Dizziness is dazzle, dizziness is dizziness, clinically the two often appear at the same time, so collectively known as "vertigo", the light can be stopped with closed eyes, the heavy such as sitting on a car and boat, spinning uncertainly, unable to stand, or accompanied by nausea, vomiting, sweating, pale face and other symptoms.
Vertigo is a common clinical symptom, most common in middle-aged and elderly people, but also in young people. The disease can recur, interfere with normal work and life, and even develop stroke and endanger physical health. Clinically, the use of traditional Chinese medicine to prevent and treat vertigo has a good effect on controlling the occurrence and development of vertigo.
TCM thinks
This disease is mostly yin deficiency and hyper-yang, liver fire inflammation, deficiency of qi and blood, insufficient kidney essence, phlegm stasis obstruction, when the liver is flat and yang, beneficial to the qi and nourishing blood, tonic liver and kidney, dispel stasis and phlegm for treatment. Vertigo caused by hypertension, hypotension, hypoglycemia, anemia, Meniere's syndrome, cerebral arteriosclerosis, insufficient blood supply to the vertebral-basal arteries, neurasthenia, etc., can be combined with traditional Chinese medicine treatment at the same time as conventional treatment. According to the "Vertigo TCM Diagnosis and Treatment Plan (2017 Edition)" formulated by the State Administration of Traditional Chinese Medicine, the dialectical treatment of TCM is generally divided into the following types.
1. Wind sputum disturbance type: mainly manifested as dizziness, a sense of rotation or shaking, floating feeling, the weight of the head is wrapped, accompanied by nausea and vomiting or nausea, vomiting phlegm, less food and stool, white or white greasy tongue, smooth pulse strings. When to dispel phlegm, healthy spleen and stomach as a treatment, the party with half summer white art tianma soup plus and minus, medicine take tangerine peel, half summer, poria, bai shu, tianma, jujube, orange red 10 grams each, 5 grams of licorice, 3 slices of ginger, decoction, 1 dose per day (the same below).
Proprietary Chinese medicine can choose snake bile tangerine peel oral liquid (tablets, capsules), 1 stick each time, 2 times a day orally; gastrodia tablets, 5 tablets each time, 3 times a day orally; vertigo Ning Chong, 8g at a time, 3 to 4 times a day, flushed with boiled water.
2. Liver fire inflammation type: mainly manifested as dizziness and pain, its potential is more dramatic, the eyes are red and bitter, chest swelling pain, irritability and irritability, sleep less and more dreams, yellow urine, dry stool knots, red tongue moss yellow, pulse string number. When the treatment is to flatten the liver and the latent yang, clear the fire and extinguish the wind, the party uses tianma hook vine to add and subtract, and the medicine takes tianma, hook vine, stone cassia, skullcap, gardenia, motherwort, ox knee, eucommia, mulberry parasitism, porphyra, night vine, summer wilt 10 grams each.
Proprietary Chinese medicine can choose compound Rob Hemp Punch, or Mountain Flower Crystal Granules, 10 grams each time, orally 3 times a day; Dan Yan Yao Pill, 9 grams each time, 2 times a day orally; Gentian Diarrhea Liver Oral Liquid, or Xia Kui Herb Paste, 10 ml each time, 3 times a day orally.
3. Deficiency of qi and blood: it is mainly manifested as dizziness and dizziness, intensification of movement, hair in case of exertion, pale face, uneducated claws, fatigue, palpitations and little sleep, less food, loose stool, thin tongue, thin white tongue, and weak pulse. When treated with tonifying qi and blood, healthy spleen and stomach, the party uses eight zhen soup to add and subtract, and the medicine is taken to take dang ginseng, poria, bai shu, hot licorice, angelica, cooked ground yellow, Sichuan root, red peony, hot astragalus, mulberry 10 grams each.
Proprietary Chinese medicine can choose to supplement The Qi Oral Liquid, or Bazhen Oral Liquid, 1 stick each time, 2 times a day orally, Ejiao Blood Tonic Punch, 10 grams each time, 2 times a day.
