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个人资料

昵称: 眩晕病专家
姓名: 李大夫
性别:
生日: 1946-3-18
星座:
学历:
院校:
行业: 医疗服务
头衔:
位置: 中国-河南-郑州
家乡: --
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个人简介:
李淑珍:女, 副主任医师。中共党员。一九六一年参军,原河南省武警医院内科专家,从事医疗工作40余年。现任郑州市管城中医院眩晕科门诊部主任。她对由于肝阳上亢,气血亏虚,肾精不足,痰湿中阻,瘀血内停,六淫外袭等原因所导致的眩晕病症有独到见解。有效的预防患者病情的复发和反弹,使整体机能得以恢复,彻底摆脱眩晕病的困扰!
座右铭:
为病人解除痛苦是我们做医生的天职

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日志栏目

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    日志

    “微米汤剂”治眩晕、头晕、美尼尔综合症(置顶日志)

    分类:默认栏目

    “微米汤药”治眩晕
          由我院独家研制的纯中药制剂-微米汤剂系列药物( 采用传统粉散技术与现代微米技术相结合的方式,将规范炮制的单味中药饮片加工为微米范围,通过短时间的煎煮就能使某些无机分子或难溶性的矿物等药物的有效成份充分溶出。内含活性因子RJ可提高体内血液的携氧力,加速新陈代谢。

          对于眩晕这种疾病,目前,西医没有很好的办法,只能靠输液扩充血管来一时缓解症状,很容易反复,但中医中药在治疗眩晕病方面已经取得了骄人的成就,可以从根本上彻底治疗这种疾病了。 我们的治疗理念是“病因为本、症状为标,必伏其所主,而先其所因诸风掉眩,皆属于肝”。我们的治疗观点是“祛风为主,治痰为先”。故我们采用平肝潜阳,健脾益气,化痰降逆,益气养阴等方法治疗眩晕病,疗效显著,一般3天既可解除眩晕症状(1-3个)疗程即可达到治愈的目的。

          “微米汤剂”系列药物对各种疾病引起的“眩晕”均有较好疗效,尤其对西医诊断为“高血压、贫血、妇女气血两亏引起的眩晕、颈椎、腰椎病、美尼尔氏综合症、心脑血管疾病,植物神经紊乱,更年期综合症,肾上腺皮质机能减退,前庭神经元炎,内听动脉阻塞,脑震荡及其后遗症,眼屈光不正,劳累过度,化学物品中毒、天热中暑”等等引起的,“微米汤剂”系列药物更具有显著的疗效,“微米汤剂”系列药物在消除眩晕症状的同时,对人体肝、肾、心、脾、肺进行全面调理,明显增强人体免疫力,使脑组织得到充足的、高质量的血液和氧,从而能够保护(或降复受损的脑神经)、阻止重大疾病的发生,而且“微米汤剂”系列药物还可以把眩晕患者常伴有的心惊失眠、耳鸣耳聋、手面麻木、潮热盗汗、痰多胸闷、恶心呕吐、神疲倦怠、面色苍白、头疼健忘、易躁易怒、腰膝酸软、肢体震颤等症也都能得到治疗。
          我院眩晕科主要是以中医为主,增强人体平衡能力,清眩治晕,清心醒脑, 以治其标;并提高自身的抵抗力,促使肾精充盛、气血冲和、五脏安宁、阴平阳秘、阴 阳调合,以治其本,达到标本兼治的目的。
          本中心“抑晕系列药物”经上千例临床应用,效果显著,一次性治疗即可解除眩晕,
    达到清眩治晕,清心醒脑,使大脑重新获得充足的精力和体力。一般患者只需3天即可解除眩晕症状。按疗程服用1-3个疗程即可治愈。该疗法简便易行,已成为良性阵发性位置性眩晕的 首选药物。

    美尼尔氏综合症

    分类:默认栏目

    【美尼尔氏综合症得名】

    美尼尔氏综合症1861年Meniere医生,翻译成中文,这位医生叫美尼尔也称梅里埃,他对平衡器官作了解剖,发现平衡器官有异常病理改变,压力增大,循环障碍,保持不了液体平面,从而揭开了眩晕的由来。人们为了纪念他,从此把此种眩晕症与Meniere医生的名子联系在一起,从此这种眩晕症称为美尼尔氏综合症。


