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

摘要： 目的 探讨半夏白术天麻汤加减联合通督调神针法对后循环缺血性眩晕(痰浊上扰清窍型)患者中医证候积分的影响。方法 选取2017年6月至2019年8月本院后循环缺血性眩晕(痰浊上扰清窍型)患者122例,简单随机化法分为观察组(n=61)、对照组(n=61)。对照组予以盐酸倍他司汀氯化钠注射液,观察组在对照组基础上予以半夏白术天麻汤加减联合通督调神针法。比较两组疗效,治疗前、治疗2周后中医证候积分、椎基底动脉收缩期峰值血流速度(Vs)、血管活性物质[血栓素B2(TXB2)、6-酮-前列腺素F1α(6-keto-PGF1α)]。结果 观察组总有效率91.80%(56/61)高于对照组77.05%(47/61)(P<0.05)。治疗2周后观察组中医证候积分低于对照组,椎基底动脉Vs高于对照组(均P<0.05);治疗2周后观察组血浆6-keto-PGF1α水平高于对照组,血浆TXB2水平低于对照组(均P<0.05)。结论 半夏白术天麻汤加减联合通督调神针法治疗后循环缺血性眩晕(痰浊上扰清窍型)效果显著,能有效改善患者症状,增加椎基底动脉血流速度,调节血管活性物质水平。

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