[1]黄 泽,胡跃强△,陈莲梅,等.血府逐瘀汤治疗眩晕病研究进展*[J].陕西中医,2020,(8):1169.[doi:DOI:10.3969/j.issn.1000-7369.2020.08.042]
 HUANG Ze,HU Yueqiang,CHEN Lianmei,et al.Research progress of Xuefu Zhuyu decoction in the treatment of vertigo[J].,2020,(8):1169.[doi:DOI:10.3969/j.issn.1000-7369.2020.08.042]
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血府逐瘀汤治疗眩晕病研究进展*
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2020年8期
页码:
1169
栏目:
综述
出版日期:
2020-08-05

文章信息/Info

Title:
Research progress of Xuefu Zhuyu decoction in the treatment of vertigo
作者:
黄 泽1胡跃强2△陈莲梅 1吴晓清1 钟云薇1
1. 广西中医药大学(南宁 530001); 2.广西中医药大学第一附属医院(南宁 530023)
Author(s):
HUANG ZeHU YueqiangCHEN Lianmeiet al.
Guangxi University of Chinese Medicine(Nanning 530001)
关键词:
血府逐瘀汤 眩晕病 血瘀证 颈性眩晕
Keywords:
Xuefuzhuyu decoction Vertigo Blood stasis Cervicogenic dizziness
分类号:
R255.3
DOI:
DOI:10.3969/j.issn.1000-7369.2020.08.042
文献标志码:
A
摘要:
眩晕是一个临床常见问题,因患者发病时有头晕目眩、站立不稳以及恶心呕吐等临床表现,使患者从事各种社会工作的适应能力降低,且给患者的日常生活带来了极大的困扰。临床上导致眩晕的疾病众多,人们对这些疾病的发病机制尚缺乏统一认识,因而未能有明确的诊疗方法,导致治疗难度增大、收效欠佳。近年来由于中医药的疗效确切,副作用小,逐渐成为眩晕病预防和治疗的有效手段。血府逐瘀汤是治疗血瘀证的经典方药,在治疗眩晕病方面起着重要作用。临床研究证实,血府逐瘀汤在治疗椎-基底动脉供血不足性眩晕、颈性眩晕、梅尼埃病、恐惧性姿势性眩晕等疾病临床疗效肯定。因此,血府逐瘀汤治疗眩晕病优势明显。
Abstract:
Vertigo is a common clinical problem.Subjected to clinical manifestations such as dizziness,unstable standing,nausea and vomiting,patients will see their ability to deal with all kinds of works weaken and their daily life in trouble.There are many clinical diseases that lead to vertigo,and as people still lack a unified understanding of the pathogenesis of these diseases,no clear diagnosis and treatment methods has been found,making it more difficult to conduct effective treatment.In recent years,given its the definite curative effect and little side effect,traditional Chinese medicine has gradually become an effective means for vertigo prevention and treatment.Xuefu Zhuyu decoction is a classic prescription for treating blood stasis syndrome and does well in treating vertigo.Clinical studies have confirmed the efficiency of Xuefu Zhuyu decoction in the treatment of vertebral basilar artery insufficiency,cervicogenic dizziness,meniere's disease,phobic postural vertigo and other diseases.Therefore,Xuefu Zhuyu decoction has obvious advantages in the treatment of vertigo and should be promoted in clinical trail.

参考文献/References:

