中国中医急症2024,Vol.33Issue(5) :816-819.DOI:10.3969/j.issn.1004-745X.2024.05.014

从"开通玄府"论偏头痛证治

On the Treatment of Migraine from"Opening Xuanfu"

金霞霞 董文迪 高桃 闫咏梅 周锋 常凯乐
中国中医急症2024,Vol.33Issue(5) :816-819.DOI:10.3969/j.issn.1004-745X.2024.05.014

从"开通玄府"论偏头痛证治

On the Treatment of Migraine from"Opening Xuanfu"

金霞霞 1董文迪 2高桃 3闫咏梅 4周锋 5常凯乐3
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作者信息

  • 1. 中国中医科学院中药资源中心,北京 100700
  • 2. 广州中医药大学佛山临床医学院,广东省佛山市中医院,广东佛山 528000
  • 3. 陕西中医药大学,陕西咸阳 712046
  • 4. 中国中医科学院中药资源中心,北京 100700;陕西中医药大学附属医院,陕西咸阳 712000
  • 5. 陕西中医药大学附属医院,陕西咸阳 712000
  • 折叠

摘要

玄府是人体生命活动的基本物质升降出入的结构基础,在脑部微循环中发挥着重要作用.脑为元神之府,总领五脏之神,脑玄府开阖功能正常是脑内气、血、津、液流通的重要条件,也是大脑发挥正常生理功能的基础,在脑部微循环中至关重要.偏头痛病位在脑,与脑玄府关系密切,故笔者考虑从"开通玄府"着手,首先明确其理论内涵,再运用该理论对偏头痛的发病机制及治疗进行分析,以期对临证治疗提供借鉴.

Abstract

Xuanfu serves as the fundamental structural basis for the ascending,descending,entering,and exiting movements of essential substances in human physiological activities.It plays a pivotal role in the microcirculation within the brain.The brain is regarded as the abode of the primordial spirit,governing the spirits of all five organs;thus,the proper opening and closing functions of the cerebral Xuanfu are crucial prerequisites for the unobstructed circulation of Qi,blood,body fluids,and essence within the brain,forming the very foundation for the normal physi-ological functioning of the brain,particularly in its microcirculatory context.Migraine,whose location is attributed to the brain in TCM,is closely related to the cerebral Xuanfu.Therefore,the authors propose to commence from the perspective of"Opening Xuanfu"and first elucidate the theoretical connotations of this concept.Subsequently,the authors aim to apply this theory to analyze the pathogenesis and treatment of migraines,ultimately providing a reference for clinical practice and therapeutic strategies.

关键词

偏头痛/脑玄府/血脑屏障/开通玄府/风药

Key words

Migraine/Cerebral Xuanfu/Blood-brain barrier/Opening Xuanfu/Feng drug

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基金项目

国家自然科学基金青年基金(82204851)

陕西省自然科学基础研究计划(2022JQ-955)

出版年

2024
中国中医急症
中华中医药学会

中国中医急症

CSTPCD
影响因子:1.144
ISSN:1004-745X
参考文献量15
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