关键词:

脏气法时论, 偏头痛, 《黄帝内经》, 五脏苦欲补泻

Abstract:

Objective　To observe the clinical effect of treating patients with migraine under the guidance of "Zang-qi timing theory". Methods　One hundred and twenty-one patients with migraine treated in the outpatient department of Ping'an District Hospital of Traditional Chinese Medicine from January to September 2022 were selected for the prospective study. According to the random number table method, they were randomly divided into a treatment group and a control group. The control group had 18 patients, including 2 males and 16 females; they were (52.23±3.01) years old; they were treated with basic prescriptions. The treatment group were divided into a liver disease group, a heart disease group, a spleen disease group, a lung disease group, and a kidney disease group according to the time rule described in Suwen · Zang-qi Fashi Lun. There were 23 cases in the liver disease group (6 males and 17 females), with an age of (51.34±4.76); there were 19 cases in the heart disease group (3 males and 16 females), with an age of (49.53±5.01); there were 19 cases in the spleen disease group (6 males and 13 females), with an age of (53.14±3.95); there were 20 cases in the lung disease group (4 males and 16 females), with an age of (50.67±4.28); there were 22 cases in the kidney disease group (5 males and 17 females), with an age of (51.97±5.12). The five groups were given different herbs from the five flavors according to the "Wuzang Kuyu Buxie" theory. After 4 weeks' treatment, the pain degrees, durations, and attack times and efficacies were evaluated. The Wilcoxon signed rank test was used for the inter-group comparison. Results　The total effective rate of the treatment group was significantly higher than that of the control group [91.67%(88/96) vs. 68.75%(11/16)], with a statistical difference (χ²=4.964, P<0.05). There was a statistical difference in the score differences of pain severity, duration, and attack times between before and after the treatment between the treatment group and the control group [5.00 (4.00, 6.00) vs. 4.00 (3.00, 5.00), 2.00 (0, 2.00) vs. 0 (0, 1.00), and 4.00 (2.00, 4.00) vs 1.00 (0, 2.00)], with statistical differences (Z=-3.154, -2.648, and -3.860; all P<0.05).  Conclusions　It has a good effect to treat migraine under the guidance of "Zang-qi timing theory". The analysis of this clinical study can provide basis and ideas for the further study of "Zang-qi timing theory".

Key words:

Zang-qi timing theory, Migraine, Huangdi Neijing, Wuzang Kuyu Buxie