·107·实用心脑肺血管病杂志2023年9月第31卷第9期投稿网址：http://www.syxnf.net·中西医结合研究·基于“伏瘀”致病观论治偏头痛黄文佐，李甜，孙莘一，祝美珍【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。【关键词】偏头痛；“伏瘀”；中医药疗法【中图分类号】R747.2【文献标识码】ADOI：10.12114/j.issn.1008-5971.2023.00.167TreatmentofMigraineBasedon"LatentBloodStasis"PathogenicViewHUANGWenzuo,LITian,SUNXinyi,ZHUMeizhenGuangxiUniversityofChineseMedicine,Nanning530200,ChinaCorrespondingauthor:ZHUMeizhen,E-mail:beauty0822@126.com【Abstract】Migraineisarecurring,protractedandintractablecommondisease.Accordingtoitsclinicalsymptomsandsigns,tongueandpulse,therootofitspathogenesisisthatitismostlyduetothe"latentbloodstasis"ofShaoyang,thebrainandcollateralareleftwithevilanddamaged,resultinginpartialpain,especiallyatnight,lingeringandrepeated,andthepainisunbearable."Latentbloodstasis"consolidatesShaoyang,YinandYangareoutofharmony,latentbloodstasisisevenworse,andwindentersthecollateral,andwhenarousedbyclimateandemotions,arouses"latentbloodstasis"andinternalandexternalevils,thebrainandcollateralwillbeblockedandthepainwillbesevere.Treatmentshouldbetoremovelatentbloodstasisandmaintainnormality,searchforwindandclearcollateral,andalwaysfocusonremoving"latentbloodstasis".Theclinicaltreatmentismainlytonourishtherighteousnessinternallyanddispel"latentbloodstasis",externallysearchforwindandpathogenicfactorstoclearthemeridians,combinedisperse,search,unblock,andnourish,regulateYinandYang,compoundinterestonthecardinalsofShaoyang,andthoroughlyremovethedeepbloodstasis,alwaysgetthebestresults.【Keywords】M...
