第十二章 明尼苏达州中医学院迟程教授云南中医学院针灸学双语

授课要点及重点复习题（第七部分）

第七章 第二节, 内科病 

　　The Seventh  chapter , internal diseases

　　眩晕 vertigo

　　定义: 眩晕是自觉头昏眼花,视物旋转动动摇的一种症状. 有经常性与发作性的不同.

　　Definition : vertigo is symptom which patients feel dizziness, rotation   by themselves . There are  difference of common or irregular happening .

　　病位:脑髓清窍

　　Sick location : brain marrow , orifices

　　病因病机: 1,清窍被扰,2, 清窍被蒙3,机体失养.

　　Etiology and  Pathology : 1, Clear orifices are disturbed , 2, , Clear orifices are covered , 3, Body’s nutrition is limited.

　　主证:头昏目眩,泛泛欲吐,甚至昏眩欲扑..

　　Main symptoms: dizziness , nausea and vomit,  even fall down due to dizziness

　　治疗: treatment

　　1, 基本治疗: 1, basic treatment

　　(1) 实证: (1) excess

　　治法:平肝化痰,定眩. 以足少阳经,督脉及足厥阴经穴为主.

　　Treatment principle : calm liver and transfer phlegm, tranquilize vertigo. GB of Foot Yaoyang, Du meridian and LR of Foot Jueyin.

　　主穴: 风池 (GB20),百会(D20), 内关(PC6 ),太冲(LR3 ).

　　Main points: Feng Chi (GB20),Bai Hui( D20), Nei Guan  (PC6),TaiChong（LR3）.

　　配穴:肝阳上亢加行间(LR2 ),侠溪(GB43),太溪(KI3).痰湿中阻加中脘(RN12),丰隆, (ST40),阴陵泉(SP9).

　　Combination :  add Xinag Jian( LR2) , Xia Xi (Gb43) andTai Xi (KI3 )when liver yang rising .  add Zhong Wan (RN 12), Feng Long (ST40),  Yin Ling Quan (SP9) when damp and phlegm blockage

　　操作:泻法

　　Operation: purgation

　　(2)虚症: .deficiency

　　治法: 益气养血, 定眩. 足少阳经,督脉及相应背俞穴为主

　　Treatment principle :  benefit Qi and tonify blood, tranquilize vertigo. GB of Foot Yaoyang, Du meridian and  Back Shu points.

　　主穴: 风池(GB20),百会(D20),足三里(ST36),肝俞(BL18), 肾俞(K23)

　　Main points: Feng Chi (GB20), Zu San Li (ST36),Gan Shu(BL18), Shen Shu (K23)

　　配穴:气血两虚加血海(Sp10),脾,胃俞( BL20, BL21),足三里(ST36)

　　Combination :    Xue Hai (Sp10),Pi, Wei Shu ( BL20, BL21),Zu San Li(ST36)

　　操作:风池(GB20) 平补平泻, 足三里(ST36),肝俞(LR18), 肾俞(K23)用补法

　　Operation:  Feng Chi (GB20), Neutral tonification  and purgation, Zu San Li (ST36),Gan Shu(BL18), Shen Shu (K23),  with tonification

　　2, 其他治疗

　　2, other treatment

　　(1) 头针

　　(1) scalp  needle

　　(2) 耳针

　　(2) auricular needle

　　Dictation of vocabulary

　　眩晕 vertigo

　　病位: Sick location

　　脑髓清窍:  brain marrow , orifices

　　病因病机: Etiology and  Pathology :

　　清窍被扰: Clear orifices are disturbed

　　清窍被蒙: Clear orifices are covered

　　机体失养：Body’s nutrition is limited

　　主证: Main symptoms

　　头昏目眩：dizziness

　　泛泛欲吐：nausea and vomit

　　甚至昏眩欲扑：even fall down due to dizziness

　　治疗: treatment

　　实证: excess

　　治法：Treatment principle

　　平肝化痰，定眩.：calm liver and transfer phlegm, tranquilize vertigo

　　以足少阳经,督脉及足厥阴经穴为主：GB of Foot Yaoyang, Du meridian and LR of Foot Jueyin.

　　主穴:Main points

　　配穴: Combination

　　操作:泻法Operation: purgation

　　虚症: .deficiency

　　头针: scalp  needle

　　耳针: auricular needle

　　Quiz 8

　　1，中翻英

　　(1)眩晕是自觉头昏眼花,视物旋转动动摇的一种症状. 有经常性与发作性的不同

　　(2)治法:平肝化痰,定眩. 以足少阳经,督脉及足厥阴经穴为主.

　　2，英翻中

　　(1)Combination :  add Xinag Jian( LR2) , Xia Xi (Gb43) andTai Xi (KI3 )when liver yang rising .  add Zhong Wan (RN 12), Feng Long (ST40),  Yin Ling Quan (SP9) when damp and phlegm blockage

　　(2) Treatment principle : calm liver and transfer phlegm, tranquilize vertigo. GB of Foot Yaoyang, Du meridian and LR of Foot Jueyin.

