颈性眩晕中西医治疗方案的临床研究进展

Clinical Research Progress on the Integrated Traditional Chinese and Western Medicine Treatment of Cervical Vertigo

摘要: 本文通过系统梳理颈性眩晕中西医治疗的临床研究进展，对比中西医治疗作用机制的异同点，以期优化临床治疗路径、为进一步深化研究提供思路。现在，西医治疗围绕对症处理(药物)及对因干预(微创、手术)展开，方案日趋精准。中医治疗强调整体辨证，中药内治法可通过调节炎性反应与改善局部循环进行干预，外治法(推拿、针刺及针刀等特种针法)则在松解软组织粘连、恢复力学平衡方面显示出独特优势。目前，中西医治疗均面临诊断与疗效评价标准不统一、部分疗法机制阐释不深、高质量循证证据不足等挑战。中西医结合治疗虽应用广泛，但多停留在简单叠加，缺乏基于共同病理靶点的深度整合模式。

Abstract: This paper systematically reviews the clinical research progress in the integrated treatment of cervical vertigo, comparing the similarities and differences in the mechanisms of action between Chinese and Western medicine, with the aim of optimizing clinical treatment pathways and providing insights for further in-depth research. Currently, Western medicine treatment focuses on symptomatic management (medication) and etiological intervention (minimally invasive procedures, surgery), with increasingly precise protocols. Traditional Chinese Medicine (TCM) emphasizes holistic treatment based on syndrome differentiation. The internal treatment with Chinese herbal medicine can intervene by modulating inflammatory responses and improving local circulation, while external therapies (e.g., massage, acupuncture, and special needling techniques like acupotomy) demonstrate unique advantages in releasing soft tissue adhesions and restoring mechanical balance. At present, both Chinese and Western medicine treatments face challenges such as inconsistent diagnostic and efficacy evaluation criteria, incomplete mechanistic understanding of some therapies, and a lack of high-quality evidence-based evidence. Although integrated Chinese and Western medicine treatment is widely applied, it often remains at the level of simple combination, lacking a deep integration model based on shared pathological targets.