Volume 23 Issue 8
Aug.  2025
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FENG Peipei, YU Wei, HE Min, SHEN Zui. Ancient and modern studies on acupuncture for anxiety and depression from the perspective of spleen and stomach meridians[J]. Chinese Journal of General Practice, 2025, 23(8): 1382-1386. doi: 10.16766/j.cnki.issn.1674-4152.004139
Citation: FENG Peipei, YU Wei, HE Min, SHEN Zui. Ancient and modern studies on acupuncture for anxiety and depression from the perspective of spleen and stomach meridians[J]. Chinese Journal of General Practice, 2025, 23(8): 1382-1386. doi: 10.16766/j.cnki.issn.1674-4152.004139

Ancient and modern studies on acupuncture for anxiety and depression from the perspective of spleen and stomach meridians

doi: 10.16766/j.cnki.issn.1674-4152.004139
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 LY24H270006

 2024KY1232

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  • Received Date: 2024-09-23
    Available Online: 2025-10-31
  • In recent years, the incidence of anxiety and depression has continued to rise, with an increasing number of affected patients seeking treatment in acupuncture departments. Currently, clinical acupuncture treatment for anxiety and depression focused on the Heart Meridian (Pericardium Meridian) and Liver Meridian, aiming to calm the mind and spirit while relieving liver stagnation and depression. However, patients with anxiety and depression in acupuncture department are not experiencing these symptoms for the first-time, rarely, they have endured long-term or recurrent conditions. In light of the principles that "excessive thinking injures the spleen" and "prolonged illness injures the spleen", the clinical treatment of anxiety and depression with acupuncture needs to emphasize the regulation of the spleen-stomach meridians (acupoints). However, relatively little research has investigated the treatment of anxiety and depression from the perspective of the spleen-stomach meridians (acupoints). Traditional Chinese medicine (TCM) has a long-standing understanding of anxiety and depression, although it does not refer to them explicitly as "anxiety" or "depression". Instead, relevant symptoms are dispersed among diseases such as "dian kuang" (mania and delirium) and "yu zheng" (depression syndrome). This article begins by examining records from classical Chinese medical literature to explore the relationship between the spleen-stomach meridians (acupoints) and anxiety and depression from four aspects: the direct correlation with anxiety and depression, the relationship through the regulation of qi and blood, and their indirect connections through the heart/liver with anxiety and depression. It excavates and summarizes the relevance of the spleen-stomach meridians (acupoints) to anxiety and depression within the theoretical framework of TCM theory. Finally, from the perspective of modern biomedical science, the article focuses on the gut microbiota-vagus nerve-brain axis to elucidate the potential material basis and scientific underpinnings of the association between the spleen-stomach meridians (acupoints) and anxiety and depression. In summary, this article aims to deepen the clinical application of acupuncture in the prevention and treatment of anxiety and depression by integrating classical theory with modern research. It provides diagnostic and therapeutic insights and contributes to the development of acupuncture treatment strategies for mental health conditions.

     

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  • [1]
    MA X Y, YU W, YAO P A, et al. Afferent and efferent projections of the rostral anterior cingulate cortex in young and middle-aged mice[J]. Front Aging Neurosci, 2022, 14: 960868. DOI: 10.3389/fnagi.2022.960868.
    [2]
    HUANG Y Q, WANG Y, WANG H, et al. Prevalence of mental disorders in China: a cross-sectional epidemiological study[J]. Lancet Psychiatry, 2019, 6(3): 211-224. doi: 10.1016/S2215-0366(18)30511-X
    [3]
    LU J, XU X F, HUANG Y Q, et al. Prevalence of depressive disorders and treatment in China: a cross-sectional epidemiological study[J]. Lancet Psychiatry, 2021, 8(11): 981-990. doi: 10.1016/S2215-0366(21)00251-0
    [4]
    刘莉. 基于菌-肠-脑轴的肠肽与焦虑抑郁关系的研究进展[J]. 中华全科医学, 2022, 20(8): 1388-1399. doi: 10.16766/j.cnki.issn.1674-4152.004071

    LIU L. Research progress of intestinal peptides and the occurrence of anxiety and depression on the basis of the microbiota-gut-brain axis[J]. Chinese Journal of General Practice, 2022, 20(8): 1388-1399. doi: 10.16766/j.cnki.issn.1674-4152.004071
    [5]
    王建刚, 闫换妮, 张珂, 等. 解郁清心安神汤对抑郁症患者不良情绪产生及QOL评分的影响[J]. 中华全科医学, 2023, 21(4): 681-684. doi: 10.16766/j.cnki.issn.1674-4152.002959

    WANG J G, YAN H N, ZHANG K, et al. Effect of Jieyu Qingxin Anshen Decoction on adverse emotion and quality of life scale score in patients with depression[J]. Chinese Journal of General Practice, 2023, 21(4): 681-684. doi: 10.16766/j.cnki.issn.1674-4152.002959
    [6]
    蔡嫣然, 胡镜清, 王传池, 等. 从《脾胃论》管窥李东垣论治心系病症的学术思想[J]. 世界中医药, 2021, 16(12): 1871-1874.

