Dizziness and vertigo — qi and blood deficiency

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Textbook Prescriptions Headache and Dizziness

Essentials of Chinese Acupuncture (Beijing, Shanghai and Nanjing Colleges of Traditional Chinese Medicine, 1980) — the standard prescriptions of the Chinese colleges.

Points

  1. CV4 Guanyuan midline

    Conception Vessel point below the navel; strengthens the original qi

    Reinforcing method; moxa may be used.

    • Pregnancy: contraindicated
  2. BL20 Pishu bilateral

    Back-Shu of the Spleen; invigorates the spleen, source of qi and blood

    Reinforcing method; moxa may be used.

  3. SP6 Sanyinjiao bilateral

    Meeting point of the three leg yin channels; supports the spleen in making blood

    Reinforcing method; moxa may be used.

    • Pregnancy: contraindicated
  4. ST36 Zusanli bilateral

    He-Sea of the Stomach; strengthens the stomach to generate qi and blood

    Reinforcing method; moxa may be used.

Needling Safety

Cited hazards for these points. Tick what applies to the patient to see the cautions that follow from it.

Treatment Principle

Build up qi and blood by reinforcing points of the Ren, Bladder and Stomach channels.

Indications

Dizziness and whirling vertigo with blurred visionlistlessness and fatiguepalpitationsinsomniapulse lacking strength

Method

Reinforcing method throughout; moxibustion may also be used.

⚠ Cautions

Sudden vertigo with headache, double vision, slurred speech, limb weakness or inability to walk can be a posterior-circulation stroke and needs emergency assessment. Investigate persistent vertigo medically. SP6 is contraindicated in pregnancy, as is moxibustion or strong stimulation at CV4. BL20 is over the lower thorax; needle obliquely. Rule out anaemia and hypotension medically.

About

The textbook's prescription for vertigo from deficiency of qi and blood, so that the head's sea of marrow is poorly supplied.

Rationale

CV4 strengthens the body's vital energy at its root. BL20, SP6 and ST36 invigorate the spleen and stomach, which the book identifies as the source from which qi and blood are produced.

Clinical Notes

The book relates the condition to disturbed balance and lists Ménière's syndrome, labyrinthitis, otosclerosis, high or low blood pressure and neurasthenia. It also describes tapping with a cutaneous needle at GV20, Taiyang, Yintang and the Huatuo Jiaji points, and an ear-acupuncture option.

Sources

  • Beijing College of Traditional Chinese Medicine, et al. Essentials of Chinese Acupuncture. Beijing: Foreign Languages Press, 1980. Chapter III, Dizziness and vertigo, p. 338–340.

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