叶壮益教授基于六经辨证论治颈性眩晕临床经验  

Professor Ye Zhuangyi's Clinical Experience in the Treatment of Cervical Vertigo Based on Six Meridian Diagnosis and Treatment

作　　者：张育文 张子鸣 张洪逵 陈进群 吴东生 陈瀚 陈颖 叶壮益 ZHANG Yuwen;ZHANG Ziming;ZHANG Hongkui;CHEN Jinqun;WU Dongsheng;CHEN Han;CHEN Ying;YE Zhuangyi(Shantou Hospital of Chinese Medicine,Shantou 515000,Guangdong China;The Second People's Hospital of Hunan Province,Changsha 410007,China)

机构地区：[1]汕头市中医医院,广东汕头515000 [2]湖南省第二人民医院

出　　处：《中国中医骨伤科杂志》2025年第3期86-89,共4页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：湖南省自然科学基金项目(2023JJ60118);汕头市科技局项目(180829104014060);湖南中医药大学研究生创新基金项目(2023CX56)。

摘　　要：总结叶壮益教授治疗颈性眩晕的临床经验撷要,叶壮益教授认为六经受不同病因的影响可致颈性眩晕。六经受内伤外邪侵扰,常使得气机混乱、经络不通,从而筋出槽、骨错缝,日久则清窍失养、清阳受扰,胫酸眩冒。叶壮益教授重视疾病在六经中发病病机,着眼于患者整体,其治疗方法以通为要,以补为用,方选桂枝汤、大承气汤、小柴胡汤、四逆汤、真武汤、吴茱萸汤六大经方为底化裁,分别论治太阳、阳明、少阳、太阴、少阴、厥阴型颈性眩晕,活用《伤寒论》六经治法治则,运用针药结合理筋手法,不拘泥于病症病名本身,着眼于证素根本,在临床上取得良好疗效,体现了中医学辨证论治的观念。This paper summarizes Professor Ye Zhuangyi's clinical experience in treating cervical vertigo.Professor Ye Zhuangyi believes that the six meridians may be affected by different causes to cause cervical vertigo.The six meridians are invaded by internal injuries and external evils,which often cause disorder of Qi and blockage of meridians,resulting in tendons out of groove and bone dislocation.Over time,the clear orifices are not nourished,the clear Yang is disturbed,and the shins are sore and dizzy.Professor Ye Zhuangyi attaches importance to the pathogenesis of diseases in the six meridians and focuses on the patient as a whole.His treatment method is to clear the meridians and use supplements.He selects six major meridian prescriptions,including Guizhi decoction,Dachengqi decoction,Xiaochaihu decoction,Sini decoction,Zhenwu decoction,and Wuzhuyu decoction,as the basis for modification.He discusses and treats cervical vertigo of Taiyang,Yangming,Shaoyang,Taiyin,Shaoyin,and Jueyin types respectively.He makes full use of the six meridian treatment principles in Treatise on Febrile Diseases,uses acupuncture and medicine combined with tendon regulation techniques,does not stick to the symptoms and names of the diseases themselves,and focuses on the root of the syndrome,and has achieved good clinical results.It embodies the concept of syndrome differentiation and treatment in traditional Chinese medicine.

关 键 词：颈性眩晕 六经辨证 伤寒论 中医药 临床经验 

分 类 号：R681.5[医药卫生—骨科学]