    CAI Y R, HU J Q, WANG C C, et al. On the thinking of treatment of heart disease in Li Dongyuan from the theory of spleen and stomach[J]. Chinese Journal of General Practice, 2021, 16(12): 1871-1874.
    [7]
    冯锴, 任昕昕, 于庆洋, 等. 心脾相关理论指导儿童神经精神类疾病的治疗[J]. 中医学报, 2020, 35(3): 535-538.

    FENG K, REN X X, YU Q Y, et al. Treating neuropsychiatric diseases in children guided by the theory of heart close to spleen[J]. Acta Chinese Medicine, 2020, 35(3): 535-538.
    [8]
    李鑫, 马阳阳, 吴秋玲. 从中焦脾胃论治失眠经验[J]. 环球中医药, 2021, 14(8): 1490-1492.

    LI X, MA Y Y, WU Q L. Experience in treating insomnia based on the spleen and stomach in the middle jiao[J]. Global Traditional Chinese Medicine, 2021, 14(8): 1490-1492.
    [9]
    谭令, 程发峰, 王雪茜, 等. 浅析张仲景从五脏论治心系病证[J]. 湖南中医杂志, 2019, 35(8): 100-104.

    TAN L, CHENG F F, WANG X Q, et al. A Brief Analysis of Zhang Zhongjing ' s Treatment of Diseases Based on the Five Internal Organs[J]. Hunan Journal of Traditional Chinese Medicine, 2019, 35(8): 100-104.
    [10]
    王渊, 韩祖成. 基于肠道菌群理论探讨"抑木扶土法"治疗郁病的理论基础[J]. 中西医结合心脑血管病杂志, 2021, 19(11): 1927-1930.

    WANG Y, HAN Z C. Based on the theory of intestinal flora, this paper explores the theoretical basis of the "Method of suppressing wood and supporting soil" in treating depression[J]. Journal of Integrated Traditional Chinese and Western Medicine for Cardiovascular and Cerebrovascular Diseases, 2021, 19(11): 1927-1930.
    [11]
    LIAO C, TAN Y, WANG K, et al. The impact and correlation of anxiety and depression on pressure pain threshold of acupoints in patients with chronic pelvic inflammatory disease[J]. Pain Res Manag, 2023, 2023: 3315090. DOI: 10.1155/2023/3315090.
    [12]
    TU M, XIONG S, LYU S, et al. Acupuncture for major depressive disorder: a data mining-based literature study[J]. Neuropsychiatr Dis Treat, 2023, 19: 1069-1084. doi: 10.2147/NDT.S405728
    [13]
    WENG H, DENG L, WANG T, et al. Humid heat environment causes anxiety-like disorder via impairing gut microbiota and bile acid metabolism in mice[J]. Nat Commun, 2024, 15(1): 5697. DOI: 10.1038/s41467-024-49972-w.
    [14]
    NEEDHAM B D, FUNABASHI M, ADAME M D, et al. A gut-derived metabolite alters brain activity and anxiety behaviour in mice[J]. Nature, 2022, 602(7898): 647-653. doi: 10.1038/s41586-022-04396-8
    [15]
    ZHAO M, REN Z, ZHAO A, et al. Gut bacteria-driven homovanillic acid alleviates depression by modulating synaptic integrity[J]. Cell Metabolism, 2024, 36(5): 1000-1012. e1006. doi: 10.1016/j.cmet.2024.03.010
    [16]
    CHEN X Y, MO X L, ZHANG Y D, et al. A comprehensive analysis of the differential expression in the hippocampus of depression induced by gut microbiota compared to traditional stress[J]. Gene, 2024, 927: 148633. DOI: 10.1016/j.gene.2024.148633.
    [17]
    WANG J Y, ZHU H H, SONG X K, et al. Electroacupuncture regulates gut microbiota to reduce depressive-like behavior in rats[J]. Front Microbiol, 2024, 15: 1327630. DOI: 10.3389/fmicb.2024.1327630.
    [18]
    吕世盟, 张光恒, 路亦桐, 等. 基于海马代谢组学与16S rRNA测序探讨电针抗焦虑作用机制[J]. 世界科学技术-中医药现代化, 2024, 26(4): 1036-1049.

    LYU S M, ZHANG G H, LU Y T, et al. The mechanism of electroacupuncture ' s anti-anxiety effect was explored based on hippocampal metabolomics and 16S rRNA sequencing[J]. World Science and Technology-Modernization of Traditional Chinese Medicine, 2024, 26(4): 1036-1049.
    [19]
    JIANG H L, DENG S Z, ZHANG J Y, et al. Acupuncture treatment for post-stroke depression: intestinal microbiota and its role[J]. Front Neurosci, 2023, 17: 1146946. DOI: 10.3389/fnins.2023.1146946.
    [20]
    TAN C R, YAN Q Q, MA Y, et al. Recognizing the role of the vagus nerve in depression from microbiota-gut brain axis[J]. Front Neurol, 2022, 13: 1015175. DOI: 10.3389/fneur.2022.1015175.
    [21]
    肖钰雯, 吴林, 江家乔, 等. 基于脑-肠轴理论探讨中医从肝脾论治抑郁症研究进展[J]. 亚太传统医药, 2021, 17(5): 196-200.