4. Sputum stasis obstruction type: mainly manifested as dizziness and heavy dizziness, accompanied by chest tightness and nausea, limb numbness or tingling, cyanosis of the lips, skin nail error, or skin like ant-like, or headache, dark ecchymosis of the tongue, thin white moss, smooth or astringent pulse. When the blood is activated to dissolve phlegm, tongluo open trick as the treatment, the party uses polyester phlegm soup to add and subtract the live blood soup, and the medicine takes peach kernel, safflower, Sichuan root, red peony, jujube tudor, calamus, bai zhi 10 grams each, fine spices 5 grams, ginger 3 pieces, green onion white 2 stems.
Proprietary Chinese medicine can choose headache Ning capsules, 3 capsules each time, 3 times a day orally, 37 tablets, or danshen tablets, 3 capsules each time, 3 times a day orally.
5. Yin deficiency and hyper-yang type: mainly manifested as dizziness, upset insomnia, dreams, red face, tinnitus, night sweats, hot hands and feet, dry mouth, red tongue and less moss, fine pulses or fine strings. When the cure for the town liver extinguishing wind, nourishing yin and latent yang as the treatment, the party uses the town liver extinguishing wind soup to add or subtract, the medicine takes Huai ox knee, raw white peony, yuan ginseng, Tiandong, Sichuan neem, raw malt, Yin Chen 10 grams each, 15 grams of dai ochre, raw keel, raw oysters, raw turtle plate (first fried) 30 grams each, licorice 5 grams.
Proprietary Chinese medicine can be selected with cerebral pills, 10 pills at a time, 2 times a day, orally. Tortoiseshell gel granules, 9 g at a time, 3 times a day, rinse with boiling water.
6. Insufficient kidney sperm type: mainly manifested as dizziness for a long time, hearing loss, tinnitus, little sleep forgetfulness, fatigue and fatigue, waist and knee weakness, red tongue, thin moss, fine pulse strings. When to supplement the kidneys and fill the essence, nourish the brain marrow as the treatment, the square use of ground yellow drinks plus or mint, medicine to take cooked ground yellow, bayan, dogwood, cistanche, dendrobium, preparation of appendages (first fried), schisandra, cinnamon, white poria, mai mendong, stone calamus, Yuanzhi 10 grams each, 3 slices of ginger, 5 dates, mint (later down) 5 grams.
Proprietary Chinese medicine can choose Qiju Dihuang Pill, or Zuo Gui Pill, or Da Tonic Yin Pill, or Compound Shouwu Dihuang Pill, 9 grams each time, 3 times a day orally, Eucommia tablets, 4 tablets each time, 3 times a day orally.
During conventional treatment, the following tea recipes can be combined:
1. Lotus leaf chrysanthemum cassia tea: lotus leaf, chrysanthemum tea, cassia seed in equal amounts, boiled water to drink, 1 dose per day. Suitable for disturbance type vertigo on wind sputum.
2. Locust flower cassia chrysanthemum tea: locust flower, cassia seed, chrysanthemum flower in equal amounts, boiling water to drink, 1 dose per day. Suitable for hepatic inflammatory vertigo.
3. Red jujube guiyuan goji berry tea: red dates, guiyuan, goji berries are equal in amount, boiled water to drink, 1 dose per day. Suitable for qi and blood deficiency type vertigo.
4. Hawthorn salvia tea: hawthorn 10 g, salvia 15 g, boiled water to drink, 1 dose per day. Suitable for sputum stasis type vertigo.
5. Mai Dong Lily Dogwood: Wheat Dong, Lily, Dogwood are each equal in amount, boiled water to drink, 1 dose per day. Suitable for yin deficiency and hyper-yang type vertigo.
6. Goji berry shou wu mulberry: goji berries, He Shou Wu, mulberry are equal in amount, boiled water to drink, 1 dose per day. Suitable for renal insufficiency type vertigo.
Qiu Peiran, a master of traditional Chinese medicine, is a famous traditional Chinese medicine scientist in China, who is known for his clinical treatment of difficult and complicated diseases, countless living people, and a wide range of medical treatments. This article attempts to explore Qiu Peiran's academic thinking from the medical case of vertigo disease, in order to appreciate the same way of Chinese medicine.
