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基于“一气周流”理论探讨前庭性偏头痛病机及证治

Analysis of pathogenesis and treatment of vestibular migraine based on the theory of yiqi zhouliu
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摘要 前庭性偏头痛是一种反复发作的以前庭症状为表现的或伴有偏头痛症状的疾病,是导致眩晕与失衡的重要原因之一。中医学认为一气运行不息,周流全身,对人的生命活动具有重要意义。基于一气周流的前庭性偏头痛病机主要包括:中土不运、木郁风动、相火逆乱、肾水为病,治疗时多崇尚中气利枢轴、兼顾四维以复周流,从健运中土、条畅肝木、降泄相火、滋补肾元的角度入手,多脏同调,恢复一气周流的圆运动,使人体进入一个良性循环。该理论可为前庭性偏头痛的治疗提供一种新思路。 Vestibular migraine(VM),characterized by recurrent episodes with vestibular symptoms or accompanying migraine symptoms,stands as a significant contributor to dizziness and imbalance.In traditional Chinese medicine,the continuous circulation of yiqi(the one qi)throughout the body holds profound significance for human life activities.This study delves into Huang Yuanyu's concept of yiqi zhouliu(circulation of the one qi)and examines the pathogenesis of vestibular migraine from this perspective.The pathogenesis of vestibular migraine,based on the theory of yiqi zhouliu,involves dysfunction of spleen qi,stagnation of liver qi,hyperactivity of ministerial fire,and deficiency of kidney-yin and yang.The treatment approach encompasses four key aspects:strengthening the spleen,soothing the liver,removing ministerial fire,and tonifying the kidney.These interventions aim to restore the circulation of yiqi,facilitating the human body's entry into a virtuous circle.This theory introduces a novel perspective for the treatment of vestibular migraine.
作者 张含 王垚 张新宁 李亚楠 周莹 张轶斐 阎明源 陈志刚 ZHANG Han;WANG Yao;ZHANG Xinning;LI Yanan;ZHOU Ying;ZHANG Yifei;YAN Mingyuan;CHEN Zhigang(Beijing University of Chinese Medicine,Beijing 100029;Dongfang Hospital,Beijing University of Chinese Medicine;Dongzhimen Hospital,Beijing University of Chinese Medicine)
出处 《现代中医临床》 2024年第2期57-60,共4页 Modern Chinese Clinical Medicine
基金 首都卫生发展科研专项(No.2018-2-4202)。
关键词 前庭性偏头痛 一气周流 四圣心源 理论探讨 vestibular migraine yiqi zhouliu Si Sheng Xin Yuan theoretical discussion
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