湖南中医药大学学报2025，Vol.45Issue(4)：736-741,6.DOI:10.3969/j.issn.1674-070X.2025.04.023
基于络病理论从"通补脑络"分期辨治梅尼埃病
Staged differentiation and treatment of Ménière's disease through"unblocking and tonifying brain collaterals"based on collateral disease theory
摘要
Abstract
Ménière's disease(MD)is a common inner ear disorder characterized by vertigo and is recognized as one of the diseases for which Chinese medicine has therapeutic advantages.Focused on the collateral disease theory,this article has explored its application in the staged differentiation and treatment of MD.During the acute attack phase of MD,the primary patterns are wind-fire disturbing upward with constriction of brain collaterals,and phlegm-turbidity obscuring upward with blood stasis in brain collaterals.The treatment emphasizes unblocking,targeting the constriction and blood stasis in brain collaterals,and clinically,formulas such as Tianma Gouteng Drink,Shaoyao Gancao Decoction,Zexie Decoction,and Erchen Decoction are commonly used.During the chronic remission phase,the main patterns are liver-spleen disharmony with qi stagnation in brain collaterals,liver-kidney yin deficiency with deficiency and stagnation in brain collaterals,and spleen-kidney yang deficiency with malnutrition of brain collaterals.The treatment focuses on tonification,addressing the deficiency and stagnation or malnutrition in brain collaterals,and clinically,formulas such as Tongxie Yao Formula,Zuogui Pill,Zhenwu Decoction,and Linggui Zhugan Decoction are commonly prescribed.The staged differentiation and treatment approach based on the collateral disease theory provides new insights and protocols for the Chinese medicine treatment of MD,helping to improve clinical efficacy and enhance quality of life of patients.关键词
梅尼埃病/络病理论/通补脑络/病因病机/辨证论治/理论探讨Key words
Ménière's disease/collateral disease theory/unblocking and tonifying brain collaterals/etiology and patho-genesis/pattern differentiation and treatment/theoretical exploration分类
医药卫生引用本文复制引用
李杰留,石智威,钟利群,王伟涛,卞旭东,蔡瑞,卫景沛,陈正光..基于络病理论从"通补脑络"分期辨治梅尼埃病[J].湖南中医药大学学报,2025,45(4):736-741,6.基金项目
国家重点研发计划课题(2018YFC1704106) （2018YFC1704106）
北京市自然科学基金面上项目(7232291) （7232291）
北京市中医药管理局中医药质量控制管理项目(BJZYY202411) （BJZYY202411）
北京中医药大学揭榜挂帅重点项目(2024-JYB-JBZD-002) （2024-JYB-JBZD-002）
北京中医药大学新教师启动基金项目(2020-JYB-XJSJJ-043). （2020-JYB-XJSJJ-043）
