吉林中医药2025，Vol.45Issue(12)：1365-1368,4.DOI:10.13463/j.cnki.jlzyy.2025.12.001
赵永烈基于"体-病-脉"辨治偏头痛经验
Zhao Yonglie's experience in the treatment of migraine based on the"body-disease-pulse"paradigm
摘要
Abstract
Professor Zhao Yonglie proposes an integrative"body-disease-pulse"triadic paradigm,which systematizes the etiology,pathogenesis,and management of migraine.By integrating the classical"Xuanfu"(sweat-pore gateways)doctrine with the constitution theory,he identifies"Xuanfu stagnation"as the core pathological basis of migraine,in which migraineurs are believed to possess an inborn"Xuanfu-prone-to-stagnation"constitution,inducing qi stagnation,phlegm-stasis,and depressed heat,obstructing Xuanfu,disrupting the ascent of clear yang,thereby igniting headaches.Among its external causes,wind is the primary factor,whose rapid and mutable nature mirrors the sudden onset and cessation of migraine,along with shifting pain and protean symptoms,and endogenous wind acts in synergy with exogenous wind to trigger its attacks.Pathological elements are viewed as dynamically evolving and intermingled,therefore its treatment must address their overlap,differentiating acute versus remission phases,and weighing constitutional influence on its pathogenesis.Pulse diagnosis,as a cornerstone in traditional Chinese medicine,is instrumental in discerning constitutions and dynamic pathological status,thereby directly influencing therapeutic principles and the selection of prescriptions in the treatment of migraine.关键词
偏头痛/临证经验/辨证论治/"体-病-脉"体系Key words
migraine/clinical experience/treatment based on syndrome differentiation/"body-disease-pulse"paradigm分类
医药卫生引用本文复制引用
李诺,赵永烈,章春平,周晓卿..赵永烈基于"体-病-脉"辨治偏头痛经验[J].吉林中医药,2025,45(12):1365-1368,4.基金项目
国家重点研发计划项目(2019YFC1709702) （2019YFC1709702）
国家自然科学基金面上项目(81873256) （81873256）
首都卫生发展科研专项课题(2024-2-7033) （2024-2-7033）
