关键词: 半夏白术天麻汤, 加减, 通督调神针法, 后循环缺血性眩晕, 痰浊上扰清窍型

Abstract: Objective To investigate the effects of Banxia Baizhu Tianma decoction combined with Tongdu Tiaoshen acupuncture method on TCM syndrome score of patients with posterior circulation ischemic vertigo (turbid phlegm disturbing orifices type). Methods From June 2017 to August 2019, 122 patients with posterior circulatory ischemic vertigo (turbid phlegm disturbing orifices type) were selected in our hospital. They were divided into observation group (n=61) and control group (n=61) according to simple randomization method. The control group was given betahistine hydrochloride sodium chloride injection, and the observation group was given Banxia Baizhu Tianma decoction combined with Tongdu Tiaoshen acupuncture on the basis of the control group. The efficacy, TCM syndrome score, peak blood flow velocity (Vs) of the vertebrobasilar artery during systole, vasoactive substance [thromboxane B2 (TXB2), 6-keto-PGF1α] before and 2 weeks after treatment were compared between the two groups. Results The total effective rate of the observation group was 91.80% (56/61), higher than that of the control group [77.05% (47/61)], with statistically significant difference (P<0.05). After 2 weeks of treatment, the TCM syndrome score of the observation group was lower than that of the control group, the Vs of the vertebrobasilar artery in the observation group was higher than that in the control group, with statistically significant differences (both P<0.05). After 2 weeks of treatment, the level of plasma 6-keto-PGF1α of the observation group was higher than that of the control group, the level of plasma TXB2 was lower than that of the control group, with statistically significant differences (both P<0.05). Conclusion Banxia Baizhu Tianma decoction combined with Tongdu Tiaoshen acupuncture has a significant effect on posterior circulation ischemic vertigo (turbid phlegm disturbing orifices type), which can effectively improve the symptoms of patients and increase the blood flow velocity of the vertebrobasilar artery.

Key words: Banxia Baizhu Tianma decoction, Addition and subtraction, Tongdu Tiaoshen acupuncture, Posterior circulation ischemic vertigo, Turbid phlegm disturbing orifices type