基于伏邪理论探析偏头痛中医治则

Exploration of Traditional Chinese Medicine Treatment Principles for Migraine Based on Latent Pathogen Theory

偏头痛是现代社会的常见病,其病情缠绵的特点严重影响着人们正常的生活,因此积极治疗起着至关重要的作用。伏邪理论源远流长,常常为邪伏于体内,遇感而发。综合梳理古籍及现代各医家对偏头痛的认识,总结出病机主要责之于“风、痰、瘀、虚”,即外邪袭表,邪毒羁绊;邪伏入络,痰瘀胶着;邪盛正衰,疾病缠绵。根据病机总结其治疗原则疏风通络、驱散伏邪;通络化瘀、肃清伏邪;匡扶正气、扶正祛邪。掌握其病机及治则,对指导临床用药发挥着重要的作用。

Migraine is a common disease in modern society, and its lingering characteristics seriously affect people’s normal life, so curative care plays a vital role. The theory of Latent pathogen has a long history and is often triggered by the presence of evil in the body. By comprehensively reviewing the understanding of migraine in ancient books and modern medical experts, it is concluded that the main responsibility for the pathogenesis of migraine lies in “wind, phlegm, blood stasis and deficiency”, that is, external evil attacking the surface and evil toxin binding;evil lurks into the meridians, phlegm and blood stasis adhere;evil thrives and decays, and diseases linger. According to the pathogenesis of the disease, summarize the treatment principle of dispersing wind and collaterals and dispelling latent evil;clearing collaterals and resolving blood stasis, clearing away evil spirts;nourishing the healthy qi to strengthen the body and dispel the evil. Mastering its pathogenesis and treatment principles plays an important role in guiding clinical medication.