(1) Herbal Therapy
1) Internal Medicine
a. Upward Disturbance of Wind Yang:
Therapeutic Methods: To calm the liver, suppress hyperactive liver yang and nourish the liver and kidney.
Prescription: Modified Tianma Gouteng Yin (Gastrodiae and Uncariae Decoction).
b. Up flaming of Liver Fire
Therapeutic Methods: To reduce liver fire and eliminate damp heat.
Prescription: Modified Longdan Xiegan Tang (Gentianae Decoction for Purging Liver Fire).
c. Upward Disturbance of Turbid Phlegm:
Therapeutic Methods: To dry up dampness, resolve phlegm, invigorate the spleen and harmonize the stomach.
Prescription: Modified Banxia Baizhu Tianma Tang(Decoction of Pinellia ternata,Rhizoma Atractylodis Macrocephalae and Rhizoma Gastrodiae )
d. Deficiency of Qi and Blood:
Therapeutic Methods: To replenish qi, nourish blood, invigorate the spleen and regulate the stomach.
Prescription: Modified Guipi Tang (Decoction for Invigorating Spleen and Nourishing Heart).
e. Deficiency of Liver Yin and Kidney Yin:
Therapeutic Methods: To nourish the liver and kidney, and replenish kidney essence. Prescription: Modified Zuogui Wan (Bolus for Replenishing Kidney Yin).
f. Retention of Blood Stasis in the Orifices:
Therapeutic Methods: To eliminate blood stasis,promote blood circulation and activate the collaterals
Prescription: Modified Tongqiao Huoxue Tang (Decoction for Activating Blood Circulation).
2) External Medicine
Gouteng ( Ramulus Uncariae cure Uncis, cut into small pieces) 30 g and a little Bingpian (Borneolum Syntheticum, wrapped in a piece of cloth). Put them in warm water to bathe feet, twice a day after getting up and before going to bed, 30 - 45 minutes each time and 10 days as a treatment course. It is applicable to vertigo caused by liver-yang hyperactivity.
Juhua ( Flos Chrysanthemi ) 500 g, Sangye (Folium Mori) 500g, Xinyi (Flos Magnoliae) 500g, Bohe (Herba Menthae ) 200 g, Honghua ( Flos Carthami) 100 g and Bingpian ( Borneolum Syntheticum ) 50 g. Pound the above ingredients into small pieces and then put them into a cloth bag to make a medicated pillow. One pillow may be used for 3 - 6 months. It is applicable to vertigo with liver-yang hyperactivity.
(2) Acupoints Massage
1) Liver-yang hyperactivity: Press Danzhong (CV17), Taichong (LR 3), Touwei (ST8), Jiaosun (TE20) and Taiyang (EX- HN 5).
2) Deficiency of Qi and Blood: Press Zhongwan (CV12), Tianshu (ST25), Pishu (BL20), Weishu (BL21) and Zusanli (ST 36).
3) Insufficiency of the kidney yang: Press Shenshu (BL23), Qihaishu (BL24), Guanyuanshu (BL 26) and Baliao.
4) Upward Disturbance of Turbid Phlegm: Single finger pushing manipulation to Zhongwan (CV12), Tianshu (ST25), and rub the abdomen.
5) Ear source type, eye source type, encephalic pathology, body intoxication and functional disturbance, etc. Self-massage methods of preventing and alleviating vertigo are as follows:
(3) Cupping Therapy
1) Deficiency of Qi and Blood:
Acupoints selected: Baihui (GV20), Yintang (EX-HN3), Geshu (BL17), Qihai (CV6), Pishu (BL20), Zusanli (ST 36), Sanyinjiao (SP6).
Manipulation: Cupping Geshu (BL17), Qihaishu (BL24), Pishu (BL20), Zusanli (ST 36) for 10 minutes, select Geshu (BL17), Qihai (CV6) as one of groups, Pishu (BL20), Zusanli (ST 36) as another group, once a day, 10 times as a course of treatment. Smear Wanhua Oil to Baihui (GV20) and Yintang (EX-HN3), then scrape them until a local flush occurs, without speckle and retained cupping.
2) Upward Disturbance of Turbid Phlegm:
a. Method one: Touwei (ST8), Taiyang (EX- HN 5), Fengchi (GB20), Zhongwan (CV12), Fenglong (ST 40).
Manipulation: Guasha and Cupping method. Smear Wanhua Oil to Touwei (ST8), Taiyang (EX- HN 5) and Fengchi (GB20), then apply Guasha manipulation to them until a local flush occurs, without speckle and cupping. Apply cupping manipulation to Zhongwan (CV12) and Fenglong (ST 40) for 10 minutes, once a day, 10 times as a course of treatment.
b. Method two : Touwei (ST8), Neiguan (PC6), Yinlingquan (SP9), Fenglong (ST 40).
Manipulation: Smear Wanhua Oil to Touwei (ST8), then apply Guasha manipulation to it until a local flush occurs, without speckle and cupping. Apply ordinary cupping manipulation to rest acupoints for 10 minutes, once a day, 10 times as a course of treatment.
3) Symptomatic treatment:
Matching acupoints: Shangwan (CV13), Neiguan (PC6), Hegu (LI 4), Zusanli (ST 36).
Manipulation: Apply ordinary cupping manipulation to the above acupoints for 10 minutes, once a day.
