茯苓丹皮饮对痰浊上蒙型眩晕的临床疗效观察

Observation on the Clinical Efficacy of Poria Danpi Drink on Phlegm and Cloudy Vertigo Type

摘要: 目的：观察茯苓丹皮饮对痰浊上蒙型眩晕的临床疗效。方法：将2024年5月~2025年5月在米东区中医医院脑病科所收集的120例痰浊上蒙型眩晕患者随机分为西药组、中药组、中药 + 西药组，40例/组，西药组采用倍他斯汀片治疗，中药组采用茯苓丹皮饮治疗，中药 + 西药组采用倍他斯汀片 + 茯苓丹皮饮治疗。在经过四周的治疗之后，观察治疗前后，两组患者的DHI、VSS、VADL及VAS评分以及对肝肾功能的影响。结果：经过为期四周的治疗，三组患者DHI、VSS、VADL及VAS的评分均出现了显著的降低，而与中药组和西药组相比，观察组患者的这四项评分降低及前庭功能改善的幅度更为明显(P < 0.05)。在眩晕症状的改善方面，中药组有效率77.5%，西药组有效率90%，中药 + 西药组有效率97.5% (P < 0.05)，且三组治疗均对肝肾功能未造成明显影响。结论：运用茯苓丹皮饮联合倍他司汀对痰浊上蒙型眩晕进行治疗，可明显改善患者眩晕症状，值得在临床中进行进一步的推广及应用。

Abstract: Objective: To observe the clinical efficacy of Poria Danpi Drink on phlegm and cloudy vertigo type. Methods: 120 patients with phlegm and cloudy vertigo type collected from May 2024 to May 2025 in Department of Encephalopathy, Midong District Hospital of Traditional Chinese Medicine were randomly divided into Western medicine group, Chinese medicine group, and Chinese medicine + Western medicine group, 40 cases/group. The Western medicine group was treated with Betahistine tablets, the Chinese medicine group was treated with Poria Danpi Drink, and the Chinese medicine + Western medicine group was treated with Betahistine tablets + Poria Danpi Drink. After four weeks of treatment, the DHI, VSS, VADL and VAS scores as well as the effects on liver and kidney functions were observed before and after treatment. Results: After four weeks of treatment, the DHI, VSS, VADL and VAS scores of the three groups were significantly reduced, and the reduction of these four scores and the improvement of vestibular function were more obvious in the observation group compared with the traditional Chinese medicine group and the western medicine group (P < 0.05). In terms of the improvement of vertigo symptoms, the effectiveness rate of the traditional Chinese medicine group was 77.5%, the effectiveness rate of the western medicine group was 90%, and the effectiveness rate of the traditional Chinese medicine + western medicine group was 97.5% (P < 0.05), and the three groups of treatments did not have any significant effect on liver and kidney functions. Conclusion: The use of Poria Danpi Drink combined with betahistine in the treatment of phlegm and cloudy vertigo type can significantly improve the symptoms of vertigo, which is worthy of further popularization and application in the clinic.