Traditional Chinese medicine treatment for migraine with aura related to patent foramen ovale by resolving constraint and harmonizing the spleen and stomach: a case report

WU Lianghui; LIN Keyi; QIU Yuhui

doi:10.3969/j.issn.2095-6606.2023.06.025

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Traditional Chinese medicine treatment for migraine with aura related to patent foramen ovale by resolving constraint and harmonizing the spleen and stomach: a case report

Case Reports | 更新时间：2023-12-08

- Traditional Chinese medicine treatment for migraine with aura related to patent foramen ovale by resolving constraint and harmonizing the spleen and stomach: a case report
- Modern Chinese Clinical Medicine Vol. 30, Issue 6, Pages: 113-116(2023)
- 作者机构：
  
  1.广州中医药大学第二临床医学院　广州　510405
  2.广东省中医院
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.2095-6606.2023.06.025
  CLC： R249
- Published：30 November 2023，
  
  Received：23 September 2022，
- 稿件说明：
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WU Lianghui, LIN Keyi, QIU Yuhui. Traditional Chinese medicine treatment for migraine with aura related to patent foramen ovale by resolving constraint and harmonizing the spleen and stomach: a case report. [J]. Modern Chinese Clinical Medicine 30(6):113-116(2023)
DOI：

WU Lianghui, LIN Keyi, QIU Yuhui. Traditional Chinese medicine treatment for migraine with aura related to patent foramen ovale by resolving constraint and harmonizing the spleen and stomach: a case report. [J]. Modern Chinese Clinical Medicine 30(6):113-116(2023) DOI： 10.3969/j.issn.2095-6606.2023.06.025.

摘要

卵圆孔未闭(patent foramen ovale，PFO)是一种先天性心脏异常，因出生后房间隔未完全融合而引起。PFO与先兆性偏头痛(MA)的发生密切相关。目前PFO引起偏头痛的发病机制尚不明确，治疗以卵圆孔封堵术及发作期止痛治疗为主。运用解郁和中法治疗PFO相关MA 1例，取得满意疗效，随访1年头痛及先兆未再发作，提示器质性改变并非本病单一发病因素，药物改善患者功能或易感性可成为本病治疗方案，并为中医治疗该病提供思路。

Abstract

Patent foramen ovale (PFO) is a congenital cardiac anomaly caused by incomplete fusion of the atrial septum after birth. PFO is closely associated with the development of migraine with aura (MA). The pathogenesis of PFO-induced migraine is still unclear

and the treatment is based on PFO closure and pain relief treatment during attacks. One case of PFO-associated MA was treated with TCM herbal medicine by resolving constraint and harmonizing the spleen and stomach

which achieved satisfactory efficacy

and the headache and aura did not reoccur in 1 year of follow-up

suggesting that organic changes are not the single pathogenetic factor of the disease

and that medications to improve the patient’s function or susceptibility can be a treatment option for the disease. This could provide some ideas for TCM treatment of the disease.

关键词

卵圆孔未闭先兆性偏头痛解郁和中法中医药

Keywords

patent foramen ovalemigraine with auraresolving constraint and harmonizing the spleen and stomachtraditional Chinese medicine

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