人到中年，只要炫美不要“眩晕”

眩，是眼花缭乱的一种症状；晕，乃指头晕，脑觉旋转不定的一种病症症状。在医学会上，常把这两种疾病症状并联在一起，统称眩晕（vertigo）,该词来源于拉丁文“Vertere”，为旋转之意。

挑拔疗法联合眩晕1号方加减治疗高血压病合并颈椎病的疗效观察

目的观察挑拔疗法联合眩晕1号方加减治疗高血压病合并颈椎病的疗效。方法选取山东中医药大学第二附属医院门诊及病房自2018年9月—2020年5月就诊的高血压合并颈椎病患者90例,随机分成3组,每组30例,常规组给予口服颈复康颗粒和苯磺酸氨氯地平片治疗,中药组在常规组的基础上给予眩晕1号方加减治疗,联合组在中药组基础上加用挑拔疗法治疗。3组均以1周为1个疗程,3个疗程后观察比较3组患者治疗前后的临床疗效及症状改善、颈椎活动度评分、视觉模拟评分法(VAS)、挑络疼痛量表,并观察有无不良反应。结果联合组临床疗效总有效率优于中药组和常规组;联合组颈椎活动度评分、VAS评分、挑络疼痛量表评分均优于另外两组(P<0.05),中药组颈椎活动度评分、VAS评分、挑络疼痛量表评分优于常规组(P<0.05),3组未发生明显不良反应。结论眩晕1号方在治疗高血压合并颈椎病时可有效改善患者的颈椎功能,降低患者的血压水平;加用挑拔疗法后起效更迅速,作用更全面,且可减少不良事件的发生。

“高粱之疾”与代谢综合征

古籍所载"高粱之疾"颇似今之代谢综合征,痰湿中阻,脾失健运为"高粱之疾"主要病机,痰湿中阻,脾失健运亦为"消瘅"、"胸痹心痛"、"眩晕"等病证之因,也有医家认为"高粱之疾"及其相关病变与肝失条达、痰湿瘀血内生有关。

90年代“文学视觉化”现象思考

随着文图共生现象的兴起和滋蔓,文学作品改编渐趋普遍和当下,文学创作的视觉性和视觉意识增强,日渐扩展的90年代“文学视觉化”现象,被视为争夺文学“领地”而深受质疑:或是大众文化滥觞的表现,或是文化尊严的丧失和“文学危机”的表征,抑或是大众文化和消费主义的表现形式。面对视觉文化兴起的忧虑思想,源于无视、误解人类与非人类混合的新视觉感知的精英文学立场。回顾90年代“文学视觉化”现象,无论是文学影视改编还是文图并存,都会发现“灵晕”淡去,“眩晕”随之而来。彼时,视觉化意识还处于萌发和起始阶段,充满生命力尚显“稚嫩”。现象和批评间的错位值得重新审读。

OBSERVATION ON THE TREATMENT OF VERTEBROARTERY TYPE CERVICAL SPONDYLOPATHY INDUCED VERTIGO WITH HYDRO-ACUPUNCTURE THERAPY

Objective: To observe the therapeutic effect of hydro acupuncture therapy for treatment of vertigo induced by vertebroartery type cervical spondylopathy and to study its action mechanisms. Methods: A total of 54 cases of vertebroartery type cervical spondylopathy patients were observed in the present study. Fengfu (GV 16) and Jiaji (EX B 2) near the regenerated cervical vertebral body were used for injection of Ligustrazine injectio, 1 mL every acupoint, once every other day, with 7 sessions being a therapeutic course. Before and after treatment, cerebral blood flow volume was determined using a Doppler velocimeter. Results: After 2 weeks’ treatment, of the 54 cases, 28 (51.9%) had their vertigo disappeared, 13 (24.1%) had remarkable improvement, 10 (18.5%) had improvement and 3 (5.5%) failed in the treatment, with an effective rate of 94.5%. After treatment, the peak and mean values of the blood flow velocity of the bilateral vertebral arteries and the basilar artery increased significantly in comparison with pre treatment ( P <0.01). Conclusion: Hydro acupuncture therapy has an obvious therapeutic effect for relieving vertebroartery type vertigo and ameliorating cerebral blood supply.

