Discussion on Syndrome Differentiation and Medication for Dizziness in Qian Jin Yao Fang and Its Implications for Syndrome Differentiation and Treatment of Peripheral Vestibular Vertigo
In the chapters about dizziness in Qian Jin Yao Fang(Invaluable Prescriptions),detailed descriptions about pathogenesis and medication for dizziness were presented,and the symptoms of dizziness were similar to the clinical manifestations of peripheral vestibular vertigo.The pathogenesis of dizziness in Qian Jin Yao Fang can be summarized as wind(wind pathogen),water(retained fluid and cold phlegm)and deficiency(deficiency of qi and blood),which are often intertwined with each other and each has its own characteristics.There are 13 formulas for treating dizziness in the chapter about wind-dizziness.Drugs for treating dizziness caused by wind are mainly pungent and warm with the expelling and dispersing actions,which can expel the pathogens from the upper orifices and improve the blood circulation of upper orifices.For the treatment of dizziness caused by water,therapy of warming and resolving cold fluid is frequently adopted,and drugs for checking upward adverse flow of qi and removing fluid,drugs for promoting diuresis and percolating dampness,and drastic purgatives for eliminating fluid retention are selected according to the location of fluid retention.For the treatment of dizziness caused by deficiency,drugs for invigorating spleen and replenishing qi,drugs for nourishing yin and enriching blood,and drugs for nourishing liver and spleen can be chosen.The exploration of the therapeutic principles,formulas and drugs for dizziness in Qian Jin Yao Fang will provide ideas for the clinical Chinese medical treatment of peripheral vestibular vertigo nowadays.
Qian Jin Yao Fang(Invaluable Prescriptions)dizzinessperipheral vestibular vertigowindwaterdeficiency
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