伍大华从瘀论治三叉神经痛经验撷要  

Clinical Experience of Wu Dahua in Treating Trigeminal Neuralgia From Stagnation

作　　者：钟东 伍大华[2] 谢瑶 李映辰 Zhong Dong;Wu Dahua;Xie Yao;Li Yingchen(Hunan University of Chinese Medicine,Changsha 410208,China;Brain Disease Department,Hunan Provincial Hospital of Integrated Traditional Chinese and Western Medicine/The Hospital Affiliated to Hunan Academy of Traditional Chinese Medicine,Changsha 410006,China)

机构地区：[1]湖南中医药大学,湖南长沙410208 [2]湖南省中西医结合医院/湖南省中医药研究院附属医院脑病科,湖南长沙410006

出　　处：《亚太传统医药》2025年第1期103-106,共4页Asia-Pacific Traditional Medicine

基　　金：湖南省自然科学基金项目(2023JJ30362)。

摘　　要：三叉神经痛(TN)是一种常见的神经性疼痛疾病,临床上以内科药物或手术治疗为主要治疗手段,治疗效果存在个体差异,且有一定复发率,中医药治疗TN疗效较佳。伍大华教授认为,尽管三叉神经痛病因繁杂,但与瘀邪关系密切,瘀邪是TN发生、发展、预后及转归的基本病机,病理因素多围绕气瘀、血瘀、痰瘀、火瘀展开,从而提出了从瘀论治该病的观点,临证多以行气散瘀、活血逐瘀、化痰祛瘀、清热消瘀为基本治法,并以化瘀通络止痛为治疗原则,疗效颇显。Trigeminal neuralgia(TN)is a common neuropathic pain disease,which is mainly treated with medical drugs or surgery,its efficacy varies individually,and there is a certain recurrence rate.Traditional Chinese medicine has a good effect on the treatment of TN,Professor Wu Dahua believes that although the etiology of TN is complex,it is closely related to stasis,which is the core pathogenesis of the occurrence,development,prognosis,and prognosis of TN,and the pathological factors mostly revolve around Qi stasis,blood stasis,phlegm stasis and fire stasis.The viewpoint of treating the disease from the perspective of stasis was proposed.The clinical syndrome was mostly based on the basic treatment methods of Qi dissipation and stasis,blood circulation and stasis,phlegm and stasis,heat-clearing and stasis,and the treatment principle of removing stasis and relieving pain through stasis,and the curative effect was quite obvious.

关 键 词：三叉神经痛 瘀 名家经验 伍大华 

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