北京中医药大学中医学院,北京市朝阳区北三环东路11号,100029
changxiang1202@163.com
收稿:2025-11-15,
修回:2026-04-08,
录用:2026-03-25,
纸质出版:2026-05-02
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.王庆国基于“通平致和”理念论治头痛经验[J].中医杂志,2026,67(09):935-940.
ZHANG Chuxin,REN Zilin,ZHAO Yang,et al.WANG Qingguo's Experience in Treatment of Headache Based on the Concept of "Achieving Harmony by Unblocking and Balancing"[J].Journal of Traditional Chinese Medicine,2026,67(09):935-940.
.王庆国基于“通平致和”理念论治头痛经验[J].中医杂志,2026,67(09):935-940. DOI: 10.13288/j.11-2166/r.2026.09.003.
ZHANG Chuxin,REN Zilin,ZHAO Yang,et al.WANG Qingguo's Experience in Treatment of Headache Based on the Concept of "Achieving Harmony by Unblocking and Balancing"[J].Journal of Traditional Chinese Medicine,2026,67(09):935-940. DOI: 10.13288/j.11-2166/r.2026.09.003.
总结王庆国教授基于“通平致和”理念辨治头痛的临证经验。认为头痛病机虽总属“不通则痛”与“不荣则痛”,然临床所见多虚实夹杂、寒热交错,提出“通平致和”的诊疗理念,主张“通畅气血”与“平调阴阳”并重。总结出头痛常见证型治疗八法:风寒袭络者,治以通散为先,方用葛根汤加减;风湿交结者,治以通利为要,方用清上蠲痛汤加减;湿热蕴结者,治以通清为法,方用头风神方加减;肝胆气郁者,治以通疏为纲,方用散偏汤加减;中气不足者,治以平补为宗,方用益气聪明汤加减;肝阳上亢者,治以通潜相济,方用驯龙汤加减;肝胃虚寒者,治以温平通降,方用吴茱萸汤加减;血虚寒凝者,治以通养相承,方用当归四逆汤加减。以恢复机体阴阳气血动态平衡为最终目的,头窍清利则疼痛自止。
This paper summarizes professor WANG Qingguo's experience in treatment of headache based on the "achieving harmony by unblocking and balancing" concept. It is considered that although the pathogenesis of headache is generally attributed to "pain arises from obstruction" and "pain arises from malnourishment", clinical presentations often involve a complex mixture of deficiency and excess, as well as cold and heat patterns. Professor WANG proposes the diagnostic and therapeutic theory of "achieving harmony by unblocking and balancing", advocating for equal emphasis on "freeing the flow of
qi
and blood" and "regulating the balance of
yin
and
yang
". He has summarized eight treatment methods for common headache patterns. For wind-cold attacking the collaterals, treatment should focus on dispersing and unblocking through modified
Gegen Decoction
(葛根汤). For wind-dampness binding, it is recommended to unblock and drain, using modified
Qingshang Juantong
Decoction
(清上蠲痛汤). For damp-heat congestion, unblocking and clearing is the method, using modified
Toufeng Shen Formula
(头风神方). For liver-gallbladder
qi
constraint, unblocking and soothing is the treatment principle, and modified
Sanpian Decoction
(散偏汤) is suggested. For insufficiency of center
qi
, even supplementation method is recommended, and modified
Yiqi Congming Decoction
(益气聪明汤) can be used. For liver yang hyperactivity, unblocking and subduing are combined, using modified
Xunlong Decoction
(驯龙汤). For deficiency-cold in the liver and stomach, warming, harmonizing, unblocking, and descending are applied, using modified
Wuzhuyu Decoction
(吴茱萸汤). For blood deficiency with cold congelation, unblocking and nourishi
ng are undertaken together, using modified
Danggui Sini Decoction
(当归四逆汤). The ultimate goal is to restore the dynamic balance of
yin
,
yang
,
qi
, and blood in the body, thereby allevia-ting pain by restoring clarity and function to the head orifices.
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