从厥阴病论治慢性主观性头晕

舒忻; 张允岭; 秦绍林

doi:10.3969/j.issn.2095-6606.2022.03.014

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从厥阴病论治慢性主观性头晕

理论探讨 | 更新时间：2022-06-02

- 从厥阴病论治慢性主观性头晕
- Clinical examples of treating chronic subjective dizziness from the perspective of jueyin syndromes
- 现代中医临床 2022年29卷第3期页码：61-64
- 作者机构：
  
  1.中国中医科学院眼科医院综合内科　北京　100040
  2.中国中医科学院西苑医院脑病科
- 作者简介：
  
  舒忻，女，硕士，主治医师
  # 秦绍林，男，博士，主任医师，硕士生导师，E-mail：bjqinshaolin@163.com
- 基金信息：
  
  国家重点研发计划资助项目(SQ2019YFC170218)
- DOI：10.3969/j.issn.2095-6606.2022.03.014
  中图分类号： R259
- 纸质出版日期：2022-05-30，
  
  收稿日期：2021-06-18，
- 稿件说明：
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舒忻, 张允岭, 秦绍林. 从厥阴病论治慢性主观性头晕[J]. 现代中医临床, 2022,29(3):61-64.

Xin SHU, Yunling ZHANG, Shaolin QIN. Clinical examples of treating chronic subjective dizziness from the perspective of jueyin syndromes[J]. Modern Chinese Clinical Medicine, 2022,29(3):61-64.
舒忻, 张允岭, 秦绍林. 从厥阴病论治慢性主观性头晕[J]. 现代中医临床, 2022,29(3):61-64. DOI： 10.3969/j.issn.2095-6606.2022.03.014.

Xin SHU, Yunling ZHANG, Shaolin QIN. Clinical examples of treating chronic subjective dizziness from the perspective of jueyin syndromes[J]. Modern Chinese Clinical Medicine, 2022,29(3):61-64. DOI： 10.3969/j.issn.2095-6606.2022.03.014.

摘要

慢性主观性头晕(CSD)是前庭功能障碍和精神性疾患之间交互反应而导致的一种具有身心交互作用的临床综合征，可归属于中医“眩晕”范畴，但与“郁证”密切相关。该类眩晕以肝、脾、肾病变为重点，并与肝的病变更为密切，故中医治疗主要以从肝论治、补气血、化痰瘀为主。但在中医临证辨治CSD时，发现患者除慢性眩晕症状外，多具有厥阴病寒热错杂的证候特点，故可从厥阴病的角度选用张仲景《伤寒论》中治疗“厥阴病”的主方乌梅丸进行论治。

Abstract

Chronic subjective dizziness (CSD) is a clinical syndrome with psychosomatic interaction result ing from the combined effect of vestibular dysfunction and psychiatric disorders

and falls in traditional Chinese medicine into the category of "vertigo"

while being closely related to "stagnation syndrome" . This kind of vertigo is induced by the disorders of the liver

spleen and kidney

with conditions of the liver being the primary cause. Therefore

TCM treatment focus on resolving the liver problem by tonifying qi and blood

and removing phlegm and stasis. However

in the clinical treatment of CSD

it was found that in addition to the chronic vertigo symptoms

most of the patients also had

jueyin

syndromes

which is characterized by cold and heat in complexity. Therefore

Mume Pill

as the main prescription for the treatment of

jueyin

syndromes in Zhang Zhongjing’s

Treatise on Cold

Induced Diseases

could be used for treating CSD.

关键词

慢性主观性头晕焦虑抑郁厥阴病

Keywords

chronic subjective dizzinessanxiety and depressionjueyin syndrome

references

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