CERVICAL PLEXUS PUNCTURING PLUS MOXIBUSTION FOR TREATMENT OF 78 CASES OF CERVICAL VERTIGO

Objective: To observe the effect of puncturing cervical plexus plus moxibustion in treatment of cervical vertigo. Methods: 78 inpatients were randomly divided into acupuncture + moxibustion (acumoxi) group (n = 40) and Western medicine (control) group (n =38). Acupuncture needles were inserted separately into the points about 0. 5 cun beside the spinous processes of the cervical vertebral1-7. Results: The cure rates and total effective rates of acumoxi group and control group were 70.00%, 95.00%, 31 . 58% and 92% respectively, with the cure rate of the acumoxi group being significantly higher than that of control group (P<0.05). After treatment, the mean velocity of blood flow of the vertebral artery and basal artery decreased significantly (P <0.05, 0.01) . Conclusion: Acupuncture of cervical plexus plus moxibustion is effective definitely in treatment of cervical vertigo and superior to that of control group.

Efficacy analysis on vertigo of cerebellar infarction at the recovery stage treated with electroacupuncture at the balance area and vertigo-auditory area of scalp acupuncture

Objective To explore the efficacy of electric stimulation at the balance area and vertigo-auditory area of scalp acupuncture for vertigo caused by cerebellar infarction. Methods One hundred cases of vertigo caused by cerebellar infarction at the recovery stage were randomized into a scalp acupuncture group and a conventional acupuncture group. In the scalp acupuncture group, on the basis of the routine drug therapy, the electric stimulation was applied to the balance area and vertigo-auditory area of scalp acupuncture. In the conventional acupuncture group, on the basis of the routine drug therapy, the conventional acupuncture was supplemented. The treatment was given once a day, 6 treatments made one session. The clinical efficacy was assessed after 4 sessions of treatment. The transcranial Doppler ultrasonography （TCD） was adopted in the scalp acupuncture group to observe the changes of the mean blood flow velocity （Vm） of the anterior cerebral artery （ACA）, middle cerebral artery （MCA） and posterior cerebral artery （PCA） before and after treatment. Results After treatment, the total effective rate was 90.0% （45/50） in the scalp acupuncture group and was 68.0% （34/50） in the conventional acupuncture group, presenting the statistically significant difference in comparison （P0.05）. After treatment, Vm of ACA and MCA was increased apparently as compared with that before treatment in the scalp acupuncture group. Conclusion The electric stimulation at the balance area and vertigo-auditory area of scalp acupuncture achieves the apparent efficacy on vertigo caused by cerebellar infarction at the recovery stage and improves obviously brain blood circulation. It is significant to promote this therapy in clinical practice.

Clinical observation on ginger-partitioned moxibustion plus manual repositioning for benign paroxysmal positional vertigo(BPPV)

Objective： To investigate the clinical effect of ginger-partitioned moxibustion combined with manual repositioning for benign paroxysmal positional vertigo（BPPV）. Methods： A total of 76 BPPV cases were randomly allocated into an observation group（n=38） and a control group（n=38）. Patients in the observation group received ginger-partitioned moxibustion at Tinggong（SI 19） plus manual repositioning, whereas patients in the control group received the same manual repositioning alone. Results： After 48 h of treatment, the total effective rate was 94.7% in the observation group, versus 86.8% in the control group; after 7 d of treatment, the total effective rate was 78.9% in the observation group, versus 73.7% in the control group, both showing between-group statistical differences（P〈0.05）. The follow-up after 3 months showed that 2 cases（6.7%） got relapse in the observation group, versus 8 cases（28.6%） in the control group, showing a statistical difference（P〈0.05）. The adverse reaction rate was 2.6% in the observation group, versus 21.1% in the control group, showing a statistical difference（P〈0.05）. Conclusion： Ginger-partitioned moxibustion at Tinggong（SI 19） plus manual repositioning can obtain better effect for BPPV than manual repositioning alone. In addition, this therapy has stable efficacy and causes less adverse reactions.