[1] 刘 博,杨 旭,周荣斌,等.眩晕急诊诊断与治疗专家共识[J].中华急诊医学杂志,2018,27(3):248-253.
[2] Strupp M,Dlugaiczyk J,Ertl WB,et al.Vestibular disorders [J].Dtsch Arztebl Int,2020,117(17):300-310.
[3] Neuhauser HK.The epidemiology of dizziness and vertigo[J].Handb Clin Neurol,2016,137:67-82.
[4] 单希征.眩晕诊治研究进展与现代理念思考[J].武警医学,2010,21(12):1013-1016.
[5] 中华医学会神经病学分会,中华神经科杂志编辑委员会.眩晕诊治多学科专家共识[J].中华神经科杂志,2017,50(11):805-812.
[6] 李桂杰,海 英.眩晕中医病因病机探析[J].辽宁中医药大学学报,2017,19(9):179-182.
[7] 李 涵,杨明会,李绍旦.眩晕症病因病机的中医研究概况[J].中国继续医学教育,2018,10(12):136-139.
[8] 王 宁.张怀亮教授在眩晕临床诊疗中运用瘀血致眩理论的经验探讨[D].郑州:河南中医药大学,2018.
[9] 文灼彬.基于深度访谈研究刘茂才教授眩晕病诊疗思路[D].广州:广州中医药大学,2018.
[10] 李淑玲,康开彪,叶丙霖,等.刘国安教授治疗老年高血压病(眩晕病)学术思想总结[J].西部中医药,2018,31(4):53-55.
[11] 董 平,宋 敏,董万涛,等.基于气虚血瘀理论探讨血管内皮细胞自噬与椎动脉型颈椎病的关系[J].中华中医药杂志,2020,35(2):585-587.
[12] 吴 永,李 玲,刘 云,等.眩晕灵治疗气虚血瘀型后循环缺血性眩晕的临床观察[J].中西医结合心脑血管病杂志,2019,17(20):3235-3238.
[13] 于振华.通窍活血汤治疗气滞血瘀型眩晕的临床研究[J].中国医药指南,2019,17(23):3-4.
[14] 卜秀焕,刘 更,张学新,等.补肾活血法对肾虚血瘀型老年性眩晕患者血流变学影响研究[J].辽宁中医药大学学报,2019,21(5):175-178.
[15] 姚 莉,陈泽涛.陈泽涛从气虚血瘀论治老年人椎动脉型颈椎病经验[J].湖南中医杂志,2019,35(1):29-31.
[16] Xue M,Yang L,Kou N,et al.The effect of Xuefuzhuyu oral liquid on aspirin resistance and its association with rs5911,rs5787,and rs3842788 gene polymorphisms[J].Evid Based Complement Alternat Med,2015,2015:507349.
[17] 马世堂,冯承涛,张孝林,等.血府逐瘀汤中红花、赤芍、川芎活血作用计算药理学[J].安徽科技学院学报,2012,26(4):43-46.
[18] 罗尧岳,周小青,刘新华,等.血府逐瘀汤、二陈汤对动脉粥样硬化家兔球结膜微循环的影响[J].中国中医药信息杂志,2006,13(6):35-36.
[19] 王 奇,陈云波,梁伟雄,等.血瘀证兔模型血管内皮细胞内分泌功能变化及血府逐瘀汤作用的影响[J].中国中医基础医学杂志,1998,4(6):32-35,66.
[20] 王 菲,施 红,夏 韵.血府逐瘀汤治疗心脑血管疾病研究进展[J].中医学报,2013,28(11):1732-1734.
[21] Neto AC,Edson BS,Oliveira ML,et al.Magnetic resonance angiography and transcranial doppler ultrasound findings in patients with a clinical diagnosis of vertebrobasilar insufficiency [J].Clinics(Sao Paulo),2020,75:1212.
[22] 汤永全,尚 磊.活血补气祛痰汤对椎基底动脉供血不足性眩晕病患者基底动脉和椎动脉血流速度的影响[J].陕西中医,2019,40(12):1690-1692.
