中医药治疗颈性眩晕的研究进展
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摘要
因颈部结构紊乱或颈椎病而发生的眩晕称为颈性眩晕,属中医学"眩晕""头痛""痹证""颈肩痛"等范畴,本文综述了近年来中医药治疗颈性眩晕的研究进展,其发病一般认为与肝肾亏虚、气血及痰瘀关系密切,临床主要治疗方法有:推拿手法治疗、中药治疗、针灸治疗以及中药针灸联合手法治疗等,均取得显著疗效特别是龙氏手法配合治疗效果更优,所以采用龙氏正骨手法配合中药复方是治疗颈性眩晕的好方法。
Dizziness caused by neck structure disorder or cervical spondylosis is called cervical vertigo, which belongs to the categories of "vertigo", "headache", "bi syndrome", "neck and shoulder pain" in traditional Chinese medicine. This paper reviews the progress of traditional Chinese medicine in the treatment of cervical vertigo in recent years. Its pathogenesis is generally believed to be closely related to deficiency of liver and kidney, qi and blood, phlegm and blood stasis. The main clinical treatment methods include massage therapy, traditional Chinese medicine treatment, acupuncture treatment and combined traditional Chinese medicine acupuncture treatment, which achieves significant effect. Long's bone-setting technique is more effective in the treatment of cervical vertigo. Therefore, it is a good method to treat cervical vertigo by using Long's bone-setting technique combined with traditional Chinese medicine.
Dizziness caused by neck structure disorder or cervical spondylosis is called cervical vertigo, which belongs to the categories of "vertigo", "headache", "bi syndrome", "neck and shoulder pain" in traditional Chinese medicine. This paper reviews the progress of traditional Chinese medicine in the treatment of cervical vertigo in recent years. Its pathogenesis is generally believed to be closely related to deficiency of liver and kidney, qi and blood, phlegm and blood stasis. The main clinical treatment methods include massage therapy, traditional Chinese medicine treatment, acupuncture treatment and combined traditional Chinese medicine acupuncture treatment, which achieves significant effect. Long's bone-setting technique is more effective in the treatment of cervical vertigo. Therefore, it is a good method to treat cervical vertigo by using Long's bone-setting technique combined with traditional Chinese medicine.
引文
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[2]胡兆斌,傅强.中医药治疗椎动脉型颈椎病临床与实验研究[J].长春中医药大学学报,2013,29(1):109.
[3]孔令忠,纪清.颈性眩晕的发病学研究进展[J].湖北中医药大学学报,2013,15(4):62-64.
[4]罗贵忠,段俊峰,李艳武,等.龙氏正骨手法结合针刀治疗颈性眩晕临床观察[J].中国中医急症,2012,21(3):485-6.
[5]陈泽林,刘富林.龙氏正骨手法治疗颈性眩晕临床观察[J].新中医,2013,45(7):149-150.
[6]尹伦辉,沈彤,梁伟坚,等.龙氏手法治疗儿童颈性眩晕的临床研究[J].中国康复,2014,29(4):301-304.
[7]秦标,李梅.美式整脊结合龙氏正骨手法治疗颈性眩晕69例[J].实用医学杂志,2014,30(4):635-637.
[8]黄宽举,冯文娟,刘昕.理筋疗法配合龙氏正骨疗法治疗颈性眩晕疗效观察[J].实用中医药杂志,2017,33(4):421-422.
[9]蔡阁,田俊松.罗华送正骨推拿手法结合抗阻运动疗法治疗眩晕临床经验[J].2016,33(2):19-20.
[10]王运来.颈椎舒筋整复手法治疗颈性眩晕38例临床观察[J].中国民族民间医药,2017,26(12):126-127.
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[14]唐臻一,任守平,陈富林,等.益气定眩汤治疗颈性眩晕气虚血瘀证的临床研究[J].光明中医,2017,32(5):661-663.
[15]覃伟钊,郑泽荣.黄芪桂枝五物汤联合归脾汤加减治疗气血亏虚型颈性眩晕临床研究[J].陕西中医,2017,38(12):1734-1735.
