摘要
[目的]观察辨证分型治疗偏头痛疗效。[方法]将40例门诊患者辨证分型治疗。肝郁血虚,疏郁补血汤(柴胡10g,香附18g,鸡血藤30g,川芎6g,天麻10g,女贞子、蔓荆子各12g,当归15g,白芍30g,甘草6g);阴虚阳亢,滋阴潜阳汤(石决明15g,钩藤20g,牡丹皮12g,~川牛膝10,地黄~生24g,天麻、白芍各12g,羚羊^(粉分冲)2g,甘草6g,栀子、夏枯草各13g);痰热内扰,清热祛痰汤(天竺黄10g,菊花15g,半夏~清、蔓荆子、僵蚕各12g,黄芩10g,全蝎8g,橘红、茯苓、栀子各12g,枳壳10g,竹茹13g,甘草6g);寒凝血瘀,散寒祛瘀汤(川芎12g,蔓荆子15g,全蝎8g,白芷6g,吴茱萸2g,丹参24g,赤芍13g,甘草~炙6g);1剂/d,水煎400mL,200mL/次,早晚温服,连续治疗2周为1疗程。观测临床表现、疼痛程度评分、头痛发作次数、头痛持续时间、伴随症状评分、不良反应。连续治疗1疗程(4周),判定疗效。[结果]平均发作次数、疼痛程度、头痛持续时间治疗后明显短于治疗前(P<0.01)。伴随症状积分治疗后明显低于治疗前(P<0.01)。[结论]辨证分型治疗偏头痛,疗效满意,无严重不良反应,值得推广。
[Objective] To observe the efficacy of syndrome differentiation in treating migraine. [Methods] 40 outpatients were divided into two groups according to syndrome differentiation. Liver depression and blood deficiency, Shuyu Buxue decoction(疏郁补血汤)(Chaihu 10 g, Xiangfu 18 g, Jixueteng 30 g, Chuanxiong 6 g,Tianma 10 g, Nvzhenzi, Manjingzi each 12 g, Danggui 15 g, Baishao 30 g, Gancao 6 g); Yin deficiency and Yang hyperactivity, Ziyin Qianyang decoction(滋阴潜阳汤)(Shijueming 15 g, Gouteng 20 g, peony peony 12 g,achyranthes bidentata 10 g, Dihuang 24 g, Tianma, Baishao each 12 g, Lingyangfen 2 g, Gancao 6 g, Zhizi,Xiagucao each 13 g); phlegm-heat disturbance, heat-clearing and expelling phlegm soup(清热祛痰汤)(Tianzhuhuang 10 g, Juhua 15 g, Qingbanxia, Manjingzi, Jiangcan each 12 g, Huangqin 10 g, Quanxie 8 g,Juhong, Fuling, Zhizi each 12 g, Zhiqiao 10 g Zhuru 13 g, Gancao 6 g); cold coagulation and blood stasisdispersing decoction(散寒祛瘀汤)(Chuanxiong 12 g, Manjingzi 15 g, Quanxie 8 g, Baizhi 6 g, Wuzhuyu 2 g,Danshen 24 g, Chishao 13 g, Zhigancao 6 g); 1 dose/d, decoction 400 mL, 200 mL/time, warm in the morning and evening, continuous treatment for 2 weeks as a course of treatment. Clinical manifestations, pain scores,headache attacks, headache duration, accompanying symptom scores, adverse reactions were observed.Continuous treatment for 1 courses(4 weeks), to determine the curative effect. [Results] The average attack times, pain degree and headache duration after treatment were significantly shorter than those before treatment(P〈0.01). Concomitant symptom scores were significantly lower than those before treatment(P〈0.01). [Conclusion] The treatment of migraine with syndrome differentiation has satisfactory curative effect,no serious adverse reactions, and is worthy of promotion.
作者
赵光荣
ZHAO Guangrong(Anqiu People's Hospital,Anqiu 262000,Shandong,China)
出处
《实用中医内科杂志》
2018年第9期22-24,共3页
Journal of Practical Traditional Chinese Internal Medicine
关键词
偏头痛
头风
肝郁血虚
阴虚阳亢
痰热内扰
寒凝血瘀
疏郁补血汤
滋阴潜阳汤
清热祛痰汤
散寒祛瘀汤
疼痛程度评分
头痛发作次数
头痛持续时间
伴随症状评分
中药复方
随机平行对照研究
migraine
headwind
liver stagnation and blood deficiency
Yin deficiency and Yang hyperactivity
phlegm-heat internal disturbance
cold blood coagulation and stasis
Shuyu Buxue decoction(疏郁补血汤)
Ziyin Qianyang decoction(滋阴潜阳汤)
Qingre Qutan decoction(清热祛痰汤)
Sanhan Quyu decoction(散寒祛瘀汤)
pain score
headache attack frequency
headache duration
accompanied symptom score
traditional Chinese medicine compound
randomized parallel controlled study