六经辨证论治头痛临证举要(Six meridian syndrome differentiation and treatment of headache syndrome).doc

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1、六经辨证论治头痛临证举要(Six meridian syndrome differentiation and treatment of headache syndrome)First, the sun headacheThe 1. part: mainly in the sun on top of the forehead, headache, pain and even occipital, back, or by a shoulder.It is usually said that the head pain is predominant or connected with the ite

2、m after the Taiyang headache. Lingshu Meridian: the urinary bladder channel of foot taiyang. It is motion sickness, punch pain, eyes like stripping, such as pull out, pain in the spine. Cold house doctor words headache: headache belongs to the sun, from the top of the head to the top, and its pain e

3、ven. Strong lumbar pain. As the sun, bladder, meridian, line to the head, can also have head headache, such as Dan Creek heart law twelve witnesses, the sun bladder, witness the head pain. Pain in both sides of the head. Xiang Sheng ji.2.: the etiology and pathogenesis of common cold, wind heat exog

4、enous evil, sun block is also visible for the sick internal meridians.3. attributes: both pathogenic to exogenous and internal injuries, but injuries are true.4. treatment: meridians negative: headache with pillow neck pain, even the top of the head, forehead, neck or head side or implicated, occipi

5、tal restraint or ache, and even the frontal temporal, or with shoulder discomfort, pale red tongue, thin white fur, wiry or tight. Therapy: dredging the meridians of the sun to relieve pain. Recipe: Rhizoma Gastrodiae, Rhizoma Chuanxiong, Radix Puerariae decoction, Araceae, angelica Jiang Huang. The

6、 blood stasis syndrome: a strong headache or pain, shoulder back arm, and endless, neck tenderness, dark tongue or dark red, or purple, thin white fur, pulse string or thin astringent. Therapy: activating blood circulation to dissipate blood stasis, dredging meridians and dredging collaterals. Recip

7、e: Angelica, safflower, Radix Puerariae Decoction of Salvia miltiorrhiza, notopterygium, or Guizhi Fuling pill. The damp heat syndrome: headaches, neck discomfort, chest full of nausea, red tongue, yellow greasy moss, pulse slippery or moisten. Therapy: clearing away heat and Dissipating Dampness, d

8、redging meridians and dredging collaterals. Prescription: ephedra, forsythia, red bean, Tonga, coix seed, soil Poria and so on. The wind cold syndrome: headache more acute onset, such as breaking the pain, and even back, the evil wind chills, especially the wind play, not thirsty, thin white fur, fl

9、oating and tight pulse. Therapy: dispelling wind and dispelling cold, dredging collaterals and relieving pain. Prescription: ephedra decoction, Guizhi Decoction, Gegen decoction, Guizhi Decoction plus Puerariae decoction. The wind heat syndrome: headache and swelling, even headaches such as crack, f

10、ever or evil wind, thirst, constipation, red eyes, yellow urine, red tongue, pulse floating number. Therapy: dispelling wind and clearing away heat, dredging collaterals and relieving pain. Recipe: Gegen Decoction to ephedra, Guizhi, Gasanje, chrysanthemum, Jiangcan, chantui or Shenma Gegeng decocti

11、on, Sangju decoction. Or use odd soup, typhoid fever, white headache called this solar wind heat headache. The rheumatism card: if headache, heaviness, chest tightness, anorexia, dysuria, or loose stool, greasy moss, pulse moisten slip. Therapy: expelling wind and activating collaterals, clearing da

12、mpness and relieving pain. We used Herba Ephedrae, almond, Coix, licorice and ephedra decoction.Two, Yangming headacheThe 1. part: the location of headache in the forehead, cheeks, pain or even common eyebrow bone, gums, or facial pain. Typhoid fever, white headache: Yangming meridians, frontal pain

13、, pain, even orbital, flood and long.2.: the etiology and pathogenesis of exogenous heat or cold junction; multi internal heat accumulation, damp heat, toxic heat, stomach, alcohol poisoning.The 3. attribute: Empirical research.4. treatment: Yangming damp heat: headache body weight, chest stuffiness

