LI Guolie's Experience in Differentiating and Treating Vertigo and Lightheadedness Caused by Abnormal Qi Circulation
Vertigo and lightheadedness are common clinical conditions,and due to the similarity of their symptoms and the difficulty in strict differentiation,clinicians often categorize lightheadedness as vertigo for treatment purposes.Professor LI Guolie focuses on the changes in qi movement and believes that vertigo and lightheadedness have different symptoms and pathogenesis.Therefore,the treatment should employ the method of regulating qi that aligns with the underlying pathogenesis.Patients with vertigo experience symptoms of perceiving external objects or self-rotation.The main pathogenesis is the upward reversal of qi,and treatment can be carried out using methods such as soothing the liver and descending adverse qi[The prescription is modified from Zhengan Xifeng Decoction(镇肝熄风汤)],as well as soothing the liver and eliminating turbidity[The prescription is modified from Banxia Baizhu Tianma Decoction(半夏白术天麻汤)].Patients with lightheadedness does not have symptoms of rotation.The pathogenesis is mainly due to the sinking of qi movement,and treatment can be carried out using methods such as tonifying the spleen and raising the sinking[The prescription is modified from Buzhong Yiqi Decoction(补中益气汤)],as well as invigorating the spleen and promoting circulation[The prescription uses Erchen Decoction(二陈汤)].Two proved cases are attached.
vertigolightheadednessqi movementthe method of regulating qiLI Guolieexperience of a famous doctor
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