偏头痛的中医药治疗概况-论文.pdf

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1、第3o@第4期长春中医药大学学报Vo1．302014年8月JoumalofChangchunUniversityofTraditionalChineseMedicine8，2014DOh10．13463／j．cnki．cczyy．2014．04．073偏头痛的中医药治疗概况陈鸿雁，董晗，张静，赵建军。(1．长春中医药大学，长春130117；2．吉林大学第一医院，长春130021；3．长春中医药大学附属医院，长春130021)摘要：偏头痛发病之因不外外感、内伤两端，或风寒外袭，或下虚上实，或肠胃失司，致经气冲逆，上干于清道，不得运行，壅遏作痛。有虚、实之分，实者多因风寒

2、痰郁，虚者多因气虚髓亏，最终皆致气血逆乱，瘀阻经络，脑失所养所致。临证以肝阳上亢、气滞血瘀、痰浊上扰、肝肾亏虚4型最为常见。治疗以祛邪与补虚为主，但总以缓急止痛为原则。临证采用传统中药汤剂、自拟方及中成药辨证论治，或治以针灸、推拿、按摩等中医特色疗法，中西医结合疗效更佳。今后应在结合国际评价标准的基础上进行中医药临床研究，兼顾中医特色，使中医的标准化与差异化相统一。关键词：偏头痛／中医药疗法；肝阳上亢；风痰阻络；辨证论治中图分类号：R246．1文献标志码：A文章编号：2095—6258(2014)04—0751—03TCMclinicaltrealmentofmigr

3、aineCHENHongyan，DONGHan2，ZHANGJing，ZHAOJianjun3(1．ChangchunUniversityofChineseMedicine，Changchun130117，China；2．FirstHospitalofJilinUniversity，Changchun130021，China；3．AffiliatedHospitalofChangchunUniversityofChineseMedicine，Changchun130021，China；)Abstract：Migraineheadacheiscausedbythecou

4、ntercurrentofchannelqitodisturbQingdao’sfunction，resultingfromei—therextemalinfectionorinternalinjuries，includingoutsidecold，upperdeficiencyandlowerexcess，gastrointestinaldysfunc—tion．Therearedeficiencyorexcessreason，theformerduetocoldandpent—upphlegmandthelaterthedeficiencyofqiandmalTO

5、Wthatleadtocountercurrentofqiandblood，blodstasisinchannelanddystrophyofbrain．Clinicsymptomscanbemainlyclassifiedintofourkinds：hyperactivityofliver-yang，qi—stagnancyandbloodstasis，phlegmturbidityandthedeft—ciencyofliverandkidney．Undertheprerequisiteofpain—relieving，thetreatmentisbasedone

6、liminatingpathogenicandtonifyingdeficiency．Inclinictreatment，thetraditionalChinesemedicinemedicinalbroth，self-madeprescriptionandChinesepatentmedicineareuseddialectically．SpecialtreatmentinTCMsuchasacupuncture，manipulationandmassage，orChineseandwesternmedicinecombinationtreatmentcouldbe

7、moreeffective．Inthefuture，researchonclinicaltraditionalChinesemedicineshouldbebasedoninternationalevaluationstandard，whichcombinethecharacteristicsofbothtraditionalChinesemedicinetounifythestandardizationanddifferentiationoftraditionalChinesemedicine．Keywords：migraine／TCMtherap