What Are the Different Types of Vertigo?

There are many diseases that cause vestibular lesions. Generally, the following causes can be summarized:

Vertigo

Vertigo is often characterized by dizziness, even nausea, vomiting, and cold sweats. One thing to note is that vertigo usually reflects a lesion in the vestibular area, it is a symptom, not a disease. There are two main types: true vertigo and false vertigo.

Causes of vertigo

There are many diseases that cause vestibular lesions. Generally, the following causes can be summarized:

Vestibular disease

The lesions in the vestibular area are located exactly in a complex area in neuroanatomy. This small area contains the neural network from the cerebral cortical spinal cord, cerebellum, pontine, brain stem, and the eighth pair of brain nerves. Therefore, the lesions in this area can be divided into peripheral nerves and central nerves according to the neuroanatomical relationship. Dizziness due to peripheral neurological diseases is often accompanied by tinnitus, hearing loss, and nystagmus presenting unique peripheral forms. Vertigo of central nervous disease, the tremor of the eye presents a specific form of the brainstem. Sorted out as follows:

I. Peripheral nerve disease

1. Benign Positional Proxysmal Vertigo (BPPV):

This kind of vertigo is very common in the outpatient clinic. It occurs in the elderly and often has a special induced position. If it stops for a few minutes after the attack, the vertigo will stop, but if the position changes again, the vertigo will occur again. Without any treatment, symptoms will resolve on their own in six months. Regarding the cause of this disease, the current popular saying is that the inner ear controls the balanced otoliths and falls off, forming small particles that are free. When the posture is changed, it will affect the flow of endolymph and cause dizziness. Another way of saying it is that a small passage grows in the middle ear to reach the inner ear, which affects the pressure difference between the left and right sides and causes dizziness.

2. Meniere's disease:

To this day, it is still a mysterious disease. It is known from anatomical evidence that the main lesions of Meniere's disease are unexplained local edema of the endolymph and destruction of the auditory nerve and semicircular canals. Patients may experience tinnitus, ear pain, hearing loss, and eye tremors. The seizures are paroxysmal, lasting for several minutes to several hours, and then gradually relieve. After several months of seizures from time to time, with each seizure, some hearing loss will occur, and eventually you can be completely deaf.

3 Acute labyrinthitis:

Acute labyrinthitis is often associated with a viral infection. This situation usually involves symptoms of upper respiratory tract infection, followed by slow-onset dizziness, with the most severe dizziness occurring in about three days, and then about three to six weeks later. Will recover slowly.

4 Ototoxins or drugs:

Some common antibiotic drugs may cause temporary hearing loss after use due to the physical relationship of the patient. Dizziness is also one of the symptoms, which can usually be recovered after stopping the drug.

5. Acoustic neuroma:

This is the eighth pair of benign tumors of the brain nerves. Regardless of whether the tumors in the brain are histologically benign or malignant, as long as they will press important nerves and cause neurological symptoms, they are not good tumors. As mentioned earlier, the neural network in the vestibular area is quite complex and important. Therefore, oppressing the auditory nerve will cause hearing loss, oppressing the vestibule will cause dizziness, and oppressing the cerebellum, there will be symptoms of imbalanced balance. At the cerebellopontile (CP) angle, many symptoms of the brainstem appear. In general, the symptoms caused by tumorous diseases will become more and more serious over time, and the difficulty of surgery is higher. Therefore, early detection and early treatment will cause less sequelae. Unfortunately, usually when the patient waits for symptoms, the tumor is probably already large.

Central Nervous Diseases

1. Multiple sclerosis (MS)

This is a terrible disease of the progressive demyelination of the central nervous system. If it affects the vestibular nerve, it will cause vertigo. In addition, it will also affect many neuropathy and related symptoms in the brainstem. Optic nerve pathology is quite common. At first, the disease will be relieved, but with each subsequent episode, the patient's condition will worsen, and the remission will not return to the original condition. The course of the disease will show a step-down curve.

2. Vertebrobasilar insufficiency (VBI)

This type of vertigo is caused by a disorder of the cerebral vascular circulation, so when it occurs, it is occasionally accompanied by stroke-related symptoms, such as speech impairment, visual impairment, sensory nerve paralysis, limb weakness or paralysis. If symptoms resolve within one day, they are called paroxysmal ischemic strokes (TIAs). If the symptoms are mild and relieved within a few minutes, the diagnosis of inferior vertebral floor arterial circulation can only be diagnosed.

