中医学报

良性阵发性位置性眩晕(benign paroxysmal positional vertigo,BPPV)门诊上日趋高发。中医药治疗BPPV有独特的优势，对各种因素不能完成复位的患者可以作为重要的治疗手段，可有效缓解复位后残余头晕，防止BPPV复发。“阳化气，阴成形”是《黄帝内经》对自然规律和生命活动的经典阐述，解释了BPPV的发病的主要机制，同时也是其中医治疗的指导思路。在BPPV的治疗上应着重调节阴阳气化与成形的平衡，其中以阳化气为主导地位，在BPPV的急性发作期、残余期和稳定期，分别采用温阳化气散阴邪、攻补兼施助化气、补阳益气防复发的治疗原则，达到“阴平阳秘，精神乃治”的健康状态。

Benign paroxysmal positional vertigo( BPPV) is increasingly common in outpatient clinics. Traditional Chinese medicine( TCM) offers unique advantages in treating BPPV and can serve as an important therapeutic approach for patients in whom repositioning maneuvers are unsuccessful. It can effectively alleviate residual dizziness after repositioning and prevent BPPV recurrence. The concept of " Yang transforming Qi,Yin constituting form",which is proposed in Huang Di Nei Jing,is a classic exposition of natural laws and life activities. It explains the primary mechanisms underlying BPPV and serves as a guiding principle for TCM treatment. Therefore,in BPPV treatment,regulating the balance between the transformation of Yin and Yang and the formation of shape should be focused on,with Yan transformation Qi being the dominant principle. During the acute attack,residual phase,and stable phase of BPPV,treatments should follow principles of warming Yang and transforming Qi to dispel Yin Evil Factors,combining attack and tonification to assist Qi transformation,and tonifying Yang to boost Qi and prevent recurrence,thus achieving a state of health described as " Yin and Yang balance and spirit being restored".