韩冠先基于六经辨证治疗眩晕病经验介绍
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R241.5;R249

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第七批全国老中医药专家学术经验继承工作项目(国中医药人教函〔2022〕76号);河南省第三批中医药青苗人才项目(豫卫中医函〔2024〕14号)


Introduction to HAN Guanxian's Experience in Treating Vertigo Based on Syndrome Differentiation of Six-Meridian Theory
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    摘要:

    介绍韩冠先教授基于六经辨证治疗眩晕病的临床经验。韩冠先教授基于六经辨证,认为眩晕病的 核心病机为“少阳枢机不利为本,阳明热结,太阴水饮为标”。临证以“和法”统御全局,方选柴胡类方(柴 胡加龙骨牡蛎汤合柴胡桂枝干姜汤等) 调和少阳枢机,兼清阳明里热、温化太阴水饮;药用金石重镇(煅龙牡 磁石),平降逆气;寒温相伍(芩连配姜桂),燮理阴阳;通补同施(大黄伍参枣) 顾护胃气。兼以“忌食生 冷,劳逸相宜”行为调理,诊疗眩晕病,可获良效。

    Abstract:

    Abstract: This article introduces Professor HAN Guanxian's clinical experience in treating vertigo from the perspective of syndrome differentiation of six-meridian. Based on this theory, Professor HAN proposes that the core pathogenesis of vertigo is "the impaired pivot mechanism of Shaoyang as the root, accompanied by Yangming heat accumulation and Taiyin fluid retention as the branch." In clinical practice,he applies the "harmonizing method" as the overarching principle. Chaihu-associated prescriptions (such as Chaihu Jia Longgu Muli Decoction and Chaihu Guizhi Ganjiang Decoction) are primarily used to harmonize the Shaoyang pivot, while simultaneously clearing Yangming interior heat and warming and transforming Taiyin fluid retention. Metal-mineral Chinese medicinals with heavysedative effect (e.g., calcined Os Draconis, Ostreae Concha, and Magnetitum) are used to subdue adverse qi. The combination of cold and warm natured Chinese medicinals (such as Scutellariae Radix and Coptidis Rhizoma combined with Zingiberis Rhizoma and Cinnamomi Ramulus) harmonizes yin and yang. The simultaneous application of unblocking and tonifying methods (e.g.,Rhei Radix et Rhizoma combined with Ginseng Radix et Rhizoma and Jujubae Fructus) protects stomach qi. This is complemented by behavioral adjustments like "avoiding intake of uncooked and cold foods and balancing work with rest." This comprehensive approach yields satisfactory outcomes in treating vertigo.

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田仓瑜琦,李帅,指导:韩冠先.韩冠先基于六经辨证治疗眩晕病经验介绍[J].新中医,2026,58(2):140-143

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  • 在线发布日期: 2026-01-29
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