偏头痛是一种常见的慢性神经血管性疾病,其主要特点是反复发作的头痛,疼痛可以局限于单侧或双侧,通常伴随有恶心、呕吐以及对光线的敏感等症状。通窍活血汤是中医经典的方剂,主要用于活血化瘀,尤其在疏通经络和止痛方面表现突出,同时也具有调和阴阳的作用。为全面了解通窍活血汤在偏头痛治疗中的研究进展,笔者检索了知网、万方和维普等数据库中关于该方剂的中英文文献,从中医理论、药理学及临床应用等多个角度进行归纳分析。Migraine is a common chronic neurovascular disease, which is mainly characterised by recurrent headaches. Pain can be confined to unilateral or bilateral, usually accompanied by nausea, vomiting and sensitivity to light. Tongqiao Huoxue Decoction is a classic formula in Chinese medicine, which is mainly used for activating blood circulation and removing blood stasis, especially in clearing the meridians and relieving pain. And also has the effect of harmonising yin and yang. In order to comprehensively understand the research progress of Tongqiao Huoxue Decoction in the treatment of migraine, the author searched the Chinese and English literature on this formula in the databases of CNKI, Wanfang Data, and VIP, summarised and analysed it from the perspectives of Chinese medicine theory, pharmacology and clinical application.
通过文献综述法,系统分析通窍活血汤在脑外伤治疗中的最新研究进展。通过查阅国内外相关数据库,如CNKI、Pub Med和Web of Science,筛选出与“通窍活血汤”“脑外伤”“中医治疗”等关键词相关的文献。探讨通窍活血汤在脑外伤患者中的应用机制、临床效果、药理作用等方面的最新发现。分析通窍活血汤在改善脑外伤后遗症、促进神经修复、减轻脑水肿和炎症反应等方面的作用,尤其关注其在脑外伤急性期和康复期的应用效果。
目的:观察通窍活血汤联合针刺治疗颅内动脉瘤介入栓塞术后头痛的临床疗效。方法:选择符合纳入标准的颅内动脉瘤患者60例,随机分为两组各30例。对照组予西药治疗,治疗组在对照组基础上予通窍活血汤联合针刺治疗,比较两组临床疗效、头痛评分、神经功能评分(nationalInstitute of health stroke scale,NIHSS)、血清指标及不良反应发生情况。结果:治疗组临床总有效率为96.67%,明显高于对照组的73.33%(P﹤0.05);治疗后,治疗组头痛评分及NIHSS评分显著低于对照组(P﹤0.05);且治疗组血清指标水平显著低于对照组(P﹤0.05)。结论:通窍活血汤联合针刺治疗颅内动脉瘤介入栓塞术后引起的头痛症状具有良好的临床疗效,可以改善患者神经功能评分、头痛评分、NIHSS评分及血清指标。