    【什么是美尼尔氏综合症?】

    美尼尔氏综合症是中老年人较为常见的一种疾病。此病是以突发的剧烈眩晕,并伴有耳鸣、耳聋及恶心呕吐之主证,故又称“内耳眩晕症”。该病常反复发作及有明显的缓解期。究其原因系肝肾不足,肝阳上亢和痰火痰饮等所致。美尼尔氏综合症是以膜迷路积水的一种内耳疾病。本病以突发性眩晕、耳鸣耳聋眼球震颤为主要临床表现,眩晕有明显的发作期和间歇期。病人多数为中年人,患者性别无明显差异,首次发作在50岁以前的病人约占65%,大多数病人单耳患病。

    美尼尔氏综合症的症状各人不尽相同,发作期的主要症状为:发作突然,可在任何时间发作,甚至入睡后也可发作。最常见的症状是:病人睁眼时,感觉房子或周围物体在转动,闭眼时则自觉身体在旋转,眩晕来势猛烈时可使病人突然倒地。发作期间病人睁眼或转动头部则症状会加重,故大多数病人闭目静卧,头部和身体都不敢转动。多数病人在发作时出现单侧耳鸣及耳聋,少数是双侧的。约25%的病人在发作前已有耳鸣及耳聋出现,而在发作后加重。

    其余约25%在发作后才逐渐出现耳鸣或耳聋。耳聋属于神经性,发作剧烈时耳鸣也加重,发作时病人常伴有不敢睁眼、恶心、呕吐、面色苍白、出汗、甚至腹泻、血压多数偏低等一系列症状。部分病人伴有头痛;一般病人的意识清醒。

    发作期转为间歇期有两种形式:一种是眩晕及伴随症状突然消失,一种是眩晕逐渐变为头昏逐渐消退。美尼尔氏病的间歇期长短不一,从数月到数年,每次发作和程度也不一样。而听力随着发作次数的增加而逐渐减退,最后导致耳聋。


    美尼尔氏综合症病因】

    美尼尔氏综合症为一突然发作的非炎性迷路病变,具有眩晕、耳聋、耳鸣及有时有患侧耳内闷胀感等症状的疾病。多为单耳发病,其发病原因不明,男女发病率无明显差异,病人多为青壮年,60岁以上老人发病罕见,近年亦有儿童病例报告,病程多为数天或周余。关于病因、学说甚多,尚无定论,如变态反应、内分泌障碍、维生素缺乏及精神神经因素等引起自主神经功能紊乱,因之使血管神经功能失调,毛细血管渗透性增加,导致膜迷路积水,蜗管及球囊膨大,刺激耳蜗及前庭感受器时,引起耳鸣、耳聋、眩晕等一系列临床症状。此病不经过治疗,症状可缓解,虽可反复发作,发作时间间隔不定,但也有发作一次不再发作者。


    美尼尔氏综合症临床表现】


    1、 眩晕 往往无任何先兆而突然发作的剧烈的旋转性眩晕,常从梦睡中惊醒或于晨起时发作。病人自诉周围物体绕自身旋转,闭目时觉自身在空间旋转。病人常呈强迫体位,不敢梢动,动则可使眩晕症状加重。在发病期间神志清楚。发作时有恶心、呕吐、出冷汗、颜面苍白及血压下降等症状。数小时或数天后,眩晕症状逐渐消失。

