ZHANG Zhenyu's experience in treating menstrual migraine with neck-abdomen synchronous regulation

DU Ziyue; ZHANG Zhenyu; FAN Su; XU Jiayin; WANG Chengyuan; ZHANG Xieyu; HAN Xiaoxiao; LIU Jinhua; LI Dongyue; HU Qian; HUANG Liang; LIU Zhenxing; LIU Xinyang

doi:10.16025/j.1674-1307.2025.08.018

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ZHANG Zhenyu's experience in treating menstrual migraine with neck-abdomen synchronous regulation

更新时间：2025-10-10

- ZHANG Zhenyu's experience in treating menstrual migraine with neck-abdomen synchronous regulation
- Beijing Journal of Traditional Chinese Medicine Vol. 44, Issue 8, Pages: 1035-1039(2025)
- 作者机构：
  
  中国中医科学院望京医院特色诊疗中心，北京 100102
- 作者简介：
- 基金信息：
- DOI：10.16025/j.1674-1307.2025.08.018
  CLC：
- Received：13 August 2024，
  
  Published：25 August 2025
- 稿件说明：
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杜子悦，张振宇，范肃，等.张振宇通过颈腹同调治疗月经性偏头痛经验［J］.北京中医药，2025，44（8）：1035-1039.

DU Ziyue,ZHANG Zhenyu,FAN Su,et al.ZHANG Zhenyu's experience in treating menstrual migraine with neck-abdomen synchronous regulation[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(08):1035-1039.
杜子悦，张振宇，范肃，等.张振宇通过颈腹同调治疗月经性偏头痛经验［J］.北京中医药，2025，44（8）：1035-1039. DOI： 10.16025/j.1674-1307.2025.08.018.

DU Ziyue,ZHANG Zhenyu,FAN Su,et al.ZHANG Zhenyu's experience in treating menstrual migraine with neck-abdomen synchronous regulation[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(08):1035-1039. DOI： 10.16025/j.1674-1307.2025.08.018.

摘要

月经性偏头痛为临床常见病之一，因其疼痛持续时间长、复发率高、易合并精神情绪障碍，使中青年女性深受困扰。张振宇教授结合肌筋膜疼痛理论，认为阳气亏虚是月经性偏头痛发作的关键因素。阳气不足、经筋失养诱发头颈部及腹部肌肉僵硬，出现筋脉痹阻点；阳气不能充养神明，引起焦虑抑郁等异常情绪表现。治疗时应注重温通阳气、颈腹同调。选取颈部足太阳、足少阳、手三阳三条经脉温通上部之阳气，同时调理腹部任脉及脾胃经脉以调整脏腑、从阴引阳。寻找三阳经、三阴经之局部敏感点，通过推拿手法以解经筋之拘挛，缓头腹之疼痛，标本兼顾，疗效显著。

Abstract

Menstrual migraine is a common clinical disorder， which causes significant distress to young and middle-aged women due to its prolonged pain， high recurrence rate， and association with emotional disorders. Professor ZHANG Zhenyu， based on the theory of myofascial pain， believes that

yangqi

deficiency is the key factor in the onset of menstrual migraine. Insufficient

yangqi

and lack of nourishment to the meridians and tendons lead to muscle stiffness in the head， neck， and abdomen， resulting in blocked trigger points. The inability of

yangqi

to nourish

the spirit gives rise to abnormal emotional manifestations such as anxiety and depression. Treatment should focus on warming and activating

yangqi

， while coordinating the treatment of both the neck and abdomen. The meridians of foot

taiyang

， foot

shaoyang

， and hand

sanyang

on the neck are selected to warm and activate the upper

yangqi

， while the conception vessel and the spleen and stomach meridians are regulated to adjust the internal organs and guide

yang

from

yin

. By locating sensitive points along the three

yang

and three

yin

meridians， and using

tuina

techniques to release muscle tension， the head and abdomen pain are alleviated， achieving both symptomatic relief and a holistic therapeutic effect.

关键词

Keywords

references

VETVIK KG , MACGREGOR EA . Menstrual migraine: a distinct disorder needing greater recognition [J ] . Lancet Neurol , 2021 , 20 ( 4 ): 304 - 315 .

OLESEN J , DODICK D W , DUCROS A , et al . The International Classification of Headache Disorders, 3rd edition (ICHD-3) [J ] . Cephalalgia , 2018 , 38 ( 1 ): 1 - 211 .

ANSARI T , LAGMAN-BARTOLOME AM , MONSOUR D , et al . Management of menstrual migraine [J ] . Curr Neurol Neurosci Rep , 2020 , 20 ( 10 ): 45 .

胡芊 , 张振宇 , 徐佳音 , 等 . 张振宇从“气形神”三调论治胸闷气短临证经验 [J ] . 北京中医药 , 2023 , 42 ( 11 ): 1243 - 1246 .

范肃 , 张振宇 , 冉明山 , 等 . 张振宇基于肌筋膜疼痛理论运用推拿手法治疗原发性痛经经验 [J ] . 中国中医基础医学杂志 , 2022 , 28 ( 8 ): 1351 - 1354 .

任志颖 . 月经性偏头痛的中医体质特征及相关性分析 [D ] . 北京 : 北京中医药大学 , 2023 .

NAPPI RE , TIRANINI L , SACCO S , et al . Role of estrogens in menstrual migraine [J ] . Cells , 2022 , 11 ( 8 ): 1355 .

徐可 , 史云 , 田丁阳 , 等 . 女性雌、孕激素的阴阳属性探讨 [J ] . 山东中医药大学学报 , 2022 , 46 ( 5 ): 593 - 596 .

DO TP , HELDARSKARD GF , KOLDING LT , et al . Myofascial trigger points in migraine and tension-type headache [J ] . J Headache Pain , 2018 , 19 ( 1 ): 84 .

刘璐 , 孙馥箐 , 赵洛鹏 , 等 . 月经性偏头痛临床研究进展 [J ] . 中国疼痛医学杂志 , 2018 , 24 ( 9 ): 679 - 684 .

BARSOTTI N , CHIERA M , LANARO D , et al . Impact of stress, immunity, and signals from endocrine and nervous system on fascia [J ] . Front Biosci (Elite Ed) , 2021 , 13 ( 1 ): 1 - 36 .

蒋全睿 , 冯祥 , 刘丹 , 等 . 不同力量推拿按法对大鼠肌筋膜疼痛触发点的影响 [J ] . 中国组织工程研究 , 2024 , 28 ( 27 ): 4360 - 4366 .

聂利敏 , 刘璐 , 杨鑫 , 等 . 关于阿是穴、痛敏穴、触发点在偏头痛临床应用中的探讨 [J ] . 世界中医药 , 2022 , 17 ( 17 ): 2400 - 2405 .

黄亮 , 张治博 , 徐佳音 , 等 . 张振宇“五位一体”推拿法治疗慢性非特异性下腰痛经验 [J ] . 北京中医药 , 2024 , 43 ( 5 ): 509 - 513 .

耿楠 , 胡慧 , 谢丹丹 , 等 . 振腹法对寒凝证类痛经大鼠子宫体表投影温度及前列腺素E 2 、前列腺素F 2α 的影响 [J ] . 中国医药导报 , 2022 , 19 ( 12 ): 4 - 7,25 .

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