从“风、火、痰、瘀、虚”探讨眩晕的证治

Discuss on vertigo from the wind,fire,phlegm,blood stasis and deficiency

本文从风、火、痰、瘀、虚五个方面探讨眩晕的证治。因风致眩,有肝阳化风、阴虚生风之别;因火致眩,有肝郁化火、痰火上扰之分;因痰致眩,有风痰、痰饮、热痰、湿痰之异;因瘀致眩,有气虚血瘀、气滞血瘀、痰瘀阻络之差;因虚致眩,有气虚清阳不升、气血亏虚、肝肾阴虚、肾精不足之不同。治疗应把握补虚泻实,调整阴阳;分清标本,权衡缓急;动态观察,圆机活法;病证结合,随证治之的原则。

This article discusses the treatment of vertigo from the wind, fire, phlegm, blood stasis and deficiency. Vertigo can be caused by wind, fire, phlegm, blood stasis and deficiency. Wind includes the types of hyperactive liver-yang causing syndrome of liver-wind and yin-deficiency leads to wind stirring. Fire includes the types of depression of the liver generates pathogenic fire and phlegm-fire attacking upwards. Phlegm includes the types of wind phlegm, phlegm retention, phlegm fire and phlegm damp. Blood stasis includes the types of blood stagnancy due to deficiency of Qi, blood stasis due to stagnation of qi and retention of phlegm and blood stasis in the meridian. Deficiency includes the types of deficiency of both qi and the blood, deficiency of liver-yin and kidney-yin, deficiency of the kidney essence and lucid yang failing to rise due to qi deficiency. The curative principles of vertigo are tonifying deficiency, reducing substantive, regulating yin and yang, ascertaining manifestation and root cause, balancing priorities, observing dynamically, treating flexible, disease integrating with syndrome and planning treatment according to diagnosis.