摘要
偏头痛属于中医头痛范畴,具有慢性、反复发作等特点."少阳为枢"理论源于《黄帝内经》,少阳为三阳之枢,枢转一身之阳气,为六经之枢,枢转表里之阴阳;少阳枢机不利,致阳气枢转失常,瘀滞不行,则无以推动气血运行,上荣脑窍,加之外邪侵袭,阳气不足无力抗邪,则发为头痛.故调节少阳枢机,乃治疗偏头痛的重要法则,在临床中常使用散偏汤开郁行气,此方常用于治疗郁气不宣,风邪袭于少阳经之半边头风,可疏散少阳风邪,实现"祛阳邪,通阳经,调枢机"的目的,从而改善头痛症状,减少头痛发作次数.通过分析"少阳为枢"内涵,旨在充实并传承传统中医理论在现代临床中的运用.
Abstract
Migraine falls under the category of headaches in traditional Chinese medicine(TCM)and is character-ized by its chronic and recurrent nature.The theory of"Shaoyang as the pivot"originates from the Huangdi Neijing.Shaoy-ang functions as the pivot among the three Yang channels,facilitating the circulation of Yang Qi throughout the body,acting as the pivot of the six meridians,and balancing the Yin and Yang of the exterior and interior.When the Shaoyang pivot is impaired,the normal circulation of Yang Qi is disrupted,leading to stagnation.This stagnation impairs the circulation of Qi and blood to the head,and when compounded by external pathogenic invasion and deficiency of Yang Qi,which weakens the body's resistance,headaches are triggered.Therefore,regulating the Shaoyang pivot is an essential principle in the treat-ment of migraines.In clinical practice,Sanpian decoction is often used to relieve stagnation and promote Qi flow.This for-mula is frequently applied to treat migraines caused by constrained Qi and wind pathogen attacking the Shaoyang meridian on one side of the head.It helps disperse wind from the Shaoyang meridian,achieving the therapeutic effects of"expelling Yang pathogens,unblocking the Yang meridian,and regulating the pivot,"thereby alleviating headache symptoms and re-ducing the frequency of migraine attacks.By analyzing the theory of"Shaoyang as the pivot",this approach aims to enrich and inherit the application of traditional Chinese medicine theory in modern clinical practice.
基金项目
国家重点研发计划中医药现代化研究专项(2019YFC1709702)
北京市中医药科技发展资金项目(JJ-2020-36)
万方数据