秦亮甫治疗偏头痛经验

Experience of QIN Liangfu in the Treatment of Migraine

秦亮甫先生擅长针药合用,综合舌脉,同时抓住基本病机特点。偏头痛发病急骤剧烈、时发时止,具有风的特性,治疗上应用轻轻之品疏风散邪。肝胆经循行病所,针刺胆经腧穴条达阴阳,疏通头部经络气血,从肝论治泄肝清火、养肝阴,同时加入引经药使药致病所。久病气血亏虚,首诊多不以大量攻伐药物治疗,而在补益气血的基础上加入驱邪通络、平肝熄风之品,配合针刺疏通经络,标本兼治,注意保护正气。总的治疗思路是理气活血、疏风止痛、平肝潜阳,结合患者临床表现、证型变化调整用药。

Mr QIN Liangfu is good at the combination of acupuncture and medicine,and can grasp the basic pathogenesis of the disease synthesizing the tongue and pulse.The onset of migraine has the characteristics of acute and sudden,having rapid attack and rapid stop,with the character of the wind.In the treatment,light drugs should be used to dispel wind and disperse pathogenic factors.Because of the liver and gallbladder meridians following the pathogenesis,we can stimulate the gallbladder meridian points to regulate yin and yang,smooth qi and blood,dredge the channel.From the liver treatment,we can clear liver and relive fire,nourish the liver yin.The primers were added to make the medicine reach the pathogenic.Due to deficiency of qi and blood with long illness,most patients are not treated with a large number of offensive drugs in the first diagnosis.On the basis of replenishing qi and blood,it is added to dispel pathogenic and regulate channels,calming the liver and quelling the wind.Using of acupuncture to dredge channels and collaterals.Treat both symptoms and root causes,and pay attention to protect he righteousness.The general treatment idea is to regulate qi and activate blood circulation,relieve pain by removing wind,and calm the liver and suppress yang.And adjust the medicines according to the patient’s changes in clinical manifestations and syndromes.