偏头痛与紧张性头痛：西医与中医对比 · 更新 2026-10-18
Headache is the most common neurological complaint. Migraine in particular is disabling. This page compares abortive and preventive Western care with TCM approaches, and where acupuncture fits for prevention.
头痛是最常见的神经系统主诉，偏头痛尤具致残性。本页对比西医的终止与预防用药与中医针灸等思路，以及针灸在预防上的证据。
| Aspect 维度 | Western medicine 西医 | TCM 中医 |
|---|---|---|
| Core idea 思路 核心思路 |
Abortive medication for attacks; preventive medication and trigger management for frequent migraine. Clear benefit for many. 发作时终止用药；频繁偏头痛用预防用药与触发因素管理。对许多人效益明确。 |
Differentiate headache by channel and nature (wind, liver, deficiency); points selected by distribution (frontal, temporal, occipital) plus lifestyle and sleep work. 按经络与性质（风、肝、虚）辨证；按部位（前额、颞、枕）选穴，配合生活与睡眠调护。 |
| Strengths 擅长的 擅长的 |
Fast, predictable relief for acute attacks; strong preventive options that reduce attack frequency. 急性发作缓解快而可预期；预防用药显著降低发作频率。 |
Acupuncture for migraine prevention is supported by several trials and meta-analyses, often reducing attack frequency with few systemic side effects. 针灸预防偏头痛有多项试验与荟萃分析支持，常减少发作频率且全身副作用少。 |
These are areas where acupuncture and TCM are most often used as complementary care, supported by WHO-listed indications and multiple systematic reviews. They sit alongside — not against — conventional medicine.
对不耐受预防用药者，针灸提供低副作用的预防选项，多篇综述将其与标准预防并列。
Teaching example (not a diagnosis): 2–4 migraine days a month, medication works but causes stomach upset. A clinician may add acupuncture for prevention. "Worst headache of life", confusion, or fever needs emergency care.
教学示例（非诊断）：每月 2–4 天偏头痛，用药有效但胃不适。医生或加针灸预防。「人生最痛头痛」、意识模糊或发热须急诊。