针灸治疗颈源性眩晕的临床研究进展

Clinical Research Progress on Acupuncture Treatment for Cervicogenic Vertigo

摘要: 颈源性眩晕的病因较为复杂，针灸是治疗颈源性眩晕安全有效的方法。研究涵盖了毫针、电针、腹针、温针灸、浮针、针刀等多种特色技法，以及针推、针药、结合理疗等综合方案。其作用机制体现多靶点、整体调节优势，包括改善椎–基底动脉血流(具双向调节作用)、降低血液黏度、松解软组织紧张及调节神经功能。大量临床观察证实其能显著缓解眩晕，并改善颈椎曲度与脑血流等客观指标。该疗法值得临床广泛应用并深入探索。

Abstract: The etiology of cercal-origin vertigo is rather complex. Acupuncture is a safe and effective method for treating cercal-origin vertigo. The research covers a variety of distinctive techniques such as filiform acupuncture, electroacupuncture, abdominal acupuncture, warm acupuncture, floating needle and acupotomy, as well as comprehensive solutions including needle-push, needle-medication, and combined physical therapy. Its mechanism of action demonstrates the advantages of multi-target and overall regulation, including improving the blood flow of the vertebrobasilar artery (with bidirectional regulatory effect), reducing blood viscosity, relieving soft tissue tension and regulating nerve function. A large number of clinical observations have confirmed that it can significantly relieve vertigo and improve objective indicators such as cervical curvature and cerebral blood flow. This therapy is worthy of wide clinical application and in-depth exploration.