"Doctor, I'm dizzy and my eyes are black, and I feel like I'm going to faint", "Doctor, I'm a little floating when I get out of bed, and I feel like the house is turning", "Doctor, I'm dizzy and my ears are buzzing......". In life, we often hear about "vertigo", and many people have also experienced the feeling of "dizziness", "dizziness" or "lightheadedness".
Vertigo is a common clinical symptom. As the population ages, the incidence of vertigo is increasing, especially in the middle-aged and elderly population. In recent years, with the increasing number of people who stay up late and bow their heads, a large number of young people have also joined the ranks of "dizziness". So what kind of disease is "vertigo" in medicine? What are the types of vertigo and how can they be treated?
Vertigo, dizziness, and dizziness are different
Many people think of vertigo as dizziness and dizziness as the same thing, but in fact, there is a difference between vertigo, dizziness and dizziness.
vertigo
A motor or positional hallucination due to dysfunction of spatial orientation and balance. It is mainly manifested as a sense of rotation, swing, floating, lifting, and tilting of oneself or the environment, often accompanied by nausea, vomiting, cold sweat, paleness, tinnitus, hearing loss, balance disorder, and unstable movement.
dizzy
Intermittent sensations of shaky self when walking, standing, sitting, lying down, exercising, or looking at things.
dizziness
A feeling of heaviness, pressure or heaviness in the head, usually unrelated to self-movement.
Vertigo classification is particular
Depending on the location of the lesion, the manifestations of vertigo also have different characteristics. The lesion occurs in the inner ear and is called peripheral vertigo; The lesion occurs in the brain and is called central vertigo. In addition, systemic factors and mental and psychological factors can also cause vertigo.
Peripheral vertigo
The vast majority are caused by ear disorders, and patients have no signs and symptoms of central nervous system damage other than nystagmus and possible hearing impairment. Common ones include benign positional vertigo (otolithiasis), Meniere's disease, sudden deafness with vertigo, acute labyrinthitis and vestibular neuritis.
It is mostly caused by vascular lesions, tumors, infections, malformations and other factors of the brain, cerebellum or brainstem. May be accompanied by other signs and symptoms of neurologic impairment. Common ones include posterior circulation ischemia, cerebral hemorrhage, cerebral infarction, encephalitis, brainstem tumors, epilepsy, etc.
In the treatment of vertigo, the combination of traditional Chinese medicine and Western medicine complements each other
Western medicine treatment
The treatment of vertigo-related diseases is mainly symptomatic and causal treatment, including drug therapy, reduction therapy, surgical treatment, vestibular rehabilitation therapy, and behavioral cognitive therapy.
For example, benign positional vertigo (otolithiasis) is mainly treated with manual reduction; Meniere's disease is mostly treated with drugs and surgeries that improve the microcirculation of the inner ear and relieve the accumulation of fluid in the labyrinth. Posterior circulation ischemia actively controls risk factors and comorbidities, such as hypertension, diabetes, hyperlipidemia, etc., while standardizing the application of antiplatelet aggregators, anticoagulants, and vasodilators.
Traditional Chinese medicine treatment
Traditional Chinese medicine believes that pathogenic factors such as the invasion of external evils, emotional failure, food injury, blood loss and excessive fatigue can lead to qi and blood deficiency, insufficient marrow sea, brain loss, or wind, fire, phlegm and stasis, blocking the meridians, disturbing the clear body, and causing dizziness. The cause is nothing more than "wind, fire, phlegm, stasis, and deficiency". Syndrome differentiation and treatment can be carried out according to different clinical manifestations.
For example, if the liver yang is hyperactive, add or subtract the gastrodia hook vine drink to flatten the latent yang of the liver, clear the fire and extinguish the wind; The phlegm turbidity is supplemented and subtracted with Banxia Atractylodes gastrodia decoction to dispel wind and phlegm, strengthen the spleen and stomach; Qi and blood deficiency syndrome is supplemented and subtracted by Gui Spleen Decoction to replenish Qi and blood, and to strengthen the spleen and stomach; The blood stasis obstruction syndrome is to add and subtract the blood decoction to activate the blood and dissolve phlegm, and open the body; Kidney sperm insufficiency syndrome is supplemented with Zuogui pills to supplement the kidney and fill the sperm to nourish the cerebral marrow.
In addition, on the basis of standardized treatment of Western medicine and syndrome differentiation treatment of traditional Chinese medicine, combined with the characteristic diagnosis and treatment technology of traditional Chinese medicine, it can effectively improve the symptoms of vertigo, regulate physical fitness, and reduce recurrence.
1. Herbal fumigation treatment
Add the traditional Chinese medicine fumigation bag to the basin, pour warm water into the basin during fumigation, and control the water temperature at about 40 °C, so that the patient feels not hot, the liquid medicine does not pass the middle and lower part of the calf, and the fumigation time should not be too long, 20-30 minutes is appropriate. Once a night, dry your feet and keep warm. With the effect of medicinal power and heat, the intestines are dredged, the qi and blood are smooth, and the corresponding acupuncture points on the soles of the feet are stimulated at the same time, so as to achieve the purpose of treating vertigo.
2. 穴位贴敷
It is mixed with Evodia and vinegar and applied to the Yongquan points on the soles of the feet, which plays the role of inducing heat and ignition to descend, communicating the heart and kidneys, and treating yin deficiency and yang hyperactivity vertigo. Apply acupuncture points to the sun, wind pool, large vertebral and other acupuncture points and rub them, which plays the role of evacuating wind and heat, clearing the liver and fixing dizziness, and treating wind and phlegm disturbance vertigo.
