Treatment of persistent postural perceptual dizziness from the theory of regulating the mind
Persistent postural perceptual dizziness(PPPD)is a newly defined vestibular disease in recent years,which is mediated by behavioral factors,participated by psychosocial factors and caused functional disorders.The clinical manifestations are non-rotational vertigo or accompanied by instability.The etiology of the disease may be related to anxiety personality,and the symptom maintenance mechanism includes the change of posture control strategy and the change of visual spatial multi-sensory integration.PPPD is often protracted and difficult to recover,and patients often suffer from hardship,and their quality of life is seriously affected.Western medicine mainly focuses on anti-anxiety.Drug treatment includes serotonin reuptake inhibitor and serotonin norepinephrine reuptake inhibitor.However,this treatment has a slow onset,a long course of treatment,and often has adverse reactions.Therefore,the patient's acceptance is low and compliance is poor.Tutor DING Shuqiang,based on many years of clinical experience,believes that the loss of spirit is the core pathogenesis of PPPD.With the combination of acupuncture and medicine,acupuncture and moxibustion is mainly used to regulate the spirit,and prescription and medicine are used to regulate the internal organs,has achieved good results in treating PPPD from the theory of regulating the mind,so this article,taking regulating the mind as the central idea,discusses the basic connotation of the mind,the relationship between the mind and PPPD,introduces the main acupoints for acupuncture and moxibustion to regulate the mind,selects Shangxing acupoint(DU23),Yintang acupoint(EX-HN3)and Baihui acupoint(DU20)to wake up the mind,Taichong acupoint(LR3)and Hegu acupoint(LI4)to regulate the Qi(气)movement,Neiguan acupoint(PC6)and Shenmen acupoint(HT7)to calm the mind,finally attaches one test case,and analyzes the diagnosis,syndrome differentiation and treatment ideas of the disease in the notes,it is expected to provide reference for clinical practice.
Persistent postural perceptual dizzinessCombination of acupuncture and medicineRegulating mindVertigo
NETL
NSTL
万方数据
维普
