运用升发脾阳法治疗血管迷走性晕厥经验

关键词：血管迷走性晕厥；厥证；脾阳不升；升发脾阳；临床经验；

中图分类号：R256.24 文献标志码：A 文章编号：1007-3213（2025）08-2049-04

DOI：10.13359/j.cnki.gzxbtcm.2025.08.032

Abstract：Vasovagal syncope is the common type of unexplained syncope，and non-drug therapy is the primary method for its treatment.Tillnow，there are obvious limitations of western medicine treatment.Vasovagal syncope canbeatributed to the categoryof“syncope syndrome”in the field of traditional Chinese medicine.Professor W u （ Wei believes that the fundamental pathogenesis of vasovagal syncope is due to the failure of spleen yang in ascending，and the therapeutic method is to elevate and flourish spleen yang.Professor Wu established the basic formula for elevating spleen yang，which is maily composed of Astragali Radix，Atractylodis Macrocephalae Rhizoma，Codonopsis Radix，Fici Simplicissimae Radix，Citri Reticulatae Pericarpium，Bupleuri Radix，saltprepared Eucommiae Cortex，wine-prepared Corni Fructus，Psoraleae Fructus，Aconiti Lateralis Radix Preparata，Paeoniae Radix Alba and Zingiberis Rhizoma Recens.The formula has the primary actions of elevating and flourishing spleen yang，and also has the auxiliary efect on nourishing heart，soothing liver and warming kidney.The treatment of vasovagal syncope using the method of elevating and flourishing spleen yang by Professor Wu Wei hasachieved satisfactory efcacy，and his experience can provide areference for the clinical treatmentof vasovagal syncope with Chinese medicine.

Keywords：vasovagal syncope； syncope syndrome；failure of spleen yang in ascending； elevating andflourishing spleen yang；clinical experience； Wu Wei

晕厥的人群患病率较高，美国犹他州的流行病学调查发现，每年因晕厥就诊的居民为 9.5% ，其中1/10的患者需住院诊治，而大多数患者可能未就诊[1]。（剩余5548字）