3. Auricular pressure pills
Select auriculation points such as heart, liver, kidney, inner ear, Shenmen, sympathetic, antihypertensive groove, etc., and stimulate them through Wang Buliu Xing Seeds, which can play a role in activating the meridians, regulating qi and blood, and improving symptoms such as dizziness and tinnitus.
4. TCM Directional Dialysis
Traditional Chinese medicine directs the back acupuncture points, such as Fengchi, Fengfu, Dazhu and other acupuncture points, which play the role of awakening the brain and opening the mind, clearing the meridians and activating the meridians, and can effectively treat diseases such as dizziness.
5. Moxibustion therapy
Moxibustion Shenque, Fengchi, Fenglong, Taixi and other acupuncture points can strengthen the spleen and dissolve phlegm, improve phlegm and dampness physique; Moxibustion Zusanli, Sanyinjiao, Guan Yuan, Qi Hai and other acupuncture points can nourish the liver and kidneys, strengthen the body, and can play a role in preventing the recurrence of vertigo.
Daily precautions for vertigo
Diet
It is suitable for low-salt, low-fat, light, easy-to-digest and other foods, and eat small meals frequently; Avoid spicy, spicy, alcohol, strong tea, and coffee products.
Emotional conditioning
Pay attention to emotional care and avoid emotional stimulation. Strengthen the education of disease knowledge, correctly understand the disease, maintain a comfortable mood, emotional stability, and avoid anxiety, tension, depression, fear and other bad emotions.
Actively control cardiovascular and cerebrovascular risk factors and comorbidities, such as hypertension, diabetes, hyperlipidemia, etc.
When vertigo occurs, sit or lie down immediately to prevent accidental injuries from falling. During the episode of vertigo, it is best to lie still and on your side to prevent aspiration and even suffocation caused by vomiting. If vertigo is accompanied by numbness, weakness, and slurred speech, you need to be alert to stroke, and call 120 immediately.
After the vertigo improves, it is recommended that the patient keep a vertigo diary, especially for patients whose diagnosis is not clear or the attacks are frequent, keeping a vertigo diary can not only grasp the pattern of the disease, but also provide doctors with accurate information about vertigo episodes.
The diagnosis and treatment of vertigo is a complex process, which will involve multiple disciplines such as neurology, otolaryngology, head and neck surgery, etc., for this reason, the Department of Traditional Chinese Medicine and the Department of Otolaryngology, Head and Neck Surgery, and Neurology have jointly established a vertigo integrated outpatient clinic, which adopts a variety of advanced detection methods, such as hearing examination, position test, electronystagmography, vestibular function detection and MRI imaging for vertigo, to clarify and differential diagnosis of peripheral vertigo, central vertigo, Psycho-psychological vertigo and vertigo associated with systemic diseases have achieved good clinical efficacy in the treatment of vertigo on the basis of standardized treatment of Western medicine and syndrome differentiation treatment in combination with traditional Chinese medicine. The treatment of vertigo is more scientific, systematic and precise, so that patients can get the integrated service of diagnosis and treatment in one department, and the advantages of traditional Chinese and Western medicine complement each other, and jointly help vertigo patients to "dizzy" and stay away from vertigo.
Doctor's Profile
Wang Tianzhan
Attending
Doctor of Medicine
He specializes in the diagnosis and treatment of cardiovascular and cerebrovascular diseases, vertigo, metabolic syndrome and its component diseases (obesity, hypertension, diabetes, hyperlipidemia, hyperuricemia), chronic kidney disease (proteinuria, hematuria), chronic cough and asthma, gastrointestinal and hepatobiliary diseases, and postoperative TCM conditioning of tumors. I also have some experience with menopausal syndrome, insomnia, eczema, acne, shingles, recurrent mouth ulcers, etc.
He is currently a member of the Chronic Disease Management Professional Committee of the World Federation of Chinese Medicine Societies, a member of the Encephalopathy Branch of the Shanghai Association of Traditional Chinese Medicine, a member of the Deficiency and Geriatric Medicine Professional Committee of the Shanghai Association of Integrative Medicine, a member of the Youth Working Committee of the Shanghai Association of Integrative Medicine, a youth member of the Blood Circulation and Blood Stasis Professional Committee of the Shanghai Association of Integrative Medicine, and a youth member of the School Inheritance Professional Committee of the Shanghai Association of Integrative Medicine. Wang Wenjian is a member of the National Famous Old Chinese Medicine Expert Inheritance Studio. He was selected into the Shanghai "Xinglin Rising Star" talent training program, presided over the completion of 1 project of the Shanghai Municipal Health and Family Planning Commission, 2 hospital-level projects, participated in a number of national, provincial and ministerial projects, published more than 10 SCI and domestic core journal papers, and participated in the compilation of 3 textbook monographs.
Clinic hours
Vertigo Integration Clinic
Wednesday afternoon (subject to the listing of the day)
TCM encephalopathy clinic
Wednesday morning (subject to the listing of the day)
TCM Internal Medicine Outpatient Clinic
Monday, Tuesday and Friday all day (subject to the listing on the day)
Author: Wang Tianzhan, attending physician of the Department of Traditional Chinese Medicine, Shanghai Sixth People's Hospital
Correspondent: Gu Haiying
Editor: Huang Menglin
Reviewer: Chen Shirui
Issued: Daley Red
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