1.日照市中医医院(山东 日照 276800)
2.山东中医药大学(山东 济南 250355)
黄鑫磊,女,硕士研究生,主要从事脑病六经辨证论治研究工作
丁元庆,主任医师,教授,硕士研究生导师; E-mail:dingtcm@126.com
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黄鑫磊,温雅,赵丽丽,等.丁元庆运用四神散加味治疗药物过度使用性头痛验案1则[J].上海中医药杂志,2022,56(7):34-37.
HUANG Xinlei,WEN Ya,ZHAO Lili,et al.Ding Yuanqing using modified Sishen Powder to treat medication⁃overuse headache: a medical case[J].Shanghai Journal of Traditional Chinese Medicine,2022,56(7):34-37.
黄鑫磊,温雅,赵丽丽,等.丁元庆运用四神散加味治疗药物过度使用性头痛验案1则[J].上海中医药杂志,2022,56(7):34-37. DOI: 10.16305/j.1007-1334.2022.1911068.
HUANG Xinlei,WEN Ya,ZHAO Lili,et al.Ding Yuanqing using modified Sishen Powder to treat medication⁃overuse headache: a medical case[J].Shanghai Journal of Traditional Chinese Medicine,2022,56(7):34-37. DOI: 10.16305/j.1007-1334.2022.1911068.
介绍丁元庆教授治疗药物过度使用性头痛的临床经验。认为药物过度使用性头痛缘自久病头痛、用药失当;本案首次提出血虚络痹病机,病责厥阴,与肝及心包络关系密切;病机以阴血亏虚为本,内风扰络、痰湿瘀阻为标,久病入络,络脉痹阻,形神失和;临证基于头痛六经辨证理论,补虚泻实,身心同治;四神散集祛风通络、调气和血、宣痹定痛于一体,随证化裁,治疗血虚络痹之头痛可收良效。并举验案1则。
The clinical experience of Professor Ding Yuanqing in the treatment of medication-overuse headache is introduced by analyzing a proven medical case. It is considered that the syndrome is caused by long-term headache, improper use of medication. In this article, the pathogenesis blood deficiency and collaterals obstruction, which is closely related to Jueyin liver and pericardium, is proposed firstly. The main pathogenesis is deficiency of yin and blood and the secondary one is endogenous wind disturbing collaterals and turbid phlegm causing blood stasis. Long-term disease will enter the collaterals, resulting in disharmony of body and spirit. In clinic, based on the theory of syndrome differentiation of the six meridians for headache, the syndrome can be treated by the methods of supplementing deficiency and purging excess-evil, simultaneously treating body and mind. Therefore, a good result can be received in treating the syndrome by using the modified prescription according to the change of syndrome as the Sishen Powder has the functions of expelling wind and dredging collaterals, regulating qi and blood, and dispersing obstruction to stop pain. One case was appended to illustrated the therapy.
药物过度使用性头痛厥阴头痛四神散血虚络痹形神并调中医药疗法
medication-overuse headacheJueyin headacheSishen Powderblood deficiency and collaterals obstructionsimultaneously treating body and mindtraditional Chinese medicine therapy
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