    2、 听力障碍 听立为波动性感音性耳聋,在早期眩晕症状缓解后,听力可大部或完全恢复,可因多次反复发作而致全聋。部分病人尚有对高音听觉过敏现象。

    3、 耳鸣 为症状发作前之可能先兆,耳鸣为高音调,可能轻重不一,在发作前病人可能耳鸣加重,发作停止,耳鸣可逐渐消失。

    4、 同侧头及耳内闷胀感,多数病人有此症状,或感头重脚轻。


    【美尼尔氏综合症类型】

    美尼尔氏综合症可分为八种类型,分型对诊断和治疗具有重要指导意义。

    1、 普通型,眩晕、耳鸣、恶心、呕吐、出汗等症状同时出现,又称常见型。

    2、 首发耳鸣型,耳鸣发生在其它症状之前,数月、数周数年。

    3、 重耳鸣型:耳鸣表现重。耳鸣发生了,眩晕易发作,眩晕表现重,耳鸣也重。眩晕治疗好了,耳鸣未好,眩晕必复发。

    4、 无耳鸣型,眩晕发作5次以上无耳鸣,称无耳鸣型。

    5、 突发耳聋型,眩晕发作过程中,由于压力特大,膜述路破裂,发生突然耳聋。耳聋多—侧,亦有双侧交替发生。 耳聋早期治疗效果理想。

    6、 延缓眩晕型,波动性、神经性、进行性耳鸣、听力下降,(短时间不发生眩晕)复数年甚至20年才出现眩晕。

    7、 隐藏耳鸣型,病人外表表现没有耳鸣,但耳内有堵塞、闷胀、闷热、瘙痒、微痛的感觉,这是一种隐藏无耳鸣型美尼尔氏综合症。

    8、 眩晕状态型,一个月内发作三次以上,患者处于眩晕状态,称眩晕状态型,又称重型。

       突发耳聋型,是某膜迷路部位由于压力特大,膜迷路部位突然发生破裂致突发耳聋。早期服眩晕尼尔康,能恢复听力。另外重耳鸣型,单治好了眩晕,如果耳鸣没治好,不能有效的防止复发。眩晕状态型是美尼尔氏综合症中的最重型。对机体的影响很大,有危险性。重视治疗的同时要加强护理


    美尼尔氏综合症治疗】


    由于对其病因论点不一,所以在临床上治疗方法也多。美尼尔氏综合症可用药物或手术治疗,有时此病不治疗也可消失,但也可能严重影响到患者的生活以至不得不作手术以破坏内耳结构

    1、 美尼尔氏综合症一般治疗

      发作时要静卧,戒急躁,进清淡低盐饮食,限制入水量,忌用、酒、茶。在间歇期要鼓励病人锻炼身体,增强体质,注意劳逸调度适当。


    2、 美尼尔氏综合症药物治疗

    医院采用输液的办法治疗美尼尔氏综合症(内耳眩晕症),能治好吗?

    答:输液是一种治疗美尼尔氏综合症的办法,临床验证部分病人能够缓解,多数病人效果不好。如果在液体中加上具有利尿作用的药,效果能好些, 输液能够缓解眩晕的症状。能够暂时降低平衡器官中的迷路淋巴循环的压力,所以输液是一种缓解性的治疗。


    3、美尼尔氏综合症外科治疗

    不是所有的美尼尔氏综合症的患者都可以手术,手术只适用于,药物治疗无效,病人又丧失工作能力的。局限于单侧有病的患者。具统计美尼尔氏综合症只有5%的患者在手术治疗范围。又要减去病人有心脑肝肺脾肾脏器有病的,可以手术的很小。手术概括为 :破坏性、半破坏性、保守性3种类型 。

    手术治疗,适应用于严重者:内淋巴囊减压术,球囊造瘘术、迷路破坏术,前庭神经切断术。一般的病人多不接受破坏性、半破坏性手术。现简单介绍保守手术。保守手术有多种,有内淋巴囊切开术、球囊减压术、交感神经切断术、鼓索神经切断术、内淋巴蛛网膜下腔分流、镫骨底板开窗术和内淋巴囊乳突腔分流等。综合分析,多是开窗减压术。 国际眩晕学术会总结性的说,手术治疗不理想,短时间开窗减压术有一定的作用。

    4、中药治疗
        对于美尼尔氏综合症这种疾病,目前,西医没有很好的办法,只能靠输液扩充血管来一时缓解症状,很容易反复,但中医中药在治疗美尼尔氏综合症方面已经取得了骄人的成就,由我院独家研制的纯中药制剂-微米汤剂系列药物可以从根本上彻底治疗这种疾病了。 我们的治疗理念是“病因为本、症状为标,必伏其所主,而先其所因诸风掉眩,皆属于肝”。我们的治疗观点是“祛风为主,治痰为先”。故我们采用平肝潜阳,健脾益气,化痰降逆,益气养阴等方法治疗美尼尔眩晕病,疗效显著,一般3天既可解除美尼尔氏综合症症状(1-3个)疗程即可达到治愈美尼尔氏综合症的目的。
    美尼尔氏综合症遗传学
    一、眩晕、耳鸣、耳聋属中医肾虚范畴,肾为先天之本,故常见有遗传性,有一定的家族聚积。
    二、如为痰瘀所致,脾阳不足,肝阳上亢等实证则少见遗传。  

