温胆汤加味治疗颈性眩晕经验

Therapeutic Experience for the Treatment of Cervical Vertigo with Modified Wendan Decoction

介绍唐镇江教授运用温胆汤加味治疗颈性眩晕的经验。唐教授治疗颈性眩晕多从中医"眩晕病"辨证施治,认为该病病位较深,多以颈椎骨与关节慢性劳损为主要病因,临床上以眩晕因劳累加重,转颈加剧,神疲少寐,痞闷欲呕等为表现,此为中医气虚痰湿内阻之象,治疗宜用益气燥湿祛痰之法,以温胆汤为基本方,加入苏条参、泽泻、蜈蚣等,共凑益气、理气,和胃、化痰湿之功。

This article is the therapeutic experience of my director for the treatment of cervical vertigo with modified Wendan decoction.My director treats this disease as Xuanyun which belongs to the knowledge of TCM.He considers the disease zone is deep in body,which results from the degeneration of cervical vertebral and unbalance of neck parenchyma.The clinical symptom contains dizziness,nausea,vomiting etc.It＇s often induced by fatigue of lowering one＇s head chronically.This is phlegm-turbidity obstruction caused by deficiency of qi.Treatment is that tonifying qi and resolving dampness and phlegm.Major formula is Wendan decoction.Clinical modification is adding Shu tiao sheng,Ze Xie,centipede,etc.