subside and spirit shall be calmed.
     4 To affirm that the depression's pathogenic factors comprises of emotional upsets and qi stagnation, which in turn causes qi, blood, yin and yang disorder, and resulting in visceral function disorder, brain spirit abnormality. The mechanism of illness is thus:qi mechanism disorder resulting in brain spirit disorder, causing blood stasis, phlegm accumulation, essence insufficiency, qi, blood, yin and yang asthenia, such a series of chain reactions along the way, resulting in brain spirit disorder" shall be invoked as depression evolves with time.
     5 To affirm that current medical against into depression are focused on several areas: psychological and societal factors, genetic factors, nervous biochemical factors, nervous endocrinological factors and immunological factors.
     6 To study the effectiveness and advantage of electro-acupuncture with Metta music Therapy.
     7 Analysis of Buddhist Metta chant as electrotherapy for depression:
     i. Buddhism is the perfect education about us and the universe we live in. It is the teaching beyond worldly knowledge-of the highest wisdom that leads to the realization of true happiness. Buddha dharma is the wisdom of all people and the light of the world. It is a method to enable all sentient beings to attain perfect virtue and wisdom, and become the Enlightened One. Thus, Metta chant is used to propagate the Dharma, by employing graceful and enchanting melodies of Metta chant to eject to stream of miraculous medicine in the turbulent sea of emotional ups and downs.
     ii. The chant of Metta literature traces out little information, but also clinical studies have not been made, thus this is a special value and significant research.
     8 To affirm the relation between Buddhism teaching and medical treatment and also the characteristics of Buddhism music used in musical therapy with its main characteristics being cultivating of embodying nature, probational nature, transmissive nature. Metta music based on Buddha's teaching with relation to his exposition of boundless love to universal beings have three characteristics:
     i. Loving Kindness; Compassion; Sympathetic joy; Equanimity
     ii. Cease all evil deeds; to be heedful in wholesome deeds
     iii. On self reliance and helping others on the same path; self realization and lead others on the path of realization.
     iv. To move on with right mindfulness.
     9 Introduction and exploration of Metta music electro-acupuncture.
     10 The characteristics and advantage of Metta music electro-acupuncture
     11 From TCM perspective, such musical signal is able to tranquilize and hypnotize, relieves convulsion and pain, has anti-inflammation effect and reduces swelling, reduces numbness and is anti-hypertensive, prevents muscle atrophy etc.
     (2) Equipment Research and Design
     (3) Clinical Research
     1. Random selection of 60 depression cases from the period starting October 2008 to October 2009 in Puti Free Clinic and Singapore Buddhist Free Clinic outpatient records.
     2. Randomly divide the 60 patients into 30 patients in a treatment group and 30 patients in the placebo group. These 60 patients are of the same sex, belonging to the same age group, has similar course of depression illness and are all being diagnosed with depression by qualified doctors specializing in mental illnesses.
     In the treatment group, electro-acupuncture with Metta chant excitation are performed at the volume of 60dB on the following acu-points while Metta chant was playing, in the background for 30 minutes. Such treatment will be twice a week and will take 6 weeks to complete course.
     Primary acu-points:Bahui (GV20), Yintang (EX-HN3) Secondary acu-points:Dazhui (GV14), Shendao (GV11), Fengchi-both (GB20), Shenmen-both (HT7), Sanyinjiao (SP6)
     Flexible acu-points:Physician's choice of one to two extra acu-points in accordance with the syndromes manifested during treatment. The duration of treatment is 30 minutes, done at a frequency of twice a week for a course of 6 weeks.
     In the placebo group, only Metta chant is being played at a volume of 60dB with explanation of the meaning of Metta chant before the treatment begins. The duration of treatment is 30 minutes, done at a frequency of twice a week for a course of 6 weeks.
     At both the beginning and end of treatment in both groups, a 17-item Hamilton Rating Scale for Depression (HAMD) is being assessed by the physician and the standard questionnaire for self-rating depressive scale is done by the patient.
     (4) Conclusion
     From clinical research, after 6 weeks of Metta music electro-acupuncture theraphy, based on the Hamilton Rating Scale for Depression (HAMD), these results are achieved.
     ●patients with obvious effectiveness
     ●24 patients with some effectiveness
     ●1 patient with no effect I.e. effective rate of 96.67%
     For treatment with only Metta musical Theraphy, the following results are achived.
