摘要
目的探讨女性偏头痛患者舌象特点,揭示偏头痛的核心病机,为临床诊疗偏头痛提供更有效的客观化辨证依据。方法回顾性分析女性偏头痛患者199例,统计舌象三观(舌色质、舌体、舌苔)数据,以及其与发病年龄、病程、既往服用止痛药的相关性,四诊合参,综合分析女性偏头痛舌象特点和规律。结果199例病例中,舌体三观异常舌象出现比例较高的为淡白舌占60%,胖大舌占20%,白腻苔占32%;发病年龄高发区间依次为28~35岁、35~42岁、49~56岁,舌象三观分布特点与总体一致;病程为1~10年中,淡白舌、胖大舌、白腻苔的比例逐渐增大;17%的患者长年服用止痛药,异常舌象分布与总体一致且较未服用止痛药人群占比更大。结论女性偏头痛患者舌象三观以淡白舌、胖大舌、白腻苔多见,揭示偏头痛的核心病机为脾虚湿困,肝脾胃失调。长期单纯服用止痛药治疗偏头痛易致脾胃虚寒,进一步加重头痛,造成恶性循环,应尽早中医药辨治,防止演变为慢性头痛。
Objective To explore the characteristics of the tongue image of female migraine patients,and to reveal the core pathogenesis of migraine,and provide more effective and objective syndrome differentiation basis for clinical diagnosis and treatment of migraine.Methods Retrospective analysis was performed for 199 female migraine patients,the three aspects of tongue image(tongue color,tongue body,fur)data were counted,as well as its correlation with the age of onset,course of disease,previous use of painkillers.With references from four diagnosis,the characteristics and rules of female migraine tongue image was comprehensively analyzed.Results In 199 cases,the incidence of abnormal tongue image was 60%in pale white tongue,20%in enlarged tongue and 32%in white greasy fur in the three aspects of tongue image.The age of onset was 28~35,35~42,49~56 and42~49 years old in turn,and the distribution characteristics of tongue image were the same as the whole.In the course of 1-10 years,the proportion of pale white tongue,enlarged tongue and white greasy fur increased gradually.17%of patients took painkillers for a long time,and the distribution of abnormal tongue images was consistent with the general population,and the proportion of people who did not take painkillers was larger.Conclusion The three aspects of tongue image of female migraine patients are pale white tongue,enlarged tongue and white greasy fur,which reveals that the core pathogenesis of migraine is spleen deficiency and dampness obstruction,liver,spleen and stomach maladjustment.Long-term treatment of migraine with painkillers alone will lead to deficiency and cold of spleen and stomach,further aggravate headache and cause vicious circle.We should treat migraine with traditional Chinese medicine syndrome differentiation as early as possible to prevent it from evolving into chronic headache.
作者
郭歆
武曼丽
丘宇慧
华荣
GUO Xin;WU Manli;QIU Yuhui;HUA Rong(Guangzhou University of Chinese medicine,Guangzhou,Guangdong 510504,China;The Second Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou,Guangdong 510120,China)
出处
《湖南中医药大学学报》
CAS
2020年第4期440-444,共5页
Journal of Hunan University of Chinese Medicine
基金
广东省中医药局“刘茂才广东省全国名中医传承工作室建设项目”资助
广东省中医院“林夏泉学术流派传承工作室建设项目”资助(E43604)。
关键词
女性偏头痛
舌象三观
淡白舌
胖大舌
白腻苔
核心病机
脾虚湿困
肝脾胃失调
female migraine
three aspects of tongue image
pale white tongue
enlarged tongue
white greasy fur
core pathogenesis
liver,spleen deficiency and dampness obstruction
spleen and stomach maladjustment
