偏头痛从肝风瘀论治的理论探析及临床应用

Theoretical analysis and clinical application of migraine treatment from the liver, the wind and blood stasis

关键词:  偏头痛  论治  头风  肝风  血瘀

Key words:  migraine  diagnosis and treatment  head-wind  liver wind  blood stasis

摘要:

[目的]讨论偏头痛从肝风瘀论治的理论依据，并对其临床应用情况予以概述，为临床防治偏头痛提供指导思路。[方法]从病因病机学角度，结合偏头痛的发病特点，重点介绍偏头痛从肝、从风、从瘀论治的理论依据，并对临床常用的有效方剂的组成和临床疗效特点进行了总结。[结果]为临床从“肝、风、瘀”论治偏头痛提供了理论依据和部分代表方剂。[结论]偏头痛治疗多“从肝风瘀论治”，疗效较佳，但关于偏头痛疗效评价标准的规范和现代机制的研究仍需要不断探索。

Abstract:

[Objective] To discuss the theoretical basis of migraine treatment from the liver, the wind and blood stasis, and summarize the clinical application for providing thoughts for clinical prevention and treatment of migraine.[Methods] From the perspective of etiology and pathogenesis of traditional Chinese medicine, the present review emphasizes on the theoretical basis of migraine treatment from the liver, the wind and blood stasis. Then the composition and therapeutic feature of some effective prescriptions commonly used in clinic will be summarized.[Results] The study provides some evidence and traditional Chinese prescriptions for migraine treatment from the liver, the wind and blood stasis.[Conclusion] The attack of migraine is closely related to the liver, wind and blood stasis, and these treatments have satisfactory clinical effect in prevention and treatment of migraine. Nevertheless, the evaluation criterion of curative effect and the research of modern mechanism in migraine is needed further exploration.