头痛的中西医诊断与治疗

Use Integrative Medicine to Diagnose and Treat Headache

头痛的诊断应辨明病因,首先要排除蛛网膜下腔出血和脑出血,可查头CT;详细询问头痛特点、起因、病程、持续时间、部位、性质、程度以及加重和减轻诱因等,从中收集线索或诊断的方向;了解伴发症状,进行全面内科及神经系统体检,有针对性的选择相关辅助检查。继发性头痛,多采用西医治疗,积极治疗原发病;中医治疗一般采用八纲辨证,辨证分型,加入针灸治疗也可收到十分明显的疗效。

Headache diagnosis should identify the etiology,the first priority is to exclude subarachnoid hemorrhage and hematencephalon,which can be found in head CT;Detailed history-taking headache characteristics,causes,course of disease,duration,location,nature,extent and aggravating and relieving factors,from collect clues or diagnostic orientation;Understanding of accompanying symptoms,needing comprehensive Department of internal medicine and neurological examination,targeted selection of auxiliary examination,Secondary headaches always use western medicine treatment to treat the original diseases energetically;Treatment of traditional Chinese medicine commonly used in eight principal syndrome differentiation,syndrome differentiation,adding acupuncture treatment can also receive the very obvious curative effect.