秦秀德教授辨证论治偏头痛的临床经验  

Professor Qin Xiude’s clinical experience in treating migraine based on syndrome differentiation

作　　者：黄梦妮 陈雪妍 张小帆 高欣瑜 刘玉[2] 秦秀德[3] HUANG Mengni;CHEN Xueyan;ZHANG Xiaofan;GAO Xinyu;LIU Yu;QIN Xiude(The Fourth Clinical Medical College,Guangzhou University of Chinese Medicine,Guangdong Province,Shenzhen518000,China;Department of Pulmonology,Shenzhen Traditional Chinese Medicine Hospital,Guangdong Province,Shenzhen518000,China;Department of Encephalopathy and Psychology,Shenzhen Traditional Chinese Medicine Hospital,Guangdong Province,Shenzhen518000,China)

机构地区：[1]广州中医药大学第四临床医学院,广东深圳518000 [2]深圳市中医院肺病科,广东深圳518000 [3]深圳市中医院脑病与心理病科,广东深圳518000

出　　处：《中国医药导报》2023年第34期144-148,共5页China Medical Herald

基　　金：国家自然科学基金资助项目(81904103);广东省深圳市引进中医药高层次医学团队立项项目(SZZYSM202111011);广东省深圳市科技计划项目(JCYJ20190812161807600);广东省深圳市中医院“3030”计划中医临床研究项目(G3030202101)。

摘　　要：偏头痛是神经内科常见的一种慢性疾病,发病率逐年上升,秦秀德教授运用中医理论在偏头痛临床诊治上取得较好效果。根据偏头痛的临床特点,结合自身临床经验,秦秀德教授认为偏头痛与病理体质密切相关,其核心病位在肝,可延及脾肾,病机为阴虚阳郁,痰瘀伏络,主要治法为养阴开郁,痰瘀并治。秦秀德教授在偏头痛发作期间重在辨肝论治,依其侧重,分为肝气郁滞、肝经郁热、风阳上扰及肝血不足四证,专证专方,同时不忘其他脏腑,加减变通;缓解期则着重平调病理体质。本文探索总结秦秀德教授的偏头痛临床学术经验,旨在更好地为临床服务。附验案1则以佐证。Migraine is a common chronic disease in the department of neurology,the incidence of which is increasing year by year.Professor Qin Xiude has achieved good results in the clinical diagnosis and treatment of migraine with the theory of traditional Chinese medicine.According to the clinical characteristics of migraine,combined with his own clinical experience,Professor Qin Xiude believes that migraine is closely related to pathological constitution,its core disease is in the liver,can extend to the spleen and kidney,the pathogenesis is yin deficiency and yang depression,phlegm and blood stasis hiding collaterals,the main treatment is to nourish yin,relieve depression,treat both phlegm and blood stasis.During the attack period of migraine,Professor Qin focuses on the treatment of liver differentiation,dividing which into four syndromes in terms of emphasis:liver-qi stagnation,stagnant heat in the liver meridian,wind-yang upward disturbance,and liver blood deficiency,and selects the specific prescription in terms of specific syndrome,while not forgetting other organs,with the addition and subtraction according to the symptoms;in the stable stage,attention should be paid to regulating the pathological constitution mildly.This paper explores and summarizes the clinical academic experience of Professor Qin Xiude in the diagnosis and treatment of migraine in order to better serve the clinic.Case one is supported for proof.

关 键 词：偏头痛 体病相关 阴虚阳郁 痰瘀伏络 临床经验 

分 类 号：R249[医药卫生—中医临床基础] R277.7[医药卫生—中医学]