    眩晕病专家-老年眩晕的急救

    分类:默认栏目

     随着年龄的增长;特别是过了59岁以后,人体内的血管(尤其是动脉)相继硬化,脑动脉更是如此、同时,颈椎骨亦随着年龄增长而老化,表现颈椎骨质增生、颈椎骨排列由原先向前弧形弯曲消失而变直、颈椎骨间隙变窄而导致颈项变短。这样,形成供应脑部血流的推动脉因硬化而延长,颈椎因老化而变短,使推动脉在颈椎骨间扭曲或扭曲成圈。在平卧或体位不变动时,流向脑部的血流尚可勉强满足,但在转动头部时,颈部硬化了的椎动脉就扭曲加剧或被颈椎增生骨刺压迫,使流向脑部的血流急剧减少。此时就出现了头晕目眩、睏倦无力,甚至手脚麻木、走路不稳,恶心、呕吐等。     现场处理方法是立即卧床休息,放正头部,并服“西比灵(盐酸氟桂嗪)”2片(每片5毫克),一天1次;或“尼莫地平”2片(每片20毫克),一天3次3为防止发生半身不遂,可加服“阿司匹林”1片,一日1次;也可服“藻酸双醋钠”2片(每片50毫克),一天3次。平素饮食中应多吃含有丰富维生素C的蔬菜;水果,少食含动物脂肪的荤食,如动物肝脏及肥肉等。在转动头部或抬头看高处时,动作应缓慢,坐车勿打磕睡,以防头部过度摆动而发病。

     
     

    "Micron soups" for dizziness, vertigo, Meniere's s

    分类:默认栏目

    "Micron him for the medical" rule by the Zhengzhou hospital vertigo vertigo Branch exclusive developed a preparation of pure Chinese medicine-micron soups drug Series (using the traditional powder scattered micron technology and modern technology in a form that combines will standardize the processing of single decocting pieces of micron processing, Boiling through short can make some inorganic elements or insoluble minerals and other drug ingredients fully effective dissolution. Intron - RJ factor can improve the body's oxygen-carrying blood, and accelerate metabolism. Vertigo for the disease, at present, Doctors not a good solution, we can only depend on the expansion of vascular infusion 1:00 to alleviate symptoms, easily repeated, But Chinese medicine in the treatment of vertigo disease has been made remarkable achievements, from the fundamental and thorough treatment of this disease. Our treatment philosophy is the "cause-oriented, symptoms superscript, they must Overhead owners, and because it first. Zhu Feng swap dizzy, all belonging to the liver. " Our view is for "expelling wind, for the first inpatients. " Therefore, we have adopted Calming-yang, Jianpi Yiqi, Huatan Jiangni, Yiqiyangyin treatment of vertigo and other diseases, efficacy significantly, general can lift three days vertigo symptoms (1-3) treatment can be cured purposes. "Micron soups" series of drugs against diseases caused by the "Vertigo" are good effect, especially for Doctors diagnosed as "hypertension, anemia, two women qi and blood loss caused by vertigo, cervical and lumbar intervertebral disc, Meniere's disease, cardiovascular disease, nerve disorders, Menopausal Syndrome, adrenal hypofunction, vestibular neurons in charge of the internal auditory artery obstruction, brain concussion and its aftermath. ametropia eyes, to overwork, chemical poisoning, the days of heat stroke ", and so forth. "Micron soups" series of drugs more significant effect, "Micron soups" series in eliminating drug symptoms of vertigo, on human liver, kidney, heart, spleen, lung comprehensive nursed significantly boosts the human immune system and brain tissues of adequate, quality of blood and oxygen and thus to be able to protect (or drop Minute damaged brain), to prevent the occurrence of major diseases. and "Micron soups" series of drugs can also be used in patients with vertigo accompanied some startling insomnia, tinnitus, deafness, numbness of hands, hot flushes night sweating, sputum tightness in the chest, nausea and vomiting, cardinal burnout, paleness, headaches, forgetfulness, irritability easy rash, these medicines are worth trying. Tremor appetite limb can also be treated. Vertigo Division I center mainly from Chinese, enhance human balance, Qingxuan halo, Qingxin Xingnao to treat the symptoms; and enhance its resistance prompted reinforce it rapidly, the body and flushing, but it peace. Yin Pingyang secretary, yin and yang harmony to treat this. achieve the objective causes. The center "curb drug Halo series of" thousands of cases of clinical application, the results are obvious. discharge of a one-time treatment of vertigo, reaching Qingxuan halo, Qingxin Xingnao. enable the brain to regain sufficient energy and strength. Patients generally only three days vertigo symptoms can be lifted. treatment by taking 1 - three courses can be cured. The therapy is simple, has become benign paroxysmal positional vertigo drug of choice.