3 Central nervous agents

Many CNS inhibitors can cause dizziness when over taken. Proper drug concentration monitoring is necessary.

Other symptoms such as fainting, dizziness, and headache, which are similar to vertigo, are strictly defined in medicine. Most people often mix these symptoms when they seek treatment.

Causes of vertigo

1. If an elderly person with anemia has dizziness, fatigue, or pale expression, they should go to the hospital to check whether they are anaemic. The elderly are susceptible to anemia if they do not pay attention to nutrition and health care. In addition, anemia can occur in elderly patients with indigestion, peptic ulcers, gastrointestinal bleeding, and chronic inflammatory diseases.

2. High blood viscosity, high blood lipids, thrombocytosis, etc. can make blood viscosity high, slow blood flow, resulting in insufficient blood supply to the brain, easy fatigue, dizziness, fatigue and other symptoms. There are many reasons for high blood lipids, the most important of which is the unreasonable diet structure.

3 Patients with arteriosclerosis consciously feel dizzy, and often suffer from insomnia, tinnitus, emotional instability, forgetfulness, and numbness of the limbs. Cerebral arteriosclerosis makes the inner diameter of blood vessels smaller, reduces blood flow in the brain, generates cerebral blood supply and insufficient oxygen supply, and causes dizziness.

4 Cervical spondylosis often results in tightness of the neck, limited flexibility, occasional pain, numbness and coldness of the fingers, and a heavy feeling. Cervical spine hyperplasia squeezes the cervical vertebral artery, causing insufficient blood supply to the brain, which is the main cause of dizziness caused by the disease.

5. In addition to dizziness, hypertension patients are often accompanied by discomfort such as head swelling, palpitation, irritability, tinnitus, and insomnia.

6. In the early stages of coronary heart disease, some people may feel headache, dizziness, weakness in their limbs, and difficulty concentrating. Mainly due to atherosclerosis in the coronary arteries of the heart, causing dizziness due to insufficient blood supply.

7. Meniere's syndrome Meniere's syndrome is a disease of the inner ear, and vertigo is the main manifestation of Meniere's syndrome.

8. Hematological diseases such as leukemia, pernicious anemia, and hypercoagulable diseases of blood can cause dizziness, which can be confirmed by blood system examination.

9. Insufficient exercise Some people usually lack exercise and have weak cardiopulmonary function. If they exercise suddenly and vigorously, they may experience dizziness. Excessive exercise time, excessive consumption of nutrients in the body, decreased blood sugar concentration, or intense exercise, insufficient oxygen supply in the body is also prone to dizziness.

10 Otogenic vertigo is common in inner ear diseases including Meniere's syndrome, labyrinthitis, and vestibular neuritis.

11. Adverse reactions to certain medications.

12. The eyes are used for a long time and the spirit is highly concentrated, which leads to excessive use of eyes: for example, weaving and embroidering continuously in the dark; staring at small fonts causes eye fatigue.

Classification of vertigo

Vertigo

(Peripheral, vestibular peripheral): Paroxysmal foreign objects or their own sense of rotation, dumping, depravity, severe symptoms, often accompanied by obvious nausea, vomiting and other autonomic symptoms, duration is short, tens of seconds To several hours, rarely exceeding several days or weeks. Because it is more common in peripheral vestibular lesions.

Vertigo

(Central, brain): For foreign objects or their own shaking instability, or left and right or back and forth, when watching moving objects, or in a noisy environment. Symptoms are mild, accompanied by autonomic nerve symptoms are not obvious, lasting a long time, up to several months, more common in brain and eye diseases.

History of vertigo and clinical signs and symptoms

1. What happened before the dizziness

Excessive smoking and alcohol before the onset

Clinical signs and symptoms of vertigo

Emotional instability, fatigue and insomnia.

2. Dizziness

(1) Onset at night or morning, sudden onset or slow onset,

(2) First onset or repeated onset

(3) Under what circumstances, when the posture changes, neck twist, or a particular position

(4) Whether the form of vertigo is rotating or non-rotating

(5) Whether the intensity can be tolerated and whether the consciousness is clear

(6) Whether dizziness is alleviated or aggravated when eyes are opened and closed, and whether dizziness is aggravated when acousto-optic stimulation and position change.

