Examples of Professor DAI Enlai's Application of Tongqiao Huoxue Decoction(通窍活血汤)in the Treatment of Trigeminal Neuralgia

LI Wenya; DAI Enlai

doi:10.13729/j.issn.1671-7813.Z20210804

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Examples of Professor DAI Enlai's Application of Tongqiao Huoxue Decoction(通窍活血汤)in the Treatment of Trigeminal Neuralgia

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Examples of Professor DAI Enlai's Application of Tongqiao Huoxue Decoction(通窍活血汤)in the Treatment of Trigeminal Neuralgia
1.Gansu University of Chinese Medicine, Lanzhou, 730000, Lanzhou, China
DOI：10.13729/j.issn.1671-7813.Z20210804

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LI Wenya, DAI Enlai. Examples of Professor DAI Enlai's Application of Tongqiao Huoxue Decoction(通窍活血汤)in the Treatment of Trigeminal Neuralgia[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13729/j.issn.1671-7813.Z20210804
DOI：

LI Wenya, DAI Enlai. Examples of Professor DAI Enlai's Application of Tongqiao Huoxue Decoction(通窍活血汤)in the Treatment of Trigeminal Neuralgia[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13729/j.issn.1671-7813.Z20210804 DOI：

摘要

戴恩来教授系甘肃省名中医，甘肃省中西医结合学科带头人，在中西医结合治疗面部神经系统疾患中具有丰富的临床经验，疗效显著。三叉神经痛是面部神经系统疾患中的多发病、常见病，其病情急、病情重，面肌麻木，疼痛剧烈；西医治疗以消炎、止痛等症治疗为主，但疗效较差，复发率高。中医具有“整体观念”“辨证论治”的诊治特色，能够多靶点、多维度对三叉神经痛患者进行系统化、个性化治疗。通窍活血汤源自于经典医籍《医林改错》，导师在临证中善用通窍活血汤加减治疗三叉神经痛，其遣方特色在继承古代医家以活血化瘀、行气止痛基础上，增添了温阳活络辨证思路，广获疗效，现将导师治疗三叉神经痛的辨证经验、临证思路和遣方用药等介绍如下。

Abstract

Professor DAI Enlai is a well-known Chinese medicine doctor in Gansu Province and the leader of the discipline of integrated traditional Chinese and western medicine in Gansu Province. He has rich clinical experience in the treatment of facial nervous system disorders with integrated Chinese and western medicine, and has remarkable curative effects. Trigeminal neuralgia is a frequently-occurring and common disease in facial nervous system disorders. Its onset is characterized by acute and severe illness, facial numbness, and severe pain. Western medicine treatment mainly focuses on single symptomatic treatment such as anti-inflammatory and analgesic, but the effect is poor. The review rate is high. Traditional Chinese medicine has the diagnosis and treatment characteristics of"holistic concept"and"syndrome differentiation and treatment", which can provide systematic and individualized treatment of patients with trigeminal neuralgia in multiple targets and multiple dimensions. Tongqiao Huoxue Decoction(通窍活血汤)is derived from the classic medical book"Yilin Correcting Mistakes". The instructor makes good use of Tongqiao Huoxue Decoction to treat trigeminal neuralgia. We have added warming and activating collateral syndrome differentiation ideas, and have achieved wide curative effects. Now we will introduce the tutor's experience in treating trigeminal neuralgia, clinical ideas and prescriptions and medications.

关键词

三叉神经痛通窍活血汤戴恩来

Keywords

trigeminal neuralgiaTongqiao Huoxue Decoction(通窍活血汤)DAI Enlai

references

雷楠, 黄杰, 徐龙, 等. 原发性三叉神经痛的多模态结构神经影像研究进展[J]. 中国疼痛医学杂志, 2021, 27(4): 287-291.

MONTANO N, CONFORTI G, DI BONAVENTURA R, et al. Advances in diagnosis and treatment of trigeminal neuralgia[J]. Ther Clin Risk Manag, 2015(11): 289-299.

DE TOLEDO IP, CONTI RJ, FERNANDES M, et al. Prevalence of trigeminal neuralgia: A systematic review[J]. J Am Dent Assoc, 2016, 147(7): 570-576.

康鹏, 王双义, 肖文林, 等. 三叉神经痛的诊断和治疗进展[J]. 中华临床医师杂志(电子版), 2013, 7(24): 11816-11820.

刘定阳, 张恺, 汪挺舰, 等. 血管压迫程度在三叉神经痛患者预后评估中的应用价值分析[J]. 中华神经医学杂志, 2020, 19(11): 1104-1108.

DEVOR M, AMIR R, RAPPAPORT ZH. Pathophysiology of trigeminal neuralgia: the ignition hypothesis[J]. Clin J Pain, 2002, 18(1): 4-13.

崔艳魁, 程鹏, 刘玉川, 等. 微血管减压与感觉根部分切断治疗三叉神经痛效果评价[J]. 中国疼痛医学杂志, 2019, 25(3): 181-186.

苏鸿年, 司马靓杰, 杨木强. 鼠神经生长因子对三叉神经痛大鼠三叉神经节氧化应激和炎性因子的影响[J]. 中国临床药理学杂志, 2020, 36(17): 2664-2667.

李海军, 刘文慧, 吴瑞. 腺苷钴胺联合巴氯芬治疗三叉神经痛患者的临床疗效及对炎性因子及氧化应激反应的影响[J]. 脑与神经疾病杂志, 2019, 27(2): 107-110.

高晓猛, 于涛, 党彩艳, 等. 射频治疗三叉神经痛患者的疗效及对免疫炎症和氧化应激的影响[J]. 河北医药, 2020, 42(8): 1210-1212,1216.

滕新红, 索晓霞. 疏肝通窍汤联合奥卡西平对老年三叉神经痛患者血浆P物质水平及睡眠质量的影响[J]. 四川中医, 2018, 36(7): 134-136.

孙小静, 刘军锋. 通窍活血汤对脑梗死患者血流动力学及血液流变学的影响[J]. 长春中医药大学学报, 2018, 34(2): 288-290.

易腾达, 李玉丽, 梁宇, 等. 经典名方身痛逐瘀汤的古今文献分析[J]. 中国实验方剂学杂志, 2021, 27(2): 28-36.

黄保岚. 辨证分型论治三叉神经痛114例报告[J]. 中医药临床杂志, 2009, 21(3): 236-237.

李丽娜. 涤痰汤合通窍活血汤联合吞咽功能训练对脑梗死后吞咽障碍的疗效观察[J]. 陕西中医, 2016, 37(5): 526-528.

鄢海良, 赵阳, 方兴, 等. 基于网络药理学研究通窍活血汤治疗脑梗死后血管性痴呆的作用机制[J]. 中成药, 2021, 4301）: 255-263.

董立军, 白冰瑶, 周茜, 等. 红枣浓缩汁缓解小鼠体力疲劳及调节免疫功能的研究[J]. 食品工业科技, 2017, 38(12): 314-318.

赵润芝. 桃仁药理作用与临床应用研究进展[J]. 延安大学学报(自然科学版), 1984(1): 76-81.

董立军, 白冰瑶, 周茜, 等. 红枣浓缩汁缓解小鼠体力疲劳及调节免疫功能的研究[J]. 食品工业科技, 2017, 38(12): 314-318.

韩金霞. 加减通窍活血汤与西药用于偏头痛治疗中的临床效果[J]. 北方药学, 2017, 14(2): 30-31.

杜永耀, 杨忠山. 加减通窍活血汤配合西药治疗三叉神经痛疗效观察[J]. 实用中医药杂志, 2016, 32(6): 563-564.

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