基于病位病机探讨偏头痛的针灸诊疗思路

Exploring the Acupuncture and Moxibustion Diagnosis and Treatment Ideas of Migraine Based on the Location and Pathogenesis of the Disease

摘要: 偏头痛是一种慢性神经系统致残性疾病，因其反复发作，迁延不愈的特点，严重影响患者的身心健康。本研究从偏头痛的病位病机角度深入分析，根植于本病“不通则痛，不荣则痛”的病机特点，结合“理、法、方、穴、术”的诊疗体系，运用经络及脏腑辨证，确立了“补虚泻实、通络止痛、调和气血、宁心安神”的治疗原则，选取阿是穴、百会、风池、率谷、太阳、合谷、太冲、神庭、本神、神门为治疗主穴，针对该病的不同证候表现，采用循经选穴、辨证选穴与调神相结合，并施以相应的补泻手法，深入分析针刺治疗该疾病的临床诊疗思路。

Abstract: Migraine is a chronic neurological disabling disease. Due to its recurrent and persistent nature, it seriously affects the physical and mental health of patients. This study conducts an in-depth analysis from the perspective of the etiology and pathogenesis of migraine, rooted in the pathogenesis characteristics of “pain due to obstruction and pain due to deficiency”, and combines the diagnostic and therapeutic system of “theory, method, formula, acupoint, and technique”. By applying meridian and zang-fu organ differentiation, the treatment principle of “tonifying deficiency, purging excess, unblocking meridians to relieve pain, harmonizing qi and blood, and calming the mind and spirit” is established. The main acupoints selected for treatment include Ashi points, Baihui, Fengchi, Saigou, Taiyang, Hegu, Taichong, Shenting, Benshen, and Shenmen. According to the different syndrome manifestations of the disease, acupoint selection is carried out by following meridians, syndrome differentiation, and mind regulation, and corresponding tonifying and purging techniques are applied. The clinical diagnostic and therapeutic thinking of acupuncture treatment for this disease is deeply analyzed.