Action of Tuina on Retro-positioning of Skull Spatial Offset in Patients with Cervical Vertigo

Objective： To investigate the onset mechanism of cervical vertigo from the proprioceptive sensation and provide clinical basis for its treatment. Methods： Among the 121 cases that conformed to the diagnostic criteria of cervical vertigo, 70 cases who presented with negative neck-rotation test and cervical vertigo without obvious vascular factors by transcranial Doppler （TCD） were assigned to the observation group, while 51 cases who presented with positive neck-rotation test and cervical vertigo due to spasm of vertebral basal artery or insufficient blood supply by TCD were assigned to the control group. The cases in the two groups were treated once every day, 5 days make up one treatment course and the results were statistically analyzed after one treatment course. Results： The skull triaxial spatial offset of the cases in the two groups were significantly reduced after the treatment （P〈0.01）. However, there was no statistically significant difference between the skull triaxial spatial offset between the two groups （P〉0.05）. It is not conclusive that the therapeutic effect in the two groups was significantly different after one treatment course. Conclusion： Tuina manipulation therapy can improve the skull spatial offset repositioning ability of the patients.

Clinical observation on warm needling moxibustion plus tuina for cervical spondylosis of vertebral artery type

Objective: To observe the clinical effect of warm needling moxibustion plus Kai Qing Long Suo tuina therapy (opening the Qing Long lock, one type of 'Eight and a Half Locks' tuina therapy) for cervical spondylosis of vertebral artery type (CSA). Methods: Sixty patients with CSA were randomly allocated into an observation group or a control group, with 30 cases in each group. The observation group was treated with warm needling moxibustion plus Kai Qing Long Suo tuina therapy, while the control group was treated with warm needling moxibustion alone. Warm needling moxibustion was conducted once every other day and tuina was con ducted once a day, 7-day treatme nts for one course. The clin ical efficacy and vertebral artery blood flow was observed after one course of treatment. Results: After treatment, the total effective rate was 93.3% in the observation group versus 80.0% in the control group, and there was a significant differenee between the two groups (P<0.05). After treatment, the systolic blood flow velocity of vertebral artery increased in both groups, with statistical significanee compared with that before treatment (both P<0.05), and the blood flow velocity in the observation group was faster than that in the control group, with statistical significanee between the two groups (P<0.05). Conclusion: Both warm needling moxibustion plus Kai Qing Long Suo tuina therapy and warm needling moxibustion alone are both effective for CSA, can improve the systolic blood flow velocity of vertebral artery. The curative effect of warm needling moxibusiton plus Kai Qing Long Suo tuina therapy is better than that of warm needling moxibustion alone.

Clinical observation on cervical chiropractic for cervical spondylosis of vertebral artery type

Objective：To observe the curative effect of cervical chiropractic for cervical spondylosis of vertebral artery type （CSA） and to explore its possible mechanism.Methods：Sixty CSA patients were randomly divided into two groups.Thirty patients in the treatment group were treated with chiropractic manipulation for cervical vertebrae,once every other day,7 treatments in total.The other 30 patients in the control group received oral administration of flunarizine hydrochloride,10 mg per night,for 14 d.Cervical vertigo and functional assessment scale and transcranial cerebral Doppler （TCD） were measured before treatment and 7 days after treatment.Results：The total effective rate was 96.7% in the treatment group and 83.3% in the control group.The curative rate was 66.7% in the treatment group and 20% in the control group.The differences between the two groups in the total effective rate and the curative rate were statistically significant （both P〈0.05）.The scores of cervical vertigo symptom and functional assessment after treatment in both groups were significantly higher than those before treatment （both P〈0.01）;the difference between the two groups was statistically significant （P〈0.05）.After treatment,the maximum systolic velocity （Vs）,the maximum diastolic velocity （Vd）,the mean velocity （Vm）,the pulsatility index （PI） and the vascular resistance index （RI） in both groups were significantly improved compared with those before the treatment （all P〈0.01）;there were significant differences between the two groups （all P〈0.05）.Conclusion：Cervical chiropractic is an effective method for CSA,and its curative effect is better than that of flunarizine hydrochloride alone.Its mechanism may relate to correcting cervical instability.