Medical case one
Wang Mou, female, 44 years old. First consultation on September 23, 1992. v. Dizziness February. In the past 2 months, dizziness is uncomfortable, accompanied by palpitations, poor night sleep, less sodium, and shortened menstrual cycle. Sometimes stomach upset. He has a history of stomach disease in the past, and has done glycemic index in the outer hospital to show: "thickening of the gastric mucosa". There is no history of hypertension, and cervical spondylosis was detected 3 years ago. Engraved: dizziness, palpitations, fatigue, numbness in the fingers, pain in the blinking, lack of rest in the night, less sodium, slightly obese, BP124/78mmHg, no abnormalities in cardiopulmonary auscultation, thin veins of the tongue.
Dialectical analysis: X-ray cervical spine photographs in this case confirm cervical spine hyperplasia, and cervical spondylosis is a local manifestation of systemic diseases. Trauma, strain, wind and cold are the external causes of the disease, liver and kidney loss, muscle and bone recession is its internal cause. The main bone of the kidney is marrow, and the main tendon of the liver is hidden in the blood. After people reach middle age, the liver and kidneys turn from prosperity to decline, and the muscles and bones cannot be fully nourished by sperm and blood, and gradually degenerate and degenerate. Under the influence of external factors such as trauma, strain, wind and cold and wet invasion, it leads to poor local qi and blood operation, meridian blockage and pain. Local lesions can further affect the function of the internal organs, resulting in symptoms such as dizziness and numbness.
Diagnosis: vertigo; stomach pain (called cervical spondylosis in Western medicine; chronic gastritis).
Rule: Wenyang Tong complex combination of hard and bitter descending method.
Medicinal uses: 12g of cooked appendages, 15g of guizhi, 15g of half-summer, 12g of Chuanlian, 20g of skullcap, 2 slices of ginger, 7 jujubes, 24g of dang ginseng, 20g of licorice, 30g of oysters. 7 doses. Advise to pay attention to diet.
Second diagnosis on September 30: dizziness, palpitations, sleepless nights, waist and heel pain, loose stool. The tongue is thin and fine-veined. Then guard the top for the rule. Add 15g above the eucommia, 15g of cow's knee. 7 doses.
Three diagnoses on October 21: dizziness and waist acid are reduced after the drug, palpitations are sometimes, night sleep is dreamy, the stomach is not sweet, the root of the tongue is slightly greasy, and the pulse is fine. Still the former intention of the decision. Medicinal uses: 12g of cooked appendages, 20g of guizhi, 20g of raw licorice, 24g of keel teeth (each), 30g of oysters, 12g of Chuanlian, 20g of dang ginseng, 24g of skullcap, 15g of dried ginger, 4.5g of ginger, 5 jujubes. 14 doses.
Fourth diagnosis on January 6, 1993: dizziness improved, after menstruation, dizziness worsened, tinnitus, blurred vision, thin tongue and slightly fine veins. Re-investment pre-investment method profit and loss. Prescription: 18g of guizhi, 20g of hot licorice, 24g of keel teeth (each), 30g of left oysters, 12g of cooked appendages, 20g of raw white art, 20g of dang ginseng, 12g of Chuanlian, 18g of dried ginger, 3 slices of ginger, 5 jujubes. 7 doses.
5 consultations on March 10: dizziness has been removed, near headache 2 times, dry mouth, blurred vision. Normal menstruation. The tongue is thin. Medicinal uses: Angelica 20g, cooked 30g, Astragalus 30g, Berries 15g, Privet 12g, Bai Zhi 12g, Fine Spices 10g, Sichuan Root 12g, Grain Essence Grass 15g, Chu Shi zi 12g, Gentian 9g, Chrysanthemum 12g. 14 doses.
6 consultations on March 24: All symptoms are safe, and the original prescription is renewed in 14 doses.