3 Dizziness with symptoms

(1) Autonomic symptoms: changes in blood pressure, sweating, pale, diarrhea

(2) Ear symptoms: deafness, tinnitus, and stuffiness

(3) Symptoms of the eyes: dark in front of eyes, diplopia, blurred vision

(4) Neck symptoms: pain in neck or shoulders, numbness of upper limbs, restricted movement

(5) Symptoms of the central nervous system: headache, disturbance of consciousness, sensory dyskinesia, speech or articulation disorders, etc.

What tests should I do for dizziness?

Vestibular function test:

(1) Functional examination of clinic or bedside vestibule: including upright dumping test, step test in situ, neck twist test, etc.

(2) nystagmus

(3) Electronystagmogram

(4) Balance posture diagram

Listening function check:

Imaging examination: CT and MRI of the head to determine whether there is head space, ischemic or bleeding disorders.

Other medical examinations: including blood pressure, electrocardiogram, biochemical examination, etc.

Vertigo with vertigo

1. Cerebrovascular vertigo: Sudden occurrence of severe rotational vertigo, which may be accompanied by nausea and vomiting, which gradually decreases after 10-20 days, and is often accompanied by tinnitus and deafness, with clear mind.

2. Brain tumor vertigo: Mild vertigo often appears in the early stage, which can present a sense of sway and instability, while rotational vertigo is rare, often with symptoms such as unilateral tinnitus, deafness, and signs of damage to adjacent brain nerves as the disease develops , Such as numbness and sensation on the side of the disease, peripheral facial paralysis.

3 Cervical vertigo: manifested in various forms of vertigo, with various feelings such as dizziness, shaking, unstable standing, floating feeling. The recurrence of vertigo has a significant relationship with the sudden turning of the head, that is, it usually occurs when the neck is in motion, and sometimes it shows a deformed vertigo when sitting or lying down. Generally, the duration of the attack is short, ranging from seconds to minutes, and there are also longer durations. Pain in the neck or back of the head can occur in the morning. Some patients may experience symptoms of cervical nerve root compression, that is, arm numbness, weakness, and involuntary fall of holding objects. Tinnitus can be associated with more than half, 62-84% of patients have headaches, mostly confined to the parietal occipital, often with paroxysmal jumping pain.

4 Eye-induced vertigo: Non-motor illusion vertigo, mainly manifested as instability, aggravated when the eye is used excessively, and relieved after resting with eyes closed. The duration of vertigo is relatively short. It becomes worse when you open your eyes and look at objects moving outside. Often accompanied by blurred vision, vision loss or diplopia. Visual acuity, fundus, and eye muscle function tests are often abnormal, and the nervous system has no abnormal manifestations.

5. Cardiovascular vertigo: Dizziness caused by hypertension can be clearly diagnosed by measuring blood pressure. Carotid sinus syndrome can cause paroxysmal vertigo or syncope. Most of the causes are sudden carotid compression, such as a sharp turn of the neck, bowing, and tight collars.

6. Endocrine vertigo: Hypoglycemic vertigo often occurs before hunger or eating for tens of minutes to 1 hour. After eating, symptoms ease or disappear, often accompanied by fatigue. Checking blood glucose during the episode can find the presence of hypoglycemia. Dysfunction of the thyroid gland can also cause dizziness. The main clinical obstacles are balance disorders, and relevant tests for thyroid function can be diagnosed.

7. Dizziness caused by blood diseases: Leukemia, pernicious anemia, blood coagulation diseases, etc. can cause dizziness, which can be confirmed by blood system examination.

8. Neurological vertigo: The patient's symptoms are diverse, and dizziness is mostly pseudo-vertigo, often accompanied by headache, bloating, heaviness, or insomnia, palpitations, tinnitus, anxiety, dreaminess, inattention, memory loss Such as a variety of neurosis manifestations, no foreign body rotation or self-rotation, shaking. For women over 45 years of age, attention should be paid to the identification of menopausal syndrome.

