王庆其运用通络四法治疗顽固性头痛的经验

Experience of Wang Qingqi in treatment of intractable headache with the four methods of dredging collaterals

介绍王庆其教授运用通络四法治疗顽固性头痛的经验。基于“久病入络”“久痛入络”理论,认为顽固性头痛基本病机为邪滞络脉致“不通则痛”、络虚不荣致“不荣则痛”,且往往虚实夹杂、多证相兼,故治疗时遵循“以通为用”的法则,灵活运用通络四法,在处方用药中配伍辛味药、虫类药、藤类药及养荣通络药,多管齐下,常能1剂获效。并附验案1则。

Professor Wang Qingqi’s experience in treating intractable headache by applying the four methods of dredging collaterals is introduced.According to traditional Chinese medicine theory,prolonged illness enters the collaterals,so does the persistent pain. Professor Wang believes that it is pathogens stagnating in the collaterals and deficient collaterals failing to nourish that causes intractable headache because loss of smooth flow and nourishment leads to pain. Intractable headache is a disease with the coexistence of multiple syndromes and intermingled deficiency and excess.Therefore,when it comes to the treatment,Professor Wang adheres to the principle of“dredging for normal function”and uses the four methods of dredging collaterals flexibly. The compatibility of pungent medicine,insect medicine,rattan medicine and medicine for nourishing blood and dredging collaterals in the prescription can often have significant effect with just one dose. One proven case is included for clarification.