加味散偏汤治疗肝郁血瘀型紧张型头痛临床观察  

Clinical observation of Jiawei Sanpian decoction in the treatment of liver stagnation and blood stasis tension-type headache

作　　者：杨庆松 张燕洁 刘燕 刘振 YANG Qingsong;ZHANG Yanjie;LIU Yan;LIU Zhen(Department of Acupuncture and Moxibustion,Beijing First Hospital of Integrated Chinese and Western Medicine,Beijing 100026,China;Department of Acupuncture and Moxibustion Encephalopathy,Beijing First Hospital of Integrated Chinese and Western Medicine,Beijing 100026,China;Department of Encephalopathy,Beijing First Hospital of Integrated Chinese and Western Medicine,Beijing 100026,China)

机构地区：[1]北京市第一中西医结合医院针灸科,北京100026 [2]北京市第一中西医结合医院针灸脑病科,北京100026 [3]北京市第一中西医结合医院脑病科,北京100026

出　　处：《中国现代医生》2025年第5期69-71,共3页China Modern Doctor

基　　金：北京市中医药科技发展资金项目(JJ-2020-15);中央级公益性科研院所基本科研业务费专项(YZ-1821)。

摘　　要：目的观察加味散偏汤治疗肝郁血瘀型紧张型头痛的临床疗效。方法选取2021年4月至2022年11月北京市第一中西医结合医院收治的肝郁血瘀型紧张型头痛患者87例作为研究对象,观察组44例采用加味散偏汤颗粒剂联合布洛芬胶囊治疗,对照组43例采用加味散偏汤颗粒剂模拟剂联合布洛芬胶囊治疗,28d为1个疗程。比较两组患者的头痛视觉模拟评分法(visual analogue scale,VAS)评分、中医症状积分及治疗有效率。结果治疗后两组患者的VAS评分、中医症状积分均较治疗前明显下降,且观察组患者的疼痛评分、中医症状积分较对照组下降更明显(P<0.05)。治疗后,观察组患者的治疗有效率明显高于对照组(P<0.05)。结论联合加味散偏汤治疗可降低肝郁血瘀型紧张型头痛患者的疼痛VAS评分,有效缓解患者的临床症状,治疗效果优于单纯西医治疗,值得临床推广应用。Objective To observe the clinical efficacy of Jiawei Sanpian decoction in the treatment of liver stagnation and blood stasis tension-type headache.Methods A total of 87 patients with Liver stagnation and blood stasis tension-type headache who were admitted to Beijing First Hospital of Integrated Chinese and Western Medicine from April 2021 to November 2022,and observation group(n=44)was treated with Jiawei Sanpian decoction granules combined with ibuprofen capsules,and control group(n=43)was treated with Jiawei Sanpian decoction granules simulant combined with ibuprofen capsules for 28 days.Pain visual analogue scale(VAS)score,traditional Chinese medicine(TCM)symptom score and clinical efficiency were compared between the two groups.Results VAS score and TCM symptom score in two groups decreased sigwificamtly after therapy,and VAS score and TCM symptom score in observation group decreased more significantly than these in control group,and the difference was statistically significant(P<0.05).After therapy,the effective rate of patients in observation group was significantly higher than in control group(P<0.05).Conclusion Combined with Jiawei Sanpian decoction treatment,it can reduce VAS score of patients with liver stagnation and blood stasis tension-type headache,improve the clinical symptoms of patients,and enhance the clinical effective rate,which is better than Western medicine treatment alone,and is worthy of clinical promotion and application.

关 键 词：紧张型头痛 加味散偏汤 肝郁血瘀 临床观察 

分 类 号：R255.9[医药卫生—中医内科学]