李军教授气滞血瘀立论治疗三叉神经痛经验

Experiences of Prof.LI Jun on Treating Trigeminal Neuralgia with the Theory of Qi Stagnation and Blood Stasis

李军教授擅用宁神之法,运用针药结合治疗三叉神经痛,在中医"辨病"理论思想指导下,根据三叉神经痛特异性临床症状———发作性头面剧痛,提出三叉神经痛的共同病机是气滞血瘀,疏肝行气、祛瘀通络、宁神镇痛是治疗主法,柴胡疏肝散加减是其主方。一病一法,一法一方进行辨病证治疗更具有普适性。同时配合针刺疗法临床收效颇佳。

Professor LI Jun is good at using calming-method and combination of traditional Chinese medicine and acupunc- ture to treat trigeminal neuralgia. Under the guidance of the dialectics theory Of Chinese medicine, according to the common spe- cificity clinical symptoms of the trigeminal neuralgia--paroxysmal facial headache, professor Li proposes the common pathogene- sis of trigeminal neuralgia： Qi stagnation and blood stasis. Promoting Qi flow and soothing liver, dispelling stasis and freeing the network vessels, calming analgesia are the main methods, addition and subtraction of Chaihu Shugan Powder is the main recipe of treatment. One illness, one method ; one method, one prescription is more universal. Meanwhile, clinical effects can be bet- ter in conjunction with acupuncture treatment.