Discussion on the Differentiation and Treatment of Migraine and Acupuncture Treatment from"Spleen and Stomach Disorders"
10.16466/j.issn1005-5509.2025.08.015
- VernacularTitle:基于"脾胃失调"探讨偏头痛的辨治思路及针灸治疗
- Author:
Jiawei FENG
1
;
Yiwen JIANG
;
Haifeng ZHANG
Author Information
1. 湖州市吴兴区中医院 湖州 313000
- Publication Type:Journal Article
- Keywords:
migraine;
acupuncture treatment;
spleen and stomach disorders;
differentiation and treatment ideas;
Xiahe acupoints;
cultivating vitality and strengthening the foundation;
regulating Qi movement;
unblocking meridians and relieve pain
- From:
Journal of Zhejiang Chinese Medical University
2025;49(8):1054-1057
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To propose syndrome differentiation and treatment approach of acupuncture for migraine based on the relationship between"spleen and stomach disorders"and the etiology and pathogenesis of migraine,providing theoretical and practical references for the clinical management.[Methods]The connotation of"spleen and stomach disorders"and its association with migraine were systematically reviewed.Based on this perspective,treatment strategies and acupuncture prescriptions for migraine were formulated,and supported by a representative clinical case study.[Results]"Spleen and stomach disorders"serves as a critical pathological foundation for migraine.Its pathogenesis can be summarized into four patterns"impaired spleen transport leading to malnourishment of the brain""phlegm-dampness obstructing the orifices and impairing mental clarity""spleen-stomach disharmony causing Qi stagnation"and"spleen deficiency with blood stasis resulting in orifice obstruction".Acupuncture treatment should prioritize regulating spleen-stomach function,supplemented by dredging local meridians and harmonizing Qi and blood.Key acupoints include Zhongwan(CV12),Xiawan(CV10),Qihai(CV6),and Guanyuan(CV4)for reinforcing primordial Qi,consolidating the foundation,and harmonizing Qi and blood;Zusanli(ST36),Shangjuxu(ST37)and Xiajuxu(ST39)for regulating Qi movement and balancing Yin and Yang;Sizhukong(TE23)and Fengchi(GB20)for clearing the head,improving vision,and relieving pain.In the presented case,the patient was diagnosed as dual deficiency of Qi and blood,acupuncture therapy focusing on replenishing Qi,nourishing blood and unblocking collaterals achieved significant clinical efficacy.[Conclusion]"Spleen and stomach disorders"is a pivotal mechanism underlying recurrent migraine.Acupuncture treatment for migraine should emphasize restoring spleen-stomach function,prioritizing the reinforcement of primordial Qi and harmonization of Qi and blood,thereby addressing the root cause to reduce migraine recurrence.
