| 陈韵龙,黄春梅,朱彦龙.针刺开四关治疗良性阵发性位置性眩晕复位后再发眩晕[J].浙江中医药大学学报,2022,46(3):326-328. |
| 针刺开四关治疗良性阵发性位置性眩晕复位后再发眩晕 |
| Treatment of Recurrent Vertigo of BPPV after Canalith Repositioning Procedure with Opening Si-guan with Acupuncture |
| DOI：10.16466/j.issn1005-5509.2022.03.018 |
| 中文关键词: 良性阵发性位置性眩晕 再发眩晕 开四关 四关穴 验案 “肝-肠-脑”轴 |
| 英文关键词: benign paroxysmal positional vertigo reoccurrent vertigo open Si-guan Si-guan point medical cases “liver-gut-brain” axis |
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| 中文摘要: |
| [目的] 介绍针刺开四关治疗良性阵发性位置性眩晕(benign paroxysmal positional vertigo，BPPV)复位后再发眩晕的经验，以期为BPPV复位后再发眩晕的针刺治疗提供指导与启发。[方法] 选择针刺开四关治疗BPPV复位后再发眩晕验案两则，从中医经络气血、五行、气机升降及解剖学与影像学方面论述其获效机制。[结果] 从中医角度分析，针刺开四关可调整“经络气血”“五行生克”以及“气机左升右降”，以达止眩之功；而从现代医学角度考虑，其机制可能是调整了“肝-肠-脑”轴。所选医案，均治以针刺开四关为主，紧扣“风、火、痰、瘀”的病理特点，对肝郁阳亢证者偏于疏肝解郁、息风止眩，对痰热壅盛证者偏于清热化痰、开窍醒神，皆取良效。[结论] 针刺开四关治疗BPPV复位后再发眩晕，临床疗效可观，值得临床借鉴，而从“肝-肠-脑”轴切入则是进一步研究的关键。 |
| 英文摘要: |
| [Objective] To introduce the experience of treating recurrent vertigo of benign paroxysmal positional vertigo(BPPV) after canalith repositioning procedure with opening Si-guan with acupuncture， in order to provide guidance and inspiration for acupuncture treatment of reoccurrence vertigo of BPPV after canalith repositioning procedure. [Methods] Through selecting two cases of recurrent vertigo of BPPV after canalith repositioning procedure treated with opening Si-guan with acupuncture， this paper discussed the mechanism from the aspects of meridian and Qi and blood， five elements， Qi movement and anatomy and imaging in western medicine. [Results] From the perspective of traditional Chinese medicine (TCM)， opening Si-guan can treat vertigo by regulating “meridian and Qi and blood” “generation-inhibition in five elements” and “left rise and right fall in Qi movement”， and the key point to the curative effect may be the adjustment of the “liver-gut-brain” axis in the view of modern medicine. The treatment method in the selected medical cases were mainly acupuncture with opening Si-guan and the pathological characteristics of “wind， fire， phlegm and blood stasis” was also closely considered. For the patients with liver depression and Yang hyperactivity pattern， the treatment focused on soothing the liver and relieving depression， eliminating wind and stopping dizziness while resolving phlegm-heat to open the orifices was adopted for the patient with exuberant phlegm-heat pattern， which took good curative effect. [Conclusion] The clinical effect of recurrent vertigo of BPPV after canalith repositioning procedure treated with opening Si-guan with acupuncture is considerable and is worthy of clinical reference， and it is the key point for further study to analyze from the “liver-gut-brain” axis. |
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