    Dizziness, vertigo, Meniere's syndrome Analysis of

    分类:默认栏目

    An ailing : a white, male, aged 48, address : Fujian Run at the White County town of fewer Ma Hang newly diagnosed : February 3, 2000 complaint : in 10 patients before skin for animated characters vertigo, tinnitus, hearing loss, nausea, vomiting, paleness, nervous sweating, and shut bedridden, not emancipated, a hospital diagnosis of inner ear vertigo, and sedation services oryzanol drugs, slightly alleviate symptoms, but 10 to frequent seizures, every 1 -2 seizures a day, will be affected by this course, Emotion is not SHU occurrence of such symptoms. Inspection : no concept of the quality of its short and thin white fur, attending his veins Shen slide diagnosis : Vertigo inner ear disease (Meniere's syndrome) treatment : a drug treatment after symptoms were alleviated, from 1 -2 attack a day cut for an attack on the 6th meeting, a course of treatment services, not private prosecution of this month vertigo attacks, relieve tinnitus, and hearing as usual, the concept of normal tongue, pulse beam relaxation, served to consolidate two treatment efficacy, six months after the follow-up had no recurrence assessment : The disease of the inner ear disease, the Department of the inner ear endolymphatic hydrops, also known as Meniere's syndrome, the performance of paroxysmal vertigo. tinnitus and hearing loss volatility, the exact cause is not yet clear. that the general may be due to autonomic dysfunction caused labyrinthine artery spasm, local hypoxia, Lymphatic have led to the inner ear or excessive absorption barriers caused membranous labyrinth of stagnant water. We think that the disease is "Vertigo" areas. "- Asked to be really big" a "swap dizzy from the wind, were from liver" cause expositions. "Danxi decided to Touhuan" partial owners in the sputum, there is "no sputum not dazzled" proposal, "for inpatients first" approach. Because patients with splenic injuries Root, missing Secretary-operation, resulting in water of the Valley not subtle, gather wet producing phlegm and dampness obstructing, or non-yang, Cloud overcast decline, coupled with the fire of bones, liver dark consumption, or wind-yang dynamic, dagger nuisance emptied, then the vertigo, so we used Calming-yang, expectorant and removing the laws, and to a machine, his testimony Haman. Case 2 : LONG, female, 69 years old, address : Wufeng County, Hubei Province J.C.R.R. specialty technology center for the promotion of newly diagnosed : October 6, 04 chief complaints : dizziness for more than 10 years. nearly two months of repeated attacks, with the Pan-strength, weight loss, in a hospital outpatient services Liuweidihuang Tonga mei more than 40 agents, results are poor, I passed through to hospital treatment and diagnosis : vertebrobasilar insufficiency caused by the treatment of vertigo : medication six days, ventigo mitigation, the spirit of improvement, vomiting disappeared, the consumption can still mild nausea and fatigue. Taking three consecutive treatment (3 months), Vertigo has not flared up, and restore the spirit, appetite increase. Looking rosy, three kilograms of weight gain, all except Period, the follow-up has not been recurrence. Analysis : Vertigo a permit because of the complex to be