益气活血法治疗后循环缺血性眩晕的文献研究

Literature Research of Benefiting Qi and Activating Blood Circulation Therapy in Treatment of Posterior Circulation Ischemic Vertigo

后循环缺血性眩晕(posterior circulation ischemia vertigo,PCIV)是后循环缺血中的常见疾病之一,多由后循环动脉系统的狭窄或闭塞而引发,发病率高,病情复杂。PCIV在中医上属于"眩晕"范畴,发病的病理因素包括风、火、痰、瘀、虚等方面。历代医家对于PCIV有较多的研究,在"虚致眩晕"和"瘀致眩晕"观点上均有建树,认为二者在眩晕的治疗中常起到重要作用,临床上也取得了较好的疗效。益气活血的治疗思想早在《黄帝内经》中便有记载,张仲景、李东垣等大家对此法多有临证发挥,后由王清任创立"益气活血法",用以治疗气虚血瘀类疾病,临床效果显著。目前"益气活血法"已经被广泛应用于治疗气虚血瘀型PCIV,除却益气活血经典用方外,还出现了以此法为指导而创立的自拟方及中西医结合治疗方法,呈现出百花齐放之态。该文以气血理论为基础,从"虚瘀致眩"的角度,对益气活血法治疗气虚血瘀型PCIV的理论及应用方面进行归纳总结,以期为PCIV的未来研究提供思路与方向。

Posterior circulation ischemic vertigo(PCIV)is one of the common diseases of posterior circulation ischemia,most of which are caused by stenosis or occlusion of the posterior circulation artery system,with a high incidence rate and complicated condition.PCIV belongs to the category of“vertigo”in TCM and its pathological factors of the disease include wind,fire,phlegm,blood stasis,deficiency,etc.Medical experts in past dynasties did a lot of researches on PCIV and have made achievements in the views that“deficiency can cause vertigo”and“blood stasis can cause vertigo”.They believe that both of them often play important roles in the treatment of vertigo,and have got a good curative effect.benefiting Qi and activating blood circulation therapy thought was recorded in Huangdi Neijing,and used well in clinical by ZHANG Zhongjing,LI Dongyuan and other medical experts.benefiting Qi and activating blood circulation method was created by WANG Qingren for the treatment of Qi deficiency and blood stasis type of disease,having obtained remarkable clinical effect.For the moment,benefiting Qi and activating blood circulation method has been widely applied in the treatment of PCIV(Qi deficiency and blood stasis type).Besides benefiting Qi and activating blood circulation classic prescriptions,there are many self-made prescriptions under the guidance of benefiting Qi and activating blood circulation method and integrated Chinese and western medicine treatment methods,making great progress.This paper generalised the theory and application of benefiting Qi and activating blood circulation therapy in the treatment of PCIV(Qi deficiency and blood syndrome)from the perspective that“deficiency and blood stasis can cause dizziness”,hoping it can provide ideas and directions for future research.