辨证治疗眩晕120例  

One Hundred and Twenty Cases of Vertigo Treated Based on Syndrome Differentiation

作　　者：史继鑫[1] 张君君[2] 兰瑞[2] SHI Ji-xin;ZHANG Jun-jun;LAN Rui(Zhengzhou Second People's Hospital,Zhengzhou,Henan,China,450000;2.First Affiliated Hospital of Henan University of TCM,Zhengzhou,Henan,China,450000)

机构地区：[1]郑州市第二人民医院,河南郑州450000 [2]河南中医药大学第一附属医院,河南郑州450000

出　　处：《河南中医》2018年第12期1866-1869,共4页Henan Traditional Chinese Medicine

基　　金：国家自然科学基金青年项目(编号:81503422)

摘　　要：目的:观察辨证治疗眩晕的临床疗效。方法:选取2017年1月至2018年6月在郑州市第二人民医院门诊及住院部治疗的眩晕患者120例,所有患者均辨证分为肝阳上亢证、痰湿中阻证、瘀血阻窍证、气血亏虚证、肾精不足证,分别给予天麻钩藤饮加减、半夏白术天麻汤加减、通窍活血汤加减、归脾汤加减、左归丸加减治疗。结果:痊愈77例,显效20例,有效14例,无效9例,痊愈率为64. 17%,有效率为92. 50%,各证型有效率比较,无显著性差异(P> 0. 05)。结论:辨证治疗眩晕疗效显著,更能切合病因病机,较快改善患者症状,减少复发。Objective: To observe the clinical curative effect of treated based on syndrome differentiation on vertigo. Methods: One hundred and twenty patients with vertigo treated in outpatient and inpatient department of Zhengzhou Second People’ s Hospital from January 2007 to June 2018 were selected. All the patients were divided into syndrome of hyperactivity of liver yang,syndrome of stagnation of phlegm and dampness in middle energizer,syndrome of stagnation of qi and blood in orifices,syndrome of deficiency of qi and blood,syndrome of insufficiency of kidney essence according to their syndromes. They were treated with Modified Gastrodia and Uncaria Decoction,Modified Pinellia and White Atractylodes and Gastrodia Decoction,Modified Dredging Orifices and Promoting Blood Circulation,Modified Spleen-Restoring Pill,Modified Left-Restoring Pill respectively. Results: After treatment,77 cases were cured,20 cases were markedly effective,14 cases were effective and 9 cases were ineffective. The cure rate was64. 17% and the effective rate was 92. 50%. There was no significant difference in the effective rate of each syndrome type( P >0. 05). Conclusion: Treatment based on syndrome differentiation has a remarkable clinical curative effect on vertigo,which is more suitable for finding out the etiology and pathogenesis. It can improve the symptoms of patients and reduce recurrence.

关 键 词：眩晕 辨证论治 肝阳上亢证 痰湿中阻证 瘀血阻窍证 气血亏虚证 肾精不足证 

分 类 号：R255.3[医药卫生—中医内科学]