What are the non-pharmacological treatments for vertigo

       Vertigo is a type of disease with dizziness and blurred vision as the main symptoms. According to Chinese medicine, there are many causes of dizziness, including external and internal injuries. Clinical evidence is mainly divided into wind and yang disturbance, wind evil disturbance, phlegm clouding, deficiency of qi and blood, liver and kidney yin deficiency, and internal obstruction of blood stasis. Treatment is mainly based on dispersing external wind, resolving Shaoyang, pacifying liver and quenching wind, drying dampness and resolving phlegm, nourishing qi and blood, nourishing liver and kidney, and resolving stasis and clearing ligaments. The non-pharmacological treatments for vertigo are discussed as follows.  1. Acupuncture and moxibustion treatment (1) Wind evil disturbs the body. Main points: Waiguan, Hegu, Fengfu. (2) Shaoyang evil depression. Selected acupoints: Qiu Hui, Hanging Bell, Xing Bu. (3) Evidence of hyperactivity of liver yang. Selected points: Fengchi, Liver Yu, Kidney Yu, Xingma, Manxi. (4) Evidence of phlegm blockage. Selected points: Touwei, Neiguan, Zhonggui, Fenglong, Yinlingquan. (5) Deficiency of qi and blood. Selected points: Spleen Yu, Stomach Yu, Foot San Li, Baihui. (6) Kidney essence deficiency. Selected points: Baihui, Hanging Bell, Kidney Yu, Taixi. (7) Internal obstruction of blood stasis. Selected points: Hegu, Sanyinjiao, Blood Sea.  2.Tui-na treatment ① Wind evil disturbing the evidence. Points: Baihui, Waiguan, Fengchi, Shoulder well, Dazhi, Hegu, Sun. Operation method: patient sitting, push Baihui, Waiguan, Fengchi, shoulder well, Dazhi, Hegu, Sun with one finger meditation, take shoulder well with both hands, roll the shoulder, press Fengchi and Baihui.  ② Shaoyang evil depression evidence. Acupuncture points: Qiu Hui, Hanging Bell, Xingma, Zhangmen, Periodic Gate, Quchi, Foot Sanli. Operation: With the patient in supine position, push Qiu Hui, Hanging Bell, Xing Zhong, Zhang Men, Qi Men, Qu Chi, and Shu San Li with one finger meditation. Both hands are applied to the patient’s rib cage with the massage method, pressing and rubbing Qiu Hui, Hang Zhong, and Xing Ji.  (3) Evidence of hyperactivity of liver yang. Acupuncture points: Baihui, Shumen, Zhangmen, Taichong, Xingzhong, Liver Yu, Gall Bladder Yu. How to operate: with the patient in supine position, the practitioner pushes Baihui 300 times with a finger duster, pushes the forehead, rubs the sun, wipes the face, sweeps the horned sun, presses and rubs the period, zhangmen, tai-chong and xing-zhang; change to prone position, rubs the bladder meridian on both sides directly, pushes the liver and gall bladder yu.  ④ Evidence of phlegm-dampness in obstruction. Acupuncture points: Zhonggui, Fenglong, Tanzhong, Spleen Yu, Stomach Yu. How to operate: with the patient in supine position, push Zhongbei with a finger duster, massage the abdomen, operate in a clockwise direction, press and knead Tanzhong, push Fenglong, face forehead, knead Sun, and sweep away Horn Sun; change to prone position, rub both sides of the spine with the Foot and Sun Bladder meridians, and push Spleen Yu and Stomach Yu.  ⑤ Qi and blood deficiency. Points: Qi Hai, Blood Hai, Spleen Yu, Stomach Yu, Tanzhong, Diaphragm Yu, Sanyinjiao, and Foot Sanli. How to operate: with the patient in supine position, push Qi Hai, Guan Yuan, Blood Sea, Foot San Li, San Yin Jiao and Tan Zhong with one-finger Zen pushing method, massage the abdomen in counterclockwise direction, then wipe the arch of the eyebrows and sweep away Jiao Sun; change to prone position and press and knead Spleen Yu, Stomach Yu and Diaphragm Yu.  (6) Kidney essence deficiency. Points: Kidney Yu, Guan Yuan, Qi Hai, Sanyinjiao, Shenting, Tai Xi. How to operate: with the patient in supine position, push Qihai, Guan Yuan, Sanyinjiao and Tai Xi with one finger meditation, press and rub Shenting, rub the Sun and wipe the face; change to prone position, rub the Governor’s Vessel and the Foot Sun Meridian on both sides directly and press and rub Kidney Yu.  (7) Evidence of stasis in the veins. Acupoints: Fengfu, Mute Gate, Fengchi, Tianjing, Hegu, and A-Yi points. How to operate: With the patient seated, push the Fengfu, Mute Gate, Fengchi, and A-Ye points with one finger of Zen and press and knead them; hold the Fengchi with three fingers, hold the shoulder well and shoulder back with both hands, press and knead the Hegu, and pull and stretch the neck. Add or subtract with the evidence: if it is caused by trauma, add rotational repositioning method if the spinous process is skewed; if it is accompanied by shoulder and back pain and numbness of fingers, add shoulder k, shoulder chin, Quchi, and take the three Yang meridians of the upper limbs.  In case of vertigo attack, rest in bed, adopt a suitable position and move less. You should also turn your head less when applying the techniques to prevent aggravating vertigo. In addition, washing the face, rubbing the scalp, bathing the heel, rubbing the nose, combing the head, drumming the ears, stroking the back of the pillow, raising the hands, rubbing the waist and eyes, rubbing the abdomen, practicing the eyes, rubbing the heart of the feet and Chung Quan, etc., can channel the qi and blood and improve the symptoms of vertigo.  3.Medicinal bath therapy The water temperature is kept at 35oC~36oC, adding 0.5~1g of turpentine powder per liter of water, which has aromatic smell and refreshing effect on the brain, and the patient is dipped in the bath with the water surface flush with the chest, once every 1~2 days for 30~45 minutes.  4.Qigong therapy There are many methods of qigong exercise, and the main gong methods applicable to vertigo are the strong gong of static gong and the dynamic gong of taiji stick gong and slow walking action gong.  5.Aroma therapy It is advisable to use fragrant pillow method, such as Ding Xian pillow, Wang’s longevity pillow, chrysanthemum pillow, etc.  6, healing rehabilitation method can be used spring water cold compress method, 150-300ml each time, twice a day, half an hour each time. Also available spring water foot bath method, once a day, half an hour each time. The condition of the choice of alpine therapy, air therapy, sun therapy, forest therapy can be.