![\"什么是眩晕，真相眩晕和假性眩晕又是怎么回事呢\"](\"http://01luntan.com/ly_img/uimgs/1497245226556.jpg\" "\\"什么是眩晕，真相眩晕和假性眩晕又是怎么回事呢\\"")
中老年人朋友们经常会感觉到有声音在耳中隆隆作响，而实际上周围很安静，这就是耳鸣。耳鸣是一种在没有外界声、电刺激条件下，人耳主观感受到的声音。耳鸣表现多种多样，有的为一侧耳鸣，有的则为两侧；有的间歇出现，有的持续不停；轻者安静时方觉耳鸣，重者身处闹市时都感到吵闹不安。耳鸣使人心烦意乱、坐卧不安，严重者可影响正常的生活和工作。
\n据调查，老年人中患耳鸣、耳聋者已达41.84％，而其中心血管病、糖尿病患者的发病率更高。 耳鸣的发生、发展可受各种生活因素的影响，因此要避免耳鸣，应从预防保健着手，在日常生活中掌握合理和科学的饮食，注重心理和起居的调试，对防治耳鸣具有十分重要的意义。
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菊花肉丝
\n[原料]精猪肉200克，干菊花10克，盐、味精、花椒适量。
\n[制作]
\n1、将精猪肉切成丝，干净菊花泡开，备用。2、肉丝入热油锅内炒熟，捞出，加入菊花，撒入盐、味精、花椒拌匀即成。
\n[功效]健身清热，适用于头晕、头痛、耳鸣等。
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枸杞蒸鸡
\n[原料]枸杞子15克，母鸡1只(约1500克)，胡椒粒、姜、葱白、味精、食盐适量。
\n[制作]
\n1、将鸡收拾去毛，洗净；姜切片；葱白切段备用。2、将枸杞子及各种处理好的调料装入鸡腹内，腹部向上放入蒸锅中，用旺火蒸两个小时。3、取出枸杞子及调料，分次佐餐食用。
\n[功效]补肾益精。主治肾精亏损型耳鸣，即耳内常有蝉鸣之声者。
\n","barId":"1615","topicTypeId":"3","topicThemeId":"1022","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1486,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1498059253551,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1498059253551,"metaSearch":null,"rn":null},{"id":"5209","isDel":0,"createAt":1498057537711,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"耳鸣怎么办小妙招——洋葱塞耳","content":"
自从过了六十岁，耳朵越来越背，有时还会耳鸣。近日，偶然看到一篇文章说洋葱中磷酸不仅能杀菌消毒，治疗耳部感染，还能缓解耳鸣。具体方法是：取洋葱1个，掰开，取出中间核心部分，即稍偏黄的洋葱芯，放到耳内外部，把洋葱芯留在耳朵内1夜，次日早上取出，再清洁一下耳朵即可。不知道其中原理如何，想请专家分析一下其中道理。
\n专家点评：
\n洋葱可以杀菌是毋庸置疑的，但并不是因为它含有磷酸，而是因为其含有一种叫做硫化丙烯的挥发物，这种物质对病原菌和寄生虫都有良好的杀灭作用。既然这种物质有挥发性，所以不一定非要和细菌接触，只要把洋葱塞在耳朵这个相对密闭的空间里，挥发物就可达到一定的浓度，起到杀菌作用，因此对轻微的耳道感染可以试用一下。
\n洋葱最突出的味道就是辣味，中医中叫做辛味，辛味有发散作用。在这点上洋葱和大葱相似，都能辛温开窍，民间有些偏方治疗风寒感冒就用到葱。正是因为它能开窍，所以对耳鸣有一定的作用。耳鸣大体分两种，一种是虚证的耳鸣，是肾虚造成的，这种耳鸣的特点是声音尖锐高亢，一般形容为像知了叫声；还有一种耳鸣属于实证，是由于肝郁造成的，其特点是频率低沉，如潮水一般。洋葱的辛辣气味对声音低沉的耳鸣有一定治疗作用，可以散开郁堵，而对于高频的耳鸣不适合。另外，洋葱能通窍，对耳朵有堵闷感且听力下降的情况也有好处。
