中国医学创新2026，Vol.23Issue(23)：132-136,5.DOI:10.3969/j.issn.1674-4985.2026.23.028
肝脾同调(逍遥散合归脾汤加减)联合中药香囊治疗慢性紧张型头痛的临床研究
Clinical Study on Liver-Spleen Coregulation(Modified Xiaoyao Powder and Guipi Decoction)Combined with Chinese Herbal Sachet in the Treatment of Chronic Tension-type Headache
摘要
Abstract
Objective:To explore the clinical efficacy of liver-spleen coregulation(modified Xiaoyao Powder and Guipi Decoction)combined with Chinese herbal sachet in the treatment of chronic tension-type headache(liver stagnation and spleen deficiency syndrome).Method:A randomized controlled trial design was used,70 patients with chronic tension-type headache(liver stagnation and spleen deficiency syndrome)who visited the Department of Encephalopathy,Yangjiang Hospital of Traditional Chinese Medicine from August 2024 to January 2026 were selected as the research subjects.According to the random number table method,they were divided into the control group and the treatment group,with 35 cases in each group.The control group was treated with conventional western medicine therapy consisting of Ibuprofen Sustained Release Capsules combined with Flupentixol and Melitracen Tablets,the treatment group was given oral administration of modified Xiaoyao Powder and Guipi Decoction,combined with Chinese herbal sachet.The two groups were treated for 4 weeks.The pain degree and traditional Chinese medicine syndromes scores were recorded and compared between the two groups before and after treatment,and the efficacy and safety were evaluated after treatment.Result:After treatment,the number of headache episodes in the treatment group was less than that in the control group,and the longest single episode duration was shorter than that in the control group,the numerical rating scale(NRS)score was lower than that in the control group(P<0.05).After treatment,the main symptom scores,secondary symptom scores,and the total scores of traditional Chinese medicine syndromes in the treatment group were lower than those in the control group(P<0.05).The total effective rate of headache(94.29%)and the total effective rate of traditional Chinese medicine syndromes(88.57%)in the treatment group were higher than those in the control group(77.14%and 62.86%)(P<0.05).Neither of the two groups reported severe digestive tract symptoms,neurological symptoms,or extrapyramidal symptoms.Conclusion:Liver-spleen coregulation(modified Xiaoyao Powder and Guipi Decoction)combined with Chinese herbal sachet in the treatment of chronic tension-type headache(liver stagnation and spleen deficiency syndrome)is effective,it can effectively reducing pain,improving traditional Chinese medicine syndromes,and has high safety.关键词
慢性紧张型头痛/肝郁脾虚证/肝脾同调/布洛芬缓释胶囊/氟哌噻吨美利曲辛片/中药香囊Key words
Chronic tension-type headache/Liver stagnation and spleen deficiency syndrome/Liver-spleen coregulation/Ibuprofen Sustained Release Capsules/Flupentixol and Melitracen Tablets/Chinese herbal sachet分类
医药卫生引用本文复制引用
杨琼,冯国忠,黄益好..肝脾同调(逍遥散合归脾汤加减)联合中药香囊治疗慢性紧张型头痛的临床研究[J].中国医学创新,2026,23(23):132-136,5.基金项目
阳江市医疗卫生科技计划项目(SF2024029) （SF2024029）
