Discussion on the pathogenetic connotation of "upper deficiency leads to vertigo" based on brain lymphatic system
10.3760/cma.j.cn115398-20240509-00063
- VernacularTitle:基于脑类淋巴系统探讨“上虚则眩”的病机内涵
- Author:
Junhong LIU
1
;
Lixiang WANG
;
Weitao WANG
;
Daopei ZHANG
;
Huailiang ZHANG
Author Information
1. 河南中医药大学第一附属医院脑病四区/河南中医药大学第一临床医学院2022级硕士研究生，郑州 450000
- Keywords:
Basic theory of Traditional Chinese Medicine;
Upper deficiency leading to vertigo;
Brain-like lymphatic system;
Vertigo;
Toxic pathogenic factors;
Beta-amy
- From:
International Journal of Traditional Chinese Medicine
2025;47(5):586-590
- CountryChina
- Language:Chinese
-
Abstract:
"Upper deficiency leading to vertigo" is one of the representative discussions on deficiency vertigo in Huang Di Nei Jing, which has laid the foundation for the rich development of the theory of "deficiency causing vertigo" in later generations. The brain lymphatic system can remove metabolic wastes and provide nutrients for the brain, which is involved in the development of many brain diseases. This study believes that the broad definition of "upper deficiency leading to vertigo", that is to say, vertigo is triggered by abnormalities in the local physiological functions of the brain orifices, can be used as a platform for the pathogenesis of vertigo. Based on the findings of modern medicine on the lymphoid system, the authors discussed the possible interactions between the lymphoid system, phlegm, blood stasis, deficiency, and other pathological factors of vertigo. β-amyloid, neurotransmitters, inflammatory mediators and other "toxic pathogenic factors" may also be an important cause of vertigo. This article attempted to explain the pathogenesis of "upper deficiency leading to vertigo" with the help of lymphoid system, in order to provide new thinking direction for the development of TCM clinical diagnosis and treatment of vertigo.
