半夏白朮天麻湯加減治療多年頭痛之病例

A Case Report of Headache Treated by Ban-Xia-Bai-Zhu-Tian-Ma Tang

本病例報告之患者長期患有緊張型頭痛，由中醫四診及分析後，歸咎於工作性質、壓力、飲食不節等問題所造成。《素問．通評虛實論》曾有論述：“頭痛耳鳴，九竅不利，腸胃之所生也。”因此可知病患長期飲食時間不定、喜食生冷導致脾胃虛衰，進而氣血生化無源，無以上榮頭面，導致頭痛頻作。因長期頭痛不適，故病患於102年3月至本院中醫部門診就醫，經過中藥治療後，並利用VAS評量法進行療效評估，病患頭痛症狀獲得緩解，生活品質也得到持續改善。

The case of the report had suffered from tension-type headache for several years. After analyzing and diagnosing by the theory of traditional Chinese medicine, and we found out that the causes of her headache were stress and inadequate diet. According to the theory in Huangdi Neijing, we know that some diseases of head and orifices were sometimes resulting from the deficiency of spleen qi and stomach qi. We found out that the patient had irregular meals, and liked cold food. The reasons cultivated the deficiency of spleen qi and stomach qi, and it would lead to the deficiency of qi and blood. It would result in her headache. Due to suffering from headache for many years, the patient came to Chinese medicine department of our hospital for help. After treating by Chinese herb, her headache were released, and we also evaluated the pain by Visual Analogue Scale (VAS). In the end, her life quality was raised according with the relief of tensiontype headache.