基于治风先治血理论探讨针灸治疗小脑梗死性眩晕

Discussion on Acupuncture and Moxibustion in the Treatment of Cerebellar InfarctionInduced Vertigo Under the Guidance of Managing Blood Prior to Treating Wind Theory

LIN Hao1，WURong²，ZHU Xugui1，YANG Zhonghua1 1.ClinicalMedicalCollgeofAcupuncture，MoxibustionandRehabilitation，GuangzhouUniversityofChinese Medicine，Guangzhou Guangdog 510o6，China；2.Guangdong SecondTraditional ChineseMedicine Hospital，GuangzhouGuangdong 510095，China Abstract：Cerebellar infarction，asa critical subtype of ischemic stroke，often leads to vertigo that severely impacts patients‘qualityof ife.Traditional Chinese medicine（TCM）classifies cerebellr infarction-induced vertigo as endogenous wind syndrome.Under the guidance of managing blood prior to treating wind theory，the authors propose thatthepathogenesisofthisconditionisrootedindeficiencyofliverblood，andwindtransformationduetopathogenses， characterizedbyfailureofbloodto nourishthebodyandmalnutritionofcerebral vessels，with bloodstasis inthe vessels and lingering wind pathogens as secondary manifestations.The therapeuticprinciples focus on nourishing blood， promoting blood circulation，and regulating blood.Acomprehensive therapy combining moxibustion，Fang's scalp needling，and conventional acupuncture has demonstrated satisfactory clinical efficacy.

Keywords：Cerebellar infarction；Vertigo；Managing blood priorto treating wind；Moxibustion；Fang's scalp needling；Acupuncture

小脑梗死是缺血性卒中的重要类型之一，常伴有眩晕症状，甚者可出现恶心呕吐、共济失调、平衡障碍等症状，严重影响患者的日常生活。（剩余5940字）