宋婷 唐赛雪 徐胤聪

    摘要 偏头痛与卒中存在相關性，尤其是缺血性卒中。从中医学角度探讨偏头痛与缺血性卒中的相关性，认为偏头痛相关缺血性卒中病位在肝，急性期发病当责之气机逆乱，与肝密切相关，肝风入络为其核心病机，病久脑络瘀滞、脑髓失荣为其最终病理转归。

    关键词 偏头痛;缺血性卒中;肝风入络;肝风;络脉;气机逆乱;脑髓;脑络

    Abstract Migraine is related to stroke，especially ischemic stroke.This paper analyzed the pathogenesis of migraine related ischemic stroke from the perspective of traditional Chinese medicine(TCM).It is found that the location of migraine related ischemic stroke is in the liver while acute stage is due to the disorder of qi movement which closely related to liver.Liver wind invading collaterals is its core pathogenesis，and the final pathological outcome is cerebral collateral stasis and brain marrow deprived of nourishment.

    Keywords Migraine; Ischemic stroke; Liver wind invading collaterals; Liver wind; Collaterals; Disorder of qi movement; Brain marrow; Cerebral collateral

    中图分类号：R255.2文献标识码：Adoi：10.3969/j.issn.1673-7202.2021.13.015

    偏头痛是神经系统常见病之一，发作性中重度、搏动样的偏侧头痛是其临床特征，发病率高达11%～15%，研究表明偏头痛与卒中存在相关性，缺血性卒中与先兆性偏头痛关系尤为密切，偏头痛与卒中关系的深入研究至关重要，现代医学对偏头痛相关缺血性卒中发病机制、二者之间的相关性、治疗以及预防等尚不明确[1]。中医学将偏头痛归于“内伤头痛”范畴 ......