How to treat vertigo with Chinese medicine

The treatment of vertigo with Chinese medicine requires identification and typing, and the treatment modes are different for different types of vertigo. Vertigo is categorized as hyperactivity of liver yang, obstruction of phlegm and dampness, obstruction of orifices by blood stasis, deficiency of qi and blood, and deficiency of kidney essence, and it is often treated with traditional Chinese medicines such as Semixia, Atractylodes Macrocephalae and Tianma Tang, and Tongjiao and Xuebao Tang. Vertigo is categorized into five types in Chinese medicine: hyperactivity of liver yang, obstruction of phlegm and dampness, obstruction of orifices by stasis and blood, deficiency of qi and blood, and insufficiency of kidney essence, and different medicines are used for different types of vertigo. 1. Hyperactivity of liver yang: patients with red tongue and yellow fur, often characterized by dizziness, tinnitus, bitter taste in the mouth, numbness and tremor of the limbs, etc. Treatment requires the use of calming the liver and submerging the yang. Treatment requires the use of calming the liver and submerging yang (inhibiting the liver from rising too much yang), clearing the fire and extinguishing the wind, and commonly used medicines include Tianma Hook Teng Drink. 2. Phlegm-dampness obstruction: The patient’s tongue is white and greasy, and the patient also vomits phlegm and saliva, has chest tightness and nausea, and eats little and dreams a lot. The treatment is to resolve phlegm and dampness, strengthen the spleen and stomach, and the representative formula is Semixia and Rhizoma Atractylodis Macrocephalae Tianma Tang. 3. Blood stasis obstructing the orifices: patients have dark tongue with petechiae and often have symptoms such as dizziness, headache, forgetfulness and palpitation. The treatment method of eliminating stasis and regenerating new blood, activating blood circulation and opening the orifices is adopted, and the commonly used drugs are Tongjiao and Xuebao Tang. 4. Deficiency of qi and blood: the patient has a pale tongue with thin white moss, dizziness that will be aggravated after activities, and a white face, etc. The common treatment is to tonify qi and blood and regulate the heart and the spleen by using Gui Spleen Tang. 5. Kidney essence deficiency: the patient’s tongue is pale and tender, the moss is white, and the clinical manifestations are prolonged dizziness, mental depression, and loss of vision. The treatment for this type is to nourish the liver and kidney, fill in the marrow (replenish the body’s essence and promote the development of bone marrow), and the representative medicine is Zuo Gui Wan. If vertigo is diagnosed, one should consult a professional Chinese medicine practitioner for timely treatment.