According to the main symptoms of this case, there are 2: dizziness and stomach pain. The former is cervical vertigo, which is not easy to treat; the latter is gastritis, and the disease is prone to recurrence.
Qiu Peiran treatment of dizziness headache habitually uses cooked attachment blocks, raw white technique two tastes, cooked appendage is a kind of warm and cold Chinese medicine, pale face may be because there is some cold in the body, so remove these cold, with cooked appendages The effect is very good. Cooked appendages have a very powerful yang-returning effect, which has a good therapeutic effect for people who are afraid of cold and have cold limbs. At the same time, cooked appendages can supplement yang qi, dredge the meridians, and use it to supplement the kidneys, which is best paired with cinnamon. In addition to the strong cold removal effect, cooked appendages can also play a certain pain relief effect. Bai Shu is a more commonly used Chinese herbal medicine, which has a prominent effect in the treatment of diseases, can strengthen the spleen and vitality, dry and wet water, and can also stop sweating and safe the fetus. It can be said that the medicinal value of white art is very much. Blanching can be used for wet stay, sputum drinking, and edema. Cold drinks can be compatible with poria and cinnamon sticks; the treatment of edema is often used with poria bark and large abdomen skin. It is also used for spleen and stomach weakness, lack of food and fullness, fatigue and fatigue, diarrhea. Spleen and stomach can be compatible with ginseng, licorice, etc.; anti-bloating can be used with citrus shell; spleen dryness and wet diarrhea can be used with tangerine peel, poria and so on. Bleaching can also be used to express self-sweating. This product is used with astragalus, floating wheat, etc., and has the function of fixing the table and stopping sweating, and can cure the appearance of weakness and self-sweating.
In this medical case, Qiu Peiran used the Zhongjing Zhenwu soup method to drink with warm yang; for those with palpitations, he used to use guizhi and licorice to take the spicy sweet yang; the stomach was not comfortable to use the half-summer laxative heart soup method. All three methods are taken from the Zhongshi. Among them, the addition and subtraction of operational strategy, the round through the strain, each can take effect. This case is one. Emperor Fu Mi Zeng Yun "Zhongjing is wonderful in the dingfang", Qiu Peiran is the most upset about this sentence, and the Zhongjing method often takes its matching magic use, saying that it is the most capable teacher.
Medical case two
Zhu Mou, male, 36 years old. Initial consultation on June 25, 1992. v. Dizziness February. The patient suddenly felt chest tightness and dizziness from today, 5 April, and the infirmary measured BP180/115mmHg and returned to normal after treatment. Usually often dizzy, with chest tightness is not comfortable, night sleep is easy to wake up, day is tired sleep, the head is heavy as a wrap, memory declines, night afraid of cold, two stools are still adjusted. In the past, Shi Shangjian had no obvious organic lesions. Engraving: dizziness is still there, there are many complaints, but the answer to the question, the mood is more nervous, the face is slightly dull, the heart and lungs (-), BP115/90mmHg, the tongue is sticky, and the pulse is fine.
Dialectical analysis: The patient is healthy, because of the sudden discovery of high blood pressure after the mood is very nervous, restless at night, dizzy during the day, excessive thinking, heart and spleen deficiency, chest tightness, phlegm accumulated in the chest, "Jingyue Quanshu" has clouds: "God is uneasy is not sleepy, so the restless, one by the evil qi, one by the lack of qi ear." "In this case, one is caused by the disturbance of phlegm, the other is due to the lack of heart and spleen, the god is uneasy and does not sleep, and if he does not sleep, he is dizzy.
Diagnosis: vertigo; (heart and spleen deficiency, sputum obstruction type) sleeplessness (called neuroses in Western medicine).
Treatment: Nourish the heart and spleen, calm the mind, and clear the phlegm.
Prescription: 18g of licorice, 30g of huai wheat, 7 large dates, 15g of sour jujube kernels, 15g of acacia peel, 3g of lotus leaf, 19g of stone calamus, 30g of oysters, 30g of calcined keel, 15g of pallor (each), 10g of cooked appendages, 30g of astragalus. 7 doses. Instruct to pay attention to emotional tuning.
