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Saturday, 30 November 2013

Vertigo Treatments In Traditional Chinese medicine perspective

Vertigo is defined as a condition of dizziness of feeling of spinning, or swaying when one is stationary. Dizziness is a general, non-specific term to indicate a sense of disorientation. Some researchers suggested that vertigo is a subtype of dizziness and refers to an erroneous perception of self- or object-motion or an unpleasant distortion of static gravitational orientation that is a result of a mismatch between vestibular, visual, and somatosensory systems, affecting approximately 20-30% of the general population(1) and about two to three times higher in women than in men.
Treatments
In Traditional Chinese medicine perspective(76)
Traditional Chinese medicine (TCM) defines vertigo is a result of the imbalance of internal organs of that can lead to phlegm production and deficiency causes of poor blood circulation and insufficient blood supply to the brain.
1. Hyperactivity of kidney yang
a. As a result of liver qi stagnation of that lead to develop of liver fire which cause damage to the liver yin
b. TCM formula:Tian Ma Gou Teng Yin(77)
b.1. Tian Ma (Rhizoma Gastrodiae Elatae, Gastrodia Rhizome) - 9g.  -calms liver, clears wind
b.2. Gou Teng (Ramulus Cum Uncis Uncariae, Gambir Vine Stems, Gambir) - 12-15g.  -calms liver, clears wind
b.3. Shi Jue Ming (Concha Haliotidis, Abolone Shell) - 18-24g  -calms liver, clears wind
b.4. Zhi Zi (Fructus Gardeniae Jasminoidis, Cape Jasmine Fruit, Gardenia) - 9g.  -clear heat, drain fire  b.5. Huang Qin (Radix Scutellariae Baicalensis, Baical Skullcap Root, Scutellaria, Scute) - 9g.  -clear heat, drain fire
b.6. Yi Mu Cao (Herba Leonuri Heterophylli, Chinese Motherwort, Leonurus) - 9-12g.  -promote blood circulation, prevents rising of blood to the head with ascending yang
b.7. Chuan Niu Xi (RadixCyathulae Officinalis Sichuan Ox Knee) - 12g.  -promotes downward movement of blood
b.8. Du Zhong (Cortex Eucommiae Ulmoidis, Eucommia Bark) - 9-12g.  -nourish liver and kidneys
b.9. Sang Ji Sheng  (Ramulus Sangjisheng, Mulberry Mistletoe Stem, Loranthus) - 9-24g.  -nourish liver and kidneys
b.10. Ye Jiao Teng  (Caulis Polygoni Multiflori) - 9-30g.  -calms spirit  Fu Shen   (Sclerotium Poriae Cocos Pararadicis, Poria Spirit) - 9-15g.  -calms spirit

2. Retention of turbid phlegm in the middle burner
a. As a result of eating too much greasy and/or sweet foods, working too much, etc. that lead to impair the ability of spleen and stomach function
b. TCM formula: Ban Xia Bai Zhu Tian Ma Tang(78)
b.1. Ban Xia (Rhizoma Pinelliae Tematae, Pinellia Rhizome) - 4.5g.  -dries dampness, transform phlegm, direct Qi downwards
b.2. Tian Ma (Rhizoma Gastrodiae Elatae, Gastrodia Rhizome) - 3g.  -transforms phlegm, clears wind, eliminates headache and dizziness
b.3. Bai Zhu (Rhizoma Atractyloids Macrocephaelae, White Atractylodes Rhizome) - 9g.  -tonify spleen, dry dampness
b.4. Ju Hong (Pars Rubra Epicarpii Citri Erythocarpae, Red Part of the Tangerine Peel) - 3g.  -regulates Qi, transform phlegm
b.5. Fu Ling (Sclerotium Poriae Cocos,China Root, Poria, Hoelen) - 3g.  -tonify spleen, drains dampness
b.6. Gan Cao (Radix Glycyrrhizae Uralensis, Licorice Root) - 1.5g.  -harmonize herbs within formula, regulates middle jiao
b.7. Sheng Jiang (Rhizoma Zingiberis Officinalis Recens, Fresh Ginger Rhizome) - 1 slice  -harmonize stomach and spleen
b.8. Da Zao (Fructus Ziziphi Jujubae, Chinese Date, Jujube) - 2 pieces  -harmonize stomach and spleen

