陈士铎辨治头痛临证经验和特色探析

CHEN Shiduo’s Experience in Treating Headache by Syndrome Differentiation and the Characteristic

清代名医陈士铎论治头痛卓见成效,陈士铎将头痛病因病机分为外感与内伤,外感头痛,辨明所袭经络;内伤头痛,以肝脏象理论为核心,责之脾肾。陈士铎认为外感头痛当疏散风邪,分经论治;内伤头痛当从肝脾肾三脏出发,以审因论治。用药规律则善用引经药以直达病所,常以柴胡、白芍相配,一散一收,一升一补,以获奇效。

CHEN Shiduo,a well-known doctor in the Qing Dynasty,achieved remarkable effect in treating headache. He divided headaches into exogenous and endogenous headache according to disease cause and mechanism,and determined the involved meridians and collaterals. Exogenous headaches,with liver as the pivot,should be treated on spleen and kidneys. He held that exogenous headache should be treated with dispersing wind according to the meridians and the endogenous headache should be treated from liver,spleen and kidneys. He was good at using guiding medicinals to treat the disease location,and often used Chaihu(Radix Bupleuri) and Baishao(Radix Paeoniae Alba) in combination to disperse and astringe,to lite and tonify,with good effect.