This paper introduces FU Wenbin's clinical experience in treatment of post-stroke depression with holistic therapy of acupuncture and moxibusiton for Shugan Tiaoshen (soothing the liver and regulating the mind). In pathogenesis, post-stroke depression is associated with the loss of the mind control and the failure of the liver in maintaining the free flow of qi. In treating principle, soothing the liver qi and regulating the mind are equally important, and the holistic regulation is applicable with the combination of multiple therapies. During treatment, the four-gate points are stimulated at first to promote liver qi flowing, the acupoints of the conception vessel and the governor vessel (e.g. Zhongwan [CV12], Guanyuan [CV4], Baihui [GV20], Yintang [GV24⁺]) are combined to regulate the mind and regain the consciousness. The conditions of illness are differentiated in terms of excess and deficiency, and the point prescription is modified accordingly. Refined moxibustion is applied specially at Fengchi (GB20), Fengfu (GV16) and Wangu (GB12) to warm meridians, strengthen yang and nourish the mind. In the last step of treatment, shallow needling techniques, such as the pricking and bloodletting, intradermal needling and auricular acupuncture, are used to consolidate the curative effect.
Humans ; Acupuncture Therapy ; Depression/etiology* ; Stroke/psychology* ; Female ; Male ; Middle Aged ; Acupuncture Points ; Moxibustion ; Aged ; Adult

With the development of manned space technology,long-term space missions have gradually become a reality,but the problem of sleep disorders faced by astronauts has become increasingly prominent.The combined effects of microgravity,abnormal circadian rhythm,confined space pressure and psychological stress in space environment lead to the significant decline of sleep quality of astronauts,which is manifested as difficulty falling asleep,sleep fragmentation and reduction of deep sleep.Based on the theory of traditional Chinese medicine,this paper systematically analyzes the etiology and pathogenesis of astronaut sleep disorders,and reveals the unique advantages of transcutaneous electrical acupoint stimulation in space medicine,which provides a new idea for the construction of non-pharmacological sleep intervention system.Although there are technical difficulties,non-pharmacological therapy such as transcutaneous electrical acupoint stimulation is still a key breakthrough to solve sleep disorders in astronauts.It is expected to become an important part of space medicine and provide safe and efficient health protection for long-term space missions.