偏头痛中医诊治规律初探.docVIP

偏头痛中医诊治规律初探 　　摘 要：偏头痛是一种反复发作并逐渐加重的疾病，在《甲乙经》中首先被提出，现代中医基本确立了偏头痛的诊断、证候分类和疗效评价标准。一般认为风、寒、火、痰、虚、瘀是偏头痛发病的病理基础。偏头痛治疗主要分为发作期和缓解期的分期治疗。发作期多以祛邪为主，重在祛风、清热、化痰、活血、平肝；缓解期多以补虚为主，重在益气养血、滋阴补肾。偏头痛在上述治则的基础上，还应结合头痛部位和经络循行路线，加用不同的引经药物和虫类药，有助于提高临床疗效。 　　关键词：偏头痛；中医；诊治规律 　　中图分类号：R747.2 文献标识码：A 文章编号：1673-7717（2011）04-0717-03 　　Migraine of Traditional Chinese Medicine Diagnosis 　　and Treatment Rule 　　ZHANG Zheng-Xiang【sup】1【/sup】, CAO Ke-Gang【sup】2【/sup】, FAN Ji-Ping【sup】3【/sup】 　　（1. Department of Neurology，Zhejiang University of Traditional Chinese Medicine First 　　Affiliated Hospital ,Zhejiang Provincial Hospital of Traditional Chinese Medicine,Hangzhou 310006,Zhejiang,China 　　2.Department of Neurology, Beijing University of Chinese Medicine Affiliated Dongzhimen Hospital，Beijing 100700,China 　　3.China Academy of Chinese Medical Sciences，Beijing 100700,China） 　　Abstract:Migraine is a recurrent and progressively worsening disease,was recorded first by A-B classic.Modern Chinese medicine basically established diagnosis,syndrome classification and clinical efficacy evaluation standard of migraine. It Generally believed that wind, cold, fire, phlegm, deficiency and blood stasis had been the pathological basis of migraine onset. Migraine treatment is the stage treatment which divided into treatment of period of onset and paracmasis. It would mainly dispel an evil in the onset stage, emphasis on expelling wind, clearing heat, resolving phlegm, promoting blood circulation and calming the liver tonify the deficiency in the paracmasis, focusing on tonifying qi and nourishing blood, nourishing yin and invigorating the kidney. The treatment of migraine should add different drugs and Insect Medicine combination of headache location and meridian lines based on the above treatment principle, will help improving the efficacy. 　　Key words:migraineChinese Medicinetreatment rule 　　偏头痛是一种反复发作并逐渐加重的疾病，影响患者的生活和工作能力，增加家庭不稳定因素，加重社会负担。1989年美国偏头痛研究Ⅰ发现美国女性偏头痛的患病率大约为17.6%，男性为6%，有2360万人患有偏头痛。中国男性患病率为39