2025 年第 1 期 第 20 卷

广西眩晕中西医诊疗专家共识

Expert consensus on diagnosis and treatment of vertigo in Guangxi based on traditional Chinese and western medicine

作者：广西医师协会中医脑病专业委员会

英文作者：Traditional Chinese Medicine Encephalopathy Professional Committee of Guangxi Medical Doctor Association

单位：广西医师协会中医脑病专业委员会

英文单位：Traditional Chinese Medicine Encephalopathy Professional Committee of Guangxi Medical Doctor Association

关键词：眩晕；  中西医；  诊断；  治疗；  专家共识

英文关键词：Vertigo;  Chinesemedicineandwesternmedicine;  Diagnosis;  Treatment;  Expertconsensus

• 摘要：

• 头晕与眩晕是患者就诊最常见的病因与症状之一，尽管其并不危及生命，但与患者的生活质量、工作效率密切相关，更是许多疾病的早期预警信号。眩晕相关疾病存在诊治难度大、病情反复、迁延不愈等特点，中西医结合治疗眩晕有明显的优势。广西位于中国华南地区，地处低纬，北接南岭山地，岭南地处亚热带季风气候区，在地理环境、太阳辐射、大气环流等因素的共同作用下，形成了气候温暖、热量丰富、降水丰沛的气候特点，岭南炎热、潮湿、多雨的气候特点与痰湿、火热病证之间的关系密切，人群以湿热体质居多。目前，有关眩晕的中西医结合诊治指南、规范及共识较少，针对广西少数民族地区的区域性专家共识更少见。因此，结合广西地域、气候、人群体质特征、壮医特色诊疗技术等整理出符合广西地域情况的眩晕中西医诊疗专家共识，以期为该病的临床诊疗提供参考。

• Dizziness and vertigo are one of the most common causes and symptoms of patients seeking medical advice. Although they are not life-threatening, they are closely related to the quality of life and work efficiency of patients, and are also early warning signals for many diseases. Vertigo related diseases have the characteristics of high difficulty in diagnosis and treatment, recurrent conditions and persistent symptoms. The combination of traditional Chinese and western medicine has obvious advantages in treating this disease. Guangxi is located in South China. It is located in low latitudes, bordering the Nanling Mountain Mountains in the north, and the south of the Five Ridges is located in the subtropical monsoon climate zone. Under the combined effect of geographical environment, solar radiation, atmospheric circulation and other factors, it has formed the climate characteristics of warm climate, rich heat and abundant precipitation. The climate characteristics of hot, humid and rainy in the south of the Five Ridges are closely related to phlegm dampness, and fire heat syndrome. The majority of people are humid and hot. Currently, there are few guidelines, norms and consensus on the diagnosis and treatment of dizziness based on the combination of traditional Chinese and western medicine, and regional expert consensus targeting ethnic minority areas in Guangxi is even rarer. Therefore, combining with the geographical conditions, climate, physical characteristics of the population, and diagnosis and treatment techniques with Zhuang medical characteristics in Guangxi, an experts consensus in the diagnosis and treatment of dizziness based on traditional Chinese and western medicine, is compiled to provide reference for the clinical diagnosis and treatment of this disease. We have compiled an expert consensus on the diagnosis and treatment of vertigo in accordance with the geographical conditions of Guangxi, with a view to providing reference for the clinical diagnosis and treatment of the disease.