Dizziness Hazard

The dangers of vertigo are due to the symptoms. Patients usually have recurrent vertigo, accompanied by deafness, tinnitus, and ear tightness. They also have symptoms such as hearing loss, nausea, vomiting, cold sweats, pale faces, and cold limbs. . The dangers of vertigo are as follows:

1. Patients with vertigo will experience rotation and vomiting during the onset, and will also cause labyrinth, vestibular and cochlear organ damage, cause cochlear hair cell death and loss of vestibular function, and then cause tinnitus, deafness, and ataxia. If left untreated, it can easily cause "declining thinking, headache dementia, cerebral thrombosis, cerebral hemorrhage, hemiplegia, stroke, hemiplegia, and even sudden death.

Dizziness is very harmful

2. In middle-aged and elderly patients, multiple attacks can affect cerebrovascular regulation and cerebral microcirculation, aggravate cerebral insufficiency, and induce cerebral infarction.

3 Affects communication, shrinks the life circle, and increases mental stress.

4 Normal activities such as pitside, wellside, crossing the road, tourist climbing, etc. have become dangerous activities due to fear of sudden onset of Meniere's syndrome. So doctors remind middle-aged people to pay special attention to rest and sleep to avoid excessive fatigue. Patients with Meniere's syndrome need to pay attention to exercise carefully during the acute phase and stay in bed as much as possible to avoid dangers such as falls and fractures due to dizziness.

Vertigo prevention and treatment

Patients with dizziness should be accompanied by their families when going out to prevent accidents.

Dizziness prevention

1. In terms of diet, patients should eat more light food, less high-fat, high-salt, sweet or very greasy foods, and quit smoking and drink less alcohol. Don't eat raw cold fruits and foods to avoid phlegm and dampness. For example, melon, radish, corn, millet, lotus leaf porridge, black fungus, eggplant, pea seedlings, tomatoes, lettuce, soybean oil, tea, carp, jellyfish, beans, soy products and so on.

2. Maintaining a good attitude and cheerful optimism are key steps in prevention.

3 Ensure adequate sleep and rest, and try to ensure that the bedroom and the entire room are in a quiet environment, and do not appear noisy.

4 Keep indoor air fresh and circulated, and often open windows for ventilation. In a suitable climate, often go for a walk in a quiet place and get more fresh air. Avoid crowded and air-poor places.

5. Don't worry too much in your daily work and life, don't add heavy psychological pressure to yourself, and participate in some simple recreational activities to divert your attention.

^[1] 6, diet and maintenance. The diet of patients with vertigo should be nutritious and fresh. Eat more eggs, lean meat, vegetables and fruits. Avoid fatty and spicy things, such as fatty meat, fried food, wine, pepper and so on. Rich and nutritious food can supplement the body's deficiency, make qi and blood strong, and enrich the brain. For dizziness caused by anemia, leukocytopenia or chronic wasting disease, nutrition conditioning should be the main factor. Fat and spicy products, can produce phlegm and help fire, and make dizziness worse. Therefore, people suffering from hypertension and cerebral arteriosclerosis should be cautious with fat and spicy things. During the acute phase of vertigo, the water and salt intake should be properly controlled. Modern medicine believes that this can reduce the edema of the labyrinth of the inner ear and the vestibular nucleus, thereby reducing the symptoms of vertigo or reducing the onset.

7, to carry out mental recuperation. The mental rehabilitation of patients with vertigo can not be ignored. Depression and anxiety can cause hyperactivity of liver yang or liver wind internal movement, and induce dizziness. Therefore, patients with vertigo should be broad-minded, optimistic, comfortable, and stable, which is very important to prevent and reduce the number of vertigo attacks.

8. Pay attention to rest and living. Excessive fatigue or insufficient sleep is one of the predisposing factors for vertigo. Attention should be paid to rest during and after the onset of dizziness. Bed rest should be used during acute episodes of vertigo. Such as vertigo caused by insufficient blood supply to the vertebral artery, symptoms will be aggravated when standing, symptoms can be reduced when bedridden. Bed rest also prevents physical injury from fainting. It is important for patients with vertigo to get enough sleep. After getting enough sleep, its symptoms can be reduced or disappeared. In addition, patients with vertigo should try to avoid head and neck rotation. If there is inner ear disease, dizziness can be induced by changes in the head position that affect the function of the vestibular system. Cervical spondylosis When the neck is turned or tilted, the vertebral artery can be compressed and affect the blood circulation in the brain, resulting in insufficient blood supply to the brain and induce dizziness. Sound and light stimulation can also increase dizziness, so the living room should be quiet and the light should be dim.