on trial for governance, we have adopted a "cause-oriented, marked symptoms, they must Overhead owners, and his first because of "the treatment program, so they chose - even if. Characteristics therapy : The last section of vertigo plus a card for complex reasons to be on trial for governance, we have adopted a "cause-oriented, symptoms subscript, it will Overhead owners, and because it first. "" Q-to really big "" Zhu Feng swap dizzy, all belong to the liver. " Causes such expositions. "Danxi decided to Touhuan" partial owners in the sputum, phlegm without any dizzy "proposal," for the first inpatients of therapy. Therefore, we have adopted Calming-yang, Jianpi Yiqi, Huatan Jiangni, Yiqiyangyin methods such as treatment of vertigo patients, efficacy significantly, general can lift three days vertigo symptoms (1-3) treatment can be cured purposes. Analysis of medical records : medical 3 : entrepreneur named Ma, female, 54 years old, address : Longquanyi District in Chengdu in Sichuan Honghe Native Village newly diagnosed three groups : August 10, 03 chief complaint : vertigo accompanied by headache, throat tightness, dry mouth, tinnitus, urine Chek has been four years, symptoms gradually worsened. Checkups : attending to patients when, and the red light, lumbar pain and acid tongue Jiangshouju moss less, pulse counting. Dialectical therapy : This is Yin Huo's permit, when the North-South spilled the rule of prescriptions : Pill six bottles, six soups pay two clinics : September 10, with significantly improved, satisfied that the food is excellent, 160/80mmHg blood pressure dropped. Modified sufficient to front, and then a course of treatment services (a) three clinics : October 9, the former Recipe serving two courses, Period disappeared, continue to consolidate a course of treatment, and this year I uninjured. Comment : this example is inadequate Jen-kui, probucol as Zhang Chi, the patient benefits were hard-blood students, the acid and lumbar pain, and their Mianchi, chairman of the tongue, such as counting the veins were formed by Yin Huo-caused diarrhea governance compliance South-North, were taken into account, so as to take effective Case 4 : Liu, female, 45-year-old, address : Guide County of Qinghai Province Financial Bureau lightly newly diagnosed : March 11, 97 chief complaint : Vertigo more than in January, the past there have been, but it was too short, today for the Canon, the left call and can receive external noise, and sometimes a sudden heavy flu, with a pan-dioxin examination : a mild nystagmus, no White-Greasy moss, pulse diagnosis thin string : Otogenic treatment of vertigo : taking the three drug treatment centers (3) Treatment Results : vertigo disappeared, two follow-up assessment was performed : Otogenic vertigo, and more endolymphatic hydrops, as a kind of inner ear? The non-inflammatory disease, clinical manifestations of vertigo, consciously physical objects revolving around the side of tinnitus and hearing loss, nystagmus, nausea and vomiting, sense of imbalance, a sudden onset. We of the disease treatment, "sputum, liver, kidney," On three of governance, sputum and phlegm 痰火 a difference between Fangzhong Banxia, Tianma, Uncaria, Baizhu with expectorant fire Pinggan Xifeng, Yang Ziyin potential effects.