\n","barId":"1615","topicTypeId":"3","topicThemeId":"1022","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":2102,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1498057537713,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1498057537713,"metaSearch":null,"rn":null}],"type3":[{"id":"4995","isDel":0,"createAt":1497158936174,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"内耳性眩晕中医治疗70例患者结果，值得病友参考","content":"
本组梅尼埃病患者70例,其中男27例,女43例;年龄17～73岁,平均45.5岁;病程3～8年。临床表现为自身或外界景物旋转、摇晃、耳鸣,或伴有头晕且痛、恶心、呕吐以及其他植物神经功能失调症状,诊断参照《神经系统疾病症候学》有关标准。排除椎-基底动脉供血不足、前庭神经元素、脑动脉粥样硬化、迷路炎等病。
\n70例随机分为两组,治疗组36例,对照组34例。两组患者治疗前均测血压、血常规、尿常规、肝功能、肾功能、血电解质、血糖、血脂、心电图及X线胸片检查,有65例患者曾做头颅CT核查,结果均正常。
\n治疗方法:①治疗组:泽泻、丹参各30g,苡仁50g,姜半夏、钩藤(栀子)、石菖蒲各15g,白术、茯苓、牛膝各20g。每日1剂,水煎,分早晚2次服,连服10天为1疗程。②对照组:药用西比灵胶囊10mg每日晚服1次,连服10天为1疗程。
\n疗效判定标准:①治愈:用药5天后眩晕、恶心、呕吐及其他植物神经功能失调症状明显减轻,1个疗程后完全消失;②显效:1个疗程后眩晕、恶心、呕吐停止,偶有头晕和漂游感;③有效:1个疗程后上述病症明显减轻,但仍感眩晕和行走不稳;④无效:1个疗程后上述症状均无明显改善。
\n结 果
\n治疗组治愈15例,显效15例,有效5例,无效1例,总有效率97.2%。对照组治愈14例,显效12例,有效2例,无效6例,总有效率82.4%。两组总有效率比较有显著差异,治疗组疗效优于对照组。
\n具体病例:患者,女,52岁,2006年3月5日初诊。10日前突发眩晕,视物旋转,如坐车船,伴恶心、呕吐、耳鸣如蝉,给予静脉椎注56%葡萄糖,地塞米松、速尿等药物治疗,病情有所缓解,后以西比灵胶囊,蜜环片等药物作巩固治疗。巩固治疗过程中,眩晕又发作,听力减退,耳鸣,坐卧不安,恶心、呕吐,纳呆。中医诊断为眩晕。西医诊断为梅尼埃病,治宜健脾化湿,祛痰活血。予中药汤剂口服。服2剂后眩晕、耳鸣有明显好转,5剂后诸症若失,再予3剂巩固疗效,随访1年未发。
\n讨 论
\n梅尼埃病属中医“眩晕”范畴,病机为痰湿瘀血内阻,治宜健脾化湿、活血化瘀。中药方中泽泻、苡仁健脾化湿,白术、茯苓健脾和胃祛湿,姜半夏燥湿化痰、止呕;石菖蒲化湿开窍,丹参、牛膝、钩藤等活血化淤、引水下行,平肝定眩。诸药相伍,相得益彰,则晕可宁。
\n西药西比灵胶囊是一种选择性钙超载拮抗剂,视为有效而安全的脑循环代谢改善剂,特别是对有前庭功能紊乱引起的眩晕症状有较好疗效,但该药有嗜睡、乏力、酸痛,甚至加重恶心等不良反应。因此中药治疗眩晕不但疗效高,且无不良反应。
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眩晕是对空间定位障碍而产生的一种动性或位置性错觉，它涉及多个学科，这个定义非常准确解释了什么是眩晕。也就是觉得自身旋转或周围事物旋转，绝大多数人一生中均经历此症。据统计，眩晕症占内科门诊病人的5%，占耳鼻咽喉科门诊的15%。
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眩晕可分为真性眩晕和假性眩晕：
\n真性眩晕：由眼、本体觉或前庭系统疾病引起的，有明显的外物或自身旋转感。
\n假性眩晕：由全身系统性疾病引起，如心血管疾病、脑血管疾病、贫血、尿毒症、药物中毒、内分泌疾病及神经官能症等几乎都有轻重不等的头晕症状，患者感觉“飘飘荡荡”，但是上述疾病诱发的所谓眩晕，没有明确转动感。
