| 引用本文: |
王玭,华荣.基于脑fMRI对偏头痛再认识及解郁和中法辨治偏头痛经验[J].湖南中医药大学学报,2018,38(9):1028-1031[点击复制] |
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| 基于脑fMRI对偏头痛再认识及解郁和中法辨治偏头痛经验 |
| 王玭,华荣 |
| (广州中医药大学, 广东 广州 510405;广东省中医院, 广东 广州 510120) |
| 摘要: |
| 基于脑功能磁共振技术（functional magnetic resonance imaging，fMRI）研究，认为偏头痛属于中枢神经系统类疾病的范畴，并且认为长期疼痛发作的累积效应导致了偏头痛患者脑功能网络的异常。笔者从肝脾胃失调立论，治疗偏头痛从整体观念和脏腑辨证出发，遵循"方从法出""法随证立"，临床中运用自拟解郁和中汤，病证结合，方证相应，脏腑同调兼顾配合心理疏导、精神安慰等心身并治之法，临床获效满意。 |
| 关键词: 脑功能磁共振技术 肝脾胃失调 解郁和中法 偏头痛 |
| DOI：10.3969/j.issn.1674-070X.2018.09.014 |
| 投稿时间：2018-06-10 |
| 基金项目:国家中医药管理局、广东省中医药局刘茂才广东省全国名中医传承工作项目资助（粤中医办函[2018]5号）；广东省中医院中医学术流派传承工作室建设项目：岭南林夏泉学术流派传承工作室资助（E43604）。 |
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| Re-recognition of Migraine Based on Brain fMRI and Experience in Syndrome Differentiation-Based Treatment of Migraine with Jieyu Hezhong Method |
| WANG Pin,HUA Rong |
| (Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510405, China;Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou, Guangdong 510120, China) |
| Abstract: |
| Based on brain functional magnetic resonance imaging (fMRI) studies, it is considered that migraine is a central nervous system disease and the cumulative effect of long-term pain episodes leads to abnormal brain function network in migraine patients. From the viewpoint of liver, spleen, and stomach disorders, the author argues that treatment of migraine should be based on the holistic view and syndrome differentiation of the viscera and bowels and follow the principles of "Prescription from the law" and "The law based on evidence". The clinical application of self-made Jieyu Hezhong Decoction has the advantages of combining the disease and the syndrome and the correspondence between prescription and syndrome. Regulating the viscera and bowels together combined with psychological counseling, mental comfort, and other psychosomatic treatments have good effects. |
| Key words: brain functional magnetic resonance imaging liver, spleen, and stomach disorders Jieyu Hezhong method migraine |
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