针刺少阳经腧穴治疗偏头痛的配伍规律
Treatment of Migraine According to Shaoyang Meridian Points Based Acupuncture Compatibility Rule
DOI: 10.12677/TCM.2018.74042, PDF,    科研立项经费支持
作者: 金秀炫, 沈凤娇, 裴 建：上海中医药大学附属龙华医院，上海
关键词: 偏头痛；少阳经；针刺；综述；Migraine； Shaoyang； Acupuncture； Review
摘要: 偏头痛是临床致残率较高的疾病。本文对2008年到2018年针刺少阳经腧穴治疗偏头痛的临床研究进行归纳总结，为进一步研究偏头痛提供较详细的循证依据。通过查阅相关文献，本文从针刺少阳经穴治疗偏头痛的临床疗效，进行分析汇总。结果显示，针刺少阳经腧穴治疗偏头痛疗效确切，经脉使用频率以足少阳胆经、手少阳三焦经为最高，穴位使用频率则以外关、阳陵泉、丘墟、风池、角孙等为高。同时，本文从脑血流、血浆血管活性物质以及磁共振脑区功能的连接等方面探讨针刺治疗偏头痛的机制。今后需要更多大样本、高质量、多中心的临床随机对照试验，以验证针刺治疗偏头痛的临床疗效，明确其作用机制。
Abstract: Migraine is a disease with high clinical disability. This article summarizes the clinical studies of acupuncture on Shaoyang meridian for migraine from 2008 to 2018 to provide more evidence for further study. A summary of clinical effect and mechanism of acupuncture on Shaoyang meridian for migraine is reported in this paper by reviewing relevant articles. Result showed that acupuncture on Shaoyang meridian has curative effect for migraine. The gall bladder meridian and Sanjiao meridian are two most frequently used meridians while SJ5 (Wai Guan), GB31 (Yang Ling Quan), GB40 (Qiu Xu), GB20 (Feng Chi) and SJ20 (Jiao Sun) are the most frequently-used acupoints. Meanwhile, the article discusses the mechanism of acupuncture via three aspects of cerebral blood flow, plasma vasoactive substances and functional connectivity in brain. More large-sample, high-quality and multicentric randomized controlled trails are needed in further, to verify the clinical effect and to clarify the mechanism of acupuncture.
文章引用：金秀炫, 沈凤娇, 裴建. 针刺少阳经腧穴治疗偏头痛的配伍规律[J]. 中医学, 2018, 7(4): 252-260. https://doi.org/10.12677/TCM.2018.74042

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