中医辨证结合针灸治疗眩晕的临床思路

Clinical Thoughts on the Treatment of Vertigo by Traditional Chinese Medicine Identification Combined with Acupuncture

摘要: 眩晕作为临床常见复杂病症，其发病机制涉及前庭系统、脑循环及自主神经功能紊乱等多因素交互作用。现代医学治疗虽可通过前庭抑制剂、血管扩张剂等药物短期控制症状，但难以根除，且往往易复发。中医凭借其辨证治疗在临床上起到很好的疗效。近年来，针灸治疗通过刺激特定穴位，促进血液循环，平衡机体功能在治疗该病症方面效果显著。而中医辨证施治结合针灸在治疗眩晕上展现出独具特色的优势，且具有起效快、无副作用等特点。本研究旨在通过辨证论治结合辨证选穴针刺，调节气血阴阳，改善脑部循环，缓解眩晕症状。其较单一疗法更具协同优势，其以个体化治疗为特色，结合整体观念，为临床治疗眩晕提供充实的理论依据，进而提高临床疗效和安全性。

Abstract: As a common and complex clinical condition, the pathogenesis of vertigo involves the interaction of multiple factors such as vestibular system, cerebral circulation and autonomic dysfunction. Although modern medical treatment can control the symptoms through vestibular inhibitors, vasodilators and other drugs for a short period of time, but it is difficult to eradicate, and often easy to relapse. Chinese medicine plays a very good role in clinical treatment by virtue of its evidence-based treatment. In recent years, acupuncture treatments have been effective in treating this condition by stimulating specific acupuncture points, promoting blood circulation, and balancing body functions. The combination of TCM diagnosis and treatment with acupuncture in the treatment of vertigo shows unique advantages, and has a rapid onset of action, no side effects and other characteristics. The aim of this study was to regulate qi and blood yin and yang, improve cerebral circulation, and alleviate the symptoms of vertigo through the combination of evidence-based treatment and identification of selected acupuncture points for acupuncture. It has more synergistic advantages than monotherapy, which is characterized by individualized treatment, combined with a holistic concept, providing a solid theoretical basis for the clinical treatment of vertigo, thus improving clinical efficacy and safety.