首页|运用小柴胡汤治疗邪犯少阳型眩晕思路探析

运用小柴胡汤治疗邪犯少阳型眩晕思路探析

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少阳病临床多表现为头晕、目眩、口苦咽干、胸胁满闷不舒、心烦喜呕、食欲减退等,当眩晕患者以头晕目眩为主证,并兼以少阳方面的症状,可辨证为邪犯少阳型眩晕,其病机为少阳气郁、枢机不利,多因邪犯少阳,少阳枢机不利,三焦郁滞,气化失司,水道不通,气机失调,胆腑郁热化火,上犯脑窍产生眩晕。临床从少阳论治本病,以小柴胡汤为主方,并据患者兼症加减治疗,可取得较好疗效。
Analysis on the Idea of Treating Vertigo of Shaoyang Type Using Xiaochaihu Decoction
The clinical manifestations of Shaoyang disease are dizziness,vertigo,bitter mouth and dry throat,chest and hypochondrium fullness and discomfort,upset and vomiting,loss of appetite,etc.When vertigo patients are mainly characterized by dizziness,combined with Shaoyang symptoms,they can be differentiated as Shaoyang vertigo caused by pathogenic factors.The pathogenesis is Shaoyang qi stagnation,cardinal adverse,mostly due to pathogenic factors invading Shaoyang,Shaoyang cardinal adverse,triple-energizer stagnation,qi moviment failure,waterway obstruction,qi disorder,gallbladder stagnation heat transforming into fire,upper brain orifice,resulting in vertigo.Clinically,the disease is treated from Shaoyang,with Xiaochaihu Decoction as the main prescription,and modified according to the patients'concurrent symptoms,which can achieve better curative effect.

Shaoyang diseaseXiaochaihu Decoctionvertigohalf-exterior and half-interiorpathogenic factors invading Shaoyang

曾璇、戴红芳

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广州中医药大学附属广东中西医结合医院,广东 佛山 528200

少阳病 小柴胡汤 眩晕 半表半里 邪犯少阳

2024

中国中医药图书情报杂志
中国中医科学院中医药信息研究所

中国中医药图书情报杂志

影响因子:0.556
ISSN:2095-5707
年,卷(期):2024.48(5)