Therapeutic observation of acupuncture plus tuina for cervical vertigo

Objective:To evaluate the clinical efficacy of acupuncture plus tuina in treating cervical vertigo (CV).Methods:One hundred CV patients were randomized into an observation group and an acupuncture group by the random number table,with 50 cases in each group.The acupuncture group received acupuncture at Xiang Ba Zhen (eight acupoints on the nape);the observation group received tuina treatment in addition to the Xiang Ba Zhen acupuncture.The two groups were both treated once every other day for 10 sessions in total.The two groups were examined by transcranial cerebral Doppler (TCD) before and after the treatment,and their therapeutic efficacies were evaluated.Results:After the treatment,the mean velocity (Vm) of vertebral artery (VA) and basilar artery (BA) showed significant improvement in both groups (all P＜0.001);there were significant differences in the Vm of VA and BA between the two groups (both P＜0.05).The total effective rate was 100.0％ in the observation group versus 82.0％ in the acupuncture group,and the difference was statistically significant (P＜0.01).Conclusion:Xiang Ba Zhen acupuncture as a monotherapy or used together with tuina can improve CV,but Xiang Ba Zhen plus tuina can produce a more significant efficacy.

Clinical effect observation on liver-regulating and blood-tonifying acupuncture for cervical spondylosis of vertebral artery type

Objective： To observe the clinical effect of liver-regulating and blood-tonifying acupuncture in the treatment of cervical spondylosis of vertebral artery type. Methods： A total of 60 cases meeting the inclusion criteria were randomized into an observation group and a control group, 30 cases in each group. Cases in the observation group received liver-regulating and blood-tonifying acupuncture, in which Jiaji （EX-B 2） points of C3_C7, Ganshu （BL 18） and Geshu （BL 17） were used; cases in the control group received routine acupuncture treatment in which jiaji （EX-B2） points of C3.C7 were used. Both groups received 5 times of treatment in a week with a 2-day rest, symptoms evaluation was done after 4 weeks of treatment, and then therapeutical effect was evaluated. Results： The total effective rate was 90.0% in the observation group, 73.3% in the control group, and inter-group comparison showed a statistical significance （P〈0.05）. After treatment, the symptoms and signs scores in both groups all substantially dropped, showing statistical significances （both P〈0.05）; inter-group comparison showed that the improvements in subscales of dizziness, pressing pain along vertebrae and revolve-cervix test in the observation group were superior than those in the control group, showing statistical significances （all P〈0.05）, while the inter-group comparisons of subscales of headache and vomiting and nause didn＇t show any statistical significances after treatment （both P〉0.05）. Conclusion： Liver-regulating and blood-tonifying acupuncture is effective in treating cervical spondylosis of vertebral artery type, and it can significantly improve patients＇ symptoms and signs.

Effect of three vertigo-stopping needles on neurohumor of patients with cervical vertigo:a controlled trial

