中医药研究论丛

242.3 近年中药治疗经行头痛之文献回顾
TJ TCM.24(2) : 31-44, 2021
近年中药治疗经行头痛之文献回顾
Reviews of Traditional Chinese Medicine for Menstrual Migraine
王嘉涵1 倪家智1 王人澍1,2*
1 佛教慈济医疗财团法人台中慈济医院,台中,台湾
2 慈济学校财团法人慈济大学学士後中医学系,花莲,台湾
【摘要】
目的:从随机临床试验的近年中文文献中,探讨与分析中药治疗经行头痛的疗效。
方法:以佛教慈济医疗财团法人图书馆电子资源系统使用「中国知网」(National Knowledge Infrastructure, CNKI),以「经行头痛」、「月经偏头痛」为关键字,2015 年至2020 年9 月为发表年份,搜寻「中医药」类别下相关中文文献,并进行分析。
结果:依上述条件搜寻共得论文101 篇,排除系统性回顾15 篇、病例报告32 篇及医家经验22 篇後,收录随机分配试验文献32 篇。再进一步排除20篇针灸介入之论文,以及1 篇针对两组中药对照疗效评估之论文,最终仅纳入西医常规治疗对照单纯中药介入治疗、西医常规治疗对照西医合并中药介入治疗,共11 篇文献。
结论:月经偏头痛的中药治疗多在月经来潮前即开始服用,可显着降低偏头痛不适,但因临床病例数不足或疗效评价方式不一,缺乏有效说服力,因此仍需透过进一步大型研究加以证实。另外,虚证之经行头痛治疗,不可忽略泻法的使用。
【关键词】经行头痛、月经偏头痛、中医、中药
 
Chia-Han Wang1Solomon Jia-Zhi Loo1Jen-Shu Wang1,2*
1Taichung Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taichung, Taiwan
2School of Post-Baccalaureate Chinese Medicine, Tzu Chi University, Hualien, Taiwan
【Summary】
Objective: This article purposes to discuss and analyze the effect of Chinese medicine on menstrual migraine by reviewing Chinese literature of randomized clinical trials (RCT) in recent years.
Methods: We used menstrual migraine as the key word and undertook researches, through electronic resources federated search system of Buddhist Tzu Chi Medical Foundation Library, on the National Knowledge Infrastructure (CNKI) database in the category of traditional Chinese medicine from 2015 to September, 2020, and analyzed these articles.
Results: A total of 101 studies were included in this review. 32 RCTs were admitted, and 15 systemic reviews, 32 case reports, and 22 expert opinions were excluded. Moreover, literatures on acupuncture and comparison of two Chinese prescriptions were ruled out. Finally, 11 RCTs were adopted, including Western medicine contrasting to Chinese medicine or Western medicine contrasting to combination of both Chinese and Western medicine.
Conclusion: The intervention of Chinese medicine in menstrual migraine usually started before menstruation, and could subside the symptom significantly. Because the clinical trials that have published were limited and there was no unified curative effect standard, we need further large-scale experimental study to prove the result. In addition, we could not ignore the method of draining to remedy the vacuity pattern of menstrual migraine.
 
【Keywords】Menstrual Migraine; Headache; Chinese Medicine; Chinese Herb