马智头痛合剂治疗外感内伤头痛

Professor MA Zhi's Experience in Treating Headache

马智教授认为凡诊头痛,当先辨新久,次辨表里。"盖暂痛者,必因邪气,久病者必兼元气"。新病必有邪气,有表邪者,治宜疏散,最忌清降;属里证者,治宜清降,最忌升散;久病者,必耗元气,以虚为主,且久病入络,治疗当重补虚,并注意虚中夹实,适当运用化瘀之法。提出根据经络循行在相应的方药中加入引经药,能显著地提高疗效。头为"诸阳脉之所聚",手足三阳经均循行头面,厥阴经亦上会于巅顶。太阳头痛,多位于后头部,下连于项,加入羌活、川芎、葛根;阳明头痛,多位于前额连眉棱骨处,连及目珠,加入白芷;少阳头痛,多在头部两侧,或连及耳部,加入柴胡、黄芩;痛在巅顶部,是为厥阴头痛,则加入吴茱萸、藁本。创立"头痛合剂",天麻、菊花、蔓荆子、川芎等,方剂配伍短小精悍,既能疏散外风,又能平息内风,无论外感内伤头痛均可加减应用,见效快且疗效显著。附肝阳上亢、气滞痰凝头痛验案二则。

The MA Zhi professor who first identified a new diagnosis of headache, long time resolution table. ＂To build a temporary pain, will be the cause of evil, a will and strength＂. There will be a new disease evil, evil form, treatment should be evacuated, most avoid Qingjiang; belongs to the interior, treatment should be clear, most avoid lifting powder; long, will consume vitality, to virtual, and long into the network, when treating heavy tonic, and placed in empty solid, appropriate by removing blood stasis. According to the channels and collaterals, the meridian medicine is added to the corresponding prescriptions, and the curative effect can be remarkably improved. Head for ＂the Yang meridians of foot Sanyang are together＂, through the line head,Jueyin was also will be in the top of the top. The sun is a headache, after the head, even to join, notopterygium, Rhizoma Chuanxiong, Radix Puerariae; Yangming headache, even in the forehead and eyes superciliary ridge, even, adding Angelica; Shaoyang headache, many on both sides of the head, or even join and ear, bupleurum, Scutellaria; pain in the top of the top, is faint Yin headache, add Evodia, lignsticum. Self created ＂headache mixture＂, commonly used drugs： Gastrodia elata, chrysanthemum, Vitex nut, chuanxiong and so on. Looking at the whole party, dapper, can wind, and can calm wind, whether it can be modified using exogenous and internal injuries headache, quick effect and obvious curative effect.