Objective To observe the effect of three vertigo-stopping needles on the contents of neuropeptide Y （NPY）, endothelin （ET） and calcitonin gene-related peptide （CGRP） in plasma of patients with cervical vertigo, and to explore its mechanism of treatment. Methods One hundred and eighty patients with cervical vertigo were divided into group A [acupuncture at R6nyfng （人迎ST 9） and Fengchi （风池 GB 20）, and frontal line], group B [acupuncture at Jing jiaji （颈夹脊）, GB 20 and Baihui （百会 GV 20）] and group C [intravenous infusion with ligustrazine and oral administration with flunarizine] according to simple randomization, with 60 cases in each group. For the patients in group A and group B, the treatment was conducted once a day, and ten times were considered as one course of treatment. Two days were free of treatment between two courses, and two courses were needed. For the patients in group C, the treatment was conducted for fifteen days. The contents of NPY, ET and CGRP in plasma before and after treatment were detected in patients with cervical vertigo. Results The contents of NPY in plasma of patients in the three groups after treatment were markedly lower than that before treatment （all P〈0.01）, and the differences were not statistically significant when compared the descending degrees among three groups （P〉0.05）. The contents of ET in plasma of patients in the three groups after treatment were markedly lower than that before treatment （P〈0.05, P〈0.01）, the descending degree in group A was greater than that in group B and group C, and the difference was statistically significant （P〈0.O1, P〈O.05）; while the difference was not statistically significant when compared the descending degrees between group B and group C （P〉0.05）. The contents of CGRP in plasma of patients in the three groups after treatment were markedly higher than that before treatment （P〈0.05, P〈O.O1）, the increasing degree in group A was greater than that in group B and group C, and the difference was statistically significant （both P〈0.05）; while the difference was not statistically significant when compared the increasing degrees between group B and group C （P〉0.05）. Conclusion Three vertigo-stopping needles, acupuncture and medication can regulate the contents of NPY, ET and CGRP in plasma of patients with cervical vertigo, while three vertigo-stopping needles is significantly superior to acupuncture and medication in reducing ET and increasing CGRP.

Treatment of 30 Cases of Vertigo due to Qi-blood Deficiency by Pricking Jingbailao (EX-HN 15) with Fire Needle Therapy

Objective: To observe the clinical effect of fire needle therapy on vertigo due to qi-blood deficiency by pricking Jingbailao (EX-HN 15). Methods: Thirty cases with vertigo due to qi-blood deficiency in conformity with the inclusion criteria were treated with fire needle therapy by pricking Jingbailao (EX-HN15), once every day, seven sessions as one course. The clinical effects were assessed after one course of treatment. Results: After one-course treatment, the results showed cure in 3 cases, remarkable effect in 14 cases, effect in 11 cases and failure in 2 cases out of 30 cases. Conclusion: Fire needle therapy by pricking Jingbailao (EX-HN15) can obviously relieve the clinical symptoms in patients with vertigo due to qi-blood deficiency.

Observation on the therapeutic efficacy of acupuncture plus tuina for cervical vertigo

Objective： To observe the clinical efficacy and action mechanism of Jin＇s three-needle acupuncture plus Long＇s chiropractic tuina manipulations in treating cervical vertigo. Methods： By adopting a randomized controlled method, 80 eligible patients were randomized into an observation group of 41 cases and a control group of 39 cases. The control group was intervened by Jin＇s cervical three-needle acupuncture plus acupuncture at the vertigo-pain points and Fengchi （GB 20）; the observation group was by Long＇s chiropractic tuina manipulations in addition to the treatment given to the control. For both groups, the intervention was given once a day, 7 sessions as a treatment course, with a 1-day interval after a course, for 2 courses in total. The therapeutic efficacy was evaluated after the first session and the second treatment course, at the 3-month and 6-month follow-ups. Results： After the first session, the recovery plus markedly effective rate of the observation group was significantly higher than that of the control group （P〈0.01）; the rate was markedly higher in the observation group than that in the control group after 2 treatment courses （P〈0.01）; at the 3-month follow-up, the relapse rate was 2.5% in the observation group versus 23.5% in the control, and the between-group difference was statistically insignificant （P〉0.05）; the 6-month follow-up study showed that the relapse rate was 5.0% in the observation group versus 21.6% in the control group, and the between-group difference was statistically significant （P〈0.05）; at the 6-month follow-up, the total relapse rate was 7.5% in the observation group versus 35.1% in the control group, and the inter-group difference was statistically significant （P〈O.01）. Conclusion： The two treatment protocols are both effective in treating cervical vertigo. However, due to its more significant efficacy, more efficient action and lower relapse rate compared to acupuncture alone, acupuncture plus tuina can be regarded as a verified protocol for cervical vertigo.

