Wu Da-hua's Experience of Treating Tension Headache with Modified Rhizoma Chuanxiong and Radix Angelicae Dahuricae Headache Decoction Combined with Duliang Soft Capsule
DOI:10.16367/j.issn.1003-5028.2021.03.0087
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1.Hunan University of Chinese Medicine, Changsha, Hunan, China, 410006
2.Hunan Academy of Traditional Chinese Medicine Affiliated Hospital, Changsha, Hunan, China, 410006
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WANG Shi-liang, WU Da-hua. Wu Da-hua's Experience of Treating Tension Headache with Modified Rhizoma Chuanxiong and Radix Angelicae Dahuricae Headache Decoction Combined with Duliang Soft Capsule[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.16367/j.issn.1003-5028.2021.03.0087
WANG Shi-liang, WU Da-hua. Wu Da-hua's Experience of Treating Tension Headache with Modified Rhizoma Chuanxiong and Radix Angelicae Dahuricae Headache Decoction Combined with Duliang Soft Capsule[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.16367/j.issn.1003-5028.2021.03.0087 DOI:
伍大华教授认为,紧张型头痛外因为风湿蒙窍,内因则为肝郁不疏及气郁化火,主要病机为风湿侵袭,肝气不畅,壅滞脑络,不通则痛,临证将紧张型头痛分为风湿蒙窍证、肝郁气滞证、气郁化火证。风湿蒙窍证治以胜湿通窍、祛风止痛,方选芎芷头痛汤减蝉蜕、露蜂房;肝郁气滞证治以疏肝行气、通络止痛,方选芎芷头痛汤减薏苡仁、半夏,加茯神、白术、陈皮、合欢花;气郁化火证治以疏肝清热,行气止痛,方选芎芷头痛汤减蝉蜕,加延胡索、柴胡、茯神、当归、合欢花、薄荷。伍教授认为,芎芷头痛汤加减与都梁软胶囊联合使用,治疗紧张型头痛疗效颇佳。
Professor Wu Da-hua believes that the external cause of tension headache is wind and dampness blocking orifices, while the internal cause is liver ,qi, stagnation transforming into fire. The main pathogenesis of tension headache is wind and dampness invasion, stagnation of liver ,qi, obstructing brain collaterals which causes pain. Clinically, tension headache can be divided into syndrome of wind and dampness blocking orifices, syndrome of liver ,qi, stagnation, and syndrome of ,qi, stagnation transforming into fire. For syndrome of wind and dampness blocking orifices, the treatment should focus on removing dampness, unblocking orifices, so Rhizoma Chuanxiong and Radix Angelicae Dahuricae Headache Decoction removing Chantui (,Periostracum Cicadae,), Lufengfang (,Nidus Vespae,) can be used. For syndrome of liver ,qi, stagnation, the treatment should focus on soothing liver and regulating ,qi, so Rhizoma Chuanxiong and Radix Angelicae Dahuricae Headache Decoction removing Yiyiren (,Semen Coicis,) and Banxia (,Rhizoma Pinelliae,) while adding Fushen (,Sclerotium Poriae Pararadicis,), Baizhu (,Rhizoma Atractylodis Macrocephalae,), Chenpi (,Pericarpium Citri Reticulatae,) and Hehuanhua (,Flos Albiziae,) can be used. For syndrome of ,qi, stagnation transforming into fire, the treatment should focus on soothing liver and clearing heat, regulating ,qi, and stopping pain, so Rhizoma Chuanxiong and Radix Angelicae Dahuricae Headache Decoction removing Chantui (,Periostracum Cicadae,) while adding Yanhusuo (,Rhizoma Corydalis,), Chaihu (,Radix Bupleuri,), Danggui (,Radix Angelicae Sinensis,), Hehuanhua (,Flos Albiziae,), and Bohe (,Herba Menthae,) can be used. Professor Wu believes that the combination of Modified Rhizoma Chuanxiong and Radix Angelicae Dahuricae Headache Decoction, and Duliang Soft Capsule, the treatment of tension type headache has a good effect.
紧张型头痛芎芷头痛汤都梁软胶囊伍大华
tension headacheRhizoma Chuanxiong and Radix Angelicae Dahuricae Headache DecoctionDuliang Soft Capsule (DLSC)Wu Da-hua
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