从肝之失常论治偏头痛浅析

Analysis on the Treatment of Migraine from Liver Disorder

目的:从肝之失常的角度探究偏头痛的病因病机以及临床诊疗思维。方法:依据中医基础理论、中医古籍记载,并查看现代医家对偏头痛从肝论治的文献,结合临床所见和所掌握的知识,从理论知识及治疗层面探究肝的失常与偏头痛之间的关系。结果:偏头痛发作与肝失常有着密切的关系,肝经的循行特点,肝主疏泄、肝藏血、肝体阴而用阳的生理功能都使肝失常与偏头痛发生密不可分;肝气郁滞、肝阳上亢、肝血不足都与肝失常有关并且都是在临床上常见的引发偏头痛的原因,临证治疗以疏肝解郁,平肝潜阳,滋阴养肝为基本治疗原则。结论:中医学从肝之失常的角度论治偏头痛有着独特优势,可显著提升临床治疗效果,值得以此为方向去做进一步的探讨和研究。

Objective:To explore the etiology,pathogenesis and clinical diagnosis and treatment thinking of migraine from the perspective of liver disorders.Methods:According to the basic theory of traditional Chinese medicine,the records of ancient Chinese medicine books,and the literature on the treatment of migraine from the liver by modern physicians,combined with clinical observations and knowledge,to explore the relationship between liver disorders and migraine from the theoretical knowledge and treatment levels.Relationship.Results:Migraine attack is closely related to liver disorder.The characteristics of the liver meridian,the physiological functions of the liver controlling dredging,the liver storing blood,the liver body yin and the use of yang all make the liver disorder and migraine occur.Inseparable;stagnation of liver qi,hyperactivity of liver yang,and insufficiency of liver blood are all related to liver disorders and are common causes of migraine in clinical practice.Yin nourishing liver is the basic treatment principle.Conclusion:Traditional Chinese medicine has unique advantages in the treatment of migraine from the perspective of liver disorders,which can significantly improve the clinical treatment effect.It is worthy of further discussion and research in this direction.