偏头痛中医病因病机简况

Summary of Traditional Chinese Medicine Etiology and Pathogenesis of Migraine

偏头痛是常见的神经血管性疾患。以一侧或者双侧中重度、搏动性头痛为主症,往往反复发作,难以短期治愈。中医药治疗上取得了较好疗效,各医家有自己的独特治法,论治则需辨证,辨证则需审病求因,把握病机,现将近期关于偏头痛中医病因病机的研究文献进行综述,以求进一步明确病机,从而采取相应治法,以取得更好疗效。认为根据诊断指南上头痛程度以及反复发作的特点来看,湿热是本病的重要病理因素,湿热可以伤及脏腑经络,耗气伤阴,湿性重浊黏滞,可导致头痛反复发作,迁延难愈。

Migraine is a common neurovascular disease with one or both sides of moderate to severe pulsatile headache as the main symptoms.Migraine often attacks repeatedly and it is difficult to be cured in the short term.Chinese medicine treatment has achieved good results.Each doctor has its own unique treatment,differentiation of symptoms and signs,differentiation of symptoms and signs need to examine the cause of disease and grasp the pathogenesis.This paper reviews the recent research literature on the etiology and pathogenesis of migraine in order to further clarify the pathogenesisso as to take appropriate treatment to achieve better curative effect.According to the degree of headache and the characteristics of recurrent attacks in the diagnostic guidelines,dampness-heat is an important pathological factor of the disease.Dampness-heat can damage Zang-fu organs and meridians,consume Qi and damage Yin,and cause severe turbid and dampness,which can lead to recurrent attacks of headache and delay recovery.