黄帝内针治疗经行头痛急性发作的临床疗效观察  

Observation on the clinical efficacy of Huangdi acupuncture therapy in treating acute attack of menstrual headache

作　　者：张祥伟 韩亚翠 钟向阳 陈莹 李志宏 ZHANG Xiang-wei;HAN Ya-cui;ZHONG Xiang-yang(Heyuan Hospital of Traditional Chinese Medicine,Heyuan 517000,China)

机构地区：[1]河源市中医院,517000

出　　处：《中国现代药物应用》2023年第16期154-158,共5页Chinese Journal of Modern Drug Application

基　　金：广东省河源市科技计划项目(项目编号:210715181601794)。

摘　　要：目的总结经行头痛急性发作期患者舌象、脉象及头痛发作特点,并评估黄帝内针对经行头痛急性发作的治疗效果。方法29例经行头痛急性发作患者,均行黄帝内针针刺治疗。分析患者舌象、脉象、头痛发作特点,比较针刺治疗前后头痛视觉模拟评分法(VAS)评分,评估疗效。结果29例患者中,舌形正常23例,占比79.31%;舌形胖大5例,占比17.24%;舌形瘦1例,占比3.45%。暗红舌18例,占比62.07%;淡红舌11例,占比37.93%。薄白苔24例,占比82.76%;少苔3例,占比10.34%;薄黄苔、白厚苔各1例,占比3.45%。脉象均为细脉,其中脉细弦26例,占比89.66%;脉细缓2例,占比6.90%;脉细数1例,占比3.45%。16例胀痛,占比55.17%;4例隐痛,占比13.79%;3例跳痛,占比10.34%;3例刺痛,占比10.34%;2例沉重疼痛,占比6.90%;1例抽扯样疼痛,占比3.45%。颞侧部位疼痛(少阳头痛)24例,前额部位疼痛(阳明头痛)22例,枕部头痛(太阳头痛)21例,巅顶部位疼痛(厥阴头痛)3例。患者头痛部位多为>2个部位,多涉及少阳经、阳明经、太阳经,厥阴经较少。针刺完成时(3 min内),患者头痛VAS评分(1.19±0.53)分低于针刺治疗前的(4.17±1.31)分,差异具有统计学意义(P<0.05);针刺治疗结束时(留针45 min),患者头痛VAS评分(1.25±0.45)分低于针刺治疗前的(4.17±1.31)分,差异具有统计学意义(P<0.05)。29例患者针刺治疗后,痊愈7例,显效15例,有效7例,无效0例,治疗总有效率为100.00%(29/29)。结论经行头痛急性发作时患者舌象、脉象、疼痛特点具有一定的规律可循,多表现为气滞、血瘀、血虚;黄帝内针疗法取穴精简,易于掌握,可快速缓解经行头痛急性发作症状,此针法值得临床推广应用。Objective To summarize the characteristics of tongue,pulse and headache in patients with acute attack of menstrual headache,and to evaluate the therapeutic effect of Huangdi acupuncture therapy on acute headache during menstruation.Methods All 29 patients with acute attack of menstrual headache were treated with Huangdi acupuncture therapy.The characteristics of tongue,pulse and headache were analyzed,and the visual analogue scale(VAS)for headache was compared before and after acupuncture treatment to evaluate the curative effect.Results Among the 29 patients,23 cases(79.31%)had normal tongue shape,5 cases(17.24%)had fat tongue shape,and 1 case(3.45%)had thin tongue shape.There were 18 cases of dark red tongue,accounting for 62.07%,and 11 cases of light red tongue,accounting for 37.93%.There were 24 cases of thin white coating,accounting for 82.76%;3 cases of less coating,accounting for 10.34%;1 case of thin yellow coating and 1 case of thick white coating,accounting for 3.45%.All patients had thready pulse,with thready and taut pulse in 26 cases(89.66%),thready and moderate pulse in 2 cases(6.90%),and thready and rapid pulse in 1 case(3.45%).There were 16 cases of distension,accounting for 55.17%;4 cases of vague pain,accounting for 13.79%;3 cases of throbbing pain,accounting for 10.34%;3 cases of stabbing pain,accounting for 10.34%;2 cases of heavy pain,accounting for 6.90%;1 case of throbbing-like pain,accounting for 3.45%.There were 24 cases of temporal pain(Shaoyang headache),22 cases of forehead pain(Yangming headache),21 cases of occipital pain(Taiyang headache),and 3 cases of parietal pain(Jueyin headache).The headache sites of the patients were mostly>2 sites,mostly involving Shaoyang meridian,Yangming meridian,and Taiyang meridian,and less often the Jueyin meridian.At the completion of acupuncture(within 3 min),the patients'VAS score of(1.19±0.53)points for headache were lower than that of(4.17±1.31)points before acupuncture treatment,and the difference was statistically significant(P<0.05).At the end

关 键 词：针灸 黄帝内针 经行头痛 急性发作 经前期紧张综合征 

分 类 号：R246.3[医药卫生—针灸推拿学]