浅谈中医对眩晕认识和治疗.docVIP

浅谈中医对眩晕认识和治疗 　　【摘要】眩晕症是人们日常生活中常遇见的一种病理症状。随着人们生活水平的提高，饮食结构不合理、熬夜睡眠不足、工作压力大，经常处于紧张状态等不良因素的增多，眩晕症发病机率日益增加。作者文章内容主要根据对中医经典著作的学习和研究，以及多年的临床经验总结，从中医的特色诊断入手，分型辩证治疗。大体阐述了常见的几种类型。如：肝阳上亢证；气虚血亏证；肾阴虚损证；痰浊中阻证等。并附于几例典型病例，直观阐述。点明了西医一些常见的疾病中所表现的眩晕症状。通过简单明了的语言告知大家对于此症的日常治疗和防范的方式和方法等。 　　【关键词】眩晕；肝肾阴虚；肝阳上亢；病因病机；风；火；痰；治未病 　　【中图分类号】R255.3 【文献标识码】A 【文章编号】ISSN.2095-6681.2016.26.0.02 　　【Abstract】Vertigo is a kind of pathological symptom that people often meet in daily life.Along with the improvement of peoples living standard，the diet structure is not reasonable，stay up late to sleep problems，work pressure，often in the tension and other adverse factors，the incidence of vertigo is increasing.The content of the article is mainly based on the study and research of TCM classics，as well as many years of clinical experience summary，from the characteristics of traditional Chinese medicine diagnosis，typing dialectical treatment.In general，several types of common.Such as：hyperactivity of liver Yang Syndrome；Qi and blood deficiency syndrome；Yin deficiency syndrome and phlegm.And attached to a few typical cases，intuitive exposition.Point out the performance of some common diseases of Western medicine in the diagnosis of vertigo.To inform everyone of the daily treatment and prevention of this disease with a simple and clear language. 　　【Key word】vertigo；syndrome of yin deficiency of liver and kidney；excessive rising of liver-yang；etiology and pathogenesis；wind；fire；sputum；preventive treatment of disease. 　　1 眩??的定义 　　眩晕是一个临床常见的症状，在许多疾病中均可以发生。眩是目眩，即眼花或眼前发黑视物模糊。晕是头晕，即感觉自身或外界景物旋转，站立不稳。二者常同时并见，故称为“眩晕”。轻者闭目即止，一阵而过；重者如坐车、船旋转不定，不能站立，甚或伴有恶心、呕吐、汗出以致昏仆等症状。内伤外感均可发生本证，多由风、痰、虚、瘀为患。《杂病证治准绳》中说：谓太阳在泉，病冲头痛，目似脱[1]。《灵枢》谓邪在肾、颈项时眩。此皆湿邪害肾，逼太阳之气留于上而然也。 　　2 病因病机 　　眩晕发生的病因比较复杂，但总与肝、脾、肾三脏有着密切的关系故《内经》有诸风掉眩，皆属于肝的论述。接着《临证指南医案?眩晕门》说：“诸风掉眩、皆属于肝、头为诸阳之首、耳目口鼻皆系清空之窍，所患眩晕者，非外来之邪，乃肝胆之风上冒耳，甚者有昏厥跌仆之虞”。因为肝为风脏，主动主升，凡是烦劳郁怒，会伤阴动阳，并且可以气郁化火，内火可暗耗，阴津，肝阴不足，肝阳易于上亢，肝阳上升，肝风内动，眩晕因此发作[2]。刘河间又说：“风火皆阳，阳主动平，两动相博，则为旋转。由于火引起的眩晕有虚实之分，实火乃肝火上冲，虚火多是阴虚火