     ●1 patient with obvious improvement
     ●13 patients with some improvement
     ●16 patient with new improvement I.e. effective rate of 46.67%
     The above results show that there is superior effectiveness of Metta musical theraphy combined with electro acupuncture treatment against treatment with just Metta music (x2=19.172,P<0.01)
     1. In conclusion, Metta musical threaphy combined with electroaccupuncture on governor vessels such as Bai Hui (GV20), Yin Tang (EX-NW3) etc serves to achieve ying-yang balance, enlighten thoughts and smoothen emotions. Applying acupuncture on Bai Hui acu-point can improve blood supply to the brain and elasticity of the blood vessel; reflex regulation of autonomous nerve via the skin layer of the brain and with healing effects on nerve system disease, suppress the unusual excitement to recover and regulate the troubled brain to a balanced state.
     2. Metta musical theraphy combined with electro-accupuncture have a soothing effects on the patients suffering from depression. With the metta musical theraphy complementing the electro-accupuncture and increasing the effectiveness of the treatment. Therefore, it is worthwhile to explore further these combined treatment through more clinical researches.
引文
[1]Weissman MIM, Bland,Canino G,et al. Cross-national eqidemiology of major depression and bipolar disorder [J].JAMA 1996,276:293-299
    [2]蔡焯基. 《抑郁症基础与临床》[M].北京:科学出版社,1997
    [3]舒良.抑郁症的评定与治疗[J].中华医学杂志, 1999;79(5):398-400
    [4]depnet.com.sg Dr.Chua Hong Choon. Dr.Yeo Seem Huat. Dr.Ang Yong Guan等.心理健康[M].HealthStatePR出版,第一版,2006:2
    [5]曹欣冬.王伟.抑郁症中西医诊疗学[M].中国中医药出版社2009
    [6]唐启盛.抑郁症中西医基础与临床[M].中国中医药出版社2007
    [7]牟君.指导:谢鹏教授.抑郁症的脑功能磁共振和蛋白组学研究[D]2007年6月
    [8]李晓白,黄继忠,王祖承.抑郁症与谷氨酸传导[J].中国新药与临床杂志,2005:24(8):601-604
    [9]赵裕民 中国音乐电针疗法[J].航天技术与民品,1998, (2):44~46
    [1]曹欣冬 王伟 抑郁症中西医诊疗学[M] 中国中医药出版社2009
    [2]吕光荣.中医脑病医治[M]科学技术文献出版社,2004,72~73
    [3]韩毳,李晓泓,张有志.中医治疗抑郁症理论溯源[J].新中医2002.34(6):6-8
    [4]罗家发.情志医学研究的思考[J].安徽中医学院学报,2002,21(2):7-9
    [5]唐启盛.抑郁症中医学认识的历史沿革[J].北京中医,2007,26(3):131-134
    [6]周学东,陈兴宝.抑郁症经济负担研究进展[J].上海医药,2006,27(12):539-541
    [7]江开达.精种医学新概念.上海医科大学出版社,2000,101-109
    [8]谭开清.七情病辨治.中国医药科技出版社,1998,3-7
    [9]澍步霓,赵仓焕.醒脑开窍针法治疗抑郁症探讨[J].四川中医,2004,22(4):20
    [10]叶国传.针刺治疗抑郁症36例[J].上海针灸杂志,2000,1 9(6):30
