华荣主任医师从气机升降,调理肝脾论治眩晕病经验

华荣主任医师认为眩晕的病因病机关键在于肝、脾、肾等脏腑功能失调引起气机升降失常,或外感邪气导致清阳不升、浊阴不降.依据病机将眩晕分为四种证侯,分别为脾虚痰湿,肝郁化热证,治宜健脾化痰 、疏肝清热;肝肾阴虚,肝风内动证,治宜滋肾养肝 、熄风潜阳;中气不足,清气不升证宜调补脾胃中气、升发清阳;外感湿邪证宜解表化湿、理气和中,使肝、脾、肾调和,气机畅达,而眩晕得治.

Professor Hua Rong's Experience in Treating Vertigo Based on Ascending-Descending of Qi and Liver-Spleen-Harmonizing Theory

Professor Hua Rong hold that the key etiology and pathogensis of vertigo are abnormal ascending-descending of Qi caused by the dysfunction of liver, spleen, kidney, leading to lucid Yang failing to rise and lucid Yin failing to descend. The symptoms of vertigo are divided into four types according to pathogenesis. The syndrome of phlegm-damp-ness due to spleen deficiency and stagnation of liver Qi could be treated through invigorating spleen to reduce phlegm, dispersing stagnant liver-energy and clearing away heat. Yin deficiency of liver-kidney and liver-wind stirring inside could be treated through nourishing liver and kidney, calming wind and checking exuberance of yang. Deficiency of middle Qi and clear Yang failing to ascend syndrome could be treated through tonifying spleen and stomach, sending up the lucid Yang. The syndrome of affection from external pathogenic dampness could be treated through relieving the exterior to dissipate dampness and regulating the Qi and the middle Jiao. In general, vertigo could be treated with above methods through regulating liver, spleen, kidney and Qi function.