中医五行音乐疗法在偏头痛的现代应用分析
Modern Application Analysis of TCM Five Elements Music Therapy in Migraine

目的：探讨中医五行音乐疗法在偏头痛治疗中的应用机制及其临床疗效，分析其作为辅助治疗手段的优势与局限性。方法：通过文献分析、案例研究及临床试验总结，归纳五行音乐疗法的作用机制(如五行生克理论指导下的脏腑调节、音乐振动与人体共振等)，并结合其在偏头痛治疗中的联合疗法(针刺、中药、艾灸)及独立应用案例，评估其疗效与安全性。结果：研究表明，五行音乐疗法通过调节人体阴阳平衡、改善情绪状态发挥治疗作用。联合疗法(如针刺联合羽调音乐、中药联合徵调音乐)在缓解肝阳上亢型偏头痛、降低头痛发作频率及改善生活质量方面效果显著，且优于单一疗法。独立应用虽较少，但对亚健康状态及轻度偏头痛患者的症状改善具有潜力。然而，现有研究多聚焦于联合疗法，缺乏对五行音乐独特性的深入分析，且个体差异(如教育背景、生活习惯)可能影响疗效评估。结论：五行音乐疗法凭借无创、安全、简便的特点，可作为偏头痛治疗的辅助手段，尤其在联合其他疗法时增效明显。未来需加强标准化方案的开发、个体化治疗策略优化，以及与常规音乐疗法的差异化研究，以推动其在临床中的广泛应用。
Objective: To investigate the application mechanism and clinical efficacy of Traditional Chinese Medicine (TCM) Five Elements music therapy in the treatment of migraines, and to analyze its advantages and limitations as an adjunctive therapy. Methods: Through literature analysis, case studies, and clinical trial summaries, we identified the therapeutic mechanisms of Five Elements music therapy (visceral-gland regulation guided by the Five Elements mutual generation and restriction theory, and resonance effects between musical vibrations and the human body). We further evaluated its efficacy and safety in combined therapies (acupuncture combined with Yue tuning music, herbal medicine paired with Zhǐ tuning music) and standalone applications for migraines. Results: Studies suggest that Five Elements music therapy alleviates migraines by regulating Yin-Yang balance and improving emotional states. Combined therapies demonstrated significant benefits in reducing headache frequency, alleviating symptoms of liver Yang hyperactivity-type migraines, and enhancing quality of life, with outcomes superior to single-modality treatments. Standalone applications showed potential for mild migraine patients and those in sub-health states, though evidence is limited. Current research focuses predominantly on combination therapies, lacking in-depth analyses of Five Elements music’s unique properties. Individual differences (educational background, lifestyle) may also influence efficacy assessments. Conclusion: Five Elements music therapy, characterized by its non-invasive, safe, and simple nature, serves as a promising adjunctive intervention for migraines, particularly when integrated with other therapies for synergistic effects. Future efforts should prioritize standardization of protocols, optimization of personalized strategies, and differentiation from conventional music therapies to facilitate broader clinical adoption.