    [11]符文彬.针刺对抑郁性神经症的治疗作用[J].中国临床康复,2002,6(5):679
    [12]李德平,王宝玲.腹针治疗抑郁症44例[J].上海针灸杂志,2005,24(3):22
    [13]王天俊.针刺治疗抑郁症临床观察[J].中国针灸,2005,25(2):107
    [14]杜元灏,李桂平,颜红,等.调神疏肝针法治疗抑郁证的临床研究[J].中国针灸,2005,25(3):151
    [15]徐虹,孙忠人,李丽平,等.针刺治疗抑郁症及其对患者下丘脑垂体肾上腺轴的影响[J].中国针灸,2004,24(2):78
    [16]杨卓欣,虢周科.针刺治疗抑郁症的临床疗效观察[J].针灸临床杂志,2003,19(8):28
    [17]董子平电针治疗抑郁症101例[J]中国针灸,2001,(1):6
    [18]崔海电针治疗30例中风后抑郁症的临床观察[J]浙江中医学院学报,2005,29(2):65
    [19]许红,王翘楚针药结合治疗抑郁症临床研究[J]上海针灸杂志,2003,22(6):7
    [20]罗和春,赵学英,钱瑞琴等抑郁症的电针合并舒血宁治疗与实验室细胞免疫水平改变的研究[J]美国中华健康卫生杂志,2000,3(2):1
    [21]黄泳,唐安戊,李求实等头电针对抑郁症脑功能成像的影响[J]上海针灸杂志,2004,23(7):5
    [22]韩毳,李学斌,罗和春等电针与麦普替林治疗抑郁症患者的对照研究[J]中国中西医结合杂志,2002,22(7):512
    [23]张洪,何竞电针治疗抑郁症的疗效观察[J]上海针灸杂志,2002,21(5):25
    [24]康波,张平根,熊生财等电针与阿米替林治疗抑郁症对照观察[J]中国针灸,2002,22(6):383
    [25]王智音乐治疗对抑郁症患者情绪改善的疗效观察[J]辽宁中医杂志,2006,33(7):846
    [26]刘群,王鹏,李波,张娜,龚爱龙精神科开展音乐治疗的疗效观察[J]齐鲁护理杂志2005,10(11):11
    [27]蔡光容,乔宜音乐疗法在肿瘤临床应用[J]中国心理卫生杂志,2001,15(3): 181
    [28]张新媛,许宏伟,朱江南等脑卒中后抑郁症健康的神经心理治疗方法探讨[J]中国现代医学杂志,2002,12(21):90-91
    [29]王玲,邵文利,任志英等感受式音乐疗法在脑卒中后抑郁病人康复中的应用[J]护理研究,2006,20(8):1405-1406
    [30]王丽云,冯森,李丹等 音乐疗法对产后抑郁症患者的影响[J]中国实用护理杂志,2005,21(12):34-35
    [31]赵春海,徐立敏,李园等 音乐疗法在辅助治疗抑郁症中的应用[J]华北国防医药2006,18(1):74
    [32]Kendler KS, Neale MC, Kessler RC, et.A population-based twin study of major depression in women:the impact of varying definitions of illness[J]. Arch Gen psychi-atry.1992,49:257-266.
    [33]黄明恭.邹文学.陈经源等.带我走出抑郁.乐家心会,2006,12-13
    [34]Zemlan FP, Garver DL. Depression and antidepressant therapy:receplor dynamics[J].Prog Neuropsychamaool Biol Psychiatry.1990,14(4):503-523.
    [35]Van Wi jngaarden, M Th M Tulp,W Soudijn. The concept of selectivity in 5-HT receptor research[J].European Journal of Pharmaoology-Molecular Pharmacologgy Section,1990,188:301-312.
    [36]O Toole JM,Sekula LK, Rubin RT. Pituitary-adrenal cortical axis measures as predictors of sustained remission in major depression [J]. Biol Psychiatry.1997,42:85-89
    [37]Frank MQ Hendricks SE, Bessette D. Levels of monocyte reactive oxygen species are associated with reduced natural killer cell activity in major depressive disorder[J]. Neuropsyccchobiology 2001,44(1):1-6.
    [38]Maddock C, Pariante CM. How does stress affect you? An overview of stress,immunity, depression and disease[J]. Epidemiol Psichiatr Soc,2001 Jul-Sep,10(3):153-6.
