摘要
《伤寒杂病论》中对辨治头痛的论述颇多,病因包括寒邪、热邪、饮邪,常兼夹风邪、湿邪为病。寒邪所致者,于太阳、厥阴两经常见;热邪所致者,于少阳病、阳明病、百合病、妇人产后病中常见;饮邪所致者,于痰饮病中可见。头痛的治疗,可分为正治法与权变法。有发汗散寒、开宣寒湿、温中散寒、温肝散寒、和解少阳、通下腑实、滋阴清热、逐饮下气之正治法;又有因于病体之不同出现变证者,采用助阳散寒、温阳利水、解肌祛风、解表清里、补散兼施等权变之法。
There are many statements on the differentiation and treatment of headache in Treatise on Febrile and Miscellaneous Diseases( 《伤寒杂病论》). The etiology involves cold,heat,harmful fluid,complicated factor with wind associated and damp pathogens. The case caused by the pathogenic cold is commonly seen in Taiyang and Jueyin disorders. The case caused by the pathogenic heat is seen in Shaoyang disorder,Yangming disorder,mental disease,postpartum disorders. The case caused by harmful fluid is seen in phlegm disorder. The treatment for headache in postpartum disorders should be given flexibly and accordingly. The routine treatment includes diaphoresis to disperse cold,eliminating cold and damp,warming the middle Jiao to remove cold,warming the liver to remove cold,harmonizing Shaoyang,promoting bowel movement,nourishing yin and clearing heat and promoting water metabolism. In terms of different conditions of disorders,the treating principles should be given accordingly such as strengthening yang to remove cold,warming yang to promote water metabolism,removing exterior syndrome and clearing internal heat,coordinating the method between tonification and dispersing.
出处
《世界中西医结合杂志》
2016年第7期907-909,913,共4页
World Journal of Integrated Traditional and Western Medicine
关键词
张仲景
《伤寒杂病论》
头痛
Zhang Zhongjing
Treatise on Febrile and Miscellaneous Diseases
Headache