颈性眩晕常见体质类型与经方应用
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摘要
颈源性眩晕常见体质类型有气虚体质、阳虚体质、痰湿体质和气郁体质四种。气虚体质以头目眩晕、颈项疼痛、体倦乏力、气短、自汗为表现,多见于青年女性,选用黄芪建中汤加减治疗,平时可以黄芪代茶饮调养体质;阳虚体质以头昏头重、颈项强痛、手足不温、怕冷、舌胖嫩、脉沉迟为表现,多见于老年患者,选用术附汤或金匮肾气丸治疗,平时可以当归生姜羊肉汤调理体质;痰湿体质多见于中老年患者,以头晕目眩、呕恶不适、颈项疼痛、胸闷痰多、体困多寐、口粘苔腻为表现,选用苓桂术甘汤加减治疗,平素应多动少卧,少食肥甘滋腻之品;气郁体质多见于中年患者,以头昏头痛、颈项及周身疼痛、神差烦闷、口苦、脉弦为表现,以小柴胡汤加减治疗,应多参加户外活动,平时可以玫瑰花代茶饮调养体质。
The common physical constitution types of cervical vertigo are Qi deficiency constitution,Yang deficiency constitution,Phlegm physique and Qi stagnation physique.The symptoms of Qi deficiency constitution are head vertigo,neck pain,body fatigue,shortness of breath,spontaneous sweating performance,which are more common in young women.Huangqi Jianzhong Decoction can be used in treatment.In daily life,Huangqi Tea can be used to rehabilitate physique.The symptoms of Yang deficiency physique are dizziness,stiff and painful neck,cold hands and feet,feeling cold,fat and tender tongue,and delayed pulse.It is more common in elderly patients.It can be treated with Shufu Decoction or Jingui Shenqi Pill.Usually,Angelica soup with ginger and mutton can be used to regulate physical fitness.Phlegm-derived physique is more common in middle-aged and elderly patients.It is characterized by dizziness,vomiting,discomfort,neck pain,chest tightness,much phlegm,sleepiness,sticky mouth and greasy tongue fur.Linggui Zhugan Decoction can be used in treatment.Patients should be more active and less lying,eat less faty food.The Qi stagnation physique constitution is more common in middle-aged patients.It is characterized by dizziness,headache,neck and body pain,lack of vitality,bitter mouth and wiry pulse.Modified Xiaochaihu Decoction can be sued in treatment.Patients should participate in more outdoor activities.In general,Rose Tea can be used to be replenished.
The common physical constitution types of cervical vertigo are Qi deficiency constitution,Yang deficiency constitution,Phlegm physique and Qi stagnation physique.The symptoms of Qi deficiency constitution are head vertigo,neck pain,body fatigue,shortness of breath,spontaneous sweating performance,which are more common in young women.Huangqi Jianzhong Decoction can be used in treatment.In daily life,Huangqi Tea can be used to rehabilitate physique.The symptoms of Yang deficiency physique are dizziness,stiff and painful neck,cold hands and feet,feeling cold,fat and tender tongue,and delayed pulse.It is more common in elderly patients.It can be treated with Shufu Decoction or Jingui Shenqi Pill.Usually,Angelica soup with ginger and mutton can be used to regulate physical fitness.Phlegm-derived physique is more common in middle-aged and elderly patients.It is characterized by dizziness,vomiting,discomfort,neck pain,chest tightness,much phlegm,sleepiness,sticky mouth and greasy tongue fur.Linggui Zhugan Decoction can be used in treatment.Patients should be more active and less lying,eat less faty food.The Qi stagnation physique constitution is more common in middle-aged patients.It is characterized by dizziness,headache,neck and body pain,lack of vitality,bitter mouth and wiry pulse.Modified Xiaochaihu Decoction can be sued in treatment.Patients should participate in more outdoor activities.In general,Rose Tea can be used to be replenished.
引文
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[13]宋兴.张仲景辨治眩晕心法[J].成都中医学院学报,1992,4(4):11-14.
[2]徐慧.从“风、火、痰、瘀、虚”探讨眩晕的证治[J].中医临床研究,2014,6(32):46-48.
[3]王琦.中医体质学[M].北京:人民卫生出版社,2009.
[4]中医体质分类与判定(ZYYXH/T157-2009)[J].世界中西医结合杂志,2009,4(4):303-304.
[5]李晓晨.《伤寒杂病论》中体质学说[J].实用中医内科杂志,2014,28(5):6-7.
[6]李岳芳.经方解郁证治探讨及柴胡桂枝汤解郁文献研究[D].济南:山东中医药大学,2014.
[7]李东涛.论气虚体质的特征[J].山东中医杂志,1998,17(9):5-7.
[8]李东涛.论气虚体质的形成因素[J].中国中医基础医学杂志,1998,4(9):9-11.
[9]王琦,叶加农,朱燕波,等.中医痰湿体质的判定标准研究[J].中华中医药杂志,2006,21(2):73-75.
[10]桑晓文.《方剂学》教学方法体会二则[J].新疆中医药,2006,24(4):70-71.
[11]黄锦鹏.浅述经方治疗郁证[J].河南中医,2012,32(6):665-667.
[12]邢殿文,邢鑫.浅谈小柴胡汤的临床应用[J].北京中医药,2015,34(3):228-229.
[13]宋兴.张仲景辨治眩晕心法[J].成都中医学院学报,1992,4(4):11-14.