仝小林院士治疗儿童偏瘫型偏头痛验案
A clinical case study of the treatment of pediatric hemiplegic migraine by Academician Tong Xiaolin
金籽杉 1王思成 2张琪棋 2马凯乐 2王昭博 2张莉莉2
作者信息
- 1. 中国中医科学院广安门医院代谢病研究所,北京 100053;北京中医药大学,北京 100029
- 2. 中国中医科学院广安门医院代谢病研究所,北京 100053
- 折叠
摘要
偏瘫型偏头痛是以偏瘫作为头痛发作的先兆症状之一,数十分钟后发生对侧或同侧头痛的罕见性原发性神经血管性头痛.现代医学对其发病机制尚不明确.仝小林院士基于"脏腑风湿"及"态靶辨治"理论体系,围绕运动型偏瘫型偏头痛病例,将其归属于顶焦风湿病之髓系疾病,治疗时以透邪外出为本,兼顾化痰解瘀、固护正气.将中医思维融入现代医学,以简驭繁针对疑难病例的核心病机精确治疗.现系统梳理本案诊疗思路及用药战略,以期为疑难杂病提供更多的临床诊治方案.
Abstract
Hemiplegic migraine is a rare primary neurovascular headache characterized by hemiplegia as one of the aura symptoms,followed by contralateral or ipsilateral headaches after dozens of minutes.Modern medicine classifies it as a difficult and complex disease,with its pathogenesis still unclear.Academician Tong Xiaolin,based on the theories of"rheumatism in zang-fu viscera"and"differentiation and treatment based on states and target",categorizes it as a marrow disease of the top jiao rheumatism in cases of motor-type hemiplegic migraine.The treatment of the disease focuses on expelling pathogenic factors while also addressing phlegm resolution,blood stasis removal,and reinforcement and protection of the vital energy,which integrates traditional Chinese medicine(TCM)thinking into modern medicine,and offers precise treatment for the core pathogeneses of difficult cases by simplifying complex problems.This paper systematically reviews the diagnostic and therapeutic approaches and medication strategy for this case,aiming to provide more clinical diagnosis and treatment options for complex diseases.
关键词
偏瘫型偏头痛/态靶辨治/脏腑风湿Key words
hemiplegic migraine/differentiation and treatment based on state and target/rheumatism in zang-fu viscera引用本文复制引用
基金项目
中国中医科学院广安门医院临床医学研究中心建设专项(2022LYJSZX28)
中华中医药学会青年人才托举工程项目(2023-2025)(CACM-2023-QNRC2-A08)
中央级公益性科研院所基本科研业务费专项(ZZ16-XRZ-042)
出版年
2024
国家科技期刊平台
NSTL
万方数据