To treat dizziness, these 3 Western medicines, 3 Chinese proprietary medicines, you must know:
1. Western medicine:
1. Betalastine:
It belongs to H1 receptor agonists, can also be called histamine-like drugs, mainly by stimulating H1 histamine receptors, expanding cardiovascular and cerebral blood vessels, especially for the pyramidal artery system expansion effect is obvious, significantly increase cardiovascular and cerebrovascular blood flow, improve blood circulation, promote water and sodium excretion, reduce blood pressure. In addition, betalastine can also increase cochlear and vestibular blood flow, can effectively eliminate inner ear vertigo, ear closure and tinnitus and other symptoms, clinically mainly used for the treatment of inner ear vertigo (Meniere's disease), vascular headache, cerebral arteriosclerosis, cerebral thrombosis, cerebral embolism and other acute cerebrovascular diseases, as well as dizziness caused by hypertension, tinnitus, etc.
In terms of safety, betahistine has good safety and tolerability, common adverse reactions include nausea, vomiting, abdominal pain, diarrhea, abdominal discomfort, gastroenteritis and other gastrointestinal reactions, the reported incidence can reach 20%, and headache and other central nervous system adverse reactions, there are reported incidence up to 25%, other adverse reactions are rare, therefore, for some patients with vertigo, especially patients with otogenic vertigo, betahine can be taken, and the recommended course of medication is 2-3 months.
2. Flunarizine:
It is a selective calcium antagonist, its chemical structure contains a fluorine atom, so that its fat solubility is enhanced, easy to penetrate the blood-brain barrier, mainly by inhibiting excess calcium ions cross-membrane into neuronal cells, reducing the total amount of calcium ions in neuronal cells, thereby expanding cerebral blood vessels, relieving cerebral vasospasm, improving neuronal metabolism and brain microcirculation, preventing and treating migraine, peripheral blood vessels also have a certain expansion effect, can be used to treat hypertension, and can increase blood flow in the inner ear, improve vestibular microcirculation, relieve vertigo symptoms, It is mainly used clinically for the prevention and treatment of migraine and vertigo caused by vestibular dysfunction.
In terms of safety, flunarizine is safe and well tolerated, common drowsiness, weight gain and other adverse reactions, general symptoms are mild and short-lived, patients rarely terminate treatment because of this, rare depression and extrapyramidal reactions, but if anxiety, insomnia, loss of appetite, fatigue, loss of interest and pleasure and other depressive symptoms occur during treatment, as well as extrapyramidal reactions such as tremor, rigidity, bradykinesia, jaw dyskinesia, akathisia, etc., the drug should be stopped in time. In summary, flunarizine is safe and effective for the treatment of dizziness, the initial course of treatment is usually less than 2 months, if the treatment of chronic vertigo for 1 month or sudden vertigo after 2 months of symptoms does not see any improvement should be regarded as the patient did not respond to this drug, should be discontinued.
3. Ginkgo biloba extract tablets:
The main components are standard ginkgo biloba extract (total flavonol glycosides and terpene lactones), which have the following effects: promote cerebral blood circulation and improve brain cell metabolism; Prevents thrombosis and antiplatelet aggregation; Improve the deformability of red blood cells, reduce blood viscosity; Dilation of coronary blood vessels; Scavenges oxygen radical production, inhibits cellular lipid peroxidation; Reduce the production of lipid peroxide and improve the SOD activity of red blood cells; Reduce microvascular permeability, relax arterioles, improve microcirculation, etc. Suitable for dizziness caused by ear blood flow and nerve disorders.
In terms of safety, Ginkgo biloba extract tablets are well tolerated, and gastrointestinal discomfort, headache, blood pressure drop, and allergic reactions are rare. Increased postoperative bleeding, decreased threshold of seizures, palpitations, Stevens-Johnson syndrome, bleeding including cerebrovascular hemorrhage, etc. One month is 1 course of treatment, 2~3 courses of treatment has better effect.
