Vertigo Vertigo is a common symptom in patients with vertebral artery cervical spondylosis. It is induced by a change in the patient’s position due to extension or rotation of the neck. Vertigo caused by ischemic lesions of the vestibular nerve nucleus usually lasts for a short period of time, disappearing in a few seconds to a few minutes, and the patient may experience mild disorientation and movement disorders at the onset, manifesting as unstable walking or tilting to one side; vertigo caused by ischemic lesions of the vestibular nerve nucleus is not accompanied by impaired consciousness. The vertigo caused by vestibular neuropathy is central vertigo; the vagal ischemic lesion is peripheral vertigo. Some patients have nausea and cannot raise their heads during acute attacks. A few patients have diplopia, eye tremor, tinnitus and deafness. Some patients can hear murmur of vertebral artery due to distortion and obstruction of blood flow on the affected clavicle. On palpation of the thumb at the back of the neck, the affected side can be felt to be rotated and displaced, and there is obvious pressure pain at the spinous process and the displaced synovial joint. Headache Patients with vertebral artery cervical spondylosis usually have both headache and vertigo symptoms at the onset. Occipital neuropathy is the main cause of headache. Because the occipital artery, a branch of the vertebral artery, supplies the occipital nerve, clinically, spasm of the vertebral artery causes ischemia of the occipital nerve and headache symptoms in the occipital nerve innervation area, which is intermittent throbbing pain radiating from the back of one side of the neck to the occipital area and half of the head, with a burning sensation. In addition, the rhomboid muscle, which is innervated around the paramedian nerve, can cause spasm of the rhomboid muscle after root lesion or trauma to this muscle, and the occipital nerve branch that penetrates from the rhomboid muscle is squeezed to induce clinical symptoms. Headache can also be triggered by the displacement of the atlantoaxial or pivotal vertebrae, which can stimulate the occipital nerve that penetrates through it. (1) Eye symptoms (cervical eye syndrome): inability to open the eyes, only closed eyes lying flat, eye swelling, eye sinking, weakness to open the eyes, with blurred vision, reduced visual acuity, flashes of light in front of the eyes, dark spots, visual field defects, eye pain, eye muscle spasm, transient blindness, conjunctival congestion and other symptoms when the neck is overactive. (2) Headache: radiating pain, scurrying pain, numbness, swelling pain, dull pain, hot pain, cool pain, localized pain, forehead pain, pain on both sides, top pain, light pain, medium pain, heavy pain, and even vomiting if the pain is stopped by “touching the wall”. (3) Dizziness: headache, vertigo, or even nausea, vomiting, transient blindness with dizziness, dizziness, etc., or even a feeling of fainting or sudden fainting, waking up afterwards as normal. (4) Memory impairment: Significant loss of memory, forgetting to do things, forgetting to do things, forgetting to remember yesterday’s events, and even not being able to remember whether or not to eat. (5) Heart (cervical heart disease): palpitations, panic, shortness of breath, chest tightness, breath-holding, fear of thought, pain in the precordial region, and other manifestations of cervical coronary heart disease (no corresponding changes in the electrocardiogram). (6) Hypertension (cervical hyperthermia): elevated blood pressure, dizziness, headache, blurred vision, and even nausea and vomiting. Blood pressure is elevated, irregular, high and low, drug lowering and rising, rising and falling, or blood pressure dropping to too low after treatment. (7) Cholecystitis (cervical biliary disease): abdominal pain, abdominal distension, nausea, loss of appetite, weakness of the limbs, pain in the liver and biliary area, etc. (8) Authidrosis (cervical authidrosis): fever, redness of the limbs, excessive sweating on one limb or one limb or head, both hands, both feet, distal extremities, obsolete natural fading, irregular episodes. (9) Anhidrosis (cervical anhidrosis): coldness of the limbs, fear of cold, unilateral limb or one limb or head, both hands, both feet, distal extremities appear less sweating, or even absolute non-sweating of the whole body, dryness and discomfort, emotional instability. (10) Insomnia (cervical insomnia): insomnia can not sleep, with sedative drugs to gradually increase the amount of sleep, a short period of time does not affect the next day’s work, a long time to affect the work and study, the effect of various methods of treatment is poor. Dreaming: nightmares, long dreams, dreams of doing things, dreams of working, dreams of making friends, irregular dreams, etc. Visual impairment Due to the spasm of vertebrobasilar artery system caused by cervical spondylosis, secondary ischemic lesion of the visual center of occipital lobe of the brain, a few patients may have vision loss or visual field defect, and serious cases may even cause blindness. Sudden fall When the patient’s neck is rotated, the patient suddenly feels weakness in the lower limbs and falls down. The clinical features are: the patient is conscious at the onset and can get up or even walk on his own within a short time. This is different from other cerebrovascular diseases. Differential diagnosis Hypertensive vertigo Meniere’s syndrome Angina pectoris Gastritis Gastric ulcer Treatment Chinese medicine has advantages If you suddenly faint while working at high places, walking along the river, while driving, or while operating machines, it can have very serious consequences.