刍议从肝九法论治偏头痛  

Discussion of the nine methods in regulating liver in the treatment of hemicrania

作　　者：张兰坤[1] 过伟峰[2] 盛蕾[1] 

机构地区：[1]南京中医药大学第二附属医院,南京210017 [2]南京中医药大学第一临床医学院,南京210029

出　　处：《中华中医药杂志》2015年第6期2002-2004,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：江苏省中医药局科技研究资助项目(No.LZ11070);南京中医药大学校级重点学科建设资助项目~~

摘　　要：偏头痛属中医学"头痛"范畴,为临床常见病、多发病。笔者查阅先贤文献,以辨证论治为指导,结合脏腑理论及经络学说,独辟蹊径,指出本病的发生与肝密切相关,以肝之功能失调为病机之关键。临证论治从调理肝脏入手,确立了以疏达肝气和畅达肝络为主的治则。根据肝郁、肝热、肝火、肝风、肝阳、肝虚(虚寒、血虚)、肝瘀及肝络久病的不同病机,分别采用疏肝、清肝、泻肝、平肝、镇肝、温肝、养肝、化肝、搜肝等法治疗,并总结常用方药,获得较好疗效。Hemicrania belonged to the category of cephalalgia in traditional Chinese medicine, which was a common disease and frequently encountered disease in clinic. With the guidance of syndrome differentiation and treatment and combination of viscera theory and meridin doctrine, by referring documents, it proposed that the occurrence of hemicranias was related to the liver, therefore the key of pathogenesis was the disturbance of the liver function. Starting from regulating the liver, the treatment principle which was focused on dispersing and rectifying the liver qi and smoothing liver channel was established. Based on the different pathogenesis including stagnation of liver-qi, liver-heat, liver-fire, liver wind, functional activities of the liver, deficiency of liver （asthenia cold, deficiency of blood）, liver blood stasis and long-standing into liver channel, some therapeutic methods were carried out such as soothing the liver, removing heat from liver, purging liver of pathogenic fire, calming liver, suppress liver, warm liver, nourishing liver, promoting liver blood circulation to end stasis, expelling pathogenic factor in liver channel. And then the common prescriptions which achieved preferably curative effect were summarized,.

关 键 词：偏头痛 头风 调肝法 辨证论治 

分 类 号：R277.7[医药卫生—中医学]