Second diagnosis on July 1: stable post-medication, slightly reduced chest tightness, dizziness, swelling and heaviness, fatigue, sleep is still not settled, BP124/80mmHg, tongue white greasy vein small strings, the patient's mood is still tense. Changed to warm bile soup method. Medicinal Uses: Half Summer 15g, Tangerine Peel 12g, Poria 15g, Ginger 4.5g, Jujube 5, Citrus Aurantium Shell 15g, Bamboo Ru 4.5g, Gentian 9g, Bai Zhi 12g, Cooked Attachment Block 12g, Raw Astragalus 35g. 7 doses.
Three diagnoses on July 8: There is no progress or retreat, and the pain of emotion should always be adjusted as the best policy. Complain of near-term swelling and numbness, heavy head as wrapped, posterior occipital swelling, night sleep slightly, but still can not sleep soundly, tongue moss thin greasy vein strings, BP128/90mmHg. Changed to Angelica Six Yellow Soup to nourish the yin and diarrhea fire, accompanied by flat liver phlegm. Medicinal uses: Angelica 18g, raw astragalus 30g, raw and cooked (each) 24g, Chuanlian 12g, skullcap 24g, Chuanbai 15g, Jiaoshan gardenia 12g, Poria 15g, Tianzhu Huang 12g, gentian herb 10g, Chen Bixing 10g, Antelope horn powder 0.3g (swallowed). 14 doses.
Fourth diagnosis on August 2: dizziness improved, sleep was not safe, mental fatigue, memory was poor, head swelling and headache, and two stools were adjusted. The tongue is white and thick, with veins. Treatment is still flat hepatic sputum to clear the turbidity. Medicinal uses: Antelope horn powder 0.6g, gentian 12g, cooked appendage 12g, stone calamus 12g, guangyu gold 15g, raw astragalus 40g, baizhi 12g, Chuanlian 12g, half-summer 15g, poria 12g, Sichuan root 12g, ginger 4.5g, jujube 5 pieces. 7 doses.
On August 12, the fifth diagnosis: the symptoms improved slightly, and I recently went to the hospital for psychological examination, and concluded: Iq and memory quotient are normal. Cerebral blood flow chart is normal. BP135/70mmHg, tongue moss ditto. Still zongyuan side in and out. Medicinal Uses: Half Summer 15g, Poria 12g, Stone Calamus 12g, Guangyujin 15g, Yuanzhi 6g, Chuanlian 12g, Oyster 30g, Keel Teeth (each) 20g, Bai Zhi 12g, Gentian Herb 12g, Sichuan Root 12g, Cooked Appendage 12g, Guizhi 15g, Ginger 4.5g, Jujube 5 pieces. 7 doses.
According to the official of the heart, he thinks excessively, his heart is secretly drained, his heart is lost, his fire is disturbed, and his spirit is restless. People with depressed temperament, liver depression and spleen, phlegm endogenous. The patient in this case was confused and depressed, resulting in phlegm, a lack of heart, and uneasiness. The disease of emotion, "first cure its heart, will correct its heart, but the capital is the Tao" "The feeling of lust, not medicine can cure, the disease of the seven emotions, should be treated with affection." The words of the ancients, inquiry is not a false language. Otherwise, although the medicine is idle, people are not idle, and it is still ineffective.
Medical Case Three
Ye Mou, male, 38 years old. Initial consultation on August 12, 1992. Complaints of episodic vertigo, limb numbness for 5 months. In the past five months, the patient has been numb all over the body, dizziness and swelling, shoulder and back pain, chest tightness, irritability, sleep a lot, hands and feet are not warm, sometimes involuntary shaking, two stool adjustments. Patients are more nervous, once the hospitals for EKG, EEG, head CT, etc., there are no abnormal findings, after a hospital neurology department to check the blood potassium 3.6mg, taking Chinese and Western medicine for several months without healing. He is still healthy and has no history of hypertension, neurasthenia and so on. Immediately see the body numbness, dizziness and swelling is more severe, accompanied by shoulder pain, chest tightness, restlessness, sleep a lot, hands and feet are not warm, trembling, slightly darker face, emotional anxiety, answer to the question, heart and lungs (-), BP110/70mmHg, good limb movement, thin veins of tongue and moss strings. Dialectical analysis: there are many causes of vertigo, which can be summarized as no external wind, fire, phlegm, and virtual four ends, and more commonly, a number of people are mixed with the disease. Irritability in this case is a sign of internal disturbance of false fire, and when the limbs are shaking and dizzy, they are used as wind signs, and the numbness of the body is a sign of discord between qi and blood.
