柴胡加龙骨牡蛎汤“和肝”治疗经行头痛  

Treatment of menstrual headache by“harmonizing the liver”with Chai Hu Long Bone and Oyster Soup

作　　者：高菲 丁永芬[1] 范文琛 刘秋雨 GAO Fei;DING Yongfen;FAN Wenchen(Wangjing Hospital of China Academy of Chinese Medical Sciences,Beijing 100102,China)

机构地区：[1]中国中医科学院望京医院,北京100102

出　　处：《四川中医》2025年第4期154-158,共5页Journal of Sichuan of Traditional Chinese Medicine

基　　金：中国中医科学院科技创新工程(编号:CI2021A2404)。

摘　　要：经行头痛是女性常见妇科疾病,临证发现情志失调、气血失和是影响其发病的主要病因病机之一,肝主调畅情志,故经行头痛与脏腑肝关系密切。肝以“和”为贵,“和法”为治病之根本大法,柴胡加龙骨牡蛎汤为东汉末年张仲景《伤寒论》中的柴胡类方,具有疏肝解郁、镇静安神、调和气血阴阳的作用,后世大多用于治疗精神情志类疾病。经行头痛随月经周期规律性反复发作,符合该方“往来寒热,休作有时”特点,且女子头痛发作多与情志有关,故以和肝之方治疗随月经周期而至的经行头痛每获良效。Menstrual headache is a common gynecological disease in women,and it is found that emotional imbalance and qi and blood disharmony are one of the main etiologies and pathogenesis affecting its onset.The liver is valued by“harmony”,and“harmony”is the fundamental law of curing diseases,and the oyster soup with chai hu and keel is the bupleurum formula in Zhang Zhongjing's“Treatise on Typhoid Fever”in the late Eastern Han Dynasty,which has the effect of soothing the liver and re-lieving depression,calming the nerves,and harmonizing qi,blood,yin and yang,and is mostly used to treat mental and emotion-al diseases in later generations.Menstrual headaches recur regularly with the menstrual cycle,which is in line with the character-istics of the prescription of“cold and heat,and rest time”,and the headache attacks of women are mostly related to emotions,so the treatment of menstrual headaches with the menstrual cycle with the liver prescription has always been effective.

关 键 词：柴胡龙骨牡蛎汤 经行头痛 肝 和法 经方 

分 类 号：R229[医药卫生—中医基础理论]