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裘昌林治疗偏头痛用药特色

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目的:总结裘昌林教授治疗偏头痛的用药特色和学术观点.方法:通过复习相关中医文献、跟师临证、整理医案等方式,总结偏头痛的病因病机以及裘主任的治疗思路、用药特色,并举验案一则以示临床应用.结果:裘主任认为风、痰、瘀是偏头痛的主要致病因素,瘀阻脉络,不通则痛是偏头痛的根本病机.治疗上裘主任在辨证论治基础上以"活血养血,祛风通络"为重点.临证巧用四物汤,善用虫类药,活用引经药,使药达病所,祛邪而不伤正.结论:裘昌林教授治疗偏头痛用药特色明显,临床疗效突出,值得推广.
Characteristics of Medication in the Treatment of Migraine by Qiu Changlin
Objective:To summarize the medication characteristics and academic viewpoints of Professor Qiu Changlin in the treatment of migraine.Methods:By reviewing relevant traditional Chinese medicine(TCM)literature,following Professor Qius clinical practice,and collating medical case records,the etiology and pathogenesis of migraine as well as Professor Qiu's treatment strategies and medication characteristics were summarized.An illustrative case was presented to demonstrate clinical application.Results:Professor Qiu be-lieves that wind,phlegm,and blood stasis are the primary pathogenic factors in migraine.The fundamental pathogenesis of migraine lies in blood stasis blocking the meridians,resulting in pain due to obstruction.In treatment,Professor Qiu focuses on"activating blood circulation and nourishing blood,dispelling wind,and promoting collaterals"based on syndrome differentiation and treatment.In clinical practice,he skillfully utilizes Siwu Tang(Four Ingredients Decoction),adeptly employs insect-derived medicines,and flexibly applies me-ridian-guiding drugs to ensure that the medications reach the affected areas,dispelling pathogens without inju-ring the body's vital qi.Conclusion:Professor Qiu Changlin's distinctive medication characteristics in the treat-ment of migraine,accompanied by outstanding clinical efficacy,are worthy of promotion.

MigraineFamous physician's experienceQiu ChanglinMedical case

苏小玲、裘昊、裘昌林

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嵊州市中医院,浙江嵊州 312400

浙江省中医院,浙江杭州 310000

偏头痛 名医经验 裘昌林 医案

2024

黔南民族医专学报
黔南民族医学高等专科学校

黔南民族医专学报

影响因子:0.235
ISSN:1008-4983
年,卷(期):2024.37(3)
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