2. Proprietary Chinese Medicine:
1. Flat vertigo capsules:
The groups are Alder, Manzhang Shen, Tianma, Sanqi, Huangjing, and Xianhe
Grass, pig carcass. Fangzhong alder wood tastes hard, bitter, flat sex, belongs to the liver, stomach, kidney meridian, has the effect of clearing the liver and releasing heat, dispelling wind and activating blood; Wanzhang deep taste slightly sweet, bitter, cool, with the effect of tonifying liver and kidney, clearing liver heat, both of which are jun medicine, play the role of tonifying liver and kidney, clearing liver and calming liver latent yang; Crane grass has a bitter taste, cold sex, returns to the heart, liver meridian, and has the effect of replenishing deficiency. Tianma calms the liver and relieves pain, and jointly assists Jun medicine to replenish the liver and kidney, calm the liver and latent yang, and is a courtier's medicine; Panax notoginseng taste sweet and slightly bitter, warm, active group to remove stasis, clear the pulse and fix pain. Yellow essence tastes sweet, tonifies kidney and essence, invigorates qi and nourishes yin. Pig carcass clears heat and detoxification, clears the veins and relieves pain, is used as an adjuvant, and the whole formula is used together to nourish the liver and kidneys, and calm the liver and latent yang.
Clinically, Pingdi capsules are used for dizziness caused by liver and kidney insufficiency, hepatic yang hyperactivity, symptoms include dizziness, palpitations, tinnitus, insomnia and dreams, waist and knee soreness.
2. Tongtian oral liquid:
The group is Chuanxiong, Tianma, Qianghuo, Baizhi, Red Peony, Chrysanthemum, Sea Lotus, Windbreak, Fine Spicy, Tea, Licorice. Fang Zhongchuanxiong can not only promote qi and blood, but also dispel wind and relieve pain, ascending leader, qi medicine in blood, is a monarch medicine. Tianma calms the liver and relieves pain, channels the veins and relieves pain, and the liver wind determines dizziness; Qiang activates the surface to dispel cold, dispel wind and dampness, and relieve pain; Bai Zhi solves the surface to dispel wind and relieve pain; The combination of the three medicines can not only calm the wind transformed by liver yang, but also dispel the external wind, promote qi and relieve pain, and be a common medicine. Red peony invigorates blood and blood, communicates and relieves pain; Chrysanthemum, mint spicy cool wind, clear liver and relieve depression, clear the leader; Windproof, fine spices to dispel wind and cold, relieve pain, and are used as adjuvants; The leader of tea Qingli, carrying all the medicines upward, bitter diarrhea wind and heat; Licorice harmonizes various medicines and combines them into medicines. Used together, it plays the role of activating blood circulation and removing stasis, dispelling wind and relieving pain.
Clinically, Tongtian oral liquid is used for dizziness caused by wind and yang disturbance, the symptoms are dizziness, nausea and vomiting, especially in case of wind; Primary hypertensive disease, vertebro-basilar insufficiency are seen in the above symptoms.
3. Liver and kidney nourishment:
The group is goji berry, codonopsis, ejiao, wheat dong and astragalus. Fang Zhong reuses goji berries to nourish the liver and kidneys, benefit the eyes and eyes, and is a jun medicine. Party ginseng nourishes qi and blood, ejiao nourishes blood and yin, and helps jun medicine to replenish qi and nourish blood and yin, which is a common medicine. Accompanied by Mai Dong Gan cold nourishing yin, clearing heat and calming the spirit; Astragalus can not only invigorate qi to help blood growth, but also raise clear yang to clear eyes. The combination of various medicines plays the role of nourishing the liver and kidneys, replenishing qi and blood, and calming the eyes and mind.
Clinically, liver and kidney nourishment is used for dizziness caused by old age and physical failure, or long-term illness injury, or overwork, resulting in liver and kidney loss, insufficient qi and blood, and lack of nourishment, and symptoms include dizziness, dizziness, less sleep, tiredness, and sore waist and knees. #如何做健康老年人 #