Diagnosis: (qi, blood, yin and yang disorders, wind and fire disturbance type) vertigo (called neurosis in Western medicine).
Treatment: replenish qi and activate blood, clarify yin and yang, and calm the liver and dispel wind.
Prescription medicine: Astragalus 40g, Salvia 20g, raw and cooked land (each) 20g, Chuanlian 10g, cooked attachment block 12g, skullcap 24g, Chuanbai 15g, Qianghuo 18g, Angelica 18g, Large Centipede 2, Scorched Silkworm 15g, Raw Stone Cassia 30g. 7 doses.
Second diagnosis on August 19: the whole body numbness is reduced, the back and shoulders still have a soreness and swelling, chest tightness and tinnitus, chest pain, panic in the heart, weakness and weakness of the limbs, two stools, thin veins of tongue. Take the former meaning with the sweet wheat jujube soup method. Medicinal uses: Astragalus 40g, Qiang huo 18g, cooked appendage 12g, Guizhi 15g, Chuanlian 10g, Danshen 20g, Yanhusuo 20g, calcined magnet 24g, Dang ginseng 18g, Licorice 15g, Huai wheat 30g, jujube 7 pieces. 7 doses.
Three consultations on August 26: the numbness of the whole body is basically eliminated, chest tightness and tinnitus, panic and distension are still there, dizziness is improved, the limbs are sore and soft, and the night sleep is not good. The root of the tongue is slightly greasy and the veins are fine. Before the legalization of the ruling. Prescription medicine: Astragalus 40g, Parsnip (each) 15g, Raw White Technique 20g, Guizhi 18g, Raw Licorice Root 18g, Half Summer 15g, Danshen 24g, Chuanlian 10g, Jujube Kernel 15g, Stone Calamus 9g, Yuanzhi 6g, Dang Ginseng 18g. 14 doses.
November 11 four diagnosis: dizziness and distension, tinnitus chest tightness have been alleviated, the stomach and neck have a feeling of stuffiness in the past 2 days, according to the comfort, throat itching and phlegm is thicker, Na Shang can, two stool adjustment, numbness has been removed, thin tongue, fine pulse strings. Symptoms have been relieved, adjusted and gastric qi has been adjusted. Medicinal Uses: Raw White Technique 20g, Chuanlian 12g, Dang Ginseng 20g, Galangal 12g, Incense 12g, Ginger 3g, Jujube 5 Pieces, Dried Ginger 15g, Skullcap 12g, Raw Licorice 18g, Yanhuso 18g, Oyster 30g. 7 doses.
According to the patient's numbness, dizziness for five months, after many examinations, no obvious abnormal findings, consider the possibility of functional disease. From the diagnosis and analysis of traditional Chinese medicine, there are many causes of vertigo, Danxi has "no phlegm and no dizziness", Jingyue has "no void and no dizziness", Yu Bo has "blood stasis and dizziness", but from a clinical point of view, it is more of a combination of wind and fire phlegm stasis, which is the real virtual standard.
Qiu Peiran's treatment of this case is mainly to coordinate the yin and yang of qi and blood, and to calm the liver and dispel the wind, first throwing angelica six yellow soups with appendages, salvia, centipede, zombie silkworms, stone cassia and so on. The appendage imitates the meaning of "the one who has palpitations in his heart, dizziness, body movement, and vibration to shake the ground" with his appendages. Every time Qiu Peiran uses appendages to treat dizziness and headaches, even if there is no obvious cold sign, after proper compatibility, it can also achieve better curative effect. It can be seen that the use of a medicine cannot be said in vain, under what circumstances it is available and under what circumstances it is not available. Its principles have two "there is a disease is a medicine", appropriate compatibility, the so-called "de-sexual use" is also.
