三叉神经痛的证治方药规律探析

摘要

目的 初步探讨中药治疗三叉神经痛的证候及方药规律.方法 检索近10年来中药治疗三叉神经痛的临床研究,纳入符合标准的文献,对收集的证候、方剂、单味中药规范化处理后录入Excel,运用频度分析法统计数据.结果 纳入研究37篇,病例数2440例,共涉及7种证候,33首方剂,132味中药.证候以风邪侵袭、阴虚阳亢、瘀血阻络为主;方剂以自拟方为多;中药位居前3位依次为白芷、川芎、防风,药味以苦辛甘为主,药性以寒温多见,病变主要涉及脾、肝两脏.结论 中药治疗三叉神经痛当从风火瘀痰论治,以通络止痛为原则,多选用风药、活血化瘀药,重视虫类药,性味以苦寒为主,多入脾、肝经.%Objective:To explore Chinese medicine regularity for trigeminal neuralgia.Methods:The clinical studies was searched last ten years;Chinese herbs standardized of congruous literature were classified;database was established by using Excel,and the statistical method was applyed to describe the data.Results:There were totally 37 articles including 2440 patients,involving in 7 syndrome types,33 prescriptions,and 132 herbs.It showed that the most syndrome were wind-pathogen invasion syndrome,Yang hyperactivity and Yin deficiency syndrome and blood stasis.The types of prescriptions were mostly centralized in decoctions;the most frequently used herbs were angelica,chuanxiong and fangfeng.Properties of medicines ranked in cold and warm;attributive channels of medicines ranked in spleen and liver.Conclusion:The treatment of TCM for trigeminal neuralgia was associated to wind,fire,sputum stasis,with relieving the pain and pass Qi through meridian and collaterals princi ple,using wind medicine,and promoting blood circulation drugs and attention to insect drugs.