中医药临床优势病种探讨——耳眩晕  

Expert Consensus on Clinical Diseases Responding Specifically to Traditional Chinese Medicine:Aural Vertigo

作　　者：宫颖迪 闫占峰[2] 冯炜[1] 刘大新[3] 王嘉玺[3] 刘建华[2] 张予[4] 龚树生[5] 王国鹏[5] 徐春英[6] 马鑫[7] 李博[8] 郭淑贞[9] 张名霞[10] 刘锦峰[11] 郭继华 曹正逵[12] 张霄潇[12] 辛忠海[1] GONG Yingdi;YAN Zhanfeng;FENG Wei;LIU Daxin;WANG Jiaxi;LIU Jianhua;ZHANG Yu;GONG Shusheng;WANG Guopeng;XU Chunying;MA Xin;LI Bo;GUO Shuzhen;ZHANG Mingxia;LIU Jinfeng;GUO Jihua;CAO Zhengkui;ZHANG Xiaoxiao;XIN Zhonghai(Wangjing Hospital,China Academy of Chinese Medical Sciences,Beijing 100102,China;Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China;Dongfang Hospital,Beijing University of Chinese Medicine,Beijing 100078,China;Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China;Xiyuan Hospital,China Academy of Chinese Medical Sciences,Beijing 100091,China;Peking University People's Hospital,Beijing 100044,China;Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010,China;Beijing University of Chinese Medicine,Beijing 100029;Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Beijing Chao-Yang Hospital,Capital Medical University,Beijing 100020,China;China Association of Chinese Medicine,Beijing 100029,China)

机构地区：[1]中国中医科学院望京医院,北京100102 [2]北京中医药大学东直门医院,北京100007 [3]北京中医药大学东方医院,北京100078 [4]中国中医科学院广安门医院,北京100053 [5]首都医科大学附属北京友谊医院,北京100050 [6]中国中医科学院西苑医院,北京100091 [7]北京大学人民医院,北京100044 [8]首都医科大学附属北京中医医院,北京100010 [9]北京中医药大学,北京100029 [10]首都医科大学附属北京宣武医院,北京100053 [11]首都医科大学附属北京朝阳医院,北京100020 [12]中华中医药学会,北京100029

出　　处：《中国实验方剂学杂志》2024年第8期215-222,共8页Chinese Journal of Experimental Traditional Medical Formulae

基　　金：中国中医科学院科技创新工程重大攻关项目(CI2021A02707);中国中医科学院望京医院院级课题(WJYY2020-27);北京市自然科学基金项目(7214290)。

摘　　要：中医“耳眩晕”主要包括西医的外周性前庭疾病,如梅尼埃病、良性阵发性位置性眩晕、前庭神经炎、前庭性偏头痛,是耳鼻喉科研究的重点疾病。由于本类疾病症状复杂、检查缺乏特异性、不易治愈等现状,西医常会面临治疗手段有限、治疗效果欠佳的问题。中华中医药学会邀请各位中、西医耳科专家对耳眩晕进行充分讨论后认为耳眩晕属于中医药临床优势病种之一。基于会议讨论,将耳眩晕的中西医发展现状、发病机制、临床诊治进行总结,详细阐释了中医药对耳眩晕的认识、辨证治疗方案、不同发病阶段的治疗特点,以期提高耳眩晕的长期治疗效果。Aural vertigo frequently encountered in the otolaryngology department of traditional Chinese medicine(TCM)mainly involves peripheral vestibular diseases of Western medicine,such as Meniere's disease,benign paroxysmal positional vertigo,vestibular neuritis,and vestibular migraine,being a hot research topic in both TCM and Western medicine.Western medical therapies alone have unsatisfactory effects on recurrent aural vertigo,aural vertigo affecting the quality of life,aural vertigo not relieved after surgery,aural vertigo with complex causes,and children's aural vertigo.The literature records and clinical practice have proven that TCM demonstrates unique advantages in the treatment of aural vertigo.The China Association of Chinese medicine sponsored the"17th youth salon on the diseases responding specifically to TCM:Aural vertigo"and invited vertigo experts of TCM and Western medicine to discuss the difficulties and advantages of TCM diagnosis and treatment of aural vertigo.The experts deeply discussed the achievements and contributions of TCM and Western medicine in the diagnosis and treatment of aural vertigo,the control and mitigation of the symptoms,and the solutions to disease recurrence.The discussion clarified the positioning and advantages of TCM treatment and provided guidance for clinical and basic research on aural vertigo.

关 键 词：耳眩晕 外周性前庭疾病 中医优势病种 中西医结合 

分 类 号：R242[医药卫生—中医临床基础] R2-0[医药卫生—中医学] R2-031R441.2R255.3