通讯作者: 伍大华, 2507322043@qq.com

DOI：10.12201/bmr.202511.00076

Treatment of Persistent Postural-Perceptual Dizziness Based on the Theory of “Turbid Pathogen Harms the Clear” : A Clinical Experience Summary

• 摘要：持续性姿势感知性头晕（Persistent Postural Perceptual Dizziness，PPPD）属慢性前庭功能障碍性疾病，以持续的非旋转性头晕及姿势不稳为核心临床表现，病程多迁延。本病属中医“眩晕”范畴，其病机复杂，传统辨治思路多样。伍大华教授基于“浊邪害清”理论，提出本病属本虚标实之证，以肾精亏虚为本，痰浊、瘀毒等浊邪蒙蔽清窍为标。治疗主张以益肾填精固其本，涤痰化瘀、通窍活络治其标，标本兼顾。本文总结伍教授以“浊邪害清”理论指导PPPD辨治的临床经验，为中医药防治本病提供参考。

  关键词： 持续性姿势感知性头晕；浊邪害清；中医经验; ; 

   

  Abstract: Abstract:Persistent Postural-Perceptual Dizziness (PPPD) is a chronic vestibular disorder characterized by persistent non-spinning dizziness and postural unsteadiness, often with a prolonged clinical course. In Traditional Chinese Medicine (TCM), it falls under the category of vertigo (眩晕) and presents with complex pathogenesis, leading to diverse traditional treatment approaches. Based on the theory of Turbid Pathogen Harms the Clear (浊邪害清), Professor Wu Dahua proposes that the etiology of PPPD is a deficiency-rooted excess pattern. This signifies a deficiency of kidney essence as the root cause, while turbid pathogens such as phlegm-turbidity and stasis-toxin clouding the clear orifices constitute the secondary manifestations. The treatment strategy, therefore, emphasizes strengthening the root by boosting the kidney and replenishing essence, while simultaneously addressing the manifestations by eliminating phlegm, resolving stasis, and unblocking the orifices and collaterals—thereby tackling both aspects concurrently. This article summarizes Professor Wus clinical experience in diagnosing and treating PPPD guided by the Turbid Pathogen Harms the Clear theory, aiming to provide a reference for TCM in the prevention and treatment of this condition.

  Key words: Persistent Postural-Perceptual Dizziness; Turbid Pathogen Harks the Clear; Traditional Chinese Medicine Experience

  提交时间：2025-11-24

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2025-11-13	10.12201/bmr.202511.00076V1	下载

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