辨证分型治疗眩晕86例临床观察

The Differentiation and Treatment of Vertigo 86 Cases of Clinical Observation

[目的]观察辨证分型治疗眩晕疗效。[方法]使用前瞻性设计方法,将86例门诊患者辨证分型:肝阳上亢(钩藤、天麻、川牛膝、益母草、山栀、杜仲、黄芩各10g,石决明、代赭石先煎、生牡蛎先煎各30g,桑寄生、茯神各12g);肝肾阴虚(龙胆草、全当归、醋柴胡各6g,山栀子9g,黄芩10g,青黛冲服3g,、生地、白芍各12g);气血亏虚(人参15g,当归、川芎、白术、地黄、白芍、牛膝各12g,黄芪25g,茯苓、甘草炙各10g,肉桂6g);痰浊中阻(半夏、白术、茯苓、橘红、天麻各10g,大枣、甘草各6g,生姜2g),1剂/d,水煎200mL,2次/d。连续治疗30d为1疗程。观测临床症状、不良反应。连续治疗2疗程,判定疗效。[结果]痊愈55例,有效22例,无效9例,总有效率89.53%。[结论]辨证分型治疗眩晕效果显著,值得推广。

[ Objective ] To observe the curative effect of vertigo. [ Methods ] 86 cases of clinic patients, liver Yang syndrone （Gouteng, Tianma, Chuaniuxi, Yimucao, Shanzhi, Duzhong, Huangqi each 10 g, Shijueming, Daizheshi, Shengmuli 30 g, Sangjisheng, Fushen 12 g） ; Liver and kidney Yin deficiency （Longdancao, Quandanggui, Cuchaihu 6 g, Shanzhizi 9 g, Huangqi 10g, Shengi, Baishaol2 g, Qingdai3g） ; Qi and blood deficiency （Renshen 15g, Danggui, Chuanqiong, Baizhu, Dihuang, Baishao, Niuxil2 g, Huangqi25g, Fuling, Zhigancao each 10 g, Rougui 6 g ）; Resistance of phlegm turbidity （ Banxia, Baizhu, Fuling, Juhong, Tianma each 10 g, Dazao, Gancao each 6g, Shengjiang 2g ）; Above all agent 1 / d, boiling water 200 ml, 2 times/d. Continuous treatment of 30 d for 1 course of treatment. Observation of clinical symptoms and adverse reactions. Continuous treatment 2 period of treatment, judge curative effect. [ Results ] The recovery： 55 cases, effective： 22 cases, 9 no effect, the total effective rate was 89.53%. [ Conclusion ] Treatment of vertigo effect is remarkable, is worth promoting.