    [39]Keith Kramlinger, M.D.Mayo Clinic on Depression [J].Mayo Clinic 2004.C1
    [40]喜戒.Universal Love [J].Sayadaw U Silananda,1984
    [41]Bruscia.K.Defining Music Therapy. Spring City, PA:Spring House Books,1989,47
    [42]凌海成.佛教音乐研究领域的扩大与延伸[M].佛教文化,2006,(3):92
    [43]赵裕民.中国音乐电针疗法[J].航天技术与民品,1998,(2):44-46
    [44]Joseph. Music play therapy. An integrated approach. The Arts in psychotherapy,1985, 12:17
    [45]胡世萍,杨世贤.日本对音乐疗法的研究进展[J].国外医学:护理学分册,2000,19(3):118
    [46]张旻琰.音乐治疗的传入及在中国的发展[J].中国音乐,2004,1:105~107
    [47]穆俊霞,玄振玉,李新毅.《内经》中五音的含义及与五脏的关系[J].山东中医药大学学报,2000,24(2):92
    [48]章文春.中医音乐疗法临床运用的几个问题[J]江西中医学院学报,2004,16(5):17
    [49]洪文学,李昕,高海波.一个值得注意的研究领域---音乐疗法[J].北京生物医学工程,2004,23(3):221
    [50]Chlan LL. Effectiveness of a music therapy intervention on relaxation and anxiety for patients receiving ventiatory assistance. Heart & Lung,1998,27 (3):169-176
    [51]张鸿懿.音乐疗法[J].中国自然医学杂志,1999,1(1):51~52
    [52]李金菊.佛教对中医学及养生学的影响[M].医学集刊,2006;6:48-49
    [53]孟庆珍,迟晓燕.音乐治疗对精神分裂症恢复的疗效观察[J].黑龙江医药,2002,25(4):91
    [54]刘明嘉.音乐电针治疗脑血栓形成后遗症60例疗效观察[J].中国康复医学杂志,1987,2(3):111
    [55]陈晓英.音乐护理的功效及其临床应用.实用护理杂志,201,17(4):50
    [56]Jackson NA A survey of music therapy methods and their in the treatment of early elementary school children With ADHD Music Ther.2003,40(4):302-23
    [57]孟庆珍,迟晓燕.音乐治疗对精神分裂症恢复的疗效观察[J].黑龙江医药,2002,25(4):91
    [58]刘明嘉.音乐电针治疗脑血栓形成后遗症60例疗效观察[J].中国康复医学杂志,1987,2(3):111
    [59]陈晓英.音乐护理的功效及其临床应用.实用护理杂志,201,17(4):50
    [60]Jackson NA A survey of music therapy methods and their in the treatment of early elementary school children With ADHD Music Ther.2003,40(4):302-23
    [61]张志亭.毛晨星.张瑞华等.不同类型音乐对应激小鼠淋巴细胞活性及血浆皮质醇含量影响的实验研究.中国行为学杂志,1993,2:68-69
    [62]王新玲.音乐疗法在护理中的作用.国外医学:护理学分册,2001,20(6):280
    [63]肖雪.牟玉英.音乐疗法治疗重症脑损伤病人的效果观察.护理学杂志,2002,16(8):484-485
    [64]Heike.Argstatter,Study of the effectiveness of musical stimulation during intracardiac catheterization, Clinical Research in Cardiology,2006.8
    [65]Takahiro.Ogawa,Influence of Music Listening on the Cerebral Activity by Analyzing EEG,Soft Computing Techniques and Their Applications,2005.8
    [66]普凯元.音乐治疗的理论基础.医学与哲学,1991,1:39-40
    [67]Gordon E E.A Musical Learning Theory for New Born and Young Children(M).Chicago:G.I.P Publications Int,1990(Chapter Ⅲ)
    [68]Felten DL.A personal on psychoneuroimmunology Advance. The Journal of Mind body Health,1991,7(2):28-31
    [69]刘华英.石英.急症护理中的音乐疗法.国外医学:护理分册,1999,18(10):460
    [70]刘沛.实验音乐心理学百年历史与发展[J].中国音乐,1997,(3)
