中医治疗偏头痛的用药经验分析与研究
Analysis and research on the experience of traditional Chinese medicine in the treatment of migraine
吴晶 1吴晴浩 2许建平3
作者信息
- 1. 莆田学院附属医院中医科,福建 莆田 351100
- 2. 福建中医药大学研究生院骨伤系
- 3. 福建省莆田市中医医院门诊部
- 折叠
摘要
偏头痛属于头颅内外血管舒缩功能异常发作导致的疾病症状,相关研究发现偏头痛疾病发作机制较为复杂,发作时患者会出现血管收缩,导致颅内动脉痉挛,较短时间内使颅内外的动脉舒张,导致患者出现剧烈疼痛症状.本文归纳总结许建平老师对于偏头痛的基本病机与主要治则,根据偏头痛患者疾病病因以及在临床具体的症状表现,从中医层面分析偏头痛疾病致病机理,主要是风热挟痰上壅、头痛眩晕、眉棱骨痛,针对性实施选奇汤合芍药甘草汤治疗方案,有效发挥祛风清热止痛之功效.选奇汤合芍药甘草汤能发挥镇静催眠的作用,抑制中枢去甲肾上腺素能神经末梢和多巴胺能神经末梢对于相关递质的重新摄取和储存.相关的研究实验也证明选奇汤合芍药甘草汤具有明显的镇痛作用,能够有效地改善偏头痛症状,明显缩短治疗疗程,且无明显的不良反应,有较高的治疗安全性,从而达到改善脑血管的功能障碍的目的,有效促进患者早日康复.
Abstract
Migraine is a disease symptom caused by abnormal vasodilation and contraction of blood vessels inside and outside the skull.Related studies have found that the mechanism of migraine onset is relatively complex.During the onset,patients will experience vasoconstriction,leading to intracranial artery spasm,which can cause the arteries inside and outside the skull to dilation in a short period of time,leading to severe pain symptoms in patients.This article summarizes Xu Jianping's basic pathogenesis and main treatment principles for migraine.Based on the etiology and specific clinical symptoms of migraine patients,the pathogenic mechanism of migraine is analyzed from the perspective of traditional Chinese medicine,mainly including wind heat with phlegm obstruction,headache dizziness,and eyebrow bone pain.Targeted treatment plans of Xuanqi Decoction combined with Shaoyao Gancao Decoction are implemented to effectively play the role of dispelling wind,clearing heat and relieving pain.The combination of Xuanqi Decoction and Shaoyao Gancao Decoction can exert sedative and hypnotic effects,inhibiting the reuptake and storage of related neurotransmitters by central noradrenergic nerve endings and dopamine nerve endings.Related research experiments have also proven that the combination of Xuanqi Decoction and Shaoyao Gancao Decoction has a significant analgesic effect,which can effectively improve migraine symptoms,significantly shorten the treatment course,and have no obvious adverse reactions.It has high treatment safety,thus achieving the goal of improving cerebrovascular dysfunction and effectively promoting early recovery of patients.
关键词
偏头痛/选奇汤/芍药甘草汤/治疗效果Key words
Migraine/Xuanqi Decoction/Shaoyao Gancao Decoction/Therapeutic effect引用本文复制引用
出版年
2024
NETL
NSTL
万方数据