    XIAO Y W, WU L, JIANG J Q, et al. Based on the brain-gut axis theory, this paper explores the research progress of treating depression from the perspective of liver and spleen in traditional Chinese medicine[J]. Asia Pacific Traditional Medicine, 2021, 17(5): 196-200.
    [22]
    SONG N, LIU Z, GAO Y, et al. NAc-DBS corrects depression-like behaviors in CUMS mouse model via disinhibition of DA neurons in the VTA[J]. Mol Psychiatry, 2024, 29(5): 1550-1566. doi: 10.1038/s41380-024-02476-x
    [23]
    VAHID-ANSARI F, ZAHRAI A, DAIGLE M, et al. Chronic desipramine reverses deficits in cell activity, norepinephrine innervation, and anxiety-depression phenotypes in fluoxetine-resistant cF1ko mice[J]. J Neurosci, 2024, 44(3): e1147232023. DOI: 10.1523/JNEUROSCI.1147-23.2023.
    [24]
    LI Y M, XU G C, HU S, et al. Electroacupuncture alleviates intestinal inflammation and barrier dysfunction by activating dopamine in a rat model of intestinal ischaemia[J]. Acupunct Med, 2021, 39(3): 208-216. doi: 10.1177/0964528420922232
    [25]
    LIU S B, WANG Z F, SU Y S, et al. A neuroanatomical basis for electroacupuncture to drive the vagal-adrenal axis[J]. Nature, 2021, 598(7882): 641-645. doi: 10.1038/s41586-021-04001-4
    [26]
    DOU Y N, LUO J Q, YU J T, et al. Cholinergic system is involved in the therapeutic effect of madecassoside on collagen-induced arthritis in rats[J]. Int Immunopharmacol, 2019, 75: 105813. DOI: 10.1016/j.intimp.2019.105813.
    [27]
    BROWNING K N, VERHEIJDEN S, BOECKXSTAENS G E. The vagus nerve in appetite regulation, mood, and intestinal inflammation[J]. Gastroenterology, 2017, 152(4): 730-744. doi: 10.1053/j.gastro.2016.10.046
    [28]
    LEI W, ZHAO C, SUN J, et al. Electroacupuncture ameliorates intestinal barrier destruction in mice with bile duct ligation-induced liver injury by activating the cholinergic anti-inflammatory pathway[J]. Neuromodulation, 2022, 25(8): 1122-1133. doi: 10.1016/j.neurom.2022.02.001
    [29]
    YANG N N, YANG J W, YE Y, et al. Electroacupuncture ameliorates intestinal inflammation by activating α7nAChR-mediated JAK2/STAT3 signaling pathway in postoperative ileus[J]. Theranostics, 2021, 11(9): 4078-4089. doi: 10.7150/thno.52574
    [30]
    LIN S S, ZHOU B, CHEN B J, et al. Electroacupuncture prevents astrocyte atrophy to alleviate depression[J]. Cell Death Dis, 2023, 14(5): 343. DOI: 10.1038/s41419-023-05839-4.
    [31]
    CHEN F, YANG J, ZHANG H, et al. The role of amygdala neuropsin/serpinb6 pathway in the regulation of gastric hypersensitivity and anxiety by electroacupuncture[J]. J Dig Dis, 2022, 23(3): 149-156. doi: 10.1111/1751-2980.13089
    [32]
    ZHU J, WANG C, WANG Y, et al. Electroacupuncture alleviates anxiety and modulates amygdala CRH/CRHR1 signaling in single prolonged stress mice[J]. Acupunct Med, 2022, 40(4): 369-378. doi: 10.1177/09645284211056352
    [33]
    ZHENG J Y, WANG Y, ZHANG C, et al. Electroacupuncture negatively regulates the Nesfatin-1/ERK/CREB pathway to alleviate HPA axis hyperactivity and anxiety-like behaviors caused by surgical trauma[J]. Chin Med, 2024, 19(1): 108. DOI: 10.1186/s13020-024-00974-2.
    [34]
    ZHOU F N, JIANG H, KONG N, et al. Electroacupuncture attenuated anxiety and depression-like behavior via inhibition of hippocampal inflammatory response and metabolic disorders in TNBS-induced IBD rats[J]. Oxid Med Cell Longev, 2022, 2022: 8295580. DOI: 10.1155/2022/8295580.
    [35]
    LI P, ZHAO J N, WEI X X, et al. Acupuncture may play a key role in anti-depression through various mechanisms in depression[J]. Chin Med, 2024, 19(1): 135. DOI: 10.1186/s13020-024-00990-2.
    [36]
    SHEN Z, ZHANG H, WU Z, et al. Electroacupuncture alleviates chronic pain-induced anxiety disorders by regulating the rACC-thalamus circuitry[J]. Front Neurosci, 2020, 14: 615395. DOI: 10.3389/fnins.2020.615395.
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