椎基底动脉供血不足眩晕治验

Treatment experience in Vertebrobasilar lnsufficiency Vertigo

椎基地动脉供血不足（VBI）属祖国医学的“眩晕”范畴，大多发生于中年以上的患者，多有动脉硬化或颈椎病病史，临床上年轻患者有增加倾向，多为职业因素引起的颈椎病型。其临床症状复杂，主要表现是椎基底动脉供血区域的功能缺损，常见的症状是眩晕，可伴发口区吐、耳鸣、眼球震颤、面麻、吞咽发呛、共济失凋、四肢无力、偏瘫、半身感觉障碍等症状。该病常为突发性，并有反复发作的倾向。本病轻者影响工作、学习，治疗不及时发展严重者可发生相应区域脑梗死。

Vertebrobasilar ynsuf^ciency （VBI） vertigo belongs to vertigo in traditional Chinese medicine. Its etiology and pathogenesis are due to the ＂wind＂, ＂fire＂, ＂phlegm＇,＂stasis＂, ＂qi＂ and ＂blood＂. In ~cent researches, it is said that the pathological process mainly results from the ＂phlegm stasis＂. Therefore, the treatment of this kind of disease should eliminate phlegm and promote blood circulation combined with syndrome differentiation. The author adoptes Banxia Baizhu Tianma Decoction plus medicine with nature of promoting blood cirelation and removing stasis as a basic Fang, adding or reducing medicine depending on different situation. The therapeutic effect is satisfying.