[1]李润民,孙海洋,刘源香.良性阵发性位置性眩晕中医证候分布及用药规律研究[J].西部中医药,2022,35(06):75-79.[doi:10.12174/j.issn.2096-9600.2022.06.20]
　LI Runmin,SUN Haiyang,LIU Yuanxiang.The Distribution of TCM Syndromes and Medication Laws of Benign Paroxysmal Positional Vertigo[J].Western Journal of Traditional Chinese Medicine,2022,35(06):75-79.[doi:10.12174/j.issn.2096-9600.2022.06.20]
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良性阵发性位置性眩晕中医证候分布及用药规律研究
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
35
期数:
2022年06期
页码:
75-79
栏目:
出版日期:
2022-06-15

文章信息/Info

Title:
The Distribution of TCM Syndromes and Medication Laws of Benign Paroxysmal Positional Vertigo
作者:
李润民1, 孙海洋2, 刘源香2
1.山东中医药大学中医学院，山东 济南 250014
2.山东中医药大学第一临床学院
Author(s):
LI Runmin1, SUN Haiyang2, LIU Yuanxiang2
1.School of TCM, Shandong University of Traditional Chinese Medicine, Jinan 250014, China
2.The First Clinical College, Shandong University of Traditional Chinese Medicine
关键词:
良性阵发性位置性眩晕; 文献研究; 中医证候分布; 用药规律
Keywords:
benign paroxysmal positional vertigo; literature study; the distribution of TCM syndromes; medication laws
分类号:
R255.3
DOI:
10.12174/j.issn.2096-9600.2022.06.20
文献标志码:
A
摘要:
目的探究良性阵发性位置性眩晕的中医证候分布与用药规律。 方法通过计算机检索近二十年有关良性阵发性位置性眩晕的文献，将符合纳入标准的文献进行统计分析，提取其中医证型、证素及高频药物性味、归经、功效类别，并对证素、高频药物行聚类分析。 结果良性阵发性位置性眩晕最常见的中医证型为风痰上扰证。病位证素5个，病性证素11个。30种高频中药的性味以温性、甘味最多，归经则以脾、肝、肾三经为首。功效类别方面，以补气药、平肝熄风药、利水渗湿药、理气药四类最多。证素聚类分析提示了证素“肝”的核心地位，4个药物聚类分析单元则分别针对“阴虚”“瘀血”“气虚”“痰湿”“阳亢”病机。 结论良性阵发性位置性眩晕具有“肝脾为先，首重风痰，虚实夹杂，因虚致实”的证型、证素分布特点。治疗时具有“辛散祛风，苦燥除痰，甘温补益”的用药规律。
Abstract:
ObjectiveTo explore the medication laws and TCM syndrome distribution of benign paroxysmal positional vertigo（BPPV）. MethodsThe literature was searched by computer for nearly two decades, the papers met the inclusion criteria were statistically analyzed, to extract TCM syndromes, syndrome elements, the nature and flavor, meridian tropism, efficacy category of high-frequency medicine, and perform cluster analysis of syndrome element and high-frequency medicine. ResultsThe common TCM syndrome of benign paroxysmal positional vertigo was wind phlegm disturbance syndrome. There were five syndrome elements of disease location and 11 syndrome elements of disease natures. All 30 kinds of high-frequency medicines are of warm and sweet mostly, and the meridian tropism enters spleen, liver and kidney. In terms of efficacy category, four types are the most: the drugs of tonifying Qi, liver-calming and convulsion-relieving, promoting diuresis and excreting dampness, regulating Qi. Cluster analysis of syndrome elements suggested the core place of syndrome element "liver", four units of drug cluster analysis are aiming at the pathogenesis of "Yin deficiency" "blood stasis" "qi deficiency" "phlegm dampness" "Yang hyperactivity" respectively. ConclusionThe disease has the distribution characteristics of syndrome types and syndrome element "liver and spleen first, paying attention to wind phlegm, deficiency and excess mixed, and excess caused by the deficiency". The treatment has the medication law of "eliminating wind by pungent-dispersing herbs, resolving phlegm by bitter-dryness herbs, tonifying by sweet-warming ones".

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备注/Memo

备注/Memo:
李润民（1995—），男，硕士学位。研究方向：中医脑病的临床及文献研究。山东省重点研发计划资助项目（2017GSF19116）；山东省中医药科技发展计划项目（2019-0178）。
更新日期/Last Update: 2022-06-24