[1]刘美斯,王青,左阳,等.基于临床病案资料研究偏头痛中医证候及疼痛特点[J].西部中医药,2025,38(01):38-42.[doi:10.12174/j.issn.2096-9600.2025.01.09]
　LIU Meisi,WANG Qing,ZUO Yang,et al.The Characteristics of Pain and TCM Syndromes of Migraine Based on Clinical Data[J].Western Journal of Traditional Chinese Medicine,2025,38(01):38-42.[doi:10.12174/j.issn.2096-9600.2025.01.09]
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基于临床病案资料研究偏头痛中医证候及疼痛特点()
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
38
期数:
2025年01期
页码:
38-42
栏目:
博士论坛
出版日期:
2025-01-15

文章信息/Info

Title:
The Characteristics of Pain and TCM Syndromes of Migraine Based on Clinical Data
作者:
刘美斯1,2, 王青1, 左阳1, 王玉瑶1, 石博文1, 王力苇1, 赵永烈1
1.北京中医药大学第三附属医院，北京 100029
2.北京中医药大学房山医院，北京 102400
Author(s):
LIU Meisi1,2, WANG Qing1, ZUO Yang1, WANG Yuyao1, SHI Bowen1, WANG Liwei1, ZHAO Yonglie1
1.The Third Affiliated Hospital of Beijing University of Chinese Medicine, Beijing 100029, China
2.Fangshan Hospital, Beijing University of Chinese Medicine, Beijing 102400, China
关键词:
偏头痛; 中医证候; 疼痛特点; 聚类分析
Keywords:
migraine; TCM syndromes; the characteristics of pain; cluster analysis
分类号:
R277.7
DOI:
10.12174/j.issn.2096-9600.2025.01.09
文献标志码:
A
摘要:
目的基于临床病案资料，探究偏头痛患者的中医证候特点及疼痛特点。 方法对诊断为偏头痛的128位患者进行回顾性分析，完整记录基本信息、一般情况及头痛相关情况等，将数据录入Excel，应用SPSS 22.0分析频次，并对高频证候进行聚类分析。 结果偏头痛患者常见的前15种症状、体征为眠差、口干、恶心、跳痛、恶风、口苦、舌暗红、汗多、舌暗、头晕、脉弦滑、情志失调、劳累、苔白腻、脉弦细。通过聚类分析可归纳为风邪袭络、胆郁痰扰证及肝郁脾虚证两种证型。常见诱发因素为情志失调、劳累、受风、睡眠不佳等。常见疼痛性质为跳痛、胀痛等，疼痛部位以颞部、顶部、枕部等为主。 结论偏头痛的主要病理因素为风、痰、火，病变脏腑主要在肝、胆、脾，临床常见证型为风邪袭络、胆郁痰扰证及肝郁脾虚证。
Abstract:
ObjectiveTo investigate the characteristics of pain and TCM syndromes of migraine based on clinical data. MethodsThe basic information, general conditions and headache-related conditions of 128 patients diagnosed with migraine were completely recorded via a retrospective analysis. After the information was inputted into Excel, SPSS 22.0 was applied to carry out cluster analysis of high-frequency syndromes. ResultsThe top 15 symptoms and body signs commonly seen in patients with migraine were sleep-deprived, dry mouth, nausea, iumping pain aversion to wind, bitter taste in mouth, dark and red tongue, excessive sweating, dark tongue, dizziness, stringy and slippery pulse, emotional disorder, fatigue, whitish greasy fur and stringy and thready pulse. Migraine could be categorized into two patterns of wind-evil attacking the collateral, bile - depression and phlegm disturbance, and liver - qi stagnation and spleen deficiency through cluster analysis. The common inducing factors are emotional disorder, fatigue, wind attacking and poor sleep. The common pains contain jumping pain and distending pain, and the pain is located in tempus, vertex and occiputs mainly. ConclusionThe main pathological factors of migraine involve wind, phlegm and fire, the viscera mainly are liver, gallbladder and spleen, and the common syndromes are wind-evil attacking the collateral, bile - depression and phlegm disturbance, and liver - qi stagnation and spleen deficiency in clinic.

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备注/Memo

备注/Memo:
刘美斯（1994—），女，博士学位，医师。研究方向：神经系统疾病的中医药治疗。国家自然科学基金面上项目（81873256）；国家重点研发计划“中医药现代化研究”（2019YFC1709702）；北京中医药大学新教师启动基金项目（2024-BUCMXJKY007）。
更新日期/Last Update: 2025-01-15