Vertigo

Summer and winter due to increased blood viscosity, prone to all kinds of cerebral vascular accident, leading to the occurrence of cerebral vascular vertigo. Should pay attention to drink plenty of water, do not change body position suddenly, such as violently when going to the toilet at night, it is easy to cause cerebrovascular vertigo. Once it occurs, you should go to the hospital as soon as possible. After the diagnosis is made, vasodilator drugs, antiplatelet aggregation drugs (such as aspirin), and anticoagulant drugs can be given appropriately.

Vertigo

Such vertigo of onset is slow, early symptoms of mild and difficult to find. For gradually appearing mild vertigo, if accompanied by symptoms such as unilateral tinnitus, deafness, or other signs of damage to the nearby cerebral nerves, such as numbness and sensation of the affected side, peripheral facial paralysis, etc., you should go to the hospital for treatment as soon as possible Diagnosis, early surgical treatment.

Vertigo

Attention should be paid to the normal working position, and the neck should be properly moved after working at the desk for a long time. Suitable pillow height, not too high pillow to lead to cervical vertigo. Use more on treatment and rehabilitation methods, such as cervical pillow sling jaw traction, massage therapy, acupuncture, serious need surgery.

Dizziness caused by other diseases

The endocrine vertigo, hypertensive dizziness, vertigo eyes, active treatment of the primary disease, such as control of blood pressure, treatment of eye diseases, on the basis of the primary disease, recovery, can naturally relieve vertigo.

Vertigo vertigo neurotic

For dizziness caused due to psychological factors, first of all should relieve the patient's anxiety mood

Doctors advise vertigo

Several more treatments and medication just only as a reference, if you have symptoms of this area also need to go to the hospital or through telephone counseling professions, medication commonly used agents with a pure heart Tiaoshen psychological counseling can be completely cured, must not increase or decrease in self-medication, so as not to cause harm to the body.

Clinical manifestations of vertigo vertigo

Formerly known as Meniere's disease Meniere's disease, the most typical of inner ear disease caused by dizziness, the pathological changes within the lymphatic water, with the onset of middle-aged and more

See, children under the age of 10 are rare, and seizures gradually decrease after old age. The disease is characterized by recurrent vertigo, accompanied by deafness, tinnitus, and ear tightness, which can be accompanied by hearing loss, nausea, vomiting, cold sweats, pale, and cold limbs. Deafness is mostly unilateral, with early symptoms Hearing fluctuations can return to normal, about 15-20% of patients with deafness can affect the contralateral ears; tinnitus is often exacerbated before the onset of dizziness, and tinnitus can disappear with the relief of dizziness early. Vestibular function test temperature test is generally the ipsilateral semicircular canal dysfunction or disappearance. Hearing test is sensorineural hearing loss, and early typical is low-frequency sensorineural hearing loss. Such as cochlear electrograms, a typical person should record a broadened negative phase and potential, with SP-AP 40% in patients with seizures.

Dizziness Vestibular Neuronitis

Vestibular neuronitis This disease is a type of peripheral neuritis. Lesions occur in the vestibular ganglia or the concentric part of the vestibular pathway. About two weeks before the illness, there was a history of upper respiratory virus infection. Dizziness can occur suddenly, lasting for days or months, and the symptoms worsen during the activity. The symptoms of the autonomic nervous system are generally slightly milder than Meniere's disease. No hearing change, ie no complaints of tinnitus and deafness. Most patients had complete relief after two or three months, and only a few cases had recurrent episodes. Spontaneous nystagmus on the healthy side was found on examination, and the vestibular dysfunction on the affected side or semicircular canal paralysis was observed. There were no other symptoms of cranial nerve damage.

Vertigo Sudden Deafness with Vertigo

Sudden deafness with dizziness is more common in 30-50 years old, and may be caused by inner ear virus infection or vascular disease or window rupture. The patient developed sudden tinnitus and deafness in some cases. Some of the cases were accompanied by dizziness and vomiting. The condition was similar to Meniere's disease, but the vertigo lasted for a long time and there was no recurrence. Hearing test showed severe sensorineural hearing loss (more than 60dB), and those with vertigo may have impaired vestibular function.

