张怀亮分期论治前庭神经炎经验  

Zhang Hualiang′s Experience in Differentiating and Treating Vestibular Neuritis by Stages

作　　者：王双双[1] 范晓飞[1] 张怀亮[1] WANG Shuangshuang;FAN Xiaofei;ZHANG Huailiang(The First Affiliated Hospital to Henan University of Chinese Medicine,Zhengzhou Henan China 450000)

机构地区：[1]河南中医药大学第一附属医院,河南郑州450000

出　　处：《中医学报》2025年第4期831-835,共5页Acta Chinese Medicine

基　　金：张怀亮全国名老中医药专家传承工作室建设项目{国中医药人教函〔2018〕134号};河南省中医药科学研究专项课题项目(2022ZY1026)。

摘　　要：前庭神经炎是引起常见眩晕的主要原因之一。张怀亮根据前庭神经炎的现代医学分期结合患者的临床表现,将前庭神经炎的病程分为急性期、恢复期和慢性期进行论治。急性期包括三焦郁阻证、肝火上炎证、饮邪上犯证,分别采取相应的治法和方剂以调畅三焦、清泻肝火、化饮降逆。恢复期包括肝郁化火证、阴虚阳亢证、阳虚水泛证,治疗侧重于疏肝泻火、滋阴潜阳、温阳利水。慢性期包括清阳不升证、髓海亏虚证,可采用升阳举陷、填髓益脑等方法进行调理。Vestibular neuritis is one of the main causes of common vertigo.According to the modern medical staging of vestibular neuritis combined with the clinical manifestations of patients,Zhang Huailiang divided the course of vestibular neuritis into acute,recovery and chronic phases for treatment.The acute stage includes Three Jiao depression and obstruction syndrome,Liver Fire and inflammation syndrome,and Phlegm evil factor offending up syndrome,and corresponding treatments and formulas are adopted to regulate the Three Jiao,clear Liver Fire,and reduce the Phlegm and lower the reversed Qi respectively.In the recovery stage,there are Liver depression induced Fire syndrome,Yin deficiency induced Yang hyperactivity syndrome,and Yang deficiency induced Water flooding syndrome,the treatment focuses on dispersing the Liver to purge Fire,nourishing Yin to submerge Yang and warming Yang to dispel Water.The chronic stage includes clear Yang rising disfunction syndrome and the marrow sea deficiency syndrome,which can be regulated by elevating Yang to lift the sunken Qi and filling the marrow to benefit the brain.

关 键 词：前庭神经炎 分期论治 张怀亮 

分 类 号：R249.2[医药卫生—中医临床基础]