The Influence of Banxia Baizhu Tianma Decoction Combined with Acupuncture Treatment on the TCM Syndrome Score and the Degreeof Vertigo Disorder in Patients with Wind Phlegm Obstruction Type Vertigo/WANG Hongxia.//Medical Innovation of China，2025，22（18）： 045-049

[Abstract]Objective：To explore the effect of Banxia Baizhu Tianma Decoction combined with acupuncture treatment on patients with wind phlegm obstruction type vertigo.Method： A total of 8O patients with wind phlegm obstruction type vertigo admitted to Zibo Traditional Chinese Medicine Hospital from January 2O22to October 2024 were selected as the research subjects. They were randomly divided into a control group and an observation group， with 4O cases in each group，using a random number table method.Both groups were given conventional treatment. On this basis，the control group received acupuncture treatment，and the observation group was treated with Banxia Baizhu Tianma Decoction inaddition to the control group.Both groups maintained the treatment for 14 days.The TCM syndrome scores，the degree of vertigo disorder，thequalityof ifeand the clinical efficacyof the two groups were compared.Result：The total clinical effctive rateof the observation group was higher than thatof the control group，the difference was statistically significant （ P- lt;0.05）. The scores of nausea and vomiting，head heaviness，mouth stickiness，head stabbing pain，anddizziness handicap inventory （DHI） inthe observation groupaftertreatment were allower than those inthe control group，the scoreof the generic qualityof life inventory-74（GQOLI-74） questionnaire was higher than that of the control group，the differences were statistically significant （ P lt;0.05）.

Conclusion：The combination of Banxia Baizhu Tianma Decoction and acupuncture can significantly alleviate the clinical symptoms of patients with wind phlegm obstruction type vertigo，alleviate the degreeof vertigo，and help improve their quality of life.

[Key words]Vertigo Wind phlegm obstruction typeAcupunctureBanxia Baizhu Tianma Decoction Traditional Chinese medicine syndrome scoreVertigo disorder

First-author'saddress：Department of Brain Diseases， Zibo Traditional Chinese Medicine Hospital， ibo 255000， China doi： 10.3969/j.issn.1674-4985.2025.18.011

眩晕指的是患者主观感受到的自身或周围环境物体旋转、摆动、倾斜或升降的运动幻觉，常伴有平衡失调、站立不稳、眼球震颤、恶心、呕吐、耳鸣、听力下降等症状，严重影响患者的日常生活和工作[-2]。目前，西医主要采用扩张脑血管、抗血小板及抗凝的方式，以此促进脑部血液供应恢复正常，倍他司汀作为治疗眩晕的一线药物，患者口服后，能够快速改善脑部血流供应，减轻颅脑神经损伤，但长期用药易增加不良反应，远期效果不够理想[3-4]。中医将该病归属“眩晕”范畴，风痰阻络型为其常见证型，该病的发生多是脾失健运，水湿运化失常，聚湿生痰，痰湿内生，加之肝风内动，风邪夹痰，阻滞经络，清阳不升，浊阴不降所致，故在临床治疗上需注重祛痰、开窍[。针刺为中医特色治疗方式，通过刺激百会、人迎等穴位，可疏通经络、调和气血。半夏白术天麻汤为中药汤剂，具有化痰熄风、健脾和胃的功效。然而半夏白术天麻汤与针刺联合应用能否增效尚未明确。基于此，本文对80例患者分组对照，旨在分析半夏白术天麻汤联合针刺治疗对其影响，现研究结果如下。

1资料与方法

1.1一般资料

选取2022年1月—2024年10月淄博市中医医院收治的风痰阻络型眩晕患者80例为研究对象。按随机数字表法将纳入患者分为两组。纳入标准：（1）西医符合文献[8]《眩晕诊治专家共识》对眩晕相关诊断；（2）中医符合文献[9]《中医病证诊断疗效标准》对眩晕的相关诊断，主症：恶心呕吐、头重如裹，次症：口中黏腻、头部刺痛，脉弦滑，苔薄白；……