基于浊毒理论从“通、泻、调、补”探讨偏头痛的针治经验

Exploring Acupuncture Treatment Experiences for Migraine through ‘Clearing, Draining,Regulating and Tonifying Based on Theory of Turbidity and Toxicity

偏头痛是一种反复发作、呈一侧或双侧发作的慢性血管搏动性头痛。张素钊基于国医大师李佃贵的浊毒理论,从浊毒论治,认为偏头痛的发病是浊毒上蒙清窍、毒壅脑络,而病情反复、迁延难治与浊毒其性黏滞胶着相关。临证运用化浊通督针法围绕“通、泻、调、补”四字治疗本病,选督脉腧穴应用接力刺通泄浊毒治其标,选脾胃两经四穴并施九六补泻法调补脾胃治其本。

Migraine is a chronic vascular pulsatile headache that recurs,manifesting on one or both sides.ZHANG Suzhao,based on turbidity and toxicity theory of TCM master LI Diangui,treats migraine from the perspective of turbidity and toxicity,believing that migraine occurs due to turbidity and toxicity clouding the clear orifices and obstructing Brain collateral.The chronic and refractory nature of the disease is associated with the sticky and adhesive nature of turbidity and toxicity.Clinically,acupuncture method of resolving turbidity and dredging Du meridian is used,focusing on‘clearing,draining,regulating and tonifying to treat this condition.Acupoints along Du meridian are selected to clear and drain turbidity and toxicity with relayed needling,addressing the symptoms,while acupoints on Spleen and Stomach meridians are chosen,applying the nine-six reinforcing and reducing techniques to regulate and tonify Spleen and Stomach,treating the root cause.