伍大华运用芎芷头痛汤加减联合都梁软胶囊治疗紧张型头痛  

Wu Da-hua′s Experience of Treating Tension Headache with Modified Rhizoma Chuanxiong and Radix Angelicae Dahuricae Headache Decoction Combined with Duliang Soft Capsule

作　　者：王释亮 伍大华[2] WANG Shi-liang;WU Da-hua(Human University of Chinese Medicine,Changsha,Hunan,China,410006;Human Academy of Traditional Chinese Medicine Affiliated Hospital,Changsha,Hunan,China,410006)

机构地区：[1]湖南中医药大学,湖南长沙410006 [2]湖南省中医药研究院附属医院,湖南长沙410006

出　　处：《河南中医》2021年第3期379-383,共5页Henan Traditional Chinese Medicine

摘　　要：伍大华教授认为,紧张型头痛外因为风湿蒙窍,内因则为肝郁不疏及气郁化火,主要病机为风湿侵袭,肝气不畅,壅滞脑络,不通则痛,临证将紧张型头痛分为风湿蒙窍证、肝郁气滞证、气郁化火证。风湿蒙窍证治以胜湿通窍、祛风止痛,方选芎芷头痛汤减蝉蜕、露蜂房;肝郁气滞证治以疏肝行气、通络止痛,方选芎芷头痛汤减薏苡仁、半夏,加茯神、白术、陈皮、合欢花;气郁化火证治以疏肝清热,行气止痛,方选芎芷头痛汤减蝉蜕,加延胡索、柴胡、茯神、当归、合欢花、薄荷。伍教授认为,芎芷头痛汤加减与都梁软胶囊联合使用,治疗紧张型头痛疗效颇佳。Professor Wu Da-hua believes that the external cause of tension headache is wind and dampness blocking orifices,while the internal cause is liver qi stagnation transforming into fire.The main pathogenesis of tension headache is wind and dampness invasion,stagnation of liver qi obstructing brain collaterals which causes pain.Clinically,tension headache can be divided into syndrome of wind and dampness blocking orifices,syndrome of liver qi stagnation,and syndrome of qi stagnation transforming into fire.For syndrome of wind and dampness blocking orifices,the treatment should focus on removing dampness,unblocking orifices,so Rhizoma Chuanxiong and Radix Angelicae Dahuricae Headache Decoction removing Chantui(Periostracum Cicadae),Lufengfang(Nidus Vespae)can be used.For syndrome of liver qi stagnation,the treatment should focus on soothing liver and regulating qi,so Rhizoma Chuanxiong and Radix Angelicae Dahuricae Headache Decoction removing Yiyiren(Semen Coicis)and Banxia(Rhizoma Pinelliae)while adding Fushen(Sclerotium Poriae Pararadicis),Baizhu(Rhizoma Atractylodis Macrocephalae),Chenpi(Pericarpium Citri Reticulatae)and Hehuanhua(Flos Albiziae)can be used.For syndrome of qi stagnation transforming into fire,the treatment should focus on soothing liver and clearing heat,regulating qi and stopping pain,so Rhizoma Chuanxiong and Radix Angelicae Dahuricae Headache Decoction removing Chantui(Periostracum Cicadae)while adding Yanhusuo(Rhizoma Corydalis),Chaihu(Radix Bupleuri),Danggui(Radix Angelicae Sinensis),Hehuanhua(Flos Albiziae),and Bohe(Herba Menthae)can be used.Professor Wu believes that the combination of Modified Rhizoma Chuanxiong and Radix Angelicae Dahuricae Headache Decoction,and Duliang Soft Capsule,the treatment of tension type headache has a good effect.

关 键 词：紧张型头痛 芎芷头痛汤 都梁软胶囊 伍大华 

分 类 号：R277.472[医药卫生—中医学]