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。
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.
作者
舒忻
张允岭
秦绍林
SHU Xin;ZHANG Yunling;QIN Shaolin(Department of General Internal Medicine,Eye Hospital of China Academy of Chinese Medical Sciences,Beijing 100040;Department of Neurology,Xiyuan Hospital of China Academy of Chinese Medical Sciences)
出处
《现代中医临床》
2022年第3期61-64,共4页
Modern Chinese Clinical Medicine
基金
国家重点研发计划资助项目(No.SQ2019YFC170218)。
关键词
慢性主观性头晕
焦虑抑郁
厥阴病
chronic subjective dizziness
anxiety and depression
jueyin syndrome
