颈性眩晕发病机制及中医治疗的研究进展

Research Progress on the Pathogenesis of Cervical Vertigo and Its Treatment with Traditional Chinese Medicine

摘要: 在现代快节奏生活中，手机、电脑使用频繁，颈性眩晕在年轻人中越发普遍。大多数学者认为其与椎–基底动脉供血不足、交感神经功能紊乱、血管活性细胞动态紊乱等多因素有关。临床确诊颈性眩晕，需排除其他疾病后，结合体格和影像学检查。治疗上，常用扩血管药物干预颈性眩晕，存在疗效波动、副作用明显的问题。中医在这方面经验丰富且独具特色，多采用保守治疗，从整体出发，依据辨证论治原则，通过中药内服、针灸、推拿等多种方法，调节人体阴阳平衡、气血运行，改善眩晕症状。本文系统总结颈性眩晕发病机制与中医治疗研究现状，为后续中医治疗颈性眩晕的深入研究提供理论支持，助力探索更有效的治疗方案。

Abstract: In the context of a fast-paced modern lifestyle, the frequent use of mobile phones and computers has made cervical vertigo increasingly common among younger populations. Most scholars believe that cervical vertigo is associated with multiple factors, including vertebrobasilar insufficiency, sympathetic nerve dysfunction, and imbalance in vasoactive substances. Clinically, the diagnosis of cervical vertigo requires the exclusion of other diseases, combined with physical examination and imaging assessment. In terms of treatment, vasodilator drugs are commonly used to intervene in cervical vertigo; however, their efficacy may fluctuate, and adverse effects can be significant. Traditional Chinese medicine has accumulated rich clinical experience and distinctive therapeutic advantages in this field. Conservative therapies are often adopted, emphasizing holistic regulation and syndrome differentiation. Through oral administration of Chinese herbal medicine, acupuncture, tuina, and other therapeutic methods, traditional Chinese medicine aims to regulate the balance of yin and yang, promote the circulation of qi and blood, and relieve vertigo symptoms. This article systematically summarizes the pathogenesis of cervical vertigo and the current research status of traditional Chinese medicine treatment, providing theoretical support for further studies on traditional Chinese medicine interventions for cervical vertigo and contributing to the exploration of more effective therapeutic strategies.