摘要
目的研究紧张型头痛与中医风湿头痛的对等关系。方法从理论和临床两个方面论证:①理论研究:734例头痛患者的中医舌脉调查及138例TTH患者中医证型的分布情况;②临床研究:随机选取2007年3月至2010年10月在广州南方医科大学南方医院中医科头痛专科门诊就诊的TTH患者138例,将此138名患者随机分为头痛新1号组、羌活胜湿汤组、盐酸乙哌立松片组各46例,分别给予头痛新1号方、羌活胜湿汤方、盐酸乙哌立松片治疗,疗程3个月。结果 734例头痛患者,按8型分证,仅舌脉而论,573例为舌质暗红或者红,苔薄白,脉缓或弦缓;138例TTH患者中医证型分布如下:风湿头痛101例(73.18%),风湿兼血瘀头痛26例(18.84%),风湿兼肝阳上亢头痛11例(7.98%)。临床治疗:头痛新1号组总有效率为93.4%,羌活胜湿汤组总有效率为76.0%,西药组为65.3%,头痛新1号组疗效明显优于两对照组。结论中医头痛的分型是症状学诊断与中医的舌脉没有明显相关性,TTH属于中医的风湿头痛范畴,TTH的两个亚型分别对应于风湿兼血瘀头痛、风湿兼肝阳上亢头痛,临床上也进一步论证TTH的中医治疗当以祛风、活血、除湿立法,兼以养肝、平肝、安神之法疗效更佳。
Objective To determine whether tension-type headache is equivalence to rheumatism headache.Methods To compare them based on theory and clinical observation：①Investigation of the tongue and pulse signs in 734 patients with headache and the TCM syndrome distribution of 138 patients with TTH.②In clinical study,138 patients from headache clinic of TCM department in Nanfang Hospital affiliated to the South Medical University in Guangzhou between March 2007 and October 2010 were randomly divided into three groups （Toutongxinyihao Decoction group,Qianghuoshengshi Decoction group,or Eperisone Hydrochloride group,each group contained 46 patients）that respectively used Toutongxinyihao Decoction,Qianghuoshengshi Decoction,or Eperisone Hydrochloride Tablets as a treatment.The course of the treatment lasted for three months.Results 734 patients with headache were divided into 8 types according to tongue and pulse： 573 patients had dark red tongue or red tongue with a thin layer of a whitish fur and stringy pulse or stringy -moderate pulse.TCM syndrome type distribution of 138 patients with TTH were as follows：101 cases（73.18%）belonged to rheumatism headache,26 cases（18.84%）belonged to headache due to rheumatism and blood stasis,and 11 cases（7.98%） belonged to headache due to rheumatism and upper hyperactivity of liver yang.In clinical treatment,the total effective rate of Toutongxinyihao Decoction was 93.4%,which was apparently higher than that of Qianghuoshengshi Decoction 76.0%,and Eperisone Hydrochloride Tablets 65.3%.Conclusion TCM syndrome type of headache was based on symptom,and not correlated with the tongue and pulse signs.TTH belonged to the category of headache due to rheumatism.TTH was classified as two subtypes：rheumatism and blood stasis subtype and rheumatism and upper hyperactivity of liver yang subtype.The main therapeutic approaches of TCM were as follows：dispel the wind,invigorate the circulation of blood and remove dampness together with nourishing the liver,soothing the liver and relieve uneasiness of mind and body tranquilization to have a better curative effect.
出处
《热带医学杂志》
CAS
2011年第4期404-407,共4页
Journal of Tropical Medicine
关键词
TTH
风湿头痛
全等
头痛新1号
TTH
rheumatism headache
congruent
Toutongxinyihao Decoction
作者简介
作者简介：伍志勇（1984-），男，南方医科大学在读硕士研究生，研究方向为中西医结合脑病
通讯作者：陈宝田（1938-），男，教授，主任医师，研究方向为中西医结合脑病，E-mail：cherry06@fimmu．com
