《伤寒论》辨治眩晕症思路探析

Clinical exploration in Treatise on Febrile Disease about vertigo differentiation

对《伤寒论》辨治眩晕症的条文进行了探讨。《伤寒论》认为眩晕症可分为阳虚水泛、阴阳离绝、胆火上扰、寒湿在中、清阳不升、阳明腑实、正虚邪恋等证,治疗时分别以茯苓桂枝白术甘草汤和真武汤、附子汤、小柴胡汤、茵陈术附汤、大承气汤和微辛轻清透邪之药治疗。

The paper explored relevant clauses in Treatise on Febrile Disease about diagnosis and treatment for vertigo. In Treatise on Febrile Disease,vertigo manifested several syndromes including edema due to yang deficiency,dissociation of yin from yang,faming-up of gallbladder fire,stagnation of cold-dampness in zhong-jiao,ascension failure of clean yang,excess syndrome of yangming fu-organ,deficiency of vital qi leads to lingering of evil. Fuling Guizhi Baizhu Gancao Decoction,Zhenwu Decoction,Fuzi Decoction,Xiaochaihu Decoction,Yinchen Zhufu Decoction,Dachengqi Decoction could be used respectively. Such slight,acrid herbs could expel evil from exterior with mild dispersing action.