现代中医临床2026，Vol.33Issue(4)：11-14,4.DOI:10.3969/j.issn.2095-6606.2026.04.003
仲景"痰饮致眩"辨治梅尼埃病探析
Theoretical analysis and case studies on treating Meniere's disease based on Zhang Zhongjing's theory of"dizziness caused by phlegm-fluid retention"
摘要
Abstract
Meniere's disease(MD)is characterized by episodic vertigo,fluctuating hearing loss,and tinnitus,and is classified under the category of xuanyun(vertigo)in Traditional Chinese Medicine.The principle proposed in Shanghan Zabing Lun(Treatise on Cold Damage and Miscellaneous Diseases)—that"phlegm-fluid retention disorders should be treated with warm herbs for harmonization"—has become the core rule for differentiating and treating xuanyun caused by phlegm-fluid retention in later generations.The zang-fu pattern differentiation of xuanyun due to phlegm-fluid retention includes:heart yang insufficiency with water qi overwhelming the heart;lung failing to disperse and descend with fluid retention in the upper jiao;spleen failing to transport and transform with fluid retention in the middle jiao;and kidney failing to vaporize and transform with fluid retention in the lower jiao.The corresponding herbal formulas are:Guizhi Jiagui Decoction(Cinnamon Twig Decoction with Extra Cinnamon)for heart yang insufficiency,Gancao Ganjiang Decoction(Liqorice and Dried Ginger Decoction)for lung cold with fluid retention,Zexie Decoction(Alisma Rhizome Decoction)for spleen deficiency with damp retention,and Zhenwu Decoction(True Warrior Decoction)for kidney yang deficiency.The core pathogenesis of xuanyun due to phlegm-fluid retention is rebellious water qi surging upward.This is further elaborated with a clinical case study to illustrate Zhang Zhongjing's theory of"dizziness caused by phlegm-fluid retention"in the differentiation and treatment of MD.关键词
梅尼埃病/痰饮致眩/水气上冲/理论探析Key words
Meniere's disease/dizziness caused by phlegm-fluid retention/rebellious water qi surging upward/theoretical analysis分类
医药卫生引用本文复制引用
王俪臻,王锐郝庚,孙梦颖,李彤,崔友祥,王庆国..仲景"痰饮致眩"辨治梅尼埃病探析[J].现代中医临床,2026,33(4):11-14,4.基金项目
国家自然科学基金项目(No.U21A20400) （No.U21A20400）
河北省自然科学基金项目(No.H2024110042) （No.H2024110042）
