从肝肾论治耳石症复位后残余眩晕  

Treating Residual Vertigo after Resetting Otoliths from Liver and Kidney

作　　者：方鸽 曾晖 FANG Ge;ZENG Hui(Shanghai Yangpu District Traditional Chinese Medicine Hospital,Shanghai 200082,China)

机构地区：[1]上海市杨浦区中医医院,上海200082

出　　处：《中医药临床杂志》2024年第3期471-474,共4页Clinical Journal of Traditional Chinese Medicine

基　　金：2021年度杨浦区科学技术委员会杨浦区卫生健康委员会中医专项科研项目(项目编号:YPZM202115)。

摘　　要：良性阵发性位置性眩晕是最常见的周围性眩晕,经手法复位治疗后,大多数患者会改善症状,位置性眩晕及眼震消失,却依旧残余头晕、走路不稳、头昏沉不清等症状,且多伴有情志障碍。中医认为该病主要发病机制为肝气郁结,气机上逆,上扰头目;或气郁化火,风阳易动;或年老体亏,肾精亏虚,脑髓失养。故治则从调理气机、填精益髓、滋水涵木而治。文章主要探讨从肝肾论治耳石症复位后残余症状。Benign paroxysmal positional vertigo(BPPV) is the most common peripheral vertigo.After manual reduction treatment,most patients will improve their symptoms,and the positional vertigo and nystagmus disappear,but they still have residual dizziness,unsteady walking,and headache.Symptoms such as drowsiness and confusion are often accompanied by emotional disorders.Traditional Chinese medicine believes that the main pathogenesis of the disease is stagnation of liver qi,which causes the upward movement of qi to disturb the head;or qi stagnation turns into fire,causing wind and yang to move easily;or old age,physical weakness,kidney essence deficiency,and brain and marrow malnutrition.Therefore,the treatment is based on regulating qi,replenishing the marrow,nourishing water and trapping wood.This article mainly discusses the treatment of residual symptoms of otolithiasis after reduction from the perspective of liver and kidney.

关 键 词：耳石症 从肝肾论治 经验 

分 类 号：R764[医药卫生—耳鼻咽喉科]