血管迷走性晕厥是不明原因性晕厥中的常见类型，治疗方法以非药物治疗为主，西药治疗存在明显局限性。血管迷 走性晕厥可归属于中医“厥证”范畴。吴伟教授认为，血管迷走性晕厥的基本病机为脾阳不升，治疗以升发脾阳为法，创 制升发脾阳基本方，主要由黄芪、白术、党参、五指毛桃、陈皮、北柴胡、盐杜仲、酒山茱萸、补骨脂、淡附片、白芍、 生姜组成，以升发脾阳，兼养心疏肝温肾。吴伟教授运用升发脾阳法治疗血管迷走性晕厥疗效较显著，其经验可为中医临 床治疗该病提供参考。

Vasovagal syncope is the common type of unexplained syncope，and non-drug therapy is the primary method for its treatment. Till now，there are obvious limitations of western medicine treatment. Vasovagal syncope can be attributed to the category of “syncope syndrome”in the field of traditional Chinese medicine. Professor Wu Wei believes that the fundamental pathogenesis of vasovagal syncope is due to the failure of spleen yang in ascending，and the therapeutic method is to elevate and flourish spleen yang. Professor Wu established the basic formula for elevating spleen yang， which is maily composed of Astragali Radix， Atractylodis Macrocephalae Rhizoma，Codonopsis Radix，Fici Simplicissimae Radix，Citri Reticulatae Pericarpium，Bupleuri Radix，saltprepared Eucommiae Cortex， wine-prepared Corni Fructus， Psoraleae Fructus， Aconiti Lateralis Radix Preparata，Paeoniae Radix Alba and Zingiberis Rhizoma Recens. The formula has the primary actions of elevating and flourishing spleen yang， and also has the auxiliary effect on nourishing heart， soothing liver and warming kidney. The treatment of vasovagal syncope using the method of elevating and flourishing spleen yang by Professor Wu Wei has achieved satisfactory efficacy，and his experience can provide a reference for the clinical treatment of vasovagal syncope with Chinese medicine.

R256.24

广东省中医药专项基金资助项目（粤中医办涵[2024]12 号）；陈镜合全国名老中医传承工作室建设项目（编号：09005654004）； 吴伟广东省名中医传承工作室项目（编号：2100600147）