北京中医药大学学报2025，Vol.48Issue(6)：861-868,8.DOI:10.3969/j.issn.1006-2157.2025.06.018
基于营卫理论双重辨治偏头痛
Dual syndrome differentiation and treatment for migraine based on the Ying-Wei theory
摘要
Abstract
This study explores a dual syndrome differentiation and treatment system for migraine,based on the Ying-Wei theory in traditional Chinese medicine,proposing a systematic framework encompassing"three-dimensional physiological mechanisms,three-pronged pathological manifestations,and three-stage therapeutic interventions."Physiologically,the Ying-Wei system maintains internal homeostasis through the coordinated regulation of circadian rhythms,spatial distribution patterns,and functional state modulation.Pathologically,dysregulation within this system manifests in three principal forms:deficiency,stagnation,and dynamic imbalance.Deficiency syndrome results from spleen-stomach insufficiency,leading to inadequate nourishment of Ying-Wei.Stagnation syndrome stems from Sanjiao dysfunction,resulting in meridian obstruction by phlegm,blood stasis,and toxic turbidity.Dynamic imbalance reflects Ying-Wei,ultimately causing yin-yang inversion.In terms of pathogenesis evolution and treatment strategies,Ying-Wei dynamic imbalance induces yin-yang inversion and convergence of internal-external pathogenic factors during acute attacks.These episodes are addressed through therapeutic method that dredges the collaterals and eliminate pathogens,aiming to unblock stagnation,harmonize yingfen and weifen,and restore internal Ying-Wei balance.During the remission phase,latent pathogens rooted in Ying-Wei dysfunction interact with visceral deficiencies.Management during this phase focuses on regulating visceral and eliminating latent pathogens to strengthen the foundation,thereby reconstructing the functional dynamics of qi transformation.Innovatively integrating the temporal rhythm regulation of Ying-Wei,the paradigm synthesizes"unblocking-regulating-consolidating"therapeutic phases to achieve yin-yang equilibrium.This dual syndrome differentiation and treatment system can couple the multidimensional pathological networks of the acute and remission phases of migraine,providing new ideas for the integrated treatment of migraine with traditional Chinese and Western medicine.关键词
偏头痛/调和营卫/双重治疗/中西医结合/时间医学Key words
migraine/harmonizing yingfen and weifen/dual therapy/integration of traditional Chinese and Western medicine/chronomedicine分类
医药卫生引用本文复制引用
张旭冉,曹克刚..基于营卫理论双重辨治偏头痛[J].北京中医药大学学报,2025,48(6):861-868,8.基金项目
国家自然科学基金项目(No.82474442) （No.82474442）
首都卫生发展科研专项(No.2024-2-4193)National Natural Science Foundation of China(No.82474442) （No.2024-2-4193）
