裴正学教授治疗美尼尔氏眩晕症经验介绍
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摘要
美尼尔氏眩晕症,又名美尼尔氏综合症,临床中主要的症状表现为突发性或发作性眩晕、头部胀痛、眼球震颤以及耳鸣、耳聋、耳闷、听力下降,伴随有恶心呕吐等症状。裴正学教授在治疗本病时,始终坚持"西医诊断,中医辨证,中药为主,西药为辅。"十六字方针,在多年的理论及临床实践经验基础上,不断学习总结,对美尼尔氏眩晕病的辨证论治有独到见解,从"痰"论治,并以健脾化痰、平肝息风为治疗大法,采用半夏白术天麻汤为主方,结合患者不同病情加减治疗,通过临床诊疗、疗效观察,治疗此病取得了显著的效果。本文主要分析裴教授用中医中药治疗美尼尔氏眩晕症的经验,并结合典型患者病例,加以介绍。
Meniere's vertigo, also known as Meniere's syndrome, the main clinical symptoms are sudden or paroxysmal vertigo, headache, nystagmus and tinnitus, deafness, stuffy ears, hearing loss, accompanied by nausea and vomiting symptoms. Professor Pei Zhengxue always insists on "Western medicine diagnosis, TCM syndrome differentiation, Chinese medicine as the main, Western medicine as a supplement." Sixteen-character guideline, based on years of theoretical and clinical experience, constantly learning and summing up the dialectical treatment of Meniere's vertigo, from the "phlegm" treatment, and to invigorate the spleen to dissipate phlegm, calm the liver to rest the wind as the treatment method, using Pinellia Baizhu Tianma Decoction( 半夏白术天麻汤) as the main prescription, combined with patients with different conditions of treatment. Through clinical diagnosis and treatment and curative effect observation, the treatment of this disease has achieved remarkable results. This article mainly analyzes Professor Pei's experience in treating Meniere's vertigo with traditional Chinese medicine, and introduces it in combination with typical cases of patients.
Meniere's vertigo, also known as Meniere's syndrome, the main clinical symptoms are sudden or paroxysmal vertigo, headache, nystagmus and tinnitus, deafness, stuffy ears, hearing loss, accompanied by nausea and vomiting symptoms. Professor Pei Zhengxue always insists on "Western medicine diagnosis, TCM syndrome differentiation, Chinese medicine as the main, Western medicine as a supplement." Sixteen-character guideline, based on years of theoretical and clinical experience, constantly learning and summing up the dialectical treatment of Meniere's vertigo, from the "phlegm" treatment, and to invigorate the spleen to dissipate phlegm, calm the liver to rest the wind as the treatment method, using Pinellia Baizhu Tianma Decoction( 半夏白术天麻汤) as the main prescription, combined with patients with different conditions of treatment. Through clinical diagnosis and treatment and curative effect observation, the treatment of this disease has achieved remarkable results. This article mainly analyzes Professor Pei's experience in treating Meniere's vertigo with traditional Chinese medicine, and introduces it in combination with typical cases of patients.
引文
[1]黄邦荣.裴正学教授治疗大肠癌经验[J].中医研究,2013,26(05):819-820.
[2]黄邦荣,张东鹏.裴正学教授治疗再生障碍性贫血的经验[J].西部中医药,2013,26(07):37-39.
[3]卢岱静,赵施竹.川芎嗪配合针灸治疗眩晕症100例疗效观察[J].云南中医中药杂志,2010,31(07):47-48.
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[5]孙建军.梅尼埃病局部药物治疗的有关问题[J].中国眼耳鼻喉科杂志,2008,08(02):72-74.
[6]司鹏飞.基于知识考古学的中医肝虚实概念与补泻治法的历史考察[D].北京:北京中医药大学,2014.
[7]韩学杰,朱妍,李成卫.原发性高血压病中医病因理论探讨[J].医学研究杂志,2007,36(08):4-6.
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[9]李烨,孙兰军.孙兰军教授运用脏腑辨证治疗颈性眩晕[J].吉林中医药,2011,31(02):105-107.
[10]周雪明.基于古今医案数据分析的眩晕病证治规律研究[D].哈尔滨:黑龙江中医药大学,2011.
[11]王春生,刘轲.对中医眩晕病证名称及病因病机的认识[J].光明中医,2008,23(17):1506-1507.
[12]吴勉华,王新月.中医内科学[M].北京:中国中医药出版社,2016:273-274.
[13]曹立明.美尼尔氏综合征的中医认识及治疗进展[J].中医临床研究,2011,3(14):119-120.
[14]叶家豪,李涛.美尼尔病的中医研究近况[J].陕西中医,2012,33(04):501-503.
[2]黄邦荣,张东鹏.裴正学教授治疗再生障碍性贫血的经验[J].西部中医药,2013,26(07):37-39.
[3]卢岱静,赵施竹.川芎嗪配合针灸治疗眩晕症100例疗效观察[J].云南中医中药杂志,2010,31(07):47-48.
[4]方卫芬.小柴胡汤加减治疗美尼尔氏综合征所致眩晕临床效果观察[J].中医临床研究,2018,10(07):97-98.
[5]孙建军.梅尼埃病局部药物治疗的有关问题[J].中国眼耳鼻喉科杂志,2008,08(02):72-74.
[6]司鹏飞.基于知识考古学的中医肝虚实概念与补泻治法的历史考察[D].北京:北京中医药大学,2014.
[7]韩学杰,朱妍,李成卫.原发性高血压病中医病因理论探讨[J].医学研究杂志,2007,36(08):4-6.
[8]司明文.高血压病中医辨证与动态血压、超声心动图及性激素水平相关性的临床研究[J].光明中医,2007,22(11):54-56.
[9]李烨,孙兰军.孙兰军教授运用脏腑辨证治疗颈性眩晕[J].吉林中医药,2011,31(02):105-107.
[10]周雪明.基于古今医案数据分析的眩晕病证治规律研究[D].哈尔滨:黑龙江中医药大学,2011.
[11]王春生,刘轲.对中医眩晕病证名称及病因病机的认识[J].光明中医,2008,23(17):1506-1507.
[12]吴勉华,王新月.中医内科学[M].北京:中国中医药出版社,2016:273-274.
[13]曹立明.美尼尔氏综合征的中医认识及治疗进展[J].中医临床研究,2011,3(14):119-120.
[14]叶家豪,李涛.美尼尔病的中医研究近况[J].陕西中医,2012,33(04):501-503.