Angelica Liuhuang Tang was originally designed for yin deficiency night sweats, and Qiu Peiran used this formula to not be confined to night sweats, such as cirrhosis, chronic nephritis and other miscellaneous diseases. This party tonic and administer, qi and blood at the same time, in this case Wu to attach, then there is the work of xie rational yin and yang, coordination of qi and blood, is the case number of doses after the symptoms are reduced, it can be seen that the use of one party, can not be mud. Cure the disease with the side, use the party in the person, the law does not have to be rigid, the party should not be mud, the ancient side and the present disease can also be the same.
Medical Case Four
Cai Moumou, female, 50 years old. Initial consultation on August 25, 2005. Complain of vertigo, tremor of the limbs for 6 months. The patient was pre-hysterectomy in June, and after the operation, there was walking disadvantage, waddling instability, tremor of the limbs, dizziness after standing, and progressive aggravation, when the weather turned cold, the limbs were cold, the language was unfavorable, nocturia was 3 to 4 times / day, and the stool was dry. CT shows mild brain atrophy. The tongue is pale, the moss is thin, and the veins are fine.
Prescription medicine: Astragalus 35g, Peach Kernel 15g, Saffron 1g, Cooked Ground 24g, Sichuan Root 15g, Angelica 18g, Dry Ground Dragon 15g, Red White Peony (each) 15g, Centipede 2, Whole Scorpion Powder (separately swallowed) 3g, Scorched Silkworm 15g, Curcuma 18g, Salvia 18g. 14 doses.
After more than 2 months of treatment, the patient's blood pressure was basically stable, 120/70mmHg when upright and 140/70mmHg when lying down. Less trembling when standing, no dizziness.
Press: The patient suffered from dizziness when standing upright after hysterectomy, accompanied by tremors in the limbs, and poor walking, indicating that the disease is related to surgical injury and may be sequelae of surgery. After the operation, it is most likely to damage qi and blood, the disease is blood deficiency muscle and vein loss caused by limb tremors, walking is not good; qi and blood deficiency can not be on the glory of the leader, causing dizziness and dizziness, treatment should be to improve qi and nourish blood and dispel wind as a business. Qiu Peiran also likes to add blood-activating products to the blood nourishing medicine, such as peach kernels, saffron flowers, red peony, salvia, etc., to improve the therapeutic effect, so the whole party is based on peach red four-thing soup plus anti-wind medicine whole scorpion, zombie silkworm and so on to stop dizziness. After three diagnoses, vertigo improved significantly.
Symptoms: Conscious body or foreign objects spinning and shaking, with nausea, vomiting, pale face, sweating.
Cause: Otogenic vertigo is caused by labyrinthitis, motion sickness, and drugs. Central vertigo is tumor, thrombosis, as well as anemia, hypotension, hypertension, and hypoglycemia.
Internal treatment: dizziness - the emergency prescription when it has occurred, take this two or three doses will stop, chai hu, skullcap, tangerine peel, half summer, poria, ze diarrhea, bai shu, party ginseng, ginger, jujube, licorice, tianma, hook vine, chrysanthemum. When the dizziness stops, it is then treated according to the yin and yang of qi, blood, and the weakness of the internal organs. 【Yangtze River Medical Talk 381】
Vertigo: Sichuan Root 6, Poria 15, Huaishan 15, Dogwood 12, Dang Ginseng 12, Chu Chrysanthemum 6. This is the six tastes of vertigo, cure vertigo, nausea and vomiting, caused by spleen and kidney insufficiency, wind dizziness and dizziness. 【Fan Wenfu Album 129】
Vertigo: Soft liver extinguishing wind soup, goji berries, mulberry parasitism, huai ox knee, xuan ginseng, angelica, white peony, shou wu, chrysanthemum, hook vine, white tribulus, summer dry grass, earth dragon, mother of pearl. Zhao Jinduo. 【Medical Talk Medical Discussion 126】
Phlegm wet vertigo - vertigo vomit phlegm saliva, smooth pulse strings, light tongue, white and greasy moss, basic recipe: raw half summer 12, with ginger 15 together to break such as mud, poria 15, psyllium 15, tangerine peel 10, mother of pearl 30, fried white surgery 15, Ze diarrhea 12, beef knee 10, citrus shell 10. Such as red tongue tip, irritability, bitter mouth, hot hands and siblings, plus summer dry grass, yellow cedar, hook vine.
