王松龄从“肝郁血瘀”立法论治偏头痛的经验  

Wang Songling’s experience in treating migraine from the legislation of“liver depression and blood stasis”

作　　者：李颖[1] 赵彦青[2] 王伟民[3] LI Ying;ZHAO Yanqing;WANG Weimin(Department of Encephalopathy,the Second Clinical Medical College,Henan University of Chinese Medicine,Henan Province,Zhengzhou450003,China;Department of Geriatrics,the Second Clinical Medical College,Henan University of Chinese Medicine,Henan Province,Zhengzhou450003,China;Department of Encephalopathy,Henan Province Hospital of Traditional Chinese Medicine,Henan Province,Zhengzhou450003,China)

机构地区：[1]河南中医药大学第二临床医学院脑病科,河南郑州450003 [2]河南中医药大学第二临床医学院老年病科,河南郑州450003 [3]河南省中医院脑病科,河南郑州450003

出　　处：《中国医药导报》2022年第28期132-135,143,共5页China Medical Herald

基　　金：全国名老中医药专家传承工作室建设项目(国中医药人教函[2018]134号);河南省中医药科学研究专项课题(2018ZY2103)。

摘　　要：偏头痛是临床常见的神经内科疾病,易反复发作,给患者生活造成严重影响。全国名老中医王松龄教授临证经验丰富,认为该病病机为肝郁血瘀,病位在肝、脾、肾,辨证上根据患者体质不同、五季气候因素分为5个证型,治疗上提倡以疏肝化瘀为原则,以头风1号方为主方随症加减,急性发作期加以通窍止痛散外用止痛,慢性缓解期配制丸药以巩固疗效预防复发,防治并重,思路清晰,疗效显著。文末附王教授治验一则予以同道分享,为中医治疗偏头痛提供思路。Migraine is a common clinical neurological disease, which is easy to occur repeatedly and has a serious impact on the life of patients. Professor Wang Songling, a famous traditional Chinese medicine doctor in the country, has rich clinical experience and believes that the pathogenesis of the disease is liver depression and blood stasis, which is located in the liver, spleen and kidney. In syndrome differentiation, it is divided into five pattern of syndrome according to the patient’s physique and climatic factors in five seasons. In treatment, it is advocated to take soothing the liver and removing blood stasis as the principle, Toufeng No. 1 Decoction as the main prescription to be added or subtracted with the disease, and Tongqiao Zhitong Powder is used to relieve pain during the acute attack. In the chronic remission period, pills are formulated to consolidate the curative effect and prevent recurrence, with equal emphasis on prevention and treatment, clear clinical thinking and remarkable curative effect. At the end of the article, Professor Wang’s experience of treatment is shared with others in order to provide ideas for the treatment of migraine with traditional Chinese medicine.

关 键 词：偏头痛 肝郁血瘀 头风1号方 通窍止痛散 王松龄 

分 类 号：R277.7[医药卫生—中医学]