\n","barId":"1615","topicTypeId":"1","topicThemeId":"1015","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1458,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1497244852026,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1497244852026,"metaSearch":null,"rn":null},{"id":"5018","isDel":0,"createAt":1497244399527,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"内耳眩晕症的治疗—理痰汤治疗内耳眩晕病267例","content":"
![\"内耳眩晕症的治疗—理痰汤治疗内耳眩晕病267例\"](\"http://01luntan.com/ly_img/uimgs/1497244982122.jpg\" "\\"内耳眩晕症的治疗—理痰汤治疗内耳眩晕病267例\\"")
自2003年以来，笔者运用理痰汤治疗痰浊上蒙合并肝肾阴虚型内耳眩晕病267例，疗效显著，现报告如下：
\n1 临床资料
\n门诊病例240例，住院病例27例，均符合国家中医药管理局颁布的《中医病证诊断疗效标准》。其中男146例，女121例;年龄最大者81岁，最小者17岁；病程最长者33年，最短者2月。典型临床表现：头晕，视物旋转，耳鸣耳聋，恶心欲呕，腰膝酸软，五心烦热，两目干涩，失眠健忘，口干,便秘，小便灼热，舌质红苔腻微黄，脉细滑或细数。
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2 治疗方法
\n以理痰汤为基本方加减：生芡实30g，法半夏15g，陈皮log，茯苓15g，白术30g,天麻15g，白芍12g，柏子仁30g，龟板12g，熟地30g，枸杞子30g，炙甘草6g。水煎服，每口1剂，1周为1个疗程，共治疗2～3个疗。
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3 治疗结果
\n治愈(临床症状及体征消失，有关实验室检查基本正常)112例，好转(临床症状及体征减轻，实验室检查有改善)151例；未愈(症状及体征无改变)4例，总有效率为98.5%。
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4 典型病例
\n患者，女，49岁，2006年4月10日初诊。患眩晕病多年，曾在其他医院诊断为内耳眩晕病，经治疗可缓解。近1年来发作频繁，头晕程度加重，每发作则不能站立及行走，需卧床体息1-2周。此次于3天前因劳累后发作，症见头晕，头重如蒙，视物旋转，耳鸣，不能站立及行走，恶心欲呕，失眠，健忘，腰膝酸软，瓦心烦热，便秘溲赤，纳差，口干不欲多饮。舌质红苔腻微黄，脉细滑。证属痰浊上蒙合并肝肾阴虚，治以理痰汤。服2剂后头晕症状明显减轻，已能起床行走，服7剂后上述症状基本消失，继服7剂以巩固治疗，防止复发。随访至今无复发。
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5 体会
\n内耳眩晕病属中医“眩晕”范畴，临床可见肝风上扰、痰浊上蒙、气血亏虚及肝肾阴虚等证型。笔者在临床工作中，发现近年来内耳眩晕病中以痰浊上蒙合并肝肾阴虚证型最为多见，这可能与多食肥甘厚味，少于活动锻炼的生活方式相关。本病病程较短者多以痰浊上蒙为主，病程较长者多以脾虚痰浊与肝肾阴虚并见。在该病的发生发展中，表现出初病多实，久病多虚的规律，体现了中医“穷必及肾”的观点。
\n关于太病的证治，张景岳指出：“无虚不作眩”，朱丹溪论：“天痰不作眩”近代著名医家张锡纯在《医学衷中参西录》中更明确提出：“肾中气化不摄，则冲气易于上干，冲气上千，胃气说多上逆，此痰之所由来也”。充分认识到痰浊卜蒙与肝肾阴虚的内在联系，并制定理痰汤治疗本证。方中半夏、陈皮、茯苓除痰健脾；生芡实，黑脂麻、柏子仁、生白芍滋养肝肾，收敛肾气，明确提出除痰与滋阴并用的观点，纠正了“滋阴药滋腻生痰，不利于痰证”的片面性。
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