Dizziness labyrinthitis

Patients with labyrinthitis who have acute or chronic suppurative otitis media can spread to the inner ear labyrinth and have serous or suppurative labyrinthitis. At this time, in addition to ear leakage, the patient will be accompanied by tinnitus, dizziness, nausea, vomiting and hearing loss. Spontaneous nystagmus to the affected side, when there is a fistula in the labyrinth, external auditory canal compression can cause dizziness, and the nystagmus is more obvious, that is, the fistula test is positive. When the disease progresses to purulent labyrinth, not only dizziness is severe but persistent, hearing can be reduced to deafness, spontaneous nystagmus turns to the healthy side, and the reaction of the affected side of vestibular function test disappears. When the above situation occurs, an X-ray of the ear mastoid should be taken, and a CT scan of the temporal bone is best to determine whether there is mastoiditis, cholesteatoma, and labyrinth fistula. Viral labyrinthitis is usually caused by herpes virus, mumps virus, and measles virus infection. Following the viral infection, the patient developed dizziness, gait instability, obvious nausea and vomiting, and often accompanied by severe deafness. Vestibular function test The function of the affected side is low or disappears. Due to the normal function of the vestibular side of the patient, the symptoms of vertigo can gradually disappear completely after 1 to 3 months.

Dizziness labyrinth concussion

Shock lost more due to head trauma, often associated with concussion exist, due to a strong air blast shock after the explosion, the same can cause inner ear labyrinth concussion. Patients with dizziness, nausea, and vomiting after trauma, injured ear hearing decreased significantly. Ear examination when partially visible trauma associated with tympanic membrane, tympanic membrane rupture or bleeding. Hearing tests can be seen in different levels and different properties of one side or changing the auditory threshold, may be severe bilateral deaf, some acoustic impedance audiometry ossicular chain damage may be suggestive, low ipsilateral vestibular function. In the diagnosis of patients with brain concussion, especially with the hearing impaired and those who complained of dizziness, it should be noted at the same time have lost the presence of shock.

Vertigo dizziness inspection

Vertigo vestibular function tests

(1) office or bedside vestibular function tests: test includes an upright pouring, marking time test, test or the like twisted neck

(2) nystagmus

(3) ENG

(4) FIG balanced posture

Vertigo Imaging

Cranial CT, MRI, etc. in order to clarify whether the head mass, ischemic or hemorrhagic disorders.

Vertigo other medical examination

Including blood pressure, electrocardiogram, biochemical examination and so on.

Vertigo vertigo medical equipment

The rapid development of medical technology has improved the detection of vestibular function. Clinically, electro-nystagmography (ENG) and posture map (PG) tests are commonly used in recent years. In recent years, video nystagmus (VNG), vestibular rotation test (VAT), and video head Emerging vestibular test technologies such as pulse test (V-HIT), dynamic visual acuity test (DVA), subjective visual line test, dynamic posture map, and high-frequency rotation test have been widely used in clinical practice.

Analysis of vertigo cases

Vertigo case one

Baimou, male, 48 years old, Address: Makeng Village, Baishao Town, Qiao County, Fujian Province

First diagnosis: February 3, 2000

Main complaint: The patient suffered from sudden dizziness, tinnitus, hearing loss, nausea and vomiting, pale complexion, palpitation, sweating, closed eyes, and did not dare to turn over. He was diagnosed with inner ear vertigo by a hospital, taking oryzanol and sedative drugs. Symptoms have been slightly reduced, but the attacks have been frequent for 10 years, once every 1-2 days, and work is affected. This time, the symptoms mentioned above occurred due to fatigue and uneasiness.

Examination: Observe that it is light and pale, the moss is thin and white, and the veins are sinking.

Diagnosis: inner ear vertigo (Ménier's syndrome)

Treatment: After the course of treatment, the symptoms were alleviated, from one episode on the 1st to 2nd episodes to one episode on the 6th, followed by another course of treatment. He reported that he had no vertigo this month, his tinnitus was slow, his hearing was normal, and his tongue was normal. The pulse bundle was relieved, and another 2 courses were taken to consolidate the curative effect. After 6 months of follow-up, there was no recurrence.

