基金项目:国家中医药管理局中医药循证能力建设项目(2019XZZX-NB001)。作者简介:牛飞(1997—)男,汉族,硕士研究生在读,研究方向为锥体外系疾病研究。E-mail:nfdyjc@163.com通信作者:汪瀚(1975—)男,汉族,硕士研究生,主任医师、副教授、硕士研究生导师,研究方向为神经系统变性疾病等。E-mail:neuwhah@126.com汪瀚教授从肾论治眩晕临证经验牛飞1汪瀚2*孙兰婷21.安徽中医药大学研究生院,安徽合肥230031;2.安徽中医药大学第一附属医院,安徽合肥230031【摘要】文章总结汪瀚教授从肾论治眩晕的临证特色,并附病案举例。汪瀚教授认为从肾入手是治疗眩晕的其中一种思路,病机主要有精亏血虚,脑髓失养;阴虚阳亢,水不涵木;命门火衰,水泛清窍。治疗上以补肾填精为总则,在自拟方“补元止眩汤”基础上随证加减,并活用厚味之药,平补阴阳,使气血通调,眩晕自解。【关键词】眩晕;水不涵木;补元止眩;辨证论治【中图分类号】R749.4+1【文献标志码】A【文章编号】1007-8517(2023)02-0066-03ProfessorWangHan'sClinicalExperienceinTreatingVertigofromKidneyNIUFei1WANGHan2*SUNLanting21.AnhuiUniversityofChineseMedicine,Hefei230031,China;2.TheFirstAffiliatedHospitalofAnhuiUniversityofChineseMedicine,Hefei230031,ChinaAbstract:ThisarticlesummarizestheclinicalfeaturesofProfessorWangHan'streatmentofvertigofromtheperspectiveofkid-ney,withexamplesofmedicalrecords.ProfessorWangHanbelievesthatstartingfromthekidneyisoneofthewaystotreatvertigo.Thepathogenesismainlyincludesdeficiencyofessenceandblood,anddystrophyofbrainmarrow;YindeficiencyandYanghyperac-tivity,waterdoesnotcontainwood;Thefireofthegateoflifehasdeclined,andthewaterhasclearedtheorifices.Inthetreatment,thegeneralprincipleistoreplenishthekidneyandessence.Onthebasisoftheselfpreparedformula“BuyuanZhixuanDecoction”,itisaddedorsubtractedaccordingtothesyndrome,andthemedicinewiththicktasteisusedflexiblytoleveltheyinandyang,sothattheqiandbloodcanbeadjusted,andthevertigocanberesolvedbyitself.Keywords:Vertigo;WaterDoesNotContainWood;BuyuanZhixuan;SyndromeDifferentiation眩晕是以头晕眼花为主要表现的病症,轻者闭目可止,重者如坐车船、旋转不定、不能站立,或伴恶心、呕吐、汗出,甚则昏倒...