扶正通络法辨证分型治疗头风19例临床观察  

Righting Tongluo Differential Treatment Clinical Observation 19 Cases of Head Wind

作　　者：姚自力[1] 

机构地区：[1]福建省泉州市中医外科医院内科,福建泉州362000

出　　处：《实用中医内科杂志》2014年第7期67-69,共3页Journal of Practical Traditional Chinese Internal Medicine

摘　　要：[目的]观察扶正通络法辨证分型治疗头风疗效。[方法]采用前瞻性设计方法,对19例门诊患者使用扶正通络法辨证分型治疗,1气血两虚,圣愈汤(川芎、当归各10g,白芍45g,熟地15g,甘草炙5g,枸杞、黄芪、肉苁蓉各15g,乌梢蛇8g,银线莲15g,姜黄10g,威灵仙15g,蚕砂24g,秦艽10g);2肝阳上亢,天麻四物汤(天麻、川芎、当归各10g,熟地15g,白芍45g,杜仲10g,山茱萸、补骨脂、枸杞各15g,白芷、菊花、僵蚕、地龙、元胡各10g,银线莲15g,甘草炙5g);3痰湿,半夏白术天麻汤(半夏10g,白术15g,天麻10g,陈皮、茯苓各15g,甘草3g,川芎、当归各10g,白芍45g,僵蚕、地龙、远志各10g,白芥子6g,薏苡仁30g);4瘀血,通窍活血汤(赤芍、川芎各10g,桃仁、红花各6g,红枣7个,生白芍45g,当归10g,熟地15g,甘草炙5g,延胡索、乌梢蛇各10g,银线莲15g);5气阴两虚,益气聪明汤(黄芪15g,甘草5g,白芍45g,川芎、当归各10g,熟地15g,黄柏6g,党参15g,升麻6g,葛根15g,蔓荆子10g,合欢皮15g);6肝郁气滞,柴胡疏肝散(柴胡、枳壳各10g,生白芍45g,甘草炙5g,香附6g,川芎、当归各10g,合欢皮15g,僵蚕、郁金、远志各10g,生龙骨、生牡蛎各24g)。连续治疗30d为1疗程。观测临床症状、不良反应。连续治疗3疗程,判定疗效。[结果]治愈5例,有效10例,无效4例,总有效率78.95%。[结论]扶正通络法分型治疗头风效果显著,值得推广。[ Objective ] To observe the righting Tongluo Differential Treatment head wind effect. [ Methods ] 19 cases of outpatients using righting Tongluo Differential Treatment, the following herbs have a quote / d, medicine decoction residue, or a quote / d, prescription medicine granules washed water 2 times daily; （1） blood deficiency type, St. more soup （ Chuangxiong, Dangui 10g, Baishao 45g, Shudi 15g, Gancao Sunburn 5g, Gouqi, Huangqi, Roucongrong 15g, Wushaoshe 8g, Yinxianlianl5g, Jianghuang 10g, Weilingxian 15g, Cangsha 24g, Qingjiao 10g） ; （2） liver yang, Tianma Siwutang （ Tianma, Chuanxiong, Dangui 10g, Shudi 15g, Baishao 45g, Duzhong 10g, Shanzhuyu, Buguzhi, Gouqi 15g, Baizhi, Juhua, Jiangeang, Dilong, Yuanhu 10g, Yinxianlianl5g, Ganeao Sunburn 5g ） ; （3） phlegm, Banxiabaizhutianma Tang （ Banxia 10g, Baizhu 15g, Tianma 10g, Chenpi, Fuling 15g, Ganeao 3g, Chuanxiong, Dangui 10g, Baishao45g, Jiangeang, Dilong, Yuanzhi 10g, Baijiezi 6g, Yiyiren 30g ） ; （4） stasis type Tongqiaohuoxue soup （ Chishao, Chuanxiong 10g, Taoren, Honghua each 6g, Hongzao 7, Shengbaishao Chuanxiong 45g, Dangui 10g, Shudi 15g, Ganeao Sunburn 5g, Huyansuo, Wushaoshe of 10g, Yinxianlianl5g ） ; （5） Yin Deficiency type, Qi smart soup （Huangqi 15g, Ganeao 5g, Baishao 45g, Chuanxiong, Dangui 10g, Shudi 15g, Huangbo 6g, Danshen 15g, Shengma6g, Gegen 15g, Mangjinzi 10g, Hehuanpi 15g）; （6）liverQi stagnation, Shudi sparse liver Powder （ Chaihu, Jike 10g, Shengbaishao 45g, Ganeao Sunburn 5g, Xiangfu 6g, Chuanxiong, Dangui 10g, Hehuanpi 15g, Jiangeang, Yujin, Yuanzhi 10g, Shenglonggu, Shengmuli24g）. 30d is a continuous course of treatment . Observing clinical symptoms of adverse reactions. Continuous treatment for 3 courses, to determine efficacy . [ Results ] 5 patients were cured, 10 cases improved, invalid in 4 cases, the total efficiency of 78.95% . [ Conclusion ] righting Tongluo dialectical treatment of head wind effect is significant, it is worth promoting.

关 键 词：头风 扶正通络 圣愈汤 天麻四物汤 半夏白术天麻汤 通窍活血汤 益气聪明汤 柴胡疏肝散 临床观察 

分 类 号：R276.144.3[医药卫生—中医五官科学]