柴胡剂调达少阳枢机治疗偏头痛的应用探析  

Application of Chaihu Decoctions in Migraine Based on"Shaoyang is the Pivot"

作　　者：吴广 杨俊红[2] 武红莉[3] 姜燕华 钱真真 朱健 赵永烈 荆志伟[3] Wu Guang;Yang Junhong;Wu Hongli;Jiang Yanhua;Qian Zhenzhen;Zhu Jian;Zhao Yonglie;Jing Zhiwei(Henan University of Chinese Medicine,Henan,Zhengzhou 450046,China)

机构地区：[1]河南中医药大学,河南郑州450046 [2]河南中医药大学第一附属医院,河南郑州450000 [3]中国中医科学院,北京100700 [4]北京中医药大学第三附属医院,北京100029

出　　处：《中国中医急症》2024年第2期236-239,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：国家自然科学基金项目(82074584);国家重点研发计划项目(2019AAA0104901);中国中医科学院科技创新工程项目(CI2021A04702);河南省中医药管理局项目(20-21ZY1044)。

摘　　要：偏头痛多表现为一侧或两侧搏动性剧痛,其病位在少阳,少阳枢机不利是偏头痛发作的重要病机。首先,少阳枢机不利,气机失于调达,郁滞脑窍,当和解少阳、疏利三焦以调畅气机;其次,少阳枢机不利,脾胃升降失常,中焦痞塞,清阳不升,当调达上下,运化中土助脾升胃降;其三,少阳枢机不利,阳气布散失常,血行不畅,痰瘀互结,当通阳化气,升清降浊以推陈致新。柴胡剂治从少阳,或与他经同治,均不离“少阳枢”之核心,本文立足“少阳为枢”理论探讨柴胡剂治疗偏头痛的应用,以期为临床中医药治疗偏头痛有一定的参考作用。Migraine is manifested as one or both sides pulsating pain,and the disease location is in Shaoyang.Shaoyang disorder is an important pathogenesis of migraine attack.First,Shaoyang disoder may result in qi disorder and stagnation in brain,and we should reconcile Shaoyang and unblock Sanjiao to regulate qi.Second,Shaoyang disorder may lead to spleen and stomach disorder,zhongjiao congestion,Qingyang blockage,and we should adjust the ascending and descending to help the spleen ascend and stomach descend.Third,Shaoyang disorder may result in Yang qi distribution disorder,blood flow unsmooth,phlegm and blood stasis,and we should regulate the disorder of Yang qi,and clear the turbid for refreshment.Chaihu Decoctions,which are based on Shaoyang or coapplied with other formulas,are allfrom the core conception of"Shaoyang is the Pivot".This article,based on the theory of"Shaoyang is the Pivot",tries to explore the application of Chaihu Decoctions in the treatment of migraine,in order to have a certain clinical guidance for the treatment of migraine by traditional Chinese medicine.

关 键 词：偏头痛 柴胡剂 少阳为枢 《伤寒杂病论》 

分 类 号：R747.2[医药卫生—神经病学与精神病学]