　　3, 多项选择题（选取1-5个正确答案）

　　1, Sick location of  vertigo  is in_____________.

　　A,  Brain marrow , orifices

　　B,  Heart and SI intestine

　　C,  Triple Jiao

　　D,  Bladder meridian

　　2, Sick meridians  of   sore and ulcer, yellow urination, red tip of tongue     is in_____________.

　　A,  Brain marrow , orifices

　　B,  Heart and SI intestine

　　C,  Triple Jiao

　　D,  Bladder meridian

　　3, Sick meridians of   bitter taste, both rib pain, angry, hypertension  is in_____________.

　　A,  Brain marrow , orifices

　　B,  Heart and SI intestine

　　C,  GB and LR meridian

　　D,  Bladder meridian

　　4, Sick meridians of   most exterior syndrome    is in_____________.

　　A,  Brain marrow , orifices

　　B,  Heart and SI intestine

　　C,  GB and LR meridian

　　D,  Bladder meridian

　　5, Etiology and  Pathology of vertigo are

　　A,Clear orifices are disturbed ,

　　B,Clear orifices are covered ,

　　C, Body’s nutrition is limited.

　　D, Bladder meridian is over

　　E, Stomach fire is too high

　　6, Etiology and  Pathology of tooth ache and swell  are mostly ____________.

　　A,Clear orifices are disturbed ,

　　B,Clear orifices are covered ,

　　C, Body’s nutrition is limited.

　　D, Bladder meridian is over

　　E,  Stomach fire is too high

　　7, Differentiations of vertigo are often (       ).

　　A,Liver Yang rising

　　B,Phlegm, damp in Middle Yang

　　C,Deficiency of Kideny  essence (Jing)

　　D,Deficiency of Qi and Blood

　　E, Exterior Evil invasion

　　8, Differentiations of chill and fever, sweat, cough, chest tightness,  phlegm, floating pulse  are often _______________.

　　A, Liver Yang rising

　　B, Phlegm, damp in Middle Yang

　　C, Deficiency of Kideny  essence (Jing)

　　D, Deficiency of Qi and Blood

　　E, Exterior Evil invasion

　　9, Liver Yang rising will choose in

　　A,  Xinag Jian( LR2) , Xia Xi (Gb43) andTai Xi (KI3 )

　　B,  Zhong Wan (RN 12), Feng Long (ST40),  Yin Ling Quan (SP9)

　　C, Treatment method: calm liver and transfer phlegm, tranquilize vertigo. GB of Foot

　　D, Treatment method:  benefit Qi and tonify blood, tranquilize vertigo. GB of Foot Yaoyang, Du meridian and  Back Shu points.

　　10, Damp and phlegm  more in spleen meridian will choose in  _________________

　　A,  Xinag Jian( LR2) , Xia Xi (Gb43) andTai Xi (KI3 )

　　B,  Zhong Wan (RN 12), Feng Long (ST40),  Yin Ling Quan (SP9)

　　C, Treatment method: calm liver and transfer phlegm, tranquilize vertigo. GB of Foot

　　D, Treatment method:  benefit Qi and tonify blood, tranquilize vertigo. GB of Foot Yaoyang, Du meridian and  Back Shu points.

　　11, Excess of vertigo will choose in __________________

　　A,  Xinag Jian( LR2) , Xia Xi (Gb43) andTai Xi (KI3 )

　　B,  Zhong Wan (RN 12), Feng Long (ST40),  Yin Ling Quan (SP9)

　　C, Treatment method: calm liver and transfer phlegm, tranquilize vertigo. GB of Foot

　　D, Treatment method:  benefit Qi and tonify blood, tranquilize vertigo. GB of Foot Yaoyang, Du meridian and  Back Shu points.

　　12, Deficiency of vertigo will choose in

　　A,  Xinag Jian( LR2) , Xia Xi (Gb43) andTai Xi (KI3 )

　　B,  Zhong Wan (RN 12), Feng Long (ST40),  Yin Ling Quan (SP9)

　　C, Treatment method: calm liver and transfer phlegm, tranquilize vertigo. GB of Foot

　　D, Treatment method:  benefit Qi and tonify blood, tranquilize vertigo. GB of Foot Yaoyang, Du meridian and  Back Shu points.

　　1、王某，男，52岁，农民，腰部疼痛不适一年余，近两月疼痛加重，转侧不利，腰部肌 肉板滞不可俯仰，且腰痛每遇天气变冷或阴雨天则发作或加重而到针灸科求治。患者喜欢热敷揉按，腰部皮肤无异常。查：肾区叩击痛（一），舌苔腻，脉滑。

　　Case analysis as the follow:

　　Mr. Wang, male, 52 years old, farmer, lower back pain for one more year. Increasing pain is in recent two mouths. He is difficult to return  his body and can’t bend his lumbar due to hard back muscle. When cold weather or rain days, his lumbar pain happens again or becomes more several pain. So he comes to see Dr.

　　The patient likes hot massage by kneading. His lumbar skin is normal .

　　Check:  The area pains of kidney are (-)   when Dr.’s knocking. Tongue:

　　greasy coating . Pulse: slippery.