Dizziness
Dizziness
Concept *Dizziness (xuan yun) Xuan-eyes -outside world moving Yun-head self movement
Concept ❖ Dizziness (xuan yun) ❖ Xuan – eyes – outside world moving ❖ Yun – head – self movement
Etiology and Pathogenesis Emotion-liver qi stag.-fire Improper diet-sp.-damp&phlegm bing disturbed Over working-ki.essence def. malnutrition *Long history dis.-Qi blood def. 公 brain
Etiology and Pathogenesis ❖ Emotion-liver qi stag.-fire ❖ Improper diet-sp.-damp&phlegm bing disturbed ❖ Over working- ki. essence def. malnutrition ❖ Long history dis.- Qi & blood def. ❖ brain
Differentiation
Differentiation
1.Hyperactivity of Liver Yang Main manifestations: Dizziness,tinnitus,distending pain in the head and dizziness aggravated by overstrain and anger Accompanying Symptoms and Signs: Irritability,flushed face,congested eyes,dream disturbed sleep,a bitter taste in the mouth Tongue and Pulse: A red tongue with yellow coating and a wiry pulse
1.Hyperactivity of Liver Yang ❖ Main manifestations: Dizziness,tinnitus,distending pain in the head and dizziness aggravated by overstrain and anger ❖ Accompanying Symptoms and Signs: Irritability,flushed face,congested eyes,dream disturbed sleep,a bitter taste in the mouth ❖ Tongue and Pulse: A red tongue with yellow coating and a wiry pulse
2.Deficiency of Qi and Blood Main manifestations: Dizziness aggravated by exertion or overstrain,with a tendency to fall over in the severe cases Accompanying Symptoms and Signs: Pale complexion,lusterless lips and nails, palpitations,insomnia,lassitude,shortness of breath,an unwillingness to speak and a poor appetite Tongue and Pulse: A pale tongue,a thready and weak pulse
2.Deficiency of Qi and Blood ❖ Main manifestations: Dizziness aggravated by exertion or overstrain,with a tendency to fall over in the severe cases ❖ Accompanying Symptoms and Signs: Pale complexion,lusterless lips and nails, palpitations,insomnia,lassitude,shortness of breath, an unwillingness to speak and a poor appetite ❖ Tongue and Pulse: A pale tongue,a thready and weak pulse
3.Obstruction of Phlegm Dampness in the Middle Jiao Main manifestations: Dizziness with heaviness of the head as if it were tightly bound *Accompanying Symptoms and Signs: Fullness in the chest and nausea,poor appetite,somnolence Tongue and Pulse: A thick and greasy tongue coating,a soft and slippery pulse
3.Obstruction of Phlegm Dampness in the Middle Jiao ❖ Main manifestations: Dizziness with heaviness of the head as if it were tightly bound ❖ Accompanying Symptoms and Signs: Fullness in the chest and nausea,poor appetite, somnolence ❖ Tongue and Pulse: A thick and greasy tongue coating,a soft and slippery pulse
4.Kidney essence deficiency Main manifestations: dizziness,empty feeling in brain,or company with a dull pain *Accompanying syndromes and signs: tinnitus,weakness and soreness of the waist and knees,seminal emission,lassitude Tongue and pulse: a red tongue with thin coating or without coating and a wiry,thready and rapid pulse
4. Kidney essence deficiency ❖ Main manifestations: dizziness, empty feeling in brain, or company with a dull pain ❖ Accompanying syndromes and signs: tinnitus, weakness and soreness of the waist and knees,seminal emission,lassitude ❖ Tongue and pulse: a red tongue with thin coating or without coating and a wiry,thready and rapid pulse
Treatment
Treatment
1.Hyperactivity of Liver Yang *Treatment Principle: Calming the liver,subduing the hyperactive Yang Acupoint Selection: Fenchi(GB20),Xingjian(LR2), Xiaxi(GB43),Ganshu(BL18),Shenshu(BL23),Taixi (KI3)
1.Hyperactivity of Liver Yang ❖ Treatment Principle: Calming the liver,subduing the hyperactive Yang ❖ Acupoint Selection: Fenchi(GB20), Xingjian(LR2), Xiaxi(GB43),Ganshu(BL18),Shenshu(BL23),Taixi (KI3)