吴中朝基于精髓相生阻断病机论治寰枢关节半脱位性眩晕OA
Wu Zhongchao's Treatment of Vertigo Caused by Atlantoaxial Subluxation Based on Essence and Marrow Mutual Generation to Block Pathogenesis
吴中朝教授治疗寰枢椎半脱位性眩晕有其独特的经验,本文总结其临床诊疗思想和方法.通过肾精-脑髓轴理论的经典溯源与现代中西医结合理论对经筋-骨缝协同失衡机制的诠释,结合典型临床案例解析,凝练寰枢椎半脱位所致眩晕的针药并治经验.寰枢椎区是"精髓上输的力学枢纽".通过刃针松解风府、风池、翳风三个关键穴位,结合桂枝加葛根汤、黄连温胆汤分期辨证施治,实现"解筋调骨-通督醒脑-髓海充盈"的一体化治疗,为寰枢椎半脱位所致颈源性眩晕的中医诊疗提供可推广的新思路.
This study aims to summarize Professor Wu Zhongchao's clinical diagnosis and treatment ideas and methods for vertigo caused by atlantoaxial subluxation.By tracing the classical origins of the"kidney essence-brain marrow axis"theory and interpreting the mechanism of synergistic imbalance between muscles and bone seams based on modern integrated Chinese and western medicine theories,combined with the analysis of typical clinical cases,the experience of integrating acupuncture and herbal medicine in treating vertigo caused by atlantoaxial subluxation was refined.The atlantoaxial region serves as the"biomechanical hub for the upward transport of essence and marrow".Through blade needle release of three key acupoints-Fengfu(GV16),Fengchi(GB20),and Yifeng(SJ17)-combined with syndrome differentiation and treatment using Guizhi Jia Gegen Tang and Huanglian Wendan Tang,an integrated treatment approach of"releasing muscles and regulating bones,unblocking the governor vessel to refresh the brain,and replenishing the sea of marrow"is achieved.This provides a scalable new perspective for the diagnosis and treatment of cervical vertigo in traditional Chinese medicine.
李云晓;聂坤;吴中朝;秦鲁月;曹文杰
潍坊市中医院,山东 潍坊 261041潍坊市中医院,山东 潍坊 261041中国中医科学院针灸医院,北京 100700潍坊市中医院,山东 潍坊 261041潍坊市中医院,山东 潍坊 261041
医药卫生
寰枢椎半脱位眩晕精髓相生肾精-脑髓轴
Atlantoaxial subluxationVertigoEssence and marrow mutual generationKidney essence-brain marrow axis
《中国中医基础医学杂志》 2026 (4)
870-873,4
国家中医药管理局全国名老中医药专家传承工作室项目(国中医药人教发[2013]47号)山东省中医药科技项目(MR20240710)潍坊市卫生健康委员会中医药科研项目[2024年(第一类)第018号]
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