3. Deficiency of kidney essence (yin)
a. Most case of Deficiency of kidney essence are the result of congenital deficiency, aging, or excessive stress on the kidney system
b. TCM formula: Liu Wei Di Huang Wan(79)
b.1. Shu Di Huang (Rehmanniae Glutinosae Conquitae, Rehmannia (cooked)) - 240g.  -tonify kidney yin and essense
b.2. Shan Zhu Yu (Fructus Corni Officinalis, Asiatic Comelian Cherry Fruit, Cornus) - 120g.  -nourish liver, stops essence leakage
b.3. ShanYao (Radix Dioscoreae Oppositae, Chinese Yam, Dioscorea) - 120g.  -stabilizes essence, tonify spleen
b.4. Mu Dan Pi (Cortex Moutan Radicis, Cortex of the Tree Peony Root, Moutan) - 90g.  -clears liver fire
b.5. Fu Ling (Sclerotium Poriae Cocos, China-root, Poria, Hoelen) - 90g.  -drains dampness, tonify spleen
b.6. Ze Xie (Rhizoma Alismatis Orientalitis, Water Plantain Rhizome, Alisma) - 90g.  -clears and drains kidney fire

4. Deficiency of qi and blood(80)
a. Chronic illness, massive blood loss, or chronic deficiencies of spleen and stomach function can cause the deficiency of qi and blood
b. TCM formula Guipi Tang 
b.1. Huang Qi (Radix Astragali Membranaceus, Milk Vetch Root, Astragalus) - 9-12g.  -tonify spleen Qi, tonify blood
b.2. Ren Shen (Radix Ginseng, Ginseng) - 3-6g.  -tonify spleen Qi
b.3. Bai Zhu (Rhizoma Atractyloids Macrocephaeiae, Atractylodes (white) Rhizome) - 9-12g.  -tonify spleen Qi, dries dampness
b.4. Fu Shen (Sclerotium Porae Cocos Pararadicis, Poria Spirit) - 9-12g.  -calms spirit, tonify spleen  b.5. Dang Gui (Radix Angelicae Sinensis, Chinese Angelica Root, tang-kuei) - 6-9g.  -tonify blood, regulate menstruation
b.6. Mu Xiang (Radix Aucklandiae Lappae, Costus Root, Saussurea, Aucklandia) - 3-6g.  -regulates Qi  b.7. Long Yan Rou (Arillus Euphoriae Longanae, Flesh of the Longan Fruit, Longan) - 6-9g.  -tonify blood, calm spirit
b.8. Suan Zao Ren (Semen Zizyphi Spinosae, Sour Jujube Seed, Zizyphus) - 9-12g.  -calms spirit
b.9. Yuan Zhi (Radix Polygalae Tenuifoliae, Chinese Senega root, Polygala) - 3-6g.  -calms spirit, promotes heart Qi
b.10. Zhi Gan Cao (Radix Glycyrrhizae Uralensis, Licorice Root) - 3-6g.  -tonify spleen Qi

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Sources
(76) http://www.itmonline.org/arts/tinmen.htm 
(77) http://www.chinesemedicinetools.com/theory/herbal-medicine/chinese-herbal-formulas-general/tian-ma-gou-teng-yin
(78) http://www.chinesemedicinetools.com/theory/herbal-medicine/chinese-herbal-formulas-general/ban-xia-bai-zhu-tian-ma-tang 
(79) http://www.chinesemedicinetools.com/theory/herbal-medicine/chinese-herbal-formulas-general/liu-wei-di-huang-wan
(80) http://www.chinesemedicinetools.com/theory/herbal-medicine/chinese-herbal-formulas-general/gui-pi-tang