基于“开阖枢”理论浅析龙砂开阖六气针法 治疗偏头痛

Analysis of Longsha Kaihe Liuqi Acupuncture Method for Treating Migraine on the Theory of “Kaihe Shu”

摘要: 本文基于“开阖枢”理论探讨龙砂开阖六气针法治疗偏头痛的临床思路，中医认为偏头痛属于“少阳头痛”范畴，其发病与少阳枢机不利、厥阴阖降失常密切相关。中医治疗偏头痛无论是中药汤剂等内治法，还是针灸等外治法，大多从少阳、厥阴入手。龙砂开阖六气针法在治疗少阳厥阴等系统疾病均有较好的临床疗效。故针刺选取少阳、厥阴、百会三穴，调节阴阳之枢，共奏阖降之功，以期为中医治疗偏头痛提供新的治疗思路。

Abstract: This article explores the clinical approach of Longsha Kaihe Six Qi Acupuncture in treating migraine on “Kaihe Shu” theory. Traditional Chinese Medicine (TCM) classifies migraine as a “Shaoyang headache,” whose pathogenesis is closely related to the dysfunction of the Shaoyang pivot and the abnormal descent of the Jueyin. In TCM treatment of migraine, whether through internal therapies such as herbal decoctions or external therapies like acupuncture, most approaches target the Shaoyang and Jueyin systems. The Longsha Kaihe Six Qi Acupuncture has demonstrated significant clinical efficacy in treating systemic diseases of the Shaoyang and Jueyin systems. Therefore, the acupuncture points selected—Shaoyang, Jueyin, and Baihui—are chosen to regulate the pivot of yin and yang, collectively achieving the function of descent, aiming to provide a new therapeutic perspective in treating migraine.