中医外治法治疗前庭性偏头痛的研究进展

Research Progress in Traditional Chinese Medicine External Treatment for Vestibular Migraine

摘要: 前庭性偏头痛(Vestibular Migraine)是一种特殊类型的中枢性前庭系统疾病，患者既往多有偏头痛病史或偏头痛样症状发作，发作时多以位置性或自发性眩晕为主要临床表现，其伴随症状有头痛、畏光、畏声、视觉先兆等。该病发病率高，易反复发作，这种病症的复杂性和多样性使得对其的治疗具有挑战性。然而，VM的发病机制尚不明确，西医缺乏完善的诊疗标准，仍以药物治疗为主，副作用大，且无法完全治愈该病，仍需寻求更加安全有效的治疗方法。近年来，研究发现中医外治法(如针刺、推拿、拔罐、艾灸等)在VM的治疗上极具优势，其可刺激经络，调和气血阴阳，改善局部微循环，迅速缓解眩晕、头痛等症状，且副作用更小，安全有效。文章对中医外治法治疗本病的研究状况作一综述，以期更好指导中医外治法在VM治疗中的临床应用。

Abstract: Vestibular Migraine (VM) is a special type of central vestibular system disease. Patients often have a history of migraine or migraine-like symptoms, with positional or spontaneous dizziness as the main clinical manifestation. Its accompanying symptoms include headache, photophobia, fear of sound, and visual premonitions. The incidence rate of this disease is high, and it can easily recur. The complexity and diversity of this disease make its treatment challenging. However, the pathogenesis of VM is not clear. Western medicine lacks perfect diagnosis and treatment standards and still focuses on drug treatment, which has large side effects and cannot completely cure the disease. It is still necessary to seek a safer and more effective treatment. In recent years, research has found that external treatment of traditional Chinese medicine (such as acupuncture, massage, cupping, moxibustion, etc.) has great advantages in the treatment of VM. External treatment of traditional Chinese medicine can stimulate the meridians, reconcile the Yin and Yang of Qi and blood, improve the local microcirculation, and quickly relieve the symptoms of vertigo, headache, etc., with fewer side effects, which is safe and effective. This article provides a review of the research status of traditional Chinese medicine external treatment for this disease, in order to better guide the clinical application of traditional Chinese medicine external treatment in the treatment of VM.