眩晕辨治体会

目的：探讨中医辨证论治眩晕的临床体会。方法：总结中医对眩晕病因病机的认识和中医辨证论治的方法。结果：眩晕常见的病理因素为风、火、痰、虚、瘀，病位在脑，其病变脏腑与肝、脾、肾三脏相关。本病多属本虚标实，以肝肾阴虚、气血不足为本，风火痰瘀为标，但亦有实中带虚者，临床治疗应在辨病的基础上辨证施治，注重辨脏腑虚实，随证治之。结论：中医辨证论治眩晕的临床疗效显著。

Experience of Syndrome Differentiation and Treatment of Vertigo

Objective：To explore the clinical experience of TCM syndrome differentiating and treating vertigo. Methods：TCM understandings of etiology, pathogenesis and methods of TCM syndrome differentiation and treatment of vertigo were summarized. Results：Wind, fire, phlegm,deficiency and stasis were the common pathogenic factors of vertigo and the disease location was in brain. The diseased zang and fu-organs involved with the liver, spleen and kidney. Most pathogenesis mechanisms of vertigo were deficiency in root and excess in superficial level. Yin deficiency of liver and kidney was the root, while the wind, fire, phlegm and stasis were the superficial pathogenesis. But it also had type of excess complicated with deficiency. Clinical treatment should make syndrome differentiation based on disease differentiation, pay more attention to the deficiency or excess of zang and fu-organs, and treat disease on the basis of syndrome. Conclusion：TCM has noticeable curative effects on syndrome differentiating and treating vertigo.