经方治疗颈椎病眩晕之临床心得  

Clinical experience of classical prescription on treating cervical spondylosis vertigo

作　　者：贾峻[1] 沙明波[1] 

机构地区：[1]天津中医药大学第一附属医院,天津300193

出　　处：《中华中医药杂志》2017年第1期166-168,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：天津市科委课题(No.13JCYBJC22200)~~

摘　　要：颈椎病引起的眩晕是属于常见多发病,随着对颈椎病认识的深入,临床治疗中更加强调中药治疗,《伤寒论》是方书之祖,药简力专,配伍精当,强调有是证、用是方。但应用经方治疗的根本是辨证论治,只有在准确辨证的基础上用方,其疗效才能达到预期疗效。笔者通过临床实践发现,颈椎病引起眩晕大致可分为半表半里证、水饮内停证、里虚证,选用代表方剂为小柴胡汤、苓桂术甘汤、真武汤、小建中汤、黄芪建中汤、吴茱萸汤等,合理应用经方,治疗颈椎病引起的眩晕效果好,见效快,临床值得推广应用。Cervical vertigois a common disease,with the deepening of the understanding of cervical spondylosis,more emphasis is on traditional Chinese medicine treatment in clinical treatment,Treatise on Febrile Disease is the father of the prescriptions,in which the medicine is simple to the point,compatibility is refined and it stresses the exact syndrome and prescriptions.But the root of the application is syndrome differentiation.Only applying the prescriptions based on the accurate syndrome differentiation,the curative effect could achieve the desired effect.Through clinical practice,it is found that cervical spondylosis vertigo can be roughly divided into half exterior and half interior syndrome,water and dampness retention syndrome,interior deficiency syndrome,and the representative preseriptions are Xiaochaihu Decoction,Linggui Zhugan Decoction,Zhenwu Decoction,Xiaojianzhong Decoction,Huangqi Jianzhong Decoction,Wuzhuyu Decoction.Proper classical prescriptions have good effect in treatment of cervical spondylosis vertigo and quick effect,worthy of clinical promotion and application.

关 键 词：颈椎病 眩晕 经方 半表半里证 水饮内停证 里虚证 

分 类 号：R249[医药卫生—中医临床基础] R274.9[医药卫生—中医学]