丁元庆运用四神散加味治疗药物过度使用性头痛验案1则  

Ding Yuanqing using modified Sishen Powder to treat medication-overuse headache:a medical case

作　　者：黄鑫磊 温雅[2] 赵丽丽[1] 陈哲 赵哲 丁玉洁[1] 丁元庆[2] HUANG Xinlei;WEN Ya;ZHAO Lili;CHEN Zhe;ZHAO Zhe;DING Yujie;DING Yuanqing(Rizhao Hospital of Traditional Chinese Medicine,Rizhao,Shandong 276800,China;Shandong University of Traditional ChineseMedicine,Jinan,Shandong250355,China)

机构地区：[1]日照市中医医院,山东日照276800 [2]山东中医药大学,山东济南250355

出　　处：《上海中医药杂志》2022年第7期34-37,共4页Shanghai Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局全国中医学术流派传承工作室第二轮建设项目(国中医药人教函[2019]62号);山东省中医药管理局名老中医药专家学术传承工作室建设项目(鲁卫中发展字[2018]1号);山东省中医药管理局齐鲁医派中医学术流派建设项目(鲁卫函[2020]132号);山东省中医药管理局科技发展计划项目(2019-0016)。

摘　　要：介绍丁元庆教授治疗药物过度使用性头痛的临床经验。认为药物过度使用性头痛缘自久病头痛、用药失当;本案首次提出血虚络痹病机,病责厥阴,与肝及心包络关系密切;病机以阴血亏虚为本,内风扰络、痰湿瘀阻为标,久病入络,络脉痹阻,形神失和;临证基于头痛六经辨证理论,补虚泻实,身心同治;四神散集祛风通络、调气和血、宣痹定痛于一体,随证化裁,治疗血虚络痹之头痛可收良效。并举验案1则。The clinical experience of Professor Ding Yuanqing in the treatment of medication-overuse headache is introduced by analyzing a proven medical case. It is considered that the syndrome is caused by long-term headache,improper use of medication. In this article,the pathogenesis blood deficiency and collaterals obstruction,which is closely related to Jueyin liver and pericardium,is proposed firstly. The main pathogenesis is deficiency of yin and blood and the secondary one is endogenous wind disturbing collaterals and turbid phlegm causing blood stasis. Long-term disease will enter the collaterals,resulting in disharmony of body and spirit. In clinic,based on the theory of syndrome differentiation of the six meridians for headache,the syndrome can be treated by the methods of supplementing deficiency and purging excess-evil,simultaneously treating body and mind. Therefore,a good result can be received in treating the syndrome by using the modified prescription according to the change of syndrome as the Sishen Powder has the functions of expelling wind and dredging collaterals,regulating qi and blood,and dispersing obstruction to stop pain. One case was appended to illustrated the therapy.

关 键 词：药物过度使用性头痛 厥阴头痛 四神散 血虚络痹 形神并调 中医药疗法 

分 类 号：R289.5[医药卫生—方剂学] R249[医药卫生—中药学]