Evaluation: This disease is a disease of the inner ear, which is a hydronephrosis of the inner ear, also known as Meniere's syndrome, which is manifested as paroxysmal vertigo, tinnitus and fluctuating hearing loss. The exact etiology is not clear. It is generally believed that it may be due to plants. Nerve dysfunction causes spasm of labyrinth arteries and local hypoxia, which leads to excessive production of lymphatics in the inner ear or impaired absorption, causing hydrocephalus in the inner ear membrane. We believe that this disease belongs to the category of "vertigo". "Question, the truth is to talk about it" has "Every wind is dizzy, all belong to the liver" and other causes. "Danxi Heart Method · Head Dizziness" focuses on sputum and has the idea of "no sputum and no dizziness". Due to tiredness and spleen injury, loss of physical fitness caused the patient to become subtle, gather wet sputum, and prevent phlegm and dampness, but Qingyang does not rise, turbid yin does not fall, coupled with Qi stagnation and fire, darkening the liver yin, wind Yang moves, daggers are emptied, then dizziness occurs, so we use the method of Pinggan Qianyang, dryness and expectoration, which is suitable for the machine, and its certificate is Xian'an.

Vertigo case two

Tian, Female, 69 years old, Address: Special Product Technology Promotion Center of Agriculture and Animal Husbandry Bureau, Wufeng County, Hubei Province

First diagnosis: October 6, 2004

Main complaint: dizziness for more than 10 years, recurrent attacks in the past 2 months, with panning, weight loss, had served more than 40 doses of Liuwei Dihuang Decoction in a hospital outpatient clinic, the effect was not good, I was introduced to our hospital for treatment

Diagnosis: Vertigo caused by insufficient blood supply to the vertebrobasilar artery

Treatment: After taking the medicine for 6 days, the incidence of dizziness reduced, the spirit improved, the vomiting disappeared, he could eat, and still had mild nausea and fatigue. After taking 3 courses (3 months) in a row, the vertigo did not recur, the spirit recovered, and the appetite increased. Her complexion was rosy, her weight increased by 3 kg, and all symptoms were eliminated.

Evaluation: The cause of vertigo is extremely complicated, and the cause must be examined. We have adopted the treatment plan of "causes of the disease, symptoms as the target, and must be the subject of the cause, but the cause of the cause", so it is very effective. Special Therapy: Add a paragraph of vertigo for the last reason. The reason is extremely complicated. We must examine the cause and treat it. "True Talk" has "the winds are dizzy, all belong to the liver." Etiology. "Danxi Heart Method · Head Dizziness" focuses on sputum, with or without sputum, and proposes "sputum treatment first". Therefore, we use methods such as Pinggan Qianyang, strengthening the spleen and replenishing qi, reducing phlegm and reversing qi, and nourishing qi and nourishing yin to treat vertigo, which has significant curative effects. Generally, the symptoms of vertigo (1-3) can be relieved within 3 days. the goal of.

Dizziness Case History III

Ma, female, 54 years old, Address: Group 3, Tuqiao Village, Honghe Township, Longquanyi District, Chengdu City, Sichuan Province

Newly Diagnosed: August 10, 2003

Chief Complaint: dizziness accompanied by headache, sore throat, dry mouth, tinnitus, red urine has been four years, the symptoms gradually intensified.

Diagnosis: When the patient came to the clinic, his face was red and light, his waist was sore and painful, his tongue and moss were less, and his pulse counted.

Dialectical Governing Law: This is wang of the card, when to reducing south and reinforcing north of cure

Prescription: 6 pill bottles, 6 Fu decoction

Second consultation: Sept. 10, before symptoms improved markedly, satisfied that the food is also good, blood pressure dropped to 160 / 80mmHg. After the names in front of addition and subtraction, and then served a course of treatment (one month)

The third consultation: On October 9, after two courses of medicine in front, the symptoms disappeared, and the course of treatment continued to be consolidated until the end of this year.

Comment and analysis: This example is the deficiency of Rengui, the phenomenon of Bingding Chizhang, the deficiency of Yishen, but the essence and blood are difficult to produce, so the back is sore and painful, and the facial redness, tongue, tongue, and pulse count are all caused by Yin deficiency and fire. , Governance follows the law of replenishing the south and replenishing the north.

Vertigo case 4

Liu, Female, 45 years old, Address: Family Hospital of Guizhou County Finance Bureau, Qinghai Province

First diagnosis: March 11, 1997

Complaint: I have dizziness for more than one month, and I have had it in the past, but it was short-lived, and I wo nt heal it now. My left ear tweets, can receive external noise, and sometimes has a heavy feeling, accompanied by pandemics.

