针灸治疗紧张性头痛简况

Review of Acupuncture in The Treatment of Tension Headache

紧张性头疼发病率约占头痛40%,病因尚未明确,给治疗带来一定难度。针刺以"醒脑开窍、通络止痛"立法,舒经活络,调和气血、调整阴阳,以颈部穴位为基础,辨证取穴,结合阿是穴,联合心理辅导、方药、推拿等多中方法,同时可根据病情,适当选用针刀、穴位注射等特色疗法,疗效显著,副作用小,但缺乏统一的疗效标准,未来应研究应致力于大样本、多中心、随机对照,规范针灸疗效评价标准,为治疗提供确实的科学依据。

Tension headache morbidity accounts for 40% of the total headache with unknown etiology which causes certain difficulty to its treatment. Acupuncture bases on the theory of ＂eliminating headache and refreshing, removing obstruction in the channels and stopping the pain＂. It activates collaterals, harmonizes qi and blood and regulates Yin and Yang. It lays the foundation in cervical acupoint and picks its acupoints dialectically. Combined with Ashi acupoint and psychological counseling, medicine, massage, characteristic therapies such as needle-knife and acupoint injection are applied according to the patient＇s condition with remarkable curatic effect and small side effect. However, a unified standard of curatic effect has not been established. Thus future research should focus on large-scale randomized controlled multi-center studies to regulate the curative effect evaluation standard of acupuncture and to provide certain scitific basis for treatment.