中国中药杂志

2020, v.45(21) 5057-5067

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·偏头痛中医临床实践指南专题·偏头痛中医临床实践指南(征求意见稿)
Clinical practice guideline for migraine with traditional Chinese medicine(draft version for comments)

徐榛敏;贾敏;梁晓;魏竞竞;付国静;雷林;陈倩;鲁喦;张允岭;廖星;
XU Zhen-min;JIA Min;LIANG Xiao;WEI Jing-jing;FU Guo-jing;LEI Lin;CHEN Qian;LU Yan;ZHANG Yun-ling;LIAO Xing;Graduate School,Beijing University of Chinese Medicine;Center for Evidence-based Chinese Medicine,Institute of Basic Research in Clinical Medicine,China Academy of Chinese Medical Sciences;Xiyuan Hospital,China Academy of Chinese Medical Sciences;

摘要(Abstract):

该指南由中国中医科学院"十三五"重点研究领域重点项目专项组组织专家撰写,按照《世界卫生组织指南制定手册》的编写规范,以"循证为举,共识为主,经验为鉴"为指导,在偏头痛中医药实践与临床研究的基础上,遵循循证医学的理念与方法,综合专家经验、目前最佳证据以及患者价值观,将国际公认的证据质量评价与推荐分级系统与中医经典古籍处方用药记录、名老中医专家经验、现代临床研究证据相结合。对偏头痛急性期及预防性治疗所应用的针灸疗法、经典名方与中成药进行归纳,总结出川芎茶调散、川芎定痛饮、散偏汤、血府逐瘀汤、通窍活血汤5种经典名方及正天丸、头痛宁胶囊、通天口服液、养血清脑颗粒(丸)4种中成药,并针对其临床应用中的常见问题进行分析。通过制订该指南旨在规范偏头痛的中医药治疗方法,减轻患者偏头痛发作频率、发作程度,提高生活质量。为中医药治疗偏头痛提供临床依据,保障治疗的安全性、有效性、实用性和科学性,从而推动中医治疗偏头痛工作的开展。该指南由于受到使用者地域、民族、种族等因素的影响,在具体实施过程中,应依照实际情况而定。
The present clinical practice guideline was written by experts organized by the special group of key projects in the 13 th five-year plan period of the China Academy of Chinese Medical Sciences based on the standards and procedures of World Health Orga-nization Handbook for Guideline Development, with "evidence-based, consensus-based, and experience-based principle" as a guide. On the basis of practice in traditional Chinese medicine(TCM) and clinical research for migraine, following the idea and method of evidence-based medicine, as well as the expert experience, the current best evidence and patients′ values, the internationally recognized evidence quality evaluation methods and recommendation grading system were combined with the prescription record of classical TCM, TCM expert experience, and modern clinical research evidences. The acupuncture therapy, classic prescriptions and Chinese patent medicines used in the treatment of migraine in acute stage and preventive treatment were summarized to obtain five classic prescriptions(Chuanxiong Chatiao Powder, Chuanxiong Dingtong Yin, Sanpian Decoction, Xuefu Zhuyu Decoction, and Tongqiao Huoxue Decoction), and four Chinese patent medicines(Zhengtian Pills, Toutongning Capsules, Tongtian Oral Liquid, and Yangxue Qingnao Granules/Pills), and the common problems in their clinical application were analyzed. The purpose of this guideline is to standardize the treatment of migraine with TCM, reduce the frequency and severity of migraine attacks, and improve the patients′ quality of life. It provides the clinical basis for the TCM treatment of migraine, and ensures the safety, effectiveness, practicability and scientificity of the treatment, so as to promote the TCM treatment of migraine. Due to the influence of region, nationality, race and other factors of the users, the detailed implementation of the guideline should be determined according to the actual situation.

关键词(KeyWords): 偏头痛;中医;临床实践指南
migraine;traditional Chinese medicine;clinical practice guideline

Abstract:

Keywords:

基金项目(Foundation): 国家自然科学基金项目(81774159);; 中医药诊疗标准化关键技术研究项目(Z0479);; 国家中医药管理局中医药传承与创新“百千万”人才工程(岐黄学者-国家中医药领军人才支持计划)(国中医药人教发[2018]12号);; 中央级公益性科研院所基本科研业务费专项(ZZ13-024-3)

作者(Author): 徐榛敏;贾敏;梁晓;魏竞竞;付国静;雷林;陈倩;鲁喦;张允岭;廖星;
XU Zhen-min;JIA Min;LIANG Xiao;WEI Jing-jing;FU Guo-jing;LEI Lin;CHEN Qian;LU Yan;ZHANG Yun-ling;LIAO Xing;Graduate School,Beijing University of Chinese Medicine;Center for Evidence-based Chinese Medicine,Institute of Basic Research in Clinical Medicine,China Academy of Chinese Medical Sciences;Xiyuan Hospital,China Academy of Chinese Medical Sciences;

Email:

DOI: 10.19540/j.cnki.cjcmm.20200903.502

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