14、, urine red close acerbity, sticky mouth, red tongue, yellow greasy fur, slippery pulse number or the number or. Method: heat and dampness, and pain. Recipe: with digestive tract infection with Banxia Xiexin Decoction; stool with Gegenqinlian decoction. Heat for a long knot with Chen Chaya decoction

15、. The cold stagnation of Yangming Meridian: headache in the forehead, cheeks, or see the eyebrow bone pain, induce or aggravate in cold, pale tongue, thin white fur, wiry or tight. Therapy: dispelling wind and dispelling cold, dredging Yang meridians. Decoction for choosing the odd squares. Danxi Xi

16、nfa, superior orbital pain choose odd side cure brow unbearable pain, effective. The accumulation of heat and steam: Yangming headache touzhang, upset red face, dry mouth or thirst, stomach discomfort, red tongue, yellow tongue coating, slippery pulse. Treatment: clearing stomach, tongluozhitong. Si

17、de with white tiger plus Angelica soup (health treasure volume nine). Or white tiger Ge Gen soup (Anemarrhena, gypsum, Ge Gen, Angelica dahurica). Typhoid fever.Late fever, heat of Qi and Yin, residual heat, headache, thirst, shortness of breath, irritability, red tongue, yellow tongue fur, pulse im

18、aginary number, with zhuyeshigao decoction. The upside: facial pain bouts of stomach, the pain unbearable, face red hot, dry mouth and bad breath, urine red knots, yellow sticky or stuffy nose, red tongue, yellow moss, slippery pulse number. Red tongue, yellow moss, slippery pulse number. Therapy: c

19、learing stomach, purging fire, dredging collaterals and relieving pain. Recipe: Qingwei, reuse with gypsum, Anemarrhena, Cimicifuga, Tianma, Ge Gen, jiangcan. Yellow sticky nose nose, plus angelica, dandelion, Patrinia etc. Yang Ming heat stagnation Qi: headache, face red, dry mouth, thirst, upset,

20、bad breath, stool closed knot, tongue red, yellow or yellow skin, pulse slippery number. Treatment: clearing stomach heat, Qi daozhuo. With Chengqi Decoction or Fangfengtongsheng pill.Three, Shaoyang headacheThe 1. part: the pain to head to the side, and even ears, canthus. Typhoid white - Shaoyang

21、headache: head pain, pain and ear.2.: the etiology and pathogenesis of exogenous wind and heat, cold injury is also a combination of; hepatobiliary Qi, fire or stagnation of damp heat.3. attributes: empirical and heat syndrome are common.4. treatment: Shaoyang heat (Yu Huo): headache in two temples,

22、 or even the eyes and ears, and pain, or see dizziness, dry mouth, red tongue, thin and yellow moss, pulse string. Treatment: Shaoyang Shu Li, Qing San Yu fire. Recipe: Xiaochaihu Decoction to pinellia, ginseng, Gastrodia and Uncaria, and silkworm, mulberry leaf, chrysanthemum, forsythia. The Shaoya

23、ng Qi Stagnation: headache headache, pain in two temporal, work, or move uncertain, or even painful pillow neck, pale red tongue, thin white fur, pulse string or string. Treatment: Shaoyang, Shuyu sanjie. Decoction of Chaihu Guizhi decoction. The hot gas in the Shaoyang headache pain, especially in

24、the temple, upset mouth pain, poor stool, red tongue, yellow moss, pulse string or string number. Methods: Shaoyang, smooth gas machine. With dachaihutang. Fourth, the special headache - ray head wind: headache severe, hair in the ear, the sore from the nucleus, can not touch near, at night aggravat

25、ing, red tongue, thin white fur or thin yellow, pulse string powerful.Treatment: Shu Li Shaoyang, dampness detoxification. Recipe: Qing Jiawei shock.Four, the moon headacheThe 1. site: headache, location, or total headache, or local pain. Lingshu Meridian: the spleen meridian of foot Tai yin. The ab

