乌梅丸治疗厥阴头痛体会

Experience of Wumei Pill in the Treatment of Jueyin Headache

乌梅丸方首见于《伤寒论》第338条,该条描述蛔厥的证候,并与病机属于脏寒的脏厥相鉴别。正因为张仲景以乌梅丸治疗蛔厥证,所以《方剂学》将本方归于驱虫剂,这显然是片面的。后世医者在此基础上,结合临床实际,多有发挥,很大程度上拓展了乌梅丸的应用范围,用之治疗各种寒热错杂之证,效果显著。本文通过探讨厥阴头痛的病机及分析乌梅丸的方义,以阐述乌梅丸对其确有治疗效果。

Wumei pill is first seen in the 338th article of Treatise on Febrile Diseases,the description of syndrome and disease and ascariasis of biliary tract,dirty and cold machine belongs to phase identification.Because Zhang Zhongjing uses Wumei pill in the treatment of Ascaris syncope,so prescriptions of Chinese materia medica will be classified as the insect repellent,which is obviously one-sided.Later the doctor on this basis,combined with clinical practice,have developed,largely expanded the scope of application of Wumei pill to treat all kinds of cold and heat syndromes,and significant effect has been obtained.This paper discussed the pathogenesis of Jueyin headache and analyzed Wumei pill to expound it really has the therapeutic effect.