摘要
目的；探讨神庭、内关和三阴交穴在针刺治疗偏头痛中的作用。方法：在德国Aachen市门诊工作中，以神庭，双侧内关和三阴交为主穴，双侧合谷、太冲，患侧头维、阳白、攒竹、丝竹空、率谷、四白，耳穴交感、神门、心和内分泌为配穴（调神针刺法）治疗偏头痛患者30例，与常规针刺法治疗28例患者进行对照。观察两组疗效及即时止痛效果。结果：调神针刺法总有效率为90.0％，常规针刺法为75.0％，前者疗效好于后者（X^2=4．57，P〈0．05）。调神针刺法治疗24h后止痛效果远优于常规针刺法（X^2=10．11，P〈0．01）。结论：应用神庭、内关和三阴交穴治疗偏头痛可以取得较常规针刺方法更好的疗效。
Objective： To observe the clinical effects of needling acupoints Shenting（GV 24）, Neiguan（PC 6） and Sanyinjiao（SP 6） in the treatment of migraine. Methods： Thirty cases of Germen patients with migraine were treated mainly by Shenting（GV 24）, bilateral Neiguan（PC 6） and Sanyinjiao（SP 6）, as well as bilateral Hegu（LI 4） and Taichong（LR 3）, Touwei（ST 8）, Yangbai（GB 14）, Cuanzhu（BL 2）, Sizhukong（TE 23）, Shuaigu（GB 8） and Sibai（ST 2） in the affected side of head, auricular Sympathetic （MA-AH 7）, Er Shenmen （MA-TF 1）, Heart （MA- IC） and Endocrine （MA-IC 3）; another 28 cases were treated by routine acupuncture. The clinical results and immediate pain relieving effects were observed. Results. The total effective rate was 90.0% in treatment group and 75.0% in control group, X^2= 4.57, P 〈 0.05; the 24 hour pain-relieving effects were obviously better in treatment group than that in control group, X^2= 10.11, P〈 0.01. Conclusion： Needling Shenting（GV 24）, Neiguan （PC 6） and San yinjiao（SP 6） has better effects than routine acupuncture in the treatment of migraine.
