戴恩来通窍活血汤加减治疗三叉神经痛

Examples of Professor DAI Enlai's Application of Tongqiao Huoxue Decoction(通窍活血汤)in the Treatment of Trigeminal Neuralgia

戴恩来教授系甘肃省名中医,甘肃省中西医结合学科带头人,在中西医结合治疗面部神经系统疾患中具有丰富的临床经验,疗效显著。三叉神经痛是面部神经系统疾患中的多发病、常见病,其病情急、病情重,面肌麻木,疼痛剧烈;西医治疗以消炎、止痛等症治疗为主,但疗效较差,复发率高。中医具有“整体观念”“辨证论治”的诊治特色,能够多靶点、多维度对三叉神经痛患者进行系统化、个性化治疗。通窍活血汤源自于经典医籍《医林改错》,导师在临证中善用通窍活血汤加减治疗三叉神经痛,其遣方特色在继承古代医家以活血化瘀、行气止痛基础上,增添了温阳活络辨证思路,广获疗效,现将导师治疗三叉神经痛的辨证经验、临证思路和遣方用药等介绍如下。

Professor DAI Enlai is a well-known Chinese medicine doctor in Gansu Province and the leader of the discipline of integrated traditional Chinese and western medicine in Gansu Province.He has rich clinical experience in the treatment of fa-cial nervous system disorders with integrated Chinese and western medicine,and has remarkable curative effects.Trigeminal neu-ralgia is a frequently-occurring and common disease in facial nervous system disorders.Its onset is characterized by acute and severe illness,facial numbness,and severe pain.Western medicine treatment mainly focuses on single symptomatic treatment such as anti-inflammatory and analgesic,but the effect is poor.The review rate is high.Traditional Chinese medicine has the diagnosis and treatment characteristics of"holistic concept"and"syndrome differentiation and treatment",which can provide systematic and individualized treatment of patients with trigeminal neuralgia in multiple targets and multiple dimensions.Tongqiao Huoxue Decoction(通窍活血汤)is derived from the classic medical book"Yilin Correcting Mistakes".The instructor makes good use of Tongqiao Huoxue Decoction to treat trigeminal neuralgia.We have added warming and activating collateral syndrome differentiation ideas,and have achieved wide curative effects.Now we will introduce the tutor's experience in treating trigeminal neuralgia,clinical ideas and prescriptions and medications.