基于“一气周流,土枢四象”理论探析后循环缺血性眩晕的诊治  

Discussion and Analysis of Diagnosis and Treatment of Dizziness Caused by Posterior-Circulation Ischemia Based on Theory of"Qi Circles in the Body,and the Earth Is the Pivot of the Other Four Zang-Organs"

作　　者：颜嘉丽 易玮 YAN Jiali;YI Wei

机构地区：[1]广州中医药大学针灸康复临床医学院,广东广州510006

出　　处：《新中医》2023年第12期190-194,共5页New Chinese Medicine

基　　金：国家自然科学基金项目(8197151602)。

摘　　要：基于黄元御“一气周流,土枢四象”的理论探讨后循环缺血性眩晕的诊治。阐述“一气周流,土枢四象”理论的具体内涵:左路木火升发,右路金水敛降,中土之气斡旋。并基于该具体内涵分析后循环缺血性眩晕的病机,认为其病机主要有:第一,土虚湿困,清浊倒作;第二,土湿水寒,木郁生风;第三,肺金不敛,风阳上扰。故在治疗上要恢复中土及肝、肺、肾气的正常功能,用轴轮并运之法恢复一气周流的循环,以平后循环缺血性眩晕诸症。The authors discuss and analyze the diagnosis and treatment of dizziness caused by posterior-circulation ischemia based on HUANG Yuanyu's theory of"qi circles in the body,and the earth is the pivot of the other four zang-organs".The specific connotation of the theory is that there is upbearing and effusion of the wood and fire in the left circle,constraints and downbearing of the metal and water,and mediation by the earth as middle qi.Based on this connotation,the authors analyze the pathogenesis of dizziness caused by posterior-circulation ischemia,and believe that the pathogenesis lie in the followings:first,abnormal ascent and descent between the clear and the turbid due to earth deficiency with dampness encumbrance;second,wood constraint engendering wind because of earth-dampness and watercoldness;third,the lung and metal are not astringed,leading to wind-yang harassing the upper body.Therefore,it is important to recover the normal function of middle-earth,liver,lung and kidney qi,as well as the circulation of qi movement in body by method of running the arbor wheel together so as to such symptoms as dizziness caused by posterior-circulation ischemia.

关 键 词：后循环缺血性眩晕 一气周流 土枢四象 清浊倒作 木郁生风 风阳上扰 

分 类 号：R441.2[医药卫生—诊断学]