    [71]Cora.L.Diaz.de Chumaceiro, Unconscious Ethnicity in Induced Song Recall:A Research Case Revisited,Journal of Poetry Therapy,2004.11
    [72]Horst K.chele,Irike Oerter, Nicola Scheytt-H.lzer,Musiktherapie in der deutschen Psychoomatik,Krankenversorgung,Weiterbildungund Forschung. bersicht, Psycho-therapeut,2004.2
    [73]吴慎.听,生命之乐.身体工房心灵文化.2006.6
    [74]章文春.中医音乐疗法临床运用的几个问题[J].江西中医学院学报,2004,10(16):17
    [1]丛春雨编.敦煌中医药全书.北京:中医古籍出版社,1994:40
    [2]雷燊.我国佛教音乐初探[J]东南传播,2006:2(18)72
    [3]姜莉.赵仓焕.音乐电针疗法浅探[J].陕西中医,2007:28(11)1573
    [4]刘成英,倪朝民.音乐电疗在康复治疗的应用[J].安徽医科大学学报,1997,32(5):650
    [5]张缙,张忆虹,白妍.电针的研究[J].中国针灸,2005,8,(25):587-588
    [6]金辉,李学伟,刘耀东,等.微处理器控制的多功能乐频理疗理和应用.医疗器械杂志,1990,14(2):101-102
    [7]贾效工.多媒体格式研究[J].现代教育技术,2003,13(1):63~65
    [8]中国国家标准汇编GB9650-9745.北京;中国标准出版,1992:274~303
    [9]陈小平,胡泽,听觉临界频带及其在声频信号处理中的应用[J],北京广播学院学报,2004,11(2):28~35
    [1]李世珍.常用腧穴临床发挥.北京:人民卫生出版社,1985.921
    [2]郭春媛.针刺头部穴位治疗失眠40例临床观察.浙江中医杂志,2006,41(4):224
    [3]柏荣华.腹针加重灸百会穴治疗梅尼埃病30例.上海针灸杂志,2005,24(12):39
    [4]傅秋彤.百会放血治疗高血压病45例临床观察.北京中医,2001,20(2):44
    [5]杨改琴,岳宝安,吴晨燕.醒脑开窍针刺法治疗抑郁症86例.陕西中医,2005,26(12):1365
    [6]白晓英,周志杰,谢治椽.针药结合治疗癔症109例.陕西中医,2004,25(2):
    [7]罗和春,汪冰霞,周树平,等.电针合并抗抑郁剂治疗抑郁症的临床观察.北京中医2003,22(2):5-7
    [8]董子平.电针治疗抑郁症101例[J].中国针灸,2001,(1):6
    [9]陈元粉.中风后抑郁症的中医治疗[J].中医杂志,2004,45(9):711.
    [10]郭元琦,郑观恩,陈丽仪,等.电针治疗失眠106例[J].上海针灸杂志,2001,20(4):52.
    [11]周玉艳.针灸治疗眩晕63例疗效分析[J].上海针灸杂志,1998
    [12]金光亮,苏晶,丁世芹,等.电针百会、印堂穴对大鼠行为及恼内单胺类神经 递质的影响.中国行为医学科学,2000,9(3):164
    [13]邱艳明,时宇静,图娅.电针印堂、百会对获得性无助鼠不同脑区内单胺类神经递质的影响.北京中医药大学学报,2002,25(6):54
    [14]金光亮,周东丰,苏晶.电针对慢反应应激抑郁模型大鼠单胺类神经递质的影响[J].中国精神科杂志,1999,32(4):220
    [15]魏晓萍,张惠琴,郑克智,等.电刺激印堂和太阳穴对家兔各睡眠时间的影响[J].陕西医学杂志,1996,25(4):253~254.
    [16]沈鲁平,金光亮,范建华,等.抗抑郁处理对慢性应激大鼠海马鸟苷酸结合蛋白表达的影响[J].中华精神科杂志,2002,35(1):25~
    [17]XU Shi-xiong, LIU Dan, LIU Yu-feng, et a.l Chinese Tradi-tionalMedicalMassage andHemodynamics. Journal ofMedi-calBiomechanics,2004,19(4):198-204
    [18]方继良,王映辉,张民,等.CT定位下风池穴安全针刺角度初步研究[J].中国针灸,2000,(5):287
    [19]张建华,余安胜,赵英侠,等.风池穴的解剖结构和针刺深度[J].针刺研究,2003,28(2):142
    [20]赵吉先,焦冰洁.安全针刺风府、哑门、风池穴的研究进展[J].针灸临床杂志,2002,18(10):45
    [21]黄南滨.大椎风池通治内外风证探讨[J].中国针灸,1994,14(5)
    [22]张平,倪兰枝.风池、风府穴在中风后遗症中的应用研究[J].中国针灸,1998,18(12):743
    [23]唐卫华.风池、风府在肝风内动证中的应用[J].光明中医,2000,6:24-26
    [24]曾伶.风池风府对穴临床应用举隅[J].四川中医,2000,18(10):55
    [25]王颖.针刺风池、风府穴对中风后遗症患者脑血流速度的影响[J].中医药临床杂志,2005,17(3):251
    [26]刘涛,杨秀娥.浅谈关于风池、风府及哑门穴三断面治疗与进针关系在临床中的应用[J].中医中药,2006,3(11):132-133

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