眩晕中医辨治思路探析  

Diagnosis and treatment of vertigo in TCM

作　　者：马大勇[1] 李庆彬[1] 黄丽贤[1] 马洪明[1] Ma Dayong;Li Qingbin;Huang Lixian;Ma Hongming(Department of Neurology,Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine,Beijing 100700)

机构地区：[1]北京中医药大学东直门医院神经内科,北京100700

出　　处：《现代中医临床》2020年第6期57-59,63,共4页Modern Chinese Clinical Medicine

基　　金：国家自然科学基金资助项目(No.81704049);北京中医药大学东直门医院青苗人才培养计划资助项目(No.DZMYS-201803)。

摘　　要：眩晕是指以头晕眼花为主症的一种病证,包含了西医学中以头晕或眩晕为主诉的一类疾病。在中医临床辨治眩晕时,应掌握以下4个原则:衷中参西,发挥中西医各自优势;祛除诱因,调理脏腑;辨证方法因病而异;功能训练,生活有节。眩晕的诊断过程可按定眩晕、定病位、定病性、定证候4个步骤进行。在发作期和缓解期的治疗原则不同。治疗方法主要有4种,包括中药、中医适宜技术、西医药物及技术和护理调摄,需根据疾病特点优化使用。Vertigo is a disease characterized by dizzy vision, including diseases with chief complaints of dizziness or vertigo. As for the differential treatment of vertigo in traditional Chinese medicine, the following 4 principles should be noted: with reference to the diagnosis and treatment of vertigo in modern medicine, the advantages of both Chinese and Western medicine should be brought into full play;Risk factors should be removed to regulate zang-fu organs;treatment differs for different diseases;functional training should be performed and a balanced diet is recommended. The diagnostic process covers the following four-step procedures, namely, identifying the symptoms(vertigo), identifying disease location, identifying disease nature and identifying TCM patterns. Treatment principles are different for the attack stage and remission stage. The major treatment methods are Chinese medicine, appropriate techniques of traditional Chinese medicine, modern medical techniques, and nursing regulation, depending on the characteristics of the disease.

关 键 词：眩晕 中医 诊疗方法 

分 类 号：R255.3[医药卫生—中医内科学]