张锡纯大气下陷理论对于慢性头晕辨治的启示
摘要
临床上慢性头晕虚证多有张锡纯在《医学衷中参西录》中所阐述的"大气下陷"表现,通过分析张锡纯大气下陷理论,并结合《灵枢·口问》中"上气不足"的叙述,提示升补大气的方法适合于治疗此类慢性头晕,尤其以持续性姿势-知觉性头晕、有心血管病基础的头晕和老年慢性头晕的运用机会最多。张锡纯的"三升陷汤""当归补血汤"以及李东垣的益气聪明汤均可作为治疗大气下陷型慢性头晕的基础方剂。
引文
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[9]杨丽燕,谭雄.毛以林教授从宗气下陷论治心系疾病治验举隅[J].中医药导报,2013,19(5):33-34.
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[12]崔盈盈,臧力学.从《医学衷中参西录》探讨“大气下陷”的辨治要点[J].中医文献杂志,2015,33(6):13-6.
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[14]周仲瑛,薛博瑜.周仲瑛实用中医内科学[M].北京:中国中医药出版社,2012:602-603.
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[2] Bisdorff A,Von Brevern M,Lempert T,et al. Classification of vestibular symptoms:towards an international classification of vestibular disorders[J].Journal of vestibular research:equilibrium&orientation,2009,19(1/2):1-13.
[3] Bronstein A M, Lempert T. Management of the patient with chronic dizziness[J].Restorative neurology and neuroscience,2010,28(1):83-90.
[4] Walther L E. Current diagnostic procedures for diagnosing vertigo and dizziness[J].Gms Current Topics in Otorhinolaryngology Head&Neck Surgery,2017,16(S1):S183.
[5] Popkirov S,Staab J P,Stone J. Persistent postural-perceptual dizziness(PPPD):a common, characteristic and treatable cause of chronic dizziness[J].Practical neurology,2018,18(1):5-13.
[6] Maarsingh O R,Dros J,Schellevis F G,et al. Causes of persistent dizziness in elderly patients in primary care[J].Annals of family medicine,2010,8(3):196-205.
[7]李春岩,史载祥.心血管疾病气陷血瘀病机探讨[J].中医杂志,2014,55(20):1715-1718.
[8]朱贤慧.张锡纯学术思想对辨治心力衰竭相关病证的启示[J].南京中医药大学学报,2015,31(5):409-411.
[9]杨丽燕,谭雄.毛以林教授从宗气下陷论治心系疾病治验举隅[J].中医药导报,2013,19(5):33-34.
[10]张锡纯.医学衷中参西录[M].太原:山西科学技术出版社,2009:82-92,205-206.
[11]喻昌.医门法律[M].太原:山西科学技术出版社,2006:6-7.
[12]崔盈盈,臧力学.从《医学衷中参西录》探讨“大气下陷”的辨治要点[J].中医文献杂志,2015,33(6):13-6.
[13]佚名.灵枢经[M].史崧,整理.北京:学苑出版社,2008:347,504.
[14]周仲瑛,薛博瑜.周仲瑛实用中医内科学[M].北京:中国中医药出版社,2012:602-603.
[15]张介宾.景岳全书:上册[M].北京:人民卫生出版社,2007:407.
[16]刘完素,张从正,李东垣,等.金元四大医家医学全书[M].太原:山西科学技术出版社,2012:595.