    头晕、眩晕、美尼尔氏综合症病历评析:

    分类:默认栏目

    病倒一:
        白某,男,48岁,住址:福建省闰候县白少镇马坑村
    初诊:2000年2月3日
    主诉:患者于10年前突感眩晕、耳鸣、听力减退、恶心呕吐、面色苍白、心慌出汗、闭目卧床,不敢翻身,经某医院诊断为内耳性眩晕症,服谷维素及镇静药物后,症状稍有减轻,但10年来发作频繁,每1-2日发作一次,工作受影响,此次因劳累,情志不舒而出现上述症状。
    检查:观其无质淡,苔薄白,诊其脉沉滑
    诊断:内耳性眩晕病(美尼尔氏综合症)
    治疗情况:1疗程药后症状减轻,由原来的1-2日发作1次减为6日发作1次,又服1疗程,自诉本月眩晕未发作,耳鸣缓,听力如常,观舌正常,脉束缓和,又服2疗程以巩固疗效,6个月后随访未再复发
    评析:
      
      本病为内耳病变,系内耳淋巴积水,亦称美尼尔氏综合症,其表现为发作性眩晕,耳鸣及波动性听力减退,确切的病因尚不明确,一般认为可能是由于植物神经功能失调引起迷路动脉痉挛,局部缺氧,导致内耳淋巴产生过多或吸收障碍,引起内耳膜迷路积水。我们则认为本病属“眩晕”之范畴。《素问,至真要大论》有“诸风掉眩,皆属于肝“等病因论述。《丹溪心法·头眩》则偏主于痰,有“无痰不作眩”的主张,提出“治痰为先”的方法。患者由于劳倦伤脾,健运失司,以致水谷不能化精微,聚湿生痰,痰湿中阻,则清阳不升,浊阴不降,加之气郁化火,使肝阴暗耗,风阳升动,匕扰清空,则发眩晕,故我们采用平肝潜阳,燥湿祛痰之法,恰合机宜,其证咸安.
    病例二:
        田某,女,69岁,住址:湖北省五峰县农牧局特产技术推广中心
    初诊:04年10月6日
    主诉:头晕10余年,近2个月来反复发作,伴泛力,消瘦,曾在某医院门诊服六味地黄汤加味40余剂,效果不佳,经人介绍来我院治疗
    诊断:椎基底动脉供血不足引起的眩晕
    治疗情况:服药6天,眩晕发作减轻,精神好转,呕吐消失,能进食,仍有轻度恶心、乏力。连续服用3个疗程(3个月)后,眩晕一直未再发作,精神恢复,食欲增进。面色红润,体重增加3公斤,诸症皆除,随访至今未复发。
    评析眩晕一证,原因至为复杂,必须审因论治,我们采用“病因为本,症状为标,必伏其所主,而先其所因”的治疗方案,故取效甚若。特色疗法:最后加一段眩晕一证,原因至为复杂,必须审因论治,我们采用“病因为本、症状为标,必伏其所主,而先其所因。”《素问·至真要大论》有“诸风掉眩,皆属于肝”。等病因论述。《丹溪心法·头眩》则偏主于痰,有无痰不作眩“的主张,提出”治痰为先的疗法。故我们采用平肝潜阳,健脾益气,化痰降逆,益气养阴等方法治疗眩晕病,疗效显著,一般3天既可解除眩晕症状(1-3个)疗程即可达到治愈的目的。

    病历评析:
    病历三:
    马某,女,54岁,住址:四川省成都市龙泉驿区洪河乡土桥村三组
    初诊:03年8月10日
    主诉:眩晕伴有头痛、咽痛、口干、耳鸣、尿赤已4年,症状逐渐加剧。
    诊查:患者来诊之时,面红而光,腰酸而痛,舌绛苔少,脉象细数。
    辩证治法:此乃阴虚火旺之证,当以泻南补北治治之
    处方:浓缩丸6瓶,汤剂6付
    二诊:9月10日,症前明显好转,纳食亦佳,血压降至160/80mmHg。仍照前方加减,再服一疗程(1个月)
    三诊:10月9日,前方药服2个疗程后,诸症消失,继续巩固一疗程,至今年余无恙。
    评析:本例子乃壬癸不足,丙丁炽张之象,益肾亏则精血难生,故腰酸而痛,且其面赤,舌绛,脉细数等象,皆由阴虚火旺所致,治遵泻南补北之法,标本兼顾,庶几取效

    病例四:
    刘某,女,45岁,住址:青海省贵德县财政局家属院
    初诊:97年3月11日
    主诉:眩晕1月有余,过去也曾有过,但为时短暂,今作不愈,左耳鸣叫,能接收外来噪音,有时突有沉重感,伴以泛恶
    检查:有轻度眼球震颤,无白腻苔,脉细而弦
    诊断:耳源性眩晕症
    治疗情况:服用本中心药物三疗程(3个月)
    治疗结果:眩晕症消失,随访2年未复发
    评析:耳源性眩晕症,多与膜迷路积水有关,为一种内耳?的非炎性疾病,临床表现为眩晕,自觉身体四周物体旋转一侧耳鸣,听力下降,眼球震颤,恶心呕吐,不平衡感,发病突然。我们对本病的治疗,从“痰、肝、肾”三者的论治,痰有痰火与痰湿之分,方中半夏、天麻、钩藤、白术具有祛痰火平肝熄风,滋阴潜阳之功效。