26、domen is the spleen, collaterals, stomach, upper diaphragm, pharynx, and even the tongue, scattered tongue.2. etiology: injuries: common diet injuries, excessive blood loss, long service; or because of emotional injuries, liver wood spleen, loss of transportation of our wet phlegm, gregaroid.3. attr

27、ibutes: virtual and imaginary, mainly virtual. Deficiency syndrome is more common, deficiency of Qi and blood or rising of Yang, but phlegm, damp heat, phlegm heat and phlegm turbidity are the main symptoms of the syndrome.4. treatment: phlegm reversal headache: headache darkened, chest epigastric f

28、ullness, vomiting phlegm, fat tongue with teeth marks, greasy moss, pulse string or slippery. Therapy: strengthening the spleen and the middle, resolving phlegm and reducing turbidity. Recipe: banxiabaizhutianma (room cache), or Xiong Xin Daotan Decoction (Qixiao recipe). Phlegm stagnation of heat,

29、phlegm heat headache covered, with modified two (medical examination) Chen Tang. Two Decoction based treatment of phlegm reversal headache, such as white, typhoid fever headache said: stubborn phlegm headache, chest full of nausea, Chen Hai Shi, Nanxing tonga. Two Chen Tang bile star, pumice, rock s

30、tar Chen Tang called two. In two, bile, even Zhi Decoction plus a star, even the star of bile Zhi Erchen decoction, treatment of headache and phlegm fire up . The Qi deficiency headache: headache and dizziness, palpitation, sweating, pains in weight, shortness of breath, fear of wind, lassitude, pal

31、lor, pale tongue, thin white, thin and weak pulse. Treatment: Spleen Qi, Sheng Da Qing yang. Recipe: Qi and soup (health treasures Astragalus, ginseng, licorice root, white atractylodes rhizome, tangerine peel, angelica, asarum, Cimicifuga, bupleurum, Fructus viticis, Chuan Xiong). The Qi deficiency

32、 and blood stasis: occipital pain, prolonged unhealed, recurrent, weight, even of back pain, fixed do not move, dark pale tongue, thin white fur, weak pulse.Therapy: tonifying qi to promote qi, promoting blood circulation and removing blood stasis. Prescription: Yang Yang Decoction (spleen and stoma

33、ch theory). The Qi collaterals: recurrent headache, time will not more work, with leader and mental fatigue, lusterless face, pale tongue, thin white fur, thready pulse. Therapy: Supplementing Qi and strengthening spleen, tonifying collaterals and collaterals. Recipe: Huangqi Guizhi Decoction of fiv

34、e ingredients (Radix Astragali, Radix Paeoniae Alba, cassia, ginger, jujube) and Ge Gen, angelica, Codonopsis, epimedium, licorice.Five, Shao Yin headacheThe 1. part: indefinite, with full headache. Although the Yin meridian of foot is not in the head, it is all on the side, and the tongue is the ro

35、ot of the tongue. Such as Lingshu Meridian said: the kidney meridian of foot Shao yin. It is straight from the kidney, through the liver, diaphragm, into the lungs, along the throat, tongue.2. etiology: not less Yin blood deficiency, marrow and brain, brain is empty; Yang deficiency, which is easy t

36、o feel cold evil, not complex temperature Yangqing orifices.3. attributes: to blood deficiency, Yang deficiency is the basic pathogenesis of change.4.: the kidney yin deficiency syndrome: headache and dizziness, tinnitus, Yaoxisuanruan, insomnia, insomnia, dry mouth, facial flushing, hot feeling, re

37、d tongue, less moss, pulse string breakdown. Therapy: Nourishing Yin and tonifying kidney. Recipe: Qiju Dihuang pills, Tianma, mulberry, black sesame. The deficiency of kidney essence: headache and dizziness or pain, empty, weakness, lassitude, dizziness, tinnitus, forgetfulness, insomnia, pale tong

