首页|期刊导航|光明中医|韩祖成教授从肝风夹浊论治高血压性眩晕的中西医结合临证经验

韩祖成教授从肝风夹浊论治高血压性眩晕的中西医结合临证经验OA

Professor Han Zucheng's Clinical Experience in Integrated Traditional Chinese and Western Medicine in the Treatment of Hypertensive Vertigo from the Perspective of Liver Wind Complicated with Turbidity

中文摘要英文摘要

文章系统总结陕西省名中医韩祖成教授从"肝风夹浊"论治高血压性眩晕的独特学术思想与临证经验.韩教授认为,此病核心病机为肝肾阴虚,水不涵木,致肝阳化风,或情志激扰,郁而化火生风,此谓"肝风";同时,脾胃运化失司,聚湿生痰,或久病入络成瘀,此谓"浊邪".风与浊邪相互搏结,上扰清窍,发为眩晕.治疗上,韩教授强调中西医结合的思辨模式,以中医整体观念和辨证论治为核心,灵活运用"息风、化浊、通络"之法,并巧妙结合西医学对高血压病的认识,实现中药与西药的协同增效.文章通过探析其理论渊源、阐述其病机认识、总结其辨证用药特色,附典型医案1则,以彰显其临证思辨之精妙,为高血压性眩晕的中西医结合诊疗提供借鉴.

This paper systematically summarized the unique academic thoughts and clinical experience of Professor Han Zucheng,a famous traditional Chinese medicine(TCM)physician in Shaanxi Province,in treating hypertensive vertigo from the perspective of"liver wind complicated with turbidity".Professor Han held that the core pathogenesis of this disease is yin deficiency of the liver and kidney,with water failing to nourish wood,leading to liver yang transforming into wind,or emotional disturbance causing stagnation transforming into fire and generating wind,which is called"liver wind".Meanwhile,dysfunction of the spleen and stomach leads to accumulation of dampness and production of phlegm,or prolonged illness entering the collaterals and forming stasis,which is called"turbid pathogen".Wind and turbid pathogen intertwine with each other and disturb the upper orifices,resulting in vertigo.In treatment,Professor Han emphasized the mode of integrated traditional Chinese and Western medicine thinking,took the holistic concept and syndrome differentiation of TCM as the core,flexibly applied the methods of"calming wind,resolving turbidity,and unblocking collaterals",and skillfully combined the understanding of hypertension in Western medicine to achieve synergistic effect of TCM and Western medicine.By exploring the theoretical origin,expounding the understanding of pathogenesis,summarizing the characteristics of syndrome differentiation and medication,and attaching one typical medical case,this paper demonstrated the exquisite clinical thinking of Professor Han,so as to provide reference for the integrated diagnosis and treatment of hypertensive vertigo.

曹永丹;王翠;张晓乐

陕西中医药大学,陕西 咸阳 712046陕西省中医医院脑病科,陕西 西安 710002陕西中医药大学,陕西 咸阳 712046

医药卫生

高血压性眩晕肝风夹浊中西医结合疗法名医经验

hypertensive vertigoliver wind complicated with turbiditytherapy of integrated traditional Chinese and Western medicineexperience of renowned doctor

《光明中医》 2026 (3)

25-28,4

国家中医药管理局全国名老中医药专家传承工作室建设项目(No.国中医药人教函[2022]75号)陕西省科技厅基金项目(No.2024SF-YBXM-505)2025陕西省中医药管理局科研项目(No.SZY-KJCYC-2025-LC-013)陕西省中医医院课题-苗圃计划项目(No.2025-15)

10.70976/j.issn.1003-8914.2026.03.006

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