    患者留言

    分类:默认栏目

    眩晕病人的临床表现

    分类:默认栏目

    梅尼埃病 过去称为美尼尔病
    梅尼埃病 过去称为美尼尔病,为最典型的内耳病引发的眩晕,其病理改变是内淋巴积水,发病以中年人多见,10岁以下小儿少见,老年以后发作逐渐减少。该病特点是反复发作性眩晕、伴有耳聋、耳鸣、耳闷为主要症状,可伴有复听、恶心、呕吐、出冷汗、面色苍白、四肢冰凉等症状;耳聋多为单侧,早期有听力波动,可恢复正常,约15-20%患者耳聋可波及对侧耳;耳鸣多在眩晕发作前加重,早期伴随眩晕缓解 耳鸣可消失,反复眩晕发作后耳鸣会经久不息。前庭功能检查温度试验一般为患侧半规管功能低下或消失。听力测试为感音神经性聋,早期典型者为低频感音神经性聋。如做耳蜗电图,典型者应记录到一个基底增宽的负相和电位,发作期患者-SP/AP≥40%。
    前庭神经元炎
    前庭神经元炎  此病为末梢神经炎的一种。病变发生在前庭神经节或前庭通路的向心部分。病前两周左右多有上呼吸道病毒感染史。眩晕症状可突然发生,持续数日或数月,活动时症状加重。植物神经系的症状一般比梅尼埃病稍轻。无听力改变,即无耳鸣及耳聋的主诉。多数患者两三个月后症状完全缓解,仅少数病例有反复发作的现象。检查时可见有向健侧的自发眼震,患侧前庭功能低下或半规管麻痹。无其它颅神经受损症状。
    突发性聋伴眩晕
    突发性聋伴眩晕   30~50岁多见,可能因内耳病毒感染或血管病变或窗膜破裂引起。患者突发一侧耳鸣、耳聋,其中部分病例伴眩晕呕吐,病情似梅尼埃病,但眩晕持续时间较长,以后无反复发作。听力检查呈重度感觉神经性聋(多大于60dB),伴眩晕者前庭功能可有损害。
    迷路炎
    迷路炎  患急性或慢性化脓性中耳炎者,感染扩散可波及内耳迷路,发生浆液性或化脓性迷路炎,此时患者除耳漏外,会伴有耳鸣、眩晕、恶心、呕吐及听力下降,可出现向患侧的自发眼震,迷路有瘘孔时,外耳道加压可引起眩晕,眼震更加明显,即瘘管试验阳性。当病情进展为化脓性迷路炎时不仅眩晕严重,持续存在,听力可下降为全聋,自发眼震转向健侧,前庭功能检查患侧反应消失。上述情况发生时,应拍耳乳突X线片,最好做颞骨CT扫描,明确是否存在乳突炎、胆脂瘤、迷路瘘管。病毒性迷路炎多因疱疹病毒、腮腺炎病毒、麻疹病毒感染引起。继病毒感染后,患者出现眩晕、步态不稳,明显的恶心呕吐,多伴有重度耳聋。前庭功能检查患侧功能低下或消失。眩晕症状由于患者健侧前庭功能正常,经1~3个月左右眩晕症状可逐渐完全消失。
    迷路震荡
    迷路震荡  多由于头外伤引起,常与脑震荡同时存在,因爆炸后产生强大的空气气浪冲击,同样可引起内耳迷路震荡。创伤后患者出现眩晕、恶心、呕吐、受伤耳听力明显下降。耳科检查时部分可见伴有鼓膜外伤,鼓膜出现破裂或出血。听力检查中可见到不同程度和不同性质的单侧或双侧的听阈改变,重者可全聋,有的声导抗测听可提示有听骨链损伤,患侧前庭功能低下。在诊断脑震荡患者时,特别是伴有听力障碍和眩晕主诉者,应注意到同时可有迷路震荡存在。
    前庭系药物中毒  多在使用链霉素、庆大霉素、卡那霉素等氨基糖甙类抗生素,或用奎宁、水杨酸类药物,或用苯妥英那过量后,可引起内耳中毒。一般在用药后数日或数周出现前庭中毒症状,表现为头晕、步态蹒跚,原来会走路的孩子会出现站立不稳、走路困难,成年人会感到脚下没根及步行困难、夜间尤为明显,坐位或卧床时眩晕不明显,活动时眩晕加重,部分人伴有耳鸣、耳聋,耳蜗中毒的症状可与前庭中毒同时或稍后出现。前庭系药物中毒如发生在儿童期,由于儿童尚在发育期,代偿能力强,经数周后步行困难可明显改善,症状消除,一般预后良好。相对老年人来说,年龄越高,恢复越慢。
    晕动病
    晕动病  俗称“晕