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基于中医古籍文献挖掘的头痛证治研究OA

A Study on the Diagnosis and Treatment of Headache Based on the Mining of Ancient Chinese Medicine Literature

中文摘要英文摘要

基于中医古籍文献挖掘,系统梳理头痛"因-机-证-治"理论.中医古籍对头痛病因病机的认识以内外合邪为主,有因于触冒风邪与肝风内动者,有得之瘀血痰浊者,有因气虚气郁者,表里虚实,首当明辨.头痛之辨证还当辨新久、轻重、兼症、发作形式、所在部位、疼痛性质、诱因、预后、转归等,以综合判断,求其根本.治疗上内外兼顾,合理使用风药,调养得当,是为全法.中医学头痛辨治理论内涵丰富,系统全面,回归经典,溯本求源,古今结合,可为临床辨治应用提供指导.

Based on the excavation of ancient Chinese medicine literature,this paper systematically reviews the theory of"cause mechanism syndrome treatment"for headaches.The understanding of the etiology and pathogenesis of headache in ancient Chinese medicine books is mainly based on the combination of internal and external pathogens,which can be caused by the contact of wind pathogens and internal movement of liver wind,blood stasis and phlegm turbidity,and qi deficiency and stagnation.External evidence,internal evidence,deficiency evidence,empirical evidence,should be clearly distinguished first.The differentiation of symptoms and signs of headache should also distinguish the duration,severity,concurrent symptoms,onset form,location,nature of pain,causes,prognosis,outcome,etc.,in order to comprehensively judge and seek its foundation.The most comprehensive approach is to balance internal and external treatment,use wind medicine reasonably,and properly regulate oneself.Returning to the classics,tracing back to the origin,the traditional Chinese medicine theory of headache diagnosis and treatment has rich connotations and a comprehensive system,which can provide guidance for clinical diagnosis and treatment applications.

张惜燕;田丙坤;胡勇;李绍林

陕西中医药大学,陕西 咸阳 712046陕西中医药大学,陕西 咸阳 712046陕西中医药大学,陕西 咸阳 712046陕西中医药大学,陕西 咸阳 712046

医药卫生

头痛古籍病因病机治疗

headacheancient booksetiologypathogenesistreat

《陕西中医药大学学报》 2026 (1)

12-16,5

中医药古籍文献和特色技术传承专项项目(GZY-KJS-2020-028)陕西省中医药管理局中医藏象理论重点研究室建设项目(SZDYJS-2)

10.13424/j.cnki.jsctcm.2026.01.02

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