[23] 赖喆娆.中西结合治疗椎-基底动脉供血不足性眩晕40例疗效观察[J].大众科技,2014,16(8):105-106,110.
[24] 刘红军.变通血府逐瘀汤治疗椎-基底动脉供血不足性眩晕160例[J].浙江中医杂志,2011,46(10):723.
[25] 陈永敏.血府逐瘀汤加减治疗椎-基底动脉供血不足性眩晕60例[J].中国医药指南,2007,5(1):73.
[26] 陈丽君.血府逐瘀汤加减治疗椎-基底动脉供血不足性眩晕60例[J].河南中医,2007,27(8):70.
[27] 刘富生.加味血府逐瘀汤治疗椎-基底动脉供血不足28例[J].医药产业资讯,2005,2(21):71-72.
[28] 盛 力.血府逐瘀汤加味治疗椎-基底动脉供血不足性眩晕临床观察[J].辽宁中医杂志,2004,31(1):43.
[29] 佟秀芳,刘宝山,王希成.血府逐瘀汤加减治疗椎—基底动脉缺血性眩晕84例[J].承德医学院学报,2002,19(2):118-119.
[30] 王成太,谢德万,张 勇.半夏白术天麻汤与血府逐瘀汤加减治疗椎-基底动脉供血不足性眩晕135例[J].内蒙古中医药,2011,30(9):31-32.
[31] 何乾超,蔡 伦,廖美容.温胆汤合血府逐瘀汤加减治疗痰瘀阻络型后循环缺血性眩晕的疗效研究[J].辽宁中医杂志,2010,37(4):682-683.
[32] 王 兵,夏美良.综合疗法治疗椎-基底动脉供血不足临床观察[J].光明中医,2012,27(8):1607-1608.
[33] 朱以蔚,龚国胜.陈氏整脊推拿治疗寰枢关节错位所致颈性眩晕85例[J].颈腰痛杂志,2012,33(1):77-78.
[34] 朱宏杰.彩色多普勒超声影像检测技术在颈动脉内膜剥脱术中的应用价值评价[J].实用医技杂志,2019,26(6):695-696.
[35] 闫红静,习旭涛,朱 琰,等.阿托伐他汀治疗椎动脉型颈椎病合并眩晕症的临床研究[J].陕西医学杂志,2018,47(4):512-514.
[36] 冯 豪.血府逐瘀汤合针刺治疗椎动脉型颈椎病42例[J].浙江中医杂志,2009,44(12):906.
[37] 段翠萍.辨证分型配合西药治疗颈性眩晕48例[J].陕西中医,2012,33(11):1475.
[38] 刘元梅,张英杰.血府逐瘀汤配合手法治疗椎动脉型颈椎病63例[J].实用中医内科杂志,2008,22(7):43.
[39] 申 坚.卧位牵引旋转复位法配合中药内服治疗颈性眩晕的临床报道[J].北京中医药,2008,27(8):641-642.
[40] 冯 研.梅尼埃病的发病机制及病因研究进展[J].中西医结合心血管病电子杂志,2019,7(9):52.
[41] 洪 静,江月霞,邓琤琤.血府逐瘀汤治疗美尼尔氏综合症60例疗效分析[J].内蒙古中医药,2015,34(2):2.
[42] 李冬莲,刘广西,魏 艳.中西医结合治疗梅尼埃综合征疗效观察及护理[J].中国民间疗法,2015,23(3):58-59.
[43] 陈伟红.血府逐瘀汤治疗梅尼埃病2则[J].河北中医,2002,24(8):597.
[44] 武 霞,戚晓昆.恐惧性姿势性眩晕的研究进展[J].中华神经科杂志,2016,49(12):980-982.
[45] 李康之,刘 博,顾 平,等.持续性姿势-感知性头晕(PPPD)诊断标准:Bárány学会前庭疾病分类委员会共识[J].神经损伤与功能重建,2020,15(2):63-72.
[46] Huber J,Flanagin VL,Popp P,et al.Network changes in patients with phobic postural vertigo [J].Brain Behav,2020,10:e1622.
[47] 辛琳琳.中药结合认知行为干预治疗恐惧性姿势性眩晕[J].辽宁中医杂志,2018,45(2):322-324.

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备注/Memo

备注/Memo:
*国家自然科学基金资助项目(81860842);广西中医药大学2020年研究生教育创新计划项目(YCSY2020065);广西中医药大学岐黄工程高层次人才团队培育项目(2018003);广西中医药大学第一附属医院学术团队项目[院字2018(146)号]
更新日期/Last Update: 2020-08-10