摘要
罗志娟教授针对经行头痛的特点,采用"桂罗氏三分法"治疗,即根据头痛患者的证型、疾病发展的不同阶段及所处的月经周期,"分证""分阶段""分周期"立方遣药。"分证"为以局部辨证定病变脏腑经络,以整体辨证定头痛的虚实寒热。经行头痛基本病机有二,一是气血失调,一是冲气上逆,合而致病,缺一不可。实证者,行气活血以止痛;虚证者,补气养血以止痛。无论何证,均注重平冲安冲,从肝脾肾三脏从发,结合证型,或补肾固冲,或平肝降逆,或健脾和中。"分阶段"为将经行头痛分为痛止期与疼痛期,痛止期,以治本为主,方药根据所属证型不同,或益气养血,或滋阴潜阳,或活血化瘀,或燥湿化痰;疼痛期,常用川芎茶调散加天麻、延胡索,以急治其标,缓解疼痛。"分周期"为将经行头痛分为三期治疗,行经期,以除旧为主;经后期,滋阴养血,佐以助阳;经前期,补肾助阳,扶助阳长。三分的结果需合而互参,不可有所偏颇,分周期、分阶段亦要针对各种证型进行辨证加减。
According to the characteristics of headache during menstruation,Professor Luo Zhi-juan adopts"Master Guiluo′s three-way classification",that is,according to the patients′syndrome type,different stages of disease development and menstrual cycle,"syndrome classification","stage classification","cycle classification"are used to select proper formulas and medicinals."Syndrome classification"means that the local syndrome differentiation is used to determine the pathological viscera and meridians,and the overall syndrome differentiation is used to determine deficiency,excess,cold and heat of headache.There are two basic pathogenesis of headache during menstruation,one is imbalance of qi and blood,the other is qi counterflow.The combination of the two factors causes disease.For those with excess syndrome,qi and blood circulation should be promoted to relieve pain;for those with deficiency syndrome,qi and blood should be nourished to relieve pain.No matter what syndrome,calming throughfare vessel should be paid attention to.The treatment should start from the liver,spleen and kidney,combined with the syndrome type,by nourishing kidney and strengthening throughfare vessel,or calming liver and lower conterflow of qi,or invigorating spleen and harmonizing middle energizer."Stage classification"means that headache during menstruation can be divided into pain stop stage and pain stage.For headache at pain stop stage,the treatment should focus on removing the root cause.According to different syndrome types,either replenishing qi and nourish blood,or nourishing yin and subduing yang,or promoting blood circulation and removing blood stasis,or drying dampness and resolving phlegm can be used.There is no need for the medicinals for dredging meridians to stop pain.For headache at pain stage,Tea-Mix and Chuanxiong Powder combined with Tianma(Rhizoma Gastrodiae)and Yanhusuo(Rhizoma Corydalis)is often used to relieve pain by treating the secondary aspect."Cycle classification"means that headache during menstruation can be divided into three periods.During menstruation,removing blood stasis is the key.After menstruation,nourishing yin and blood to promote yang is the key.Before menstruation,nourishing kidney to strengthen yang is the most important.The results of three-way classification should be combined with each other rather than being biased.The syndrome differentiation should be added and subtracted according to various syndrome types in different circles and stages.
作者
何品豪
罗志娟
吴媛媛
潘永芹
蓝凯玲
HE Pin-hao;LUO Zhi-juan;WU Yuan-yuan;PAN Yong-qin;LAN Kai-ling(Guangxi University of Chinese Medicine,Nanning,Guangxi,China,530000;Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine,Nanning,Cuangxi,China,530000)
出处
《河南中医》
2020年第11期1673-1678,共6页
Henan Traditional Chinese Medicine
关键词
经行头痛
“桂罗氏三分法”
“分证”
“分阶段”
“分周期”
罗志娟
headache during menstruation
"Master Guiluo′s three-way classification"
"syndrome classification"
"stage classification"
"cycle classification"
Luo Zhi-juan
