张杼惠 曹蛟 夏帅帅 刘建和 王行宽

    〔摘要〕 介绍王行宽教授对于偏头痛病因病机的认识及诊治特色。王教授认为肾精不足，髓海空虚，脑络不荣是偏头痛的发病之本，风气内动、外风侵袭、内外合邪所致脑络舒挛失利、脑络绌急是偏头痛的发病之标，肝气郁结、气滞血瘀、脑络不通是偏头痛缠绵难愈的重要病理因素。治当益肾填精以补络、养肝祛风以柔络、理气活血以通络，针对病机创制头痛宁方治疗偏头痛，配合心理疏导、生活调摄，取得了良好的临床疗效，对当今临床治疗偏头痛极具借鉴价值。

    〔关键词〕 偏头痛;头痛宁方;益肾填精补络;养肝祛风柔络;理气活血通络;王行宽;名医经验

    〔中图分类号〕R259 ? ? ? 〔文献标志码〕B ? ? ? ?〔文章编号〕doi：10.3969/j.issn.1674-070X.2022.01.004

    〔Abstract〕 This paper introduces professor Wang Xingkuan's understanding of the etiology and pathogenesis and the characteristics of diagnosis and treatment of migraine. Professor Wang thinks that the deficiency of kidney essence， the emptiness of marrow sea and the failure of brain collaterals are the causes of migraine. The internal movement of wind， the invasion of external wind， the failure of brain collaterals due to the combination of internal and external pathogens and the shortness of brain collaterals are the symptoms of migraine. The stagnation of liver Qi， Qi stagnation and blood stasis， and the obstruction of brain collaterals are the important pathological factors of migraine. Treatment should be focus on tonifying kidney and filling essence to complement collaterals ......