Dizziness
The mild case can be relieved by closing one's eyes , while the serious case
has an illusion of bodily movement with rotatary sensation like sitting in a
sailing boat or moving car , and even accompanied by nausea , vomiting and
sweating .
Etiology and Pathogenesis
Hyperactivity of the liver yang :
The liver is analogized as wind and wood , characterized by movement and
ascending . Over contemplation , anxiety , depression or anger can damage the
liver yin , resulting in hyperactivity of liver yang . Dizziness occurs in
case the liver yang moves as the wind and ascends to attack the brain . Or
the kidney water , generally in deficiency , fails to nourish the liver .
Dizziness occurs in case the liver is lack of nourishment , which leads to
hyperactivity of liver yang . In both situations there is deficiency in the
lower but excess in the upper part of the body .
Deficiency of qi and blood :
The heart and spleen are damaged by overwork and over contemplation in
case of a weak constitution after a disease . The damaged spleen fails to
produce qi and blood , leading to deficiency . In case the brain is poorly
nourished by qi and blood , dizziness occurs .
Interior retention of phlegm dampness :
In a person with generally abundant phlegm dampness , irregular food
intake and overwork damage the stomach and the spleen , impairing their
function in transportation and transformation and leading to production of
dampness and phlegm . Then the stagnant phlegm and qi may impede the
ascending of clear yang and the descending of the turbid yin , and thus
dizziness occurs .
Differentiation
Hyperactivity of liver yang :
Main manifestations : Dizziness aggravated by anger , irritability , flushed
face , red eyes , tinnitus , bitter taste in the mouth , dream - disturbed sleep ,
red tongue proper with yellow coating , string - taut , rapid pulse . Analysis :
Anger damages the liver yin causing hyperactivity of the liver yang , which
transforms into fire . When the fire flares up , flushed face , red eyes and
irritability appear . The spirit stored in the liver is upset by disorders of
the liver , then dream - disturbed sleep occurs . The red tongue proper with
yellow coating , bitter taste in the mouth , string - taut , rapid pulse are the
signs of yin deficiency resulting in fire hyperactivity .
Deficiency of qi and blood :
Main manifestations : Dizziness accompanied by pallor and lustreless
complexion , weakness , palpitation , insomnia , pale lips and nails , lassitude ,
pale tongue proper , thready and weak pulse . Dizziness occurs mostly after a
serious disease or loss of blood and is aggravated by overwork . Loss of
consciousness happens in severe cases .
Analysis : Dizziness is inevitable because deficiency of qi and blood
fails to nourish the brain . The heart dominates the blood and is manifested
in the complexion . The spleen dominates the transportation and
transformation to manufacture qi and blood . If the heart and spleen are
injured , qi and blood will be insufficient , thereby , the complexion is lusterless ,
and the lips and the nails are pale . Deficiency of blood leads to
palpitation and insomnia . Deficiency of qi gives rise to weakness ,
lassitude , anorexia . . and is aggravated by overwork . Pale tongue and thready ,
weak pulse are the signs of deficiency of qi and blood .
Interior retention of phlegm dampness :
Main manifestations : Dizziness with a heavy feeling of the head and
suffocating sensation in the chest , nausea , profuse sputum , anorexia ,
somnolence , white , sticky tongue coating , soft , rolling pulse .
Analysis : Dizziness with a heavy feeling of the head is the sign of the
pure yang disturbed by phlegm dampness . Suffocating sensation in the chest
and nausea are caused by qi obstructed in the middle jiao . Anorexia and
somnolence are due to the spleen yang deficiency . White , sticky tongue
coating , soft and rolling pulse are the signs of phlegm dampness .
Treatment
Hyperactivity of liver yang :
Method : Points of the Liver Meridian and Kidney Meridian are selected as
the main points to nourish yin and pacify yang . Reinforcing and reducing
methods are applied with either one first according to the condition of the
disease .
Prescription : Fengchi ( G 20 ) , Ganshu ( B 18 ) , Shenshu ( B 23 ) , Taixi ( K 3 ) ,
Xingjian ( Liv 2 ) .
Explanation : The reinforcing method applied to Shenshu ( B 23 ) and Taixi
( K 3 ) is to replenish the kidney water , while the reducing to Ganshu ( B 18 ) ,
Xingjian ( Liv 2 ) and Fengchi ( G 20 ) is to pacify the liver yang .
Deficiency of qi and blood :
Method : Points of the Ren Meridian and the Bladder and Stomach Meridians
are selected as the main points with reinforcing in combination with
moxibustion to replenish qi and blood .
Prescription : Baihui ( Du 20 ) , Pishu ( B 20 ) , Guanyuan ( Ren 4 ) , Zusanii ( S
36 ) , Sanyinjiao ( Sp 6 ) .
Explanation : Moxibustion to Baihui ( Du 20 ) , which is located at the
vertex , is to make qi and blood ascend to the head to nourish the brain and
check dizziness . Guanyuan ( Ren 4 ) is used to strengthen the primary qi .
Pishu ( B 20 ) and Sanyinjiao ( Sp 6 ) are for invigorating the spleen and
stomach to produce qi and blood .
Interior retention of phlegm dampness :
Method : The Back - ( Shu ) and Front - ( Mu ) points of the spleen and stomach
are selected as the main points with even movement to resolve phlegm and
eliminate dampness .
Prescription : Touwei ( S 8 ) , Pishu ( B 20 ) , Zhongwan ( Ren 12 ) , Neiguan ( P
6 ) , Fenglong ( S 40 ) .
Explanation : Pishu ( B 20 ) and Zhongwan ( Ren 12 ) are needled to strengthen
the spleen and stomach for eliminating dampness . Fenglong ( S 40 ) , the Luo - ( Connecting )
point of the stomach , is to make qi descend and resolve phlegm . Touwei ( S 8 )
is for dizziness . Neiguan ( P 6 ) is for relaxing the chest , regulating qi and
harmonizing the stomach to check vomiting .
Remarks
Dizziness may be explained as derangement of the equilibrium of the senses
in modern medicine . Clinically , the symptom is mostly seen in hypertention ,
arteriosclerosis , neurosis , and otogenic diseases .
Tapping needling : Main points : Baihui ( Du 20 ) , Taiyang ( Extra ) , Yintang
( Extra ) , and Huatuojiaji ( Extra ) .
Method : Tap once or twice daily with moderate stimulation . Five to ten
treatments constitute one course .
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