紧张型头痛中医用药规律的探讨

Investigation of Traditional Chinese Medicine Drug Laws in Tension-type Headache

目的分析总结中医药治疗紧张型头痛的用药规律。方法选取本院采用中医药治疗的60例紧张型头痛患者作为研究对象,收集患者临床资料及中医药治疗方剂,并对其进行回顾性分析和整理。结果应用药物共80味,其中以川芎应用频率最高(P<0.05);紧张型头痛临床治疗药物主要包括9类,其中解表药物应用率为25.43%,补虚药为20.72%,活血化瘀药为17.11%,平肝息风药为13.19%,各味药物应用情况相较解表药等4类药物应用频率明显高于其他类药(P<0.05)。结论川芎等12味药为治疗紧张型头痛重要药物,在应用解表药物等基础药类的同时,应重视特殊药类于组方中的应用。依据不同的病机辨证选择并配对药物的同时也应重视疏肝解郁。

Objective To analyze and summarise traditional Chinese medicine drug laws in Tension-type headache.Methods Seleced 60 cases of Tension-type headache patient with Chinese medicine treatment as study object. Collected the patient’s clinical data and their Chinese medicine treatment prescriptions and retrospectively analyzed sorted out the all information.Results The total application drugs are 80 drugs, the highest application frequency is Chuanxiong（P〈0.05）;Clinical drug in treating Tension-type headache includes 9 classes, among which the application rate of the relieving drug was 25.43%, the tonic medicine was 20.72%, the blood circulation medicine was 17.11% and the pinggan wind was 13.19%, after comparing them with other drugs, these four medicine were all higher than others.Conclusion Chuanxiong and other 11 drugs are the important medicine in treating Tension-type headache, at the same time of using the basic drugs such as relieving drug, we should pay attention to the application of special drug. Selecing and pairing drugs according to different pathogenesis differentiation and at the same time attaching importance to Liver qi stagnation.