摘要
系统总结丰广魁教授运用菊花钩藤汤治疗眩晕的临证经验。丰广魁教授认为眩晕辨证以阴虚阳亢为主者,治疗当以滋阴潜阳为主,针对阴虚阳亢型中,阴虚为主,阳亢为次者,以自拟方菊花钩藤汤为基础方,灵活加减治疗眩晕病,临床疗效显著,为临床辨治提供新思路。方中菊花甘,苦,微寒,入肝经,能清肝热,平肝阳。钩藤甘凉,归肝、心包经,功擅熄风止痉、清热平肝,与菊花相须为用,共奏平抑肝阳之效;地黄甘寒质润,滋阴养血,填补肝肾之阴,为治本之要药;赤芍苦微寒,清热凉血、活血散瘀,既可佐制阳亢化火之势,又能改善脑络瘀滞;牛膝苦甘酸平,引血下行,补肝肾而强筋骨,使浮越之阳得以下潜;葛根甘辛凉,升发清阳而通络解痉,既可缓解眩晕之标,又能改善脑部供血;桑寄生苦甘平,补肝肾、强筋骨,与牛膝协同增强滋肾平肝之效。诸药配伍,标本兼顾,共成滋阴潜阳、熄风定眩之良方。该治疗策略深刻体现了中医“治病求本”的核心理念,通过调和阴阳、标本兼治的手段,显著改善了患者的眩晕症状及其伴随体征。此经验不仅丰富了眩晕治疗的方法体系,而且凸显了中医辨证论治的灵活性与科学性。对此,该文对眩晕的病因病机、临证经验等进行分析,并对丰广魁教授提出的菊花钩藤汤从中医学、现代药理学等角度进行深入分析。
This paper analyzes and summarizes Professor Feng Guangkuis experience in treating vertigo with the self-designed formula of Chrysanthemum Uncaria Decoction.Professor Feng believes that for vertigo cases mainly characterized by yin deficiency and yang hyperactivity,the treatment should focus on nourishing yin and subduing yang.For cases where yin deficiency is the primary issue and yang hyperactivity is secondary,the Chrysanthemum Uncaria Decoction is used as the basic formula,with flexible additions and subtractions to treat vertigo,achieving good therapeutic effects and providing new ideas for clinical diagnosis and treatment.Chrysanthemum,which is sweet,bitter,and slightly cold,enters the liver meridian and can clear liver heat and subdue liver yang.Uncaria,which is sweet and cool,enters the liver and pericardium meridians,and is skilled at calming wind and stopping spasms,as well as clearing heat and subduing liver yang.When used in combination with chrysanthemum,they work together to subdue liver yang.Rehmannia,which is sweet,cold,and moist,nourishes yin and enriches blood,and replenishes the yin of the liver and kidneys,making it a key drug for treating the root cause.Red peony root,which is bitter and slightly cold,clears heat and cools blood,and promotes blood circulation and removes blood stasis.It not only restrains the hyperactivity of yang and the generation of fire but also improves the stasis of cerebral vessels.Achyranthes bidentata,which is bitter,sweet,sour,and neutral,leads blood downward,nourishes the liver and kidneys,and strengthens the muscles and bones,allowing the floating yang to subside.Pueraria lobata,which is sweet,pungent,and cool,raises clear yang,unblocks the meridians,and relieves spasms.It not only alleviates the symptoms of vertigo but also improves cerebral blood supply.Taxillus chinensis,which is biter,swet,and neutral,nourishes the liver and kidneys and strengthens the muscles and bones.When used in combination with achyranthes bidentata,it enhances the effect of nourishing the kidneys and subduing the liver.The combination of these drugs takes into account both the symptoms and the root cause,forming an excellent formula for nourishing yin,subduing yang,calming wind,and stabilizing vertigo.This treatment strategy deeply embodies the core concept of"treating the root cause"in traditional Chinese medicine.By balancing yin and yang and treating both the symptoms and the root cause,it significantly improves the vertigo symptoms and accompanying signs of patients.This experience not only enriches the methodological system for treating vertigo but also highlights the flexibility and scientific nature of traditional Chinese medicine's syndrome differentiation and treatment.Therefore,this paper analyzes the etiology and pathogenesis of vertigo and the clinical experience,and conducts an in-depth analysis of Professor Feng Guangkuis Chrysanthemum Uncaria Decoction from the perspectives of traditional Chinese medicine and modern pharmacology.
作者
庞云
宋斐
英童云
杜青
顾霜
PANG Yun;SONG Fei;YING Tongyun;DU Qing;GU Shuang(Lianyungang First People's Hospital,Lianyungang 222002,Jiangsu,China;Lianyungang Traditional Chinese Medicine Hospital,Lianyungang 222004,Jiangsu,China)
出处
《实用中医内科杂志》
2025年第8期73-76,共4页
Journal of Practical Traditional Chinese Internal Medicine
基金
全国名老中医药专家传承工作室建设项目(国中医药人教函[2022]75号)
连云港市中医药科技发展计划项目(YB202315)
连云港市级名老中医药专家传承工作室建设项目(连卫中医[2023]12号)。
关键词
眩晕
阴虚阳亢证
菊花钩藤汤
丰广魁
名医经验
Vertigo
Yin deficiency and hyperyang syndrome
Juhua Gouteng Decoction
FENG Guangkui
Famous doctor experience
