作者：黄文佐，李甜，孙莘一，祝美珍

单位：

530200广西壮族自治区南宁市，广西中医药大学

Units：

Guangxi University of Chinese Medicine, Nanning 530200, China

关键词：

偏头痛；“伏瘀”；中医药疗法

Keywords：

Migraine disorders; "Latent blood stasis" ; Traditional Chinese medicine therapy

CLC：

R 747.2

DOI：

10.12114/j.issn.1008-5971.2023.00.167

Funds：

广西自然科学基金面上项目（2021JJA140355）

摘要：

　偏头痛是一种反复发作、迁延难愈的常见病，根据其临床症状及舌脉所见，究其病机之本，多因少阳“伏瘀”，脑络留邪伤正，致疼痛偏发，入夜尤甚，缠绵反复，痛不堪言。“伏瘀”固着少阳，阴阳失和，瘀塞更甚，入络生风，一遇气候变化与情志波动所激，引动“伏瘀”，内外合邪则脑络不畅，痛甚。治疗当逐瘀养正、搜风通络，总以祛除“伏瘀”为要务。临证多以内养正气散“伏瘀”，外搜风邪通经络，散、搜、通、养结合，燮理阴阳，复利少阳枢机，彻逐深伏之瘀血，取得拔刺雪污之效。

Abstract：

Migraine is a recurring, protracted and intractable common disease. According to its clinical symptomsand signs, tongue and pulse, the root of its pathogenesis is that it is mostly due to the "latent blood stasis" of Shaoyang, the brainand collateral are left with evil and damaged, resulting in partial pain, especially at night, lingering and repeated, and the pain isunbearable. "Latent blood stasis" consolidates Shaoyang, Yin and Yang are out of harmony, latent blood stasis is even worse, andwind enters the collateral, and when aroused by climate and emotions, arouses "latent blood stasis" and internal and external evils,the brain and collateral will be blocked and the pain will be severe. Treatment should be to remove latent blood stasis and maintainnormality, search for wind and clear collateral, and always focus on removing "latent blood stasis" . The clinical treatment ismainly to nourish the righteousness internally and dispel "latent blood stasis" , externally search for wind and pathogenic factors toclear the meridians, combine disperse, search, unblock, and nourish, regulate Yin and Yang, compound interest on the cardinals ofShaoyang, and thoroughly remove the deep blood stasis, always get the best results.

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