从脾胃论治椎-基底动脉供血不足性眩晕

根据椎-基底动脉供血不足性眩晕临床表现,可归属"眩晕"范畴,病位在头,头为"清阳之府"、"中精之府"、"诸阳之会"。人体清阳之气、精华之血皆上注于头,头才能发挥正常生理功能。脾胃居于中焦,连通上下,为气机升降之枢纽,可运化水谷精微、化生气血,所以脾胃在本病的发病和诊治中具有举足轻重的作用。足太阴脾经和足阳明胃经是产生清阳之气的源泉,倘若脾胃损伤,则纳运失职,升降失司,不仅清气不升,浊阴不降,元神之府失养,且痰湿阻于中州,浊气上蒙清窍,而出现头晕耳鸣等症。因此,脾胃在眩晕的发病和诊治中具有举足轻重的作用。治疗从脾胃入手,以补益、健运脾胃及调畅气机升降为主,并针对"风、火、痰、瘀、虚"不同的病理因素,佐以平肝、泻火、祛痰、化瘀、补肾之法,是提高临床疗效的关键所在。

Analysis of Vertebral Basilar Artery Insufficiency Vertigo from the Spleen and Stomach Treatment

On the basis of vertebro basilar artery insufficiency vertigo clinical manifestations, ca n be ＂vertigo＂ category, disease in the head, head for the ＂Qing Yang Fu＂, ＂fine house＂, ＂Zhuyang will be＂. Human Qing Yang of gas, the essence of blood both on the note in the head, the head can play a normal physiological function. The spleen and stomach in themiddle Jiao, communicated up and down, a hub for lifting gas machine, can be shipped Mizutani subtle, so the spleen and stomach qi and blood, has a pivotal role in the pathogenesis and treatment of this disease in. Spleen meridianand stomach meridian of Foot Yangming is the source of Qing Yang Qi, if damage to the spleen and stomach,accepts transportation of dereliction of duty, lifting dysfunction, not only air does not rise, turbid Yin did not fall, the house of the original spirit lost support, and stagnation of phlegm in Zhongzhou, foul air Mongolia orifices, and the emergence of dizziness and tinnitus etc. disease. Therefore, the spleen and stomach has a pivotal role in the pathogenesis and treatment of vertigo. Treatment from the start with the spleen and stomach, replenishing andinvigorating the spleen and regulating the lifting Qi, and in view of the pathological factors of wind, fire, phlegm, blood stasis and deficiency ＂different, with calming the liver, purging fire, removing blood stasis, expectorant, Bushenmethod, is the key to improve the clinical efficacy of lies.