方朝晖教授治疗月经期偏头痛经验  

Professor Fang Chaohui's Experience in Treating Menstrual Migraine

作　　者：吕丹丹 汪四海[2] 方朝晖[2] LV Dan-dan;WANG Si-hai;FANG Zhao-hui(Anhui Sanlian College,School of Modern Health and Regimen Industry,Anhui Hefei 230000,China;Department of Endocrinology,the First Affiliated Hospital of Anhui University of traditional Chinese medicine,Anhui Hefei 230000,China)

机构地区：[1]安徽三联学院现代康养产业学院,安徽合肥230000 [2]安徽中医药大学第一附属医院内分沁科,安徽合肥230000

出　　处：《中华养生保健》2024年第9期163-166,共4页CHINESE HEALTH CARE

基　　金：国家自然科学基金项目(81774286,81603574);安徽省高校自然科学研究项目(KJ2018ZD029);安徽省高校协同创新项目(GXXT-2020-025);安徽省高校自然科学研究重点项目(2022AH050488)。

摘　　要：月经期偏头痛属中医学“头风”“内伤头痛”范畴。根据“急则治其标,缓则治其本”的原则,分为发作期与间歇期。“女子以肝为本,以血为用”,方朝晖教授认为经行偏头痛,病因虽多,但其急性发作期与肝阳偏亢、肝经上扰关系最为密切,故临证以平肝清热、熄风通络为主;其间歇期与经期气虚血瘀、肝肾亏虚导致清窍失养密切相关,故临证以疏肝活血、调补肝肾为主。同时,配合耳穴埋豆的方法,使经脉调和、气血流畅。在治疗不同证型的经行偏头痛、同一经行偏头痛患者的不同阶段予以不同方药。以此辨证治疗,取得了较好的临床疗效。Menstrual migraine belongs to the category of"headwind"and"internal injury headache"in traditional Chinese medicine.According to the principle of"treating the symptoms as soon as possible,and treating the root causes as soon as possible",it can be divided into attack period and intermittent period."Women are based on liver and use blood".Professor Fang Chaohui believes that although there are many causes of migraine caused by menstruation,its acute attack period is most closely related to hyperactivity of liver yang and disturbance of the liver meridian,so the clinical syndrome is mainly to calm the liver and clear away heat,calm the wind and dredge the collaterals;The intermission and remission period are closely related to the menstrual qi deficiency and blood stasis,and the deficiency of liver and kidney leads to the loss of nutrition in clearing the orifices.Therefore,the clinical syndrome is mainly to soothe the liver and promote blood circulation,and regulate and replenish the liver and kidney.At the same time,with the method of ear acupoint burying beans,the meridians are harmonious and the qi and blood are smooth.Different prescriptions are given at different stages of treating migraine patients with different syndromes and migraine patients with the same meridian.With this dialectical treatment,a better clinical effect has been achieved.

关 键 词：月经期偏头痛 发作期、间歇期 方朝晖 临床经验 

分 类 号：R271[医药卫生—中医妇科学]