李燕梅教授治疗顽固性头痛的临床经验研究

发布时间：2018-02-10 10:04

本文关键词： 顽固性头痛辨证治疗临床经验研究　出处：《河南中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：顽固性头痛为临床常见疾病,其特点表现为缓慢起病、缠绵反复、经久不愈,加之现代社会竞争激烈、发展迅速,更易受精神、情绪、外界环境等因素影响而诱发,严重影响人们社会功能的发挥。据统计[1],人群发病率达5%左右,女性多见。顽固性头痛属于中医头痛范畴,中医药作为我国的特色治疗方式,在其治疗方面积累了大量宝贵经验,为许多被头痛长期困扰的患者带来了福音,对各种原因导致的顽固性头痛因疗效显著、症状改善明显而受到肯定。导师李燕梅教授为河南省脑病头痛知名专家,河南省中西医结合学会脑病分会主任委员,从事临床诊疗及教学科研工作近40年,擅长各种脑部疾病的中西医诊疗,对古、近、现代众多医家的学术理论都有深入研究,且在研习经典著作的基础上逐步揣摩自己的行医思路,尤其在顽固性头痛的诊疗方面尤有自己独到的经验。本文通过对大量相关文献的搜集、整理及研究,总结导师运用中医经典理论指导临床治疗顽固性头痛的学术思想及临证经验,希望为中医药在顽固性头痛的治疗方面提供一些新思路及方法。本文分为学术思想与经验总结部分及文献综述部分,在经验总结方面,导师认为顽固性头痛的发生与先、后天均有影响;发病的根本为本虚标实;合邪致病为头痛顽固的关键;邪深在里、顽结不散形成头痛顽固的根本;外因牵宿根,头痛易反复;调理在平时,贵在坚持;血分药在治疗中贯穿始末;因病势利导,邪除不伤正;认为顽固性头痛的发病与五脏密不可分;将顽固性头痛分为肝气郁结、阴寒凝滞、火热蕴结、瘀血滞络、痰浊凝滞、肝肾阴虚、脾肾阳虚、气血两亏证,治疗上灵活辨证采用理肝散结、温寒散滞,祛瘀通络、涤痰散滞、滋补肝肾、温脾壮肾、补泻兼施等治法,并注重用药透、散、引,使病邪由深到浅,由内而外,为很多头痛患者带来了福音。文献综述部分,对顽固性头痛的中西医研究进展做了系统总结。
[Abstract]:Intractable headache is a common clinical disease, which is characterized by slow onset, lingering and repeated, long lasting, coupled with fierce competition in modern society, rapid development, and more susceptible to mental, emotional, external environment and other factors. According to statistics [1], the incidence rate of the population is about 5%, and women are more common. Intractable headache belongs to the category of headache of traditional Chinese medicine, Chinese medicine is the characteristic treatment method in our country. It has accumulated a great deal of valuable experience in its treatment, has brought good news to many patients who have suffered from headache for a long time, and has a remarkable curative effect on intractable headache caused by various causes. Professor Li Yanmei, a well-known expert on encephalopathy headache in Henan Province and chairman of the encephalopathy branch of the Henan Society of Integrated Chinese and Western Medicine, has been engaged in clinical diagnosis, treatment, teaching and scientific research for nearly 40 years. Chinese and Western medicine, which are good at various brain diseases, have in-depth research on the academic theories of ancient, modern and modern doctors, and have gradually figured out their own thinking of practicing medicine on the basis of studying classical works. Especially in the diagnosis and treatment of intractable headache have their own unique experience. This article through a large number of related literature collection, collation and research, Summing up the academic thoughts and clinical experience of clinical treatment of intractable headache guided by the classical theory of traditional Chinese medicine. It is hoped to provide some new ideas and methods for the treatment of intractable headache by TCM. This article is divided into two parts: academic thought and experience summary and literature review. The day after tomorrow has the influence; the root of the disease is the essence of the vacuity; the combination of pathogenic factors is the key of headache stubbornness; the evil is deep in the inside, the stubborn formation of the headache is the root of the headache; the external cause leads to the root of the headache, the headache is easy to repeat; the adjustment in peacetime, it is important to insist; Blood separation drugs throughout the treatment; because of disease snobbery, evil does not hurt the right; think that the incidence of intractable headache and the five viscera inseparable; stubborn headache divided into liver-qi stagnation, Yin cold stagnation, fire heat accumulation knot, blood stasis, phlegm stagnation, phlegm stagnation, Liver and kidney yin deficiency, spleen and kidney yang deficiency, deficiency of both qi and blood syndrome, the treatment of flexible differentiation of the use of liver-dispersing, warm cold scattered stagnation, dispelling blood stasis, phlegm stagnation, nourishing the liver and kidney, warming the spleen and strengthening the kidney, reinforcing diarrhea and so on, and pay attention to drug penetration, powder, induced, From deep to shallow, from inside to outside, it brings good news to many headache patients. In the part of literature review, the research progress of intractable headache in traditional Chinese and western medicine is systematically summarized.
【学位授予单位】：河南中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R249;R277.7

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