constipation
Add stone rolling phlegm pills, vomit add chu stone, swirling flowers, ginger juice and stir-fry bamboo ru. 【Reading Doubts and Temporary Evidence227】
Phlegm Fire Vertigo: Tianma, Hook Vine, Earth Dragon, Half Summer 9 each, Stone Cassia, Mother of Pearl 18 each, White Peony, Mulberry Seed 12 each, Skullcap 6, Huai Ox Knee 10. 【Clinical Drug Experience184】
Vertigo: Longan Dry 60, Lotus Leaf Top Two, Decoction, There is medicine to eliminate the disease. 【Lai Chun Mao Medical Talk 261】
Prevention of vertigo: pure hook vine hook 40, white peony 30, danpi 20, fine powder, 5 per serving, twice a day. 【Clinical Drug Experience186】
External treatment:
Moxibustion
Material: 1 moxa stick.
Usage: Moxa stick moxibustion Baihui acupuncture for 15 minutes, burning moxa stick hanging above Baihui acupuncture 3 cm, 1 time a day.
Umbilical dressing method
Ingredients: 5 cents for cinnamon sticks, 5 cents for angelica, 3 cents for cloves, 3 cents for red ginseng.
Usage: Grind the herbs into a powder, take an appropriate amount of water to make a paste, apply it to the navel, cover it with gauze, fix it with breathable tape, paste it before going to bed, and remove it after waking up.
Patch method
Ingredients: White mustard seeds 5 dollars.
Usage: Grind the white mustard seeds into a powder, take an appropriate amount of water into a paste, apply a hundred holes externally, cover with gauze, fix it with breathable tape, and change the medicine once a day.
note
1. Pressing down on the lower eyelid can directly observe the color of the blood filament, anemia women are reddish fine lines, stick out the tip of the tongue to see the exposed thick purple and black blood vessels, you can determine the state of stagnation and blood stasis.
2. Qi stagnation is insufficient blood supply to the brain, and anemia accelerates the deterioration of dizziness, so it is necessary to strengthen a nutritious diet and pay more attention to the elimination of related diseases, such as abnormal menstrual cycle frequency and menstrual volume.
3. Meniere's disease, also known as dizziness, is actually rare, and it is necessary to have dizziness, tinnitus, and vomiting at the same time to be established.
4, standing vertigo is not anemia is caused by hypotension, when squatting for a long time after the sudden erection, the lower limb muscle tone is insufficient, can not instantly compress the blood vessels to transport blood to the brain of the temporary ischemia, can strengthen the lower body movement to improve.
5. Vertigo caused by insufficient blood supply to the vertebral arteries is mild and transient, but the hands and feet are inflexible with ataxia and diplopia. It is more common in patients with hyperlipidemia, hypertension, and diabetes.
6. Light exercise can promote cardiopulmonary and bone marrow function, and heme and oxygen carrying will increase a lot, so that false dizziness can be alleviated a lot.
7. There are many kinds of chinese medicine causes of dizziness, and many of them are accompanied by headaches caused by liver meridians, which are handled according to the headache method. Those caused by the heart meridian are often accompanied by insomnia, which can be disposed of according to the insomnia method.
8, exercise or physical labor after dizziness aggravation, then for lack of qi, sometimes will be a little longer will also be dizzy, this is the extreme lack of qi, is moving is exhausting, so can not be strenuous or longer exercise, can only walk slowly, this disease to take ginseng soup is also good, cure from heart failure.
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