[16]陈斌,谭婕,王晓明,等.参芪柴芩泽泻汤治疗气虚湿阻型颈性眩晕36例[J].福建中医药,2017,48(1):55-56.
[17]胡丽竹,罗溢昌.半夏白术天麻汤加减治疗颈性眩晕的临床疗效观察[J].内蒙古中医药,2017(8):11-12.
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[19]于继岗,王明怀,林强,等.葛仙汤治疗椎动脉型颈椎病眩晕患者33例[J].西部中医药,2015,28(12):81-83.
[20]许仕龙,苏海涛,王羽丰.铍针疗法治疗颈源性眩晕80例[J].中国中医骨伤科杂志,2017,25(6):71-75.
[21]王歆婷,郑士立,潘胜莲,等.针刺项三穴治疗颈性眩晕30例临床观察[J].浙江中医杂志,2017,52(2):136-137.
[22]顾春雷,宋红,朱思刚,等.止晕三针治疗颈性眩晕经颅多普勒超声的随机对照研究[J].中国中医基础医学杂志,2016,22(12):1681-1684.
[23]李玉霞,李飞.针刀结合温针灸治疗颈性眩晕60例临床疗效分析[J].云南中医学院学报,2016,39(5):43-46.
[24]陈磊,杨瑞萍,马火伞,等.小针刀和针灸结合电针治疗颈性眩晕的疗效[J].世界中医药,2017,12(11):2757-2759.
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[26]陈建彬.颈椎稳定性训练联合芍药木瓜汤治疗72例颈性眩晕[J].吉林中医药,2017,37(10):997-1000.
[27]郭文乾,张僧云,李鹏.加味葛根汤联合龙氏治脊疗法、PNF技术治疗颈性眩晕疗效分析[J].河北中医药学报,2017,32(2):35-36.
[28]范德辉,林锦坤.腹针结合龙氏手法治疗寰枢关节半脱位致颈性眩晕疗效观察[J].中华中医药学会推拿分会第十四次推拿学术交流会,2013(10):215-217.
[29]刘肖瑜.刃针配合龙氏手法治疗颈性眩晕117例[J].光明中医,2013,28(10):2113-2115.
[30]李必保,王晶,王启然.三阳开泰手法结合针灸治疗痰浊中阻型颈性眩晕疗效观察[J].湖北中医杂志,2017,39(11):42-43.
[31]陈晓斌.针刺联合龙氏正骨手法治疗颈性眩晕的临床探讨[J].2015,15(7):13-14.
[32]李全意.电针联合手法治疗颈性眩晕90例[J].中国运动医学杂志,2017,36(9):810-811.
[33]章珍明.龙氏手法配合针刺晕听区治疗钩椎关节紊乱所致颈性眩晕临床研究[J].中医学报,2014,29(5):766-768.
[34]吕亚南,傅敏,高新,等.点穴经筋法治疗颈性眩晕[J].中国医药导报,2017,34(14):86-88.
[35]李松.调经通督穴贴敷法配合超短波治疗颈源性眩晕[J].现代中西医结合杂志,2018,27(1):85-88.
[36]崔结美.耳穴压豆配合头皮针治疗颈性眩晕的临床观察[J].数理医药学杂志,2017,30(12):1763-1765.
[37]直彦亮,孔畅.清宫旋提手法结合针刀松解术治疗颈性眩晕35例[J].中国民族民间医药,2017,26(8):123-125.
[38]毛贵华,吕军,闫恒志,等.曲度牵引结合中频治疗中青年颈椎病颈性眩晕[J].中西医结合心脑血管病杂志,2017,21(15):2769-2772.
[39]陈志伟,张钰敏.杵针结合中药湿热敷治疗颈性眩晕60例[J].中国中医骨伤科杂志,2017,25(4):77-78.
[40]龙层花.脊椎病因治疗学(纪念版)[M].香港:商务印书馆(香港)有限公司,2007:108-117.
[41]宋志靖,宋敏.中药治疗颈性眩晕的研究进展[J].中药研究,2014,27(5):72.