时珍国医国药2025，Vol.36Issue(20)：3896-3900,5.DOI:10.70976/j.1008-0805.SZGYGY-2025-2014
基于"上病下取"理论的热敏灸治疗痰湿中阻型颈性眩晕的临床观察
Clinical observation on heat-sensitive moxibustion for cervical vertigo of phlegm-dampness obstructing middle jiao pattern based on treating the upper disorders by stimulating the lower regions
摘要
Abstract
Objective To observe the clinical efficacy of heat-sensitive moxibustion(HSM)guided under treating the upper disorders by stimulating teh lower regions theory in patients with cervical vertigo(CV)of phlegm-dampness obstructing middle jiao pattern.Meth-ods A total of 100 patients with CV of phlegm-dampness obstructing middle jiao pattern were randomly assigned to two groups:the HSM group and the mild moxibustion(MM)group,with 50 patients in each.The HSMG received HSM treatment once daily for 3 consecutive weeks.The MMG received mild moxibustion treatment.The Evaluation Scale for Cervical Vertigo(ESCV)scores,Dizziness Handicap Inventory(DHI)scores,and Vertigo Visual Analog Scale(VAS)scores were assessed in both groups before and after treatment.Plasma levels of endothelin-1(ET-1)and calcitonin gene-related peptide(CGRP),as well as hemodynamic parameters,were also mea-sured.Clinical efficacy was evaluated after treatment.Results After treatment,scores of the ESCV total and its subscales,plasma CGRP levels,and the mean blood flow velocity of the vertebrobasilar artery increased significantly in both groups(P<0.05).Scores of the DHI,VAS,and plasma ET-1 levels decreased significantly in both groups(P<0.05).Moreover,the HSM group showed signifi-cantly greater improvements in all the above-mentioned indices compared to the MM group(P<0.05).Conclusion Both HSM and MM,guided by treating the upper disorders by stimulating the lower regions theory,can effectively alleviate vertigo symptoms in patients with CV of phlegm-dampness obstructing middle jiao pattern,modulate plasma levels of vascular factors(ET-1,CGRP),and alleviate the mean blood flow velocity of the vertebrobasilar artery.Furthermore,the efficacy of HSM was more significant than that of MM.关键词
颈性眩晕/上病下取/热敏灸/眩晕障碍量表/血流动力学Key words
Cervical vertigo/Treating the upper disorders by stimulating the lower regions/Heat-sensitive moxibustion/Dizzi-ness Handicap Inventory/Hemodynamics分类
医药卫生引用本文复制引用
李春宁,杨琪琪,张振丰,鲍亮,姜天鑫,李飞..基于"上病下取"理论的热敏灸治疗痰湿中阻型颈性眩晕的临床观察[J].时珍国医国药,2025,36(20):3896-3900,5.基金项目
国家青年岐黄学者支持项目[国中医药人教函(2022)256号] （2022）
安徽省自然科学基金面上项目(2308085MH297) （2308085MH297）
安徽高校自然科学重大研究项目(2023AH040099) （2023AH040099）
安徽高校自然科学重点研究项目(KJ2021A0549) （KJ2021A0549）