Examination: mild nystagmus, no white greasy fur, fine pulses

Diagnosis: Otogenic Dizziness

Treatment: Center for Drug taking the three courses (3 months)

Treatment Results: vertigo disappeared, followed up for 2 years without recurrence

Evaluation: Otogenic vertigo, mostly related to labyrinthine hydrostasis, is a non-inflammatory disease of the inner ear, clinical manifestations of dizziness, consciousness of tinnitus on one side of the body around the rotation, hearing loss, nystagmus, nausea and vomiting, not A sense of balance and sudden onset. Our treatment of this disease is based on the treatment of "sputum, liver, and kidney". The sputum is divided into phlegm fire and wet phlegm. Fang Zhongxia, Gastrodia, Uncaria and Atractylodes have expectorant fire, flatten liver and quench wind. , Ziyin Qianyang effect.

[Clinical statistics show]

Clinical statistics show that the proportion of patients with vertigo caused by insomnia is about 65%. For this type of patient group, using pure traditional Chinese medicine preparations to help sleep and western medicine oryzanol for combined traditional Chinese and western medicine can achieve significantly better results.

Vertigo Daily Care

1, to carry out diet maintenance.

maintenance

The diet of patients with vertigo should be nutritious and fresh. Eat more eggs, lean meat, vegetables and fruits. Avoid fatty and spicy things, such as fatty meat, fried food, wine, pepper and so on. Rich and nutritious food can supplement the body's deficiency, make qi and blood strong, and enrich the brain. For dizziness caused by anemia, leukocytopenia or chronic wasting disease, nutrition conditioning should be the main factor. Fat and spicy products, can produce phlegm and help fire, and make dizziness worse. Therefore, people suffering from hypertension and cerebral arteriosclerosis should be cautious with fat and spicy things. During the acute phase of vertigo, the water and salt intake should be properly controlled. Modern medicine believes that this can reduce the edema of the labyrinth of the inner ear and the vestibular nucleus, thereby alleviating the symptoms of dizziness or reducing the onset.

2. To carry out mental health.

The mental rehabilitation of patients with vertigo can not be ignored. Depression and anxiety can cause hyperactivity of liver yang or liver wind internal movement, and induce dizziness. Therefore, patients with vertigo should be broad-minded, optimistic, comfortable, and stable, which is very important to prevent and reduce the number of vertigo attacks.

3 Pay attention to rest and living.

Excessive fatigue or insufficient sleep is one of the predisposing factors for vertigo. Attention should be paid to rest during and after the onset of dizziness. Bed rest should be used during acute episodes of vertigo. Such as vertigo caused by insufficient blood supply to the vertebral artery, symptoms will be aggravated when standing, symptoms can be reduced when bedridden. Bed rest also prevents physical injury from fainting. It is important for patients with vertigo to get enough sleep. After getting enough sleep, its symptoms can be reduced or disappeared. In addition, patients with vertigo should try to avoid head and neck rotation. If there is inner ear disease, dizziness can be induced by changes in the head position that affect the function of the vestibular system. Cervical spondylosis When the neck is turned or tilted, the vertebral artery can be compressed and affect the blood circulation in the brain, resulting in insufficient blood supply to the brain and induce dizziness. Sound and light stimulation can also increase dizziness, so the living room should be quiet and the light should be dim.

[Care for vertigo patients]

There are many reasons for dizziness, so the methods of care are not the same. The main situations are listed below for reference:

1. Dizziness should remain quiet and happy, ensure adequate sleep and rest, avoid excessive brain use, mental stress and so on. Diet should be light and appropriate to participate in physical exercise.

2. Dizziness is caused by cervical spondylosis. When sleeping, you should choose a suitable pillow to avoid long-term work, and keep warm.

3 Dizziness caused by high blood pressure and arteriosclerosis, should always measure blood pressure, keep blood pressure stable, control diet and blood lipids, diet should be light, emotional stability.

4 Dizziness caused by anemia should appropriately increase nutrition, food therapy and adjuvant drugs can be applied.

5. Clinical statistics show that the proportion of patients with vertigo caused by insomnia is about 65%. For this type of patient group, the use of traditional Chinese medicine treatment can achieve better results.