从“道法自然”探眩晕临床证治

Brief Analysis of the Clinical Treatment of Dizziness by conforming to the Natural Law

中医对眩晕病证的认识,从病因病机、辨证论治到处方用药,无不彰显着"道法自然""取象比类"思维的妙处。"象"思维是中国古人认知世界的主要思维方式,是一种对客体形态的再认识与内在实质的理解相统一的认识活动。中医运用"取象比类"方法来阐释阴阳、五行、藏象等中医经典理论,更用之来指导临床。"培土生金""增水行舟""提壶揭盖""釜底抽薪"等治法,皆体现了道法自然的思想。眩晕的病位在脑窍,病变脏腑主要在肝、脾、肾,尤与肝关系最为密切。其治疗应祛避外风,镇熄肝风,清疏上窍,培土养正。

The wonderfulness of the ideas of “conforming to the natural law” and “analogism” find its way everywhere in the TCM recognition of dizziness,even the analysis of the etiology and pathogenesis, syndrome differentiation and treatment, and the pre- scriptinn medication. Thought of “ image” is the chief thinking mode of ancient Chinese to gain understanding of the world, which is a cognitive activity of the integrated recngnition of the objects＇ form and the suhstantial nnderstanding of the interior. TCM ap- plies analogism to expound the classic theories of yin and yang,five elements,viscera,ere and also to guide the clinical practice. The therapies of “reinforcing earth to generate metal”,“ increasing fluid to move the boal” ,“ uncovering the kettle”,“ taking away the firewood under the cooking pot” all reflect the ideas of “ confnrming to the natural law”. The disease location of dizziness is the brain, and the pathological viscera are mainly the liver, spleen and kidney among which the liver is the most closely-related. The treatment should be warding off external wind,ealraing liver and stopping endogenous wind, clearing and unblncking the upper orifices, and reinforeing earth to strengthen healthy qi.