吴节教授基于“通阳”理论运用补中益气汤治疗癔症样眩晕经验

Professor Wu Jie’s Experience in Treating Hysteroid Vertigo with Buzhong Yiqi Decoction Based on the “Dredging Yang” Theory

摘要: 随着社会环境压力的与日俱增，焦虑、急躁等情志失调者逐渐增多，癔症样眩晕在临床上出现的概率也随之增大。基于情志和地理环境等诱因，本病以肝脾不调、脾虚湿阻、清阳不升为主要病机，故吴节教授以“通阳”理论为指导，以疏肝解郁、益气升阳、健脾祛湿、固本培元为要法，方选补中益气汤化裁，并依据病情演变随证加减治疗本病。文章总结分析吴节教授运用补中益气汤治疗癔症样眩晕的临证经验与辨治思路，并附上典型医案一则，以期在中医疗法上对此类情志病合并眩晕病的复杂疾病提供诊疗思路。

Abstract: As social and environmental stress continues to increase, the number of patients with emotional disorders such as anxiety and irritability has gradually risen, and the clinical incidence of hysteroid vertigo has consequently increased. Given predisposing factors such as emotional disturbance and geographical environment, the primary pathogenesis of this disease involves liver-spleen disharmony, spleen deficiency with dampness obstruction, and failure of clear yang to ascend. Therefore, guided by the “dredging yang” theory, Professor Wu Jie adopts soothing the liver and relieving depression, replenishing qi and elevating yang, fortifying the spleen and eliminating dampness, and consolidating the root and cultivating primordial qi as the essential therapeutic principles. The selected formula is modified Buzhong Yiqi Decoction, with syndrome-based modifications according to disease evolution. This article summarizes and analyzes Professor Wu Jie’s clinical experience and approach to syndrome differentiation and treatment in using Buzhong Yiqi Decoction for hysteroid vertigo and presents a representative case, with the aim of providing diagnostic and therapeutic insights within traditional Chinese medicine for such complex conditions involving emotional disorders comorbid with vertigo.