Clinical observation on oblique Ban-pulling tuina manipulation plus acupuncture for cervical vertigo

Objective： To explore the clinical efficacy of rotating-lifting oblique Ban-pulling tuina manipulation plus acupuncture in treating cervical vertigo（CV）. Methods： Seventy-three CV patients were divided into two groups by block randomization, 50 cases in each group. The observation group was intervened by rotating-lifting oblique Ban-pulling tuina manipulation plus acupuncture, while the control group was by the same acupuncture treatment alone. The tuina treatment was given once every other day and the acupuncture treatment was given once every day. The symptom score was observed before and after 20-day treatment, and the therapeutic efficacies were compared between the two groups. Results： During the intervention, 14 subjects in the observation group and 13 subjects in the control group dropped out. Finally, 36 cases in the observation group and 37 cases in the control group were involved into the data analysis. After 20-day treatment, the symptom scores were significantly increased in both groups（P〈0.05）, and the symptom score in the observation group was significantly higher than that in the control group（P〈0.05）. The total effective rate was 91.7% in the observation group versus 83.8% in the control group, and the difference was statistically insignificant（P〈0.05）. The recovery and markedly effective rate was 69.4% in the observation group versus 32.4% in the control group, and the difference was statistically significant（P〈0.05）. Conclusion： Rotating-lifting oblique Ban-pulling tuina manipulation plus acupuncture can significantly improve the clinical symptoms of CV patients, and its clinical efficacy is superior to that of acupuncture alone.

Clinical Observation on Needling Tendon for Cervical Spondylosis Causing Vertebral Artery Insufficiency

Objective： To observe the clinical effect of needling tendon for cervical spondylosis causing vertebral artery insufficiency. Methods： Thirty-eight cases with cervical spondylosis causing vertebral artery insufficiency were treated by needling the cervical tendon for one-course treatment. After treatment, the vertebrobasilar blood flow was observed. Results： The vertebrobasilar blood flow of the patients was substantially improved. The total effective rate and marked effect rate were 100.0% and 68.4% respectively. Conclusion： Needling the cervical tendon can obtain an exact effect for cervical spondylosis causing vertebral artery insufficiency.

Treatment of 65 Cases of Cervical Vertigo Treated by Acupuncture plus Medication

Objective： To investigate the efficacy of acupuncture plus puerarin and glucose injection for treating cervical vertigo. Method： 110 cases of cervical vertigo were divided into the treatment group and control group. 65 cases in the treatment group were treated by acupuncture plus puerarin and glucose injection and 45 cases in the control group were treated with Western medications. Results： In the treatment group, the results showed cure in 33 cases, effect in 29 cases and failure in 3 cases, and the total effective rate in 95.38%. In the control group, the results showed cure in 12 cases, effect in 23 cases and failure in 10 cases, and the total effective rate in 77.87%. In comparison of the total effective rate between the two groups, the treatment group was better than the control group （P〈0.01）. Conclusion： The therapeutic effect is better in the treatment of cervical vertigo by acupuncture plus herbal medicine.than that by Western medications.

Effect of Chinese Herbal Fumigation Combined with Tuina on Vertigo and Concentrations of Endothelin and Calcitonin Gene-related Peptide in Patients with Vertebral Artery Cervical Spondylosis

Objective： To observe the effect of Chinese herbal fumisation combined with three-step tuina manipulation on concentration of endothelin （ET） and calcitonin gene-related peptide （CGRP） and vertigo in patients with vertebral artery cervical spondylosis （VACS）. Methods： A total of 120 eligible cases were randomly allocated into an observation group and a control group, 60 in each group. Cases in the observation group were treated with Chinese herbal fumigation combined with three-step tuina manipulation, whereas cases in the control group were treated with oral Flunarizine Hydrochloride Capsules. Results： After treatment, vertigo in both groups was alleviated; there were intra-group significant differences in ET decrease and CGRP increase （P〈0.01, P〈0.05）; and there were also inter-group significant differences （both P〈0.05）. Conclusion： Chinese herbal fumigation combined with three-step tuina manipulation can regulate the levels of ET and CGRP and improve vertigo in patients with VACS. Its therapeutic efficacy is superior to oral Flunarizine Hydrochloride Capsules.