摘 要：偏头痛是一种反复发作并逐渐加重的疾病，在《甲乙经》中首先被提出，现代中医基本确立了偏头痛的诊断、证候分类和疗效评价标准。一般认为风、寒、火、痰、虚、瘀是偏头痛发病的病理基础。偏头痛治疗主要分为发作期和缓解期的分期治疗。发作期多以祛邪为主，重在祛风、清热、化痰、活血、平肝；缓解期多以补虚为主，重在益气养血、滋阴补肾。偏头痛在上述治则的基础上，还应结合头痛部位和经络循行路线，加用不同的引经药物和虫类药，有助于提高临床疗效。

    关键词：偏头痛；中医；诊治规律

    中图分类号：R747.2 文献标识码：A 文章编号：1673-7717(2011)04-0717-03

    Migraine of Traditional Chinese Medicine Diagnosis

    and Treatment Rule

    ZHANG Zheng-Xiang【sup】1【/sup】, CAO Ke-Gang【sup】2【/sup】, FAN Ji-Ping【sup】3【/sup】

    (1. Department of Neurology，Zhejiang University of Traditional Chinese Medicine First

    Affiliated Hospital ,Zhejiang Provincial Hospital of Traditional Chinese Medicine,Hangzhou 310006,Zhejiang,China

    2.Department of Neurology, Beijing University of Chinese Medicine Affiliated Dongzhimen Hospital ......