偏头痛的中医药治疗概况

TCM clinical treatment of migraine

偏头痛发病之因不外外感、内伤两端,或风寒外袭,或下虚上实,或肠胃失司,致经气冲逆,上干于清道,不得运行,壅遏作痛。有虚、实之分,实者多因风寒痰郁,虚者多因气虚髓亏,最终皆致气血逆乱,瘀阻经络,脑失所养所致。临证以肝阳上亢、气滞血瘀、痰浊上扰、肝肾亏虚4型最为常见。治疗以祛邪与补虚为主,但总以缓急止痛为原则。临证采用传统中药汤剂、自拟方及中成药辨证论治,或治以针灸、推拿、按摩等中医特色疗法,中西医结合疗效更佳。今后应在结合国际评价标准的基础上进行中医药临床研究,兼顾中医特色,使中医的标准化与差异化相统一。

Migraine headache is caused by the countercurrent of channel qi to disturb Qingdao＇s function, resulting from either external infection or internal injuries, including outside cold, upper deficiency and lower excess, gastrointestinal dysfunc- tion. There are deficiency or excess reason, the former due to cold and pent-up phlegm and the later the deficiency of qi and marrow that lead to countercurrent of qi and blood, blood stasis in channel and dystrophy of brain. Clinic symptoms can be mainly classified into four kinds： hyperactivity of liver-yang, qi-stagnancy and blood stasis, phlegm turbidity and the defi- ciency of liver and kidney. Under the prerequisite of pain-relieving, the treatment is based on eliminating pathogenic and tonifying deficiency. In clinic treatment, the traditional Chinese medicine medicinal broth, self-made prescription and Chinese patent medicine are used dialectically. Special treatment in TCM such as acupuncture, manipulation and massage, or Chinese and western medicine combination treatment could be more effective. In the future, research on clinical traditional Chinese medicine should be based on international evaluation standard, which combine the characteristics of both traditional Chinese medicine to unify the standardization and differentiation of traditional Chinese medicine.