安徽中医药大学学报2026，Vol.45Issue(3)：41-45,5.DOI:10.3969/j.issn.2095-7246.2026.03.009
通督调神针刺法联合加味舒肝定眩汤治疗肝郁气滞型持续性姿势—知觉性头晕临床观察
Clinical Effect of Tongdu Tiaoshen Acupuncture Combined with Jiawei Shugan Dingxuan Decoc-tion in Treatment of Persistent Posture-Perceptual Dizziness with Liver-Qi Stagnation Syndrome
摘要
Abstract
Objective To investigate the clinical effect of Tongdu Tiaoshen acupuncture combined with Jiawei Shugan Dingxuan Decoc-tion in the treatment of persistent postural-perceptual dizziness(PPPD)with liver-Qi stagnation syndrome.Methods A total of 60 pa-tients with PPPD were randomly divided into treatment group and control group,with 30 patients in each group.The patients in the treatment group received Tongdu Tiaoshen acupuncture combined with Jiawei Shugan Dingxuan Decoction,and those in the control group received oral administration of escitalopram oxalate.Dizziness Handicap Inventory(DHI)was used to assess the degree of dizziness and balance disorders;Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)were used to assess the severities of anxiety and depression;the liver-Qi stagnation scale was used to determine traditional Chi-nese medicine(TCM)syndrome score;the criteria for assessing treatment outcomes were developed based on the improvement rate of DHI score.Results After treatment,both groups had significant reductions in DHI,HAMA,and HAMD scores and TCM syndrome score(P＜0.05),and the treatment group had significantly greater reductions in these indicators compared with the control group(P＜0.05).The treatment group had a significantly better clinical outcome than the control group(P＜0.05).Conclusion Tongdu Tiaoshen acupuncture combined with Jiawei Shugan Dingxuan Decoction can effectively alleviate vertigo,anxiety,and depression in patients with PPPD.关键词
持续性姿势—知觉性头晕/眩晕/通督调神/舒肝定眩汤Key words
Persistent postural-perceptual dizziness/Vertigo/Tongdu Tiaoshen/Shugan Dingxuan Decoction分类
医药卫生引用本文复制引用
余菁菁,张磊,李梅,严康,张国庆..通督调神针刺法联合加味舒肝定眩汤治疗肝郁气滞型持续性姿势—知觉性头晕临床观察[J].安徽中医药大学学报,2026,45(3):41-45,5.基金项目
国家中医优势专科建设脑病科项目(国中医药医政函[2024]90号) （国中医药医政函[2024]90号）
安徽省中医药管理局中医药传承创新项目(2024ZYYXH021) （2024ZYYXH021）
安徽中医药大学第二附属医院人才支持计划(杏林计划)项目(0500-48-37) （杏林计划）
