刘向哲教授运用苓桂术甘汤加味治疗痰浊上蒙型眩晕经验
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摘要
苓桂术甘汤出自张仲景《金匮要略》,具有温化痰饮、健脾利水之功,主治中阳不足之痰饮病,症见胸胁支满,目眩心悸,或短气而咳,小便不利,舌苔白滑,脉弦滑等症。刘向哲教授擅长运用中医药治疗内科杂病,特别是眩晕病诊断与治疗,使无数患者摆脱病痛,笔者有幸跟随良师临证,导师运用苓桂术甘汤加味治疗痰浊上蒙型眩晕,取得了显著效果,现将其经验介绍如下,并附临床验案以飨同道。
The Linggui Zhugan decoction( 苓桂术甘汤) is from Zhang Zhongjing's Synopsis of the Golden Chamber, and it has the function of warming and resolving phlegm, invigorating spleen and promoting water and is used in treating phlegm retention diseases of Zhongyang deficiency which manifests in chest and flank fullness, dizziness and palpitations, or short breath cough, unfavorable urination, white and slippery tongue coating, string slippery pulse, etc. Professor Liu Xiangzhe is good at treating internal miscellaneous disease with TCM, especially at the diagnosis and treatment of vertigo disease, and he has helped numerous patients relieve the pain. It is my honor to have the opportunity to follow him and find that the mentor applies the Linggui Zhugan decoction in the treatment of phlegm turbidity type of vertigo and achieves significant effects, of which the experience is summarized as follows to share with clinical fellows.
The Linggui Zhugan decoction( 苓桂术甘汤) is from Zhang Zhongjing's Synopsis of the Golden Chamber, and it has the function of warming and resolving phlegm, invigorating spleen and promoting water and is used in treating phlegm retention diseases of Zhongyang deficiency which manifests in chest and flank fullness, dizziness and palpitations, or short breath cough, unfavorable urination, white and slippery tongue coating, string slippery pulse, etc. Professor Liu Xiangzhe is good at treating internal miscellaneous disease with TCM, especially at the diagnosis and treatment of vertigo disease, and he has helped numerous patients relieve the pain. It is my honor to have the opportunity to follow him and find that the mentor applies the Linggui Zhugan decoction in the treatment of phlegm turbidity type of vertigo and achieves significant effects, of which the experience is summarized as follows to share with clinical fellows.
引文
[1]吴勉华,王新月.中医内科学[M].北京:中国中医药出版社,2012:273.
[2]杨旭.国内神经科眩晕诊断现况及对策[J].中国卒中杂志,2015,10(05):373-381.
[3]王燕燕,张怀亮.论无痰不作眩[J].中医临床研究,2014,6(35):63,65.
[4]周媛,杨彦伟,王松鹏,等.经方在治疗眩晕病中的应用[J].中医临床研究,2017,9(01):90-91.
[5]杨丹,程忠泉,刘玉清,等.茯苓皮的化学成分研究[J].安徽农学通报,2010,16(19):45.
[6]许源,宿树兰,王团结,等.桂枝的化学成分与药理活性研究进展[J].中药材,2013,36(04):674-678.
[7]段启,许冬谨,刘传祥,等.白术的研究进展[J].中草药,2008(05):800-802.
[8]田婷,陈华,冯亚龙,等.泽泻药理与毒理作用的研究进展[J].中药材,2014,37(11):2103-2108.
[9]罗国刚,樊文静,袁兴运,等.天麻皂苷对三叉神经节离体培养后降钙素基因相关肽表达影响的机制研究[J].药学学报,2011,46(12):1451-1456.
[10]Liu W,Su B L,Wang Z S,et al.Gastrodin improved baroreflex sensitivity and increased gamma-amino butyric acid content in brains without decreasing blood pressure in spontaneously hypertensive rats[J].CNS Neurosci Therap,2012,18(10):873-875.
[11]Wang Y,Wu Z,Liu X,et al.Gastrodin ameliorates Parkinson’s disease by down regulating connexin 43[J].Mol Med Rep,2013,8(2):585-590.
[2]杨旭.国内神经科眩晕诊断现况及对策[J].中国卒中杂志,2015,10(05):373-381.
[3]王燕燕,张怀亮.论无痰不作眩[J].中医临床研究,2014,6(35):63,65.
[4]周媛,杨彦伟,王松鹏,等.经方在治疗眩晕病中的应用[J].中医临床研究,2017,9(01):90-91.
[5]杨丹,程忠泉,刘玉清,等.茯苓皮的化学成分研究[J].安徽农学通报,2010,16(19):45.
[6]许源,宿树兰,王团结,等.桂枝的化学成分与药理活性研究进展[J].中药材,2013,36(04):674-678.
[7]段启,许冬谨,刘传祥,等.白术的研究进展[J].中草药,2008(05):800-802.
[8]田婷,陈华,冯亚龙,等.泽泻药理与毒理作用的研究进展[J].中药材,2014,37(11):2103-2108.
[9]罗国刚,樊文静,袁兴运,等.天麻皂苷对三叉神经节离体培养后降钙素基因相关肽表达影响的机制研究[J].药学学报,2011,46(12):1451-1456.
[10]Liu W,Su B L,Wang Z S,et al.Gastrodin improved baroreflex sensitivity and increased gamma-amino butyric acid content in brains without decreasing blood pressure in spontaneously hypertensive rats[J].CNS Neurosci Therap,2012,18(10):873-875.
[11]Wang Y,Wu Z,Liu X,et al.Gastrodin ameliorates Parkinson’s disease by down regulating connexin 43[J].Mol Med Rep,2013,8(2):585-590.