从"阴亏-火旺-阳亢-瘀阻"递进病机论治慢性偏头痛经验OA

Chronic migraine is the most common chronic neurovascular disease in the encephalopathy department of traditional Chinese medicine,characterized by a lingering course and recurrent attacks.Its pathogenesis has not been fully elucidated,and Western medical treatment also has obvious limitations.Based on classical traditional Chinese medicine theory and clinical practice in encephalopathy,the authors propose that chronic migraine takes Liver Yin Deficiency as the root of the disease,with Liver Fire flaming upward,Liver Yang ascending,and blood stasis obstruct-ing brain collaterals as the branch manifestations.The core pathogenesis presents a progressive evolutionary pattern of"Yin Deficiency-Fire Hyperactivity-Yang Ascent-Stasis Obstruction,"with the four factors interlocking and mutually reinforcing in disease progression.Accordingly,the therapeutic principle of"nourishing Yin and nourishing blood to address the root,while clearing Liver Fire,subduing Liver Yang,and activating blood to unblock collaterals to treat the branch"is established.This paper systematically elaborates the theoretical basis,Syndrome Differentiation character-istics,and medication experience of this approach,and provides clinical cases for verification,offering new ideas for the traditional Chinese medicine treatment of chronic migraine.