总结李丽教授“五音调神”法治疗卒中后抑郁的辨证思路和施治方法。李教授认为卒中后抑郁病因为脑髓损伤，病机为“脑失统帅，使气立失常、神机受损”，以“守中抱一，通调五神”为治疗原则。根据脑卒中后患者悲伤心理阶段，以五期对应五郁状态，辨证选择五种调式音乐平衡五行以应五脏，辅以针刺督脉三穴（百会、神庭、印堂）藏神守神，开天门以调营卫，加减穴以和阴阳，行手法以通气机，知运气以治未病，使脏腑功能状态恢复的同时调动患者能动性，实现“主动参与，重塑生命”这一中医康复之本。

This article summarizes the dialectical thinking and treatment methods of Professor LI Li in applying “five-element music regulating emotions” method in the treatment of post-stroke depression. Professor LI believes that post-stroke depression is caused by brain marrow damage,and its pathogenesis is “brain losing its leadership function,causing abnormal qi flow and impairments of piritual mechanism”. The treatment principle is “maintaining the central harmony and regulating the five emotions”. According to the psychological stages of grief in patients after stroke,five stages correspond to the five depressive states. Five modes of music are selected based on syndrome differentiation to balance the five elements and correspond to the five internal organs. Acupuncture is used on the three acupoints along the Governor Vessel [Baihui(GV20),Shenting(GV24),and Yintang(EX-HN3)] to store and protect the spirit,open the celestial gate to regulate defensive and nutritive qi,adding or reducing acupoints to harmonize yin and yang,performing manipulation to promote the circulation of qi,and utilizing knowledge of circadian rhythms to prevent diseases. This not only restores the functional state of the internal organs but also mobilizes the patient's initiative,thereby achieving the fundamental goal of “active participation and life reconstruction” in traditional Chinese medicine rehabilitation.