基于“诸风掉眩,皆属于肝”探讨前庭性偏头痛辨治  

Differentiation and Treatment Discussion on Vestibular Migraine Based on Theory of"All Wind Induced Vertigo Coming from the Liver"

作　　者：赵廷圆 刘建辉 ZHAO Tingyuan;LIU Jianhui(Guizhou University of Traditional Chinese Medicine,Guiyang,Guizhou 550002;Guizhou University of Traditional Chinese Medicine the Second Affiliated Hospital,Guiyang,Guizhou 550003)

机构地区：[1]贵州中医药大学,贵州贵阳550002 [2]贵州中医药大学第二附属医院,贵州贵阳550003

出　　处：《智慧健康》2023年第27期49-55,共7页Smart Healthcare

摘　　要：前庭性偏头痛在现代医学中因临床症状的复杂性而成为较难根治的疾病之一,中医药在前庭性偏头痛的临床运用中有一定的疗效,值得进一步探讨。本文将从前庭性偏头痛核心症状眩晕、头痛着手,结合古代医家和现代研究,以“诸风掉眩,皆属于肝”为理论基础,剖析肝的功能、风性特点与前庭性偏头痛的联系。此外结合前庭性偏头痛的不同发病机制、临床症状的差异性,总结“眩”从六经而来,当以“分经论治”为策略,为临床治疗前庭性偏头痛提供更多的启发思路。Vestibular migraine is one of difficult diseases to cure in modern medicine due to complexity of clinical symptoms.Traditional Chinese medicine can achieve some certain curative effect for vestibular migraine in clinical practice,and is worthy of further exploration.the article starts from core symptoms of vestibular migraine,including dizziness and headache,combines with ancient medicine and modern research,analyzes relationship between liver function,wind induced characteristics,and vestibular migraine based on theory of"all wind induced dizziness coming from the liver".In addition,based on different pathogenesis and difference of clinical symptoms of vestibular migraine,The paper summarizes"dizziness"originates from the six meridians.Strategy of"treating vestibular migraine according to different meridians"can provide more inspirational ideas for clinical treatment.

关 键 词：前庭性偏头痛 头痛 眩晕 病机十九条 分经论治 

分 类 号：R277.7[医药卫生—中医学]