平肝头痛汤联合西药治疗偏头痛(肝阳上亢证)临床观察  

Pinggan Toutong Decoction Combined with Western Medicine in Treating Migraine(Syndrome of Upper Hyperactivity of Liver Yang)

作　　者：曾云娟 龙华君[2] 胡国恒[3] 柏正平[2] Zeng Yunjuan;Long Huajun;Hu Guoheng;Bai Zhengping(Hunan University of Chinese Medicine,Hunan,Changsha 410208,China)

机构地区：[1]湖南中医药大学,湖南长沙410208 [2]湖南省中医药研究院附属医院,湖南长沙410006 [3]湖南中医药大学第一附属医院,湖南长沙410007

出　　处：《中国中医急症》2024年第11期1962-1965,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：全国名老中医药专家柏正平传承工作室建设项目(国中医药人教函[2022]75号);湖南省中医药科研计划重点项目(2021019);湖南省卫生健康委员会科研计划项目(C202303078160);湖南省长沙市自然科学基金项目(kq2208145)。

摘　　要：目的观察平肝头痛汤对偏头痛(肝阳上亢证)患者的临床疗效。方法将偏头痛患者64例随机分为两组各32例。其中试验组给予平肝头痛汤联合盐酸氟桂利嗪胶囊,对照组给予盐酸氟桂利嗪胶囊,共治疗4周。比较两组患者中医证候积分、头痛计分法量化评分、HIT-6头痛影响评分的变化及临床总有效率。结果试验组头痛积分疗效、中医证候积分总有效率均为96.88%,分别高于对照组的84.38%、78.13%(P<0.05);两组治疗后头痛计分法量化评分、中医证候积分、HIT-6头痛影响评分均较治疗前降低(P<0.05),且试验组均低于对照组(P<0.05)。结论平肝头痛汤对偏头痛(肝阳上亢证)患者具有较好的临床疗效,能够显著减轻患者症状,并改善患者整体健康状况。Objective:To observe the clinical efficacy of Pinggan Toutong Decoction on migraine patients with syndrome of upper hyperactivity of liver yang.Methods:Totally 64 migraine patients with syndrome of upper hyperactivity of liver yang treated were randomly divided into two groups.The experimental group was treated with flunarizine hydrochloride capsules combined with Pinggan Toutong Decoction,and the control group was treated with flunarizine hydrochloride capsules for 4 weeks.The changes of Chinese medicine evidence points,quantitative score of headache scoring method,HIT-6 headache impact score,and the total clinical effectiveness rate after 4 weeks of treatment between the two groups were compared.Results:The total effective rates in the experimental group of headache score and TCM effective score(both 96.88%)were higher than those in the control group(84.38%and 78.13%)(P<0.05).After treatment,some indicators in two groups were reduced including the headache scoring,the TCM scoring and the HIT-6 headache scoring(P<0.05).These scores in the experimental group were lower than those in the control group(P<0.05).Conclusion:Pinggan Toutong Decoction has good clinical efficacy for migraine patients with syndrome of upper hyperactivity of liver yang,which can significantly reduce the symptoms and improve the overall health of the patients.

关 键 词：偏头痛 肝阳上亢证 平肝头痛汤 临床疗效 

分 类 号：R747.2[医药卫生—神经病学与精神病学]