38、ue, less moss, pulse small and weak. Therapy: tonifying the kidney and filling the essence, producing the marrow and invigorating the brain. Recipe: JWZGY (medical record in the herd, Zuoguiyin on the basis of the reuse of Cistanche, Rhizoma Chuanxiong, asarum shaozuo). The deficiency of kidney qi,

39、headache and empty, and every pain dizziness, weakness, lassitude and forgetfulness, impotence, amenorrhea and vaginal discharge, tinnitus and less sleep, pale tongue, less moss, pulse small and weak. Therapy: tonifying kidney qi and filling essence and marrow. With the nourishing element of decocti

40、on. The kidney yang deficiency: empty head pain, cold hands and feet, Yaoxisuanruan, mental fatigue, or dizziness, pale tongue, thin white fur, thin and weak pulse. Treatment: Warming Kidney Yang, tonifying qi and spermatogenesis. Recipe: youguiwan. The deficiency of sense of cold headache: prolonge

41、d does not heal, when time, the evil wind chills, white surface, cold limbs, pale tongue, moss Bo Bairun, thready pulse. Treatment method: Warming Yang and tonifying deficiency, dispelling cold and relieving pain. Prescriptions: ephedra, asarum, aconite, Rhizoma Chuanxiong, and ginger.Six, headache

42、caused by syncope1. sites: vertex, facial pain is more common, or total headache, or headache site is uncertain. Lingshu said: liver meridian foot Jue Ming vein, from tufts of thumb,. On the cross diaphragm, cloth flank, through the throat, into the nasopharynx, even the head of department, on the f

43、orehead, and Du to top; the branch, from the eye under the cheek and lip ring. Dan brook heart law twelve testimony sufficient foot, Yin, liver classics testimony has have a headache.2. etiology and pathogenesis: emotional hurt liver, qi stagnation, cause of the fire, qi stagnation and blood stasis,

44、 hyperactivity of Yang deficiency chronic illness or wind.The 3. attribute: deficiency and excess.4.: the syndrome of stagnation of liver Qi: headache, headache, pain, no fixed place, restless mood, or see the chest stuffiness, hypochondrium distending pain, abdominal nausea, belching, poor appetite

45、, stool is not adjustable, pale tongue, thin greasy moss, pulse string. Therapy: Soothing the liver and relieving depression, relieving pain and relieving pain. Recipe: four inverse scattered and tea powder (Lu Fujin Cyperus rotundus, Rhizoma Chuanxiong, fine tea. Warm water decoction) plus Rhizoma

46、Gastrodiae, Rhizoma Arisaematis, Tribulus terrestris. The stagnation of the headache: headache, irritability, fullness in chest and hypochondrium, bitter taste and dry, or red eyes, headache, tinnitus, or noisy Tunsuan, constipation, red tongue, yellow moss, pulse a few strings. Therapy: Soothing th

47、e liver and resolving depression, clearing away heat and purging fire. Recipe: Baitouweng Decoction and zhizichi Decoction and Rhizoma Gastrodiae, Rhizoma Chuanxiong, Radix Paeoniae Alba, Bombyx Batryticatus, Tribulus terrestris; Yin with Baitouweng plus gelatin medlar, chrysanthemum licorice decoct

48、ion. The blood stasis headache: prolonged healing, pain fixed, irritable, insomnia, or chest pain, dark purple tongue, petechia ecchymosis or wiry or astringent. Therapy: Soothing the liver and regulating qi, promoting blood circulation and relieving pain. Recipe: Tongqiaohuoxue Decoction of Rhizoma

49、 Gastrodiae, chrysanthemum, Inula, turmeric.The liver yang hyperactivity: head pain and dizziness, Mianhongmianchi, irritability, chest pain, restless sleep, mouth pain, red tongue, thin yellow, forceful pulse. Therapy: calming liver and suppressing yang, reducing Qi and relieving pain. Decoction of Gastrodia or

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