眩晕证候分类与风、痰、虚、瘀相关性的临床研究

A Clinical Study on Correlation between Classification of Vertigo Syndromes and Wind,Phlegm,Deficiency and Stasis

目的探讨眩晕证候分类与风、痰、虚、瘀的相关性。方法临床调研诊治300例眩晕患者,证候分类为风阳上扰、痰浊上蒙、气血亏虚、肝肾阴虚。对各证型的比例,与西医病种的关系,风、痰、虚、瘀相兼同化,其病位与脏腑的关系进行分析。结果证候分类比例风阳上扰证占33.6%,痰浊上蒙证占32.6%,气血亏虚证占16.3%,肝肾阴虚证占17.3%。引起眩晕主要西医病种为高血压病、内耳性眩晕症等16个。证候分类存在兼风(火)、兼痰湿、兼虚、兼瘀现象。涉及相关脏腑主要为肝、脾、肾三脏。半夏白术天麻汤等古方、经方辨证治疗眩晕总有效率为92.3%。结论无风不作眩、无痰不作眩、无虚不作眩、血瘀致眩理论源自临床并指导实践。

OBJECTIVE To investigate into the correlation between vertigo syndromes and wind, phlegm, deficiency and stasis. METHOD Three hundred patients were divided into groups according to the following syndromes： upward going of wind yang, upward going of phlegm turbidity, deficiency of qi and blood, and deficiency of yin in the liver and kidney. Analyses were made on the proportion of each syndrome, the relationship of Chinese syndromes with western medicine diseases, assimilation among wind, phlegm, deficiency and stasis, and relationship between disease location and the zang-fu organs. RESULT The percentages of the proportion of each syndrome were 33.6%, 32.6%, 16.3% and 17.3% respectively. The main causes of vertigo were found to be 16 diseases such as hypertension and inner ear vertigo. The organs involved were mainly the liver, spleen and kidney. Some of the ancient and empirical recipes like Decoction of Rhizoma Pinelliae Tematae Praeparata, Rhizoma Atractylodis Macrocephalae and Rhizoma Gastrodiae Elatae proved to be effective for vertigo, with a total effective rate of 92.3 %. CONCULSION The theory of vertigo resulting from wind, phlegm, deficiency and stasis originates from theory and serve as guidance for practice.