首页|期刊导航|实用中医内科杂志|探"木郁达之"之理从"不通则痛"角度辨治紧张型头痛

探"木郁达之"之理从"不通则痛"角度辨治紧张型头痛OA

Exploring the Principle of "Wood and Reaching the Sky",from the Perspective of "Pain If It Doesn't Work",Traditional Chinese Medicine Identifies and Treats Tension Headaches

中文摘要英文摘要

随着生活节奏加快,高强度精神压力与不良生活习惯导致紧张型头痛的发病率显著攀升,已成为影响公众健康的常见问题.现代医学多责之肌肉紧张与心理应激,疗效欠佳.探析"木郁达之"理论,整体把握动态病机的演变,辨析病因病机,以期完善诊疗内容.结合"不通则痛"视角出发,认为其病因可为经络受阻致郁、气血郁滞致郁、情志失调致郁.三者相互影响,互为因果,共同构成紧张型头痛"木郁、不通、疼痛"病程变化.治以通经活络、畅达枢机,调气活血、消散郁结,调神解郁、安魂定志.从而达到郁解、结散、络通、痛止之效,为临床诊治提供参考.

With the continuous acceleration of the pace of life,the incidence of tension headache has increased significantly due to high-intensity mental stress and bad living habits,which has become an important problem affecting public health.Mod-ern medicine attributes it to muscle tension and psychological stress,yet the therapeutic efficacy is often unsatisfactory.Explore the theory of "Mu Yu Dazhi",grasp the evolution of dynamic pathogenesis as a whole,and analyze the etiology and pathogenesis in order to improve the diagnosis and treatment content.Combined with the perspective of "pain if it is not passed",it is be-lieved that its causes can be depression caused by blockage of meridians,depression caused by qi and blood stagnation,and de-pression caused by emotional disorders.The three influence each other,each other is causal,and together constitute the change in the course of tension headache.It is treated to clear the meridians,activate the circulation,smooth the cardinal,regulate qi and activate blood,dissipate stagnation,regulate the spirit and relieve depression,and calm the soul.Thus,it achieves the effects of depression,dispersion,circulation and pain relief,and provides reference for clinical diagnosis and treatment.

周璐;柴树艳;刘爱榕;刘子玉;魏怡;庞敏

辽宁中医药大学,辽宁 沈阳 110847辽宁中医药大学,辽宁 沈阳 110847辽宁中医药大学,辽宁 沈阳 110847辽宁中医药大学,辽宁 沈阳 110847辽宁中医药大学,辽宁 沈阳 110847辽宁中医药大学附属第二医院,辽宁 沈阳 110034

医药卫生

木郁达之紧张型头痛不通则痛解郁中医

Mu Yudazhitension-type headachepain due to obstructionrelieving depressiontraditional Chinese medi-cine(TCM)

《实用中医内科杂志》 2026 (4)

89-92,4

国家重点研发计划资助项目(2018YFC1704100)东北部地区名老中医学术观点、特色诊疗方法和重大疾病防治经验研究项目(2018YFC1704105)

10.13729/j.issn.1671-7813.Z25081401

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