Clinical Effect of Five Elements Reinforcing and Reducing Acupuncture Method and Xu Yupei Acupoint on Depression of Liver Depression and Spleen Deficiency

XU Xin; LI Wenping

doi:10.14033/j.cnki.cfmr.2025.35.008

Abstract：Objective:To explore the clinical effect of the Five-element tonifying and purging acupuncture method combined with the Yu Yupei acupoint in the treatment of depression caused by liver depression and spleen deficiency.Method:This study was a prospective study,including a total of 68 patients with liver-qi stagnation and spleen-deficiency depression,all selected from the Second Affiliated People's Hospital to Fujian University of Traditional Chinese Medicine.The selection was completed from July 2022 to January 2023.The patients were divided into two groups:the control group and the observation group—according to the random number table method,with 34 cases in each group.The control group received conventional treatment plus conventional acupuncture therapy,while the observation group additionally received the Five-element tonifying and reducing acupuncture method combined with theYu Yupei acupoint acupuncture therapy.Both groups underwent continuous treatment for 4 weeks.The clinical indicators of the two groups were compared.Result:After treatment,when comparing the groups,the total effective rate of the observation group was higher,with statistically significant difference(P<0.05).The scores of each item of the Hamilton Depression Scale(HAMD)-17,the total score,and the score of the Somatic Symptom Severity Scale(PHQ-15)in the observation group were all lower,while the score of the General Self-Efficacy Scale(GSES)was higher,with statistically significant difference(P<0.05).The number of Bifidobacterium and Lactobacillus flora in the observation group was higher,while the number of Escherichia coli and Enterococcus flora was lower,with statistically significant difference(P<0.05).Conclusion:The Five-element tonifying and purging acupuncture method combined with the Shu and Mu acupoints has a definite therapeutic effect on patients with liver depression and spleen deficiency depression.It can relieve patients'depressive mood,improve their physical health and self-efficacy,and regulate the intestinal flora.