Dizziness for one year?
I consulted a doctor about my condition.
I don't feel dizzy when lying down, but I experience dizziness when walking.
I feel particularly dizzy when standing still; it's not vertigo or fainting, but rather a sense of imbalance, a feeling of pressure in my head, and slight weakness in my calf muscles.
This has been ongoing for a year, and despite numerous tests showing normal results, my dizziness has worsened.
Although I haven't fainted, I'm very uncomfortable and unsure of what's wrong with me.
Each time I visit a traditional Chinese medicine practitioner, they say I have no significant issues, but rather excess liver and heart fire, insufficient qi and blood, and a cold stomach.
Acupuncture hasn't been effective, and after massage therapy, I feel even more dizzy.
The massage therapist mentioned that my Fengchi point is tight, but my neck muscles are not tense.
The massage techniques were quite vigorous, and I also underwent physical therapy traction, which left me feeling even more dizzy afterward.
Could this be due to insufficient sleep? I have sleep apnea and have been using a CPAP machine for five months, sleeping 6-7 hours a day.
I have tried massage or physical therapy for my head, but it only makes the dizziness worse.
Recently, I've been doing shoulder and neck exercises every morning, but I feel even dizzier and more tired in the mornings.
Alvin, 40~49 year old female. Ask Date: 2017/02/09
Dr. Zhang Weidong reply Traditional Chinese Medicine
Hello Alvin,
Have you undergone an examination by a neurologist? Prior to experiencing discomfort, were there any incidents of trauma or changes in your lifestyle? It is important to rule out trauma (both recent and past), vertigo (such as Meniere's disease, which falls under ENT), transient ischemic attacks and brain tumors (neurology), cervical spine compression causing inadequate blood supply (orthopedics or rehabilitation), and any rare or special cases that may require further investigation.
Only after excluding these issues would we consider traditional Chinese medicine for treatment.
Based on the exclusion of the aforementioned problems, I would suspect that your symptoms of dizziness, which worsen upon standing or after massage, may be due to inadequate cerebral blood flow, possibly related to insufficient heart energy, fatigue, poor sleep, and other similar issues.
We would need to inquire further about your sleep patterns and work conditions to make a proper assessment.
Therefore, I recommend that you consult the aforementioned Western medical specialties for examination, and then seek treatment at a nearby traditional Chinese medicine clinic.
I hope this information is helpful.
Zhang Wei-Dong, Department of Traditional Chinese Medicine, Changhua Hospital
Reply Date: 2017/02/09
More Info
Understanding dizziness, especially when it persists for an extended period, can be quite complex. In Traditional Chinese Medicine (TCM), dizziness is often viewed through the lens of the body's internal balance, particularly the harmony between Qi (vital energy), blood, and the organs. Your symptoms of feeling unbalanced, having a "blocked" sensation in your head, and experiencing muscle weakness in your calves suggest that there may be underlying issues related to Qi and blood circulation, as well as potential organ disharmonies.
From your description, it seems that you have undergone numerous medical evaluations, and the results have come back normal. This can be frustrating, especially when you are experiencing significant discomfort. In TCM, the concept of "wind" is often associated with dizziness. The "wind" can be internal, arising from imbalances within the body, or external, influenced by environmental factors. Your practitioners have mentioned conditions such as "excess liver fire," "heart fire," "Qi and blood deficiency," and "stomach cold," which are all indicative of different imbalances that could contribute to your symptoms.
1. Liver and Heart Fire: In TCM, excessive heat in the liver or heart can lead to symptoms such as irritability, insomnia, and dizziness. This could be exacerbated by stress or emotional disturbances. Managing stress through relaxation techniques, acupuncture, and herbal remedies aimed at cooling the liver and heart may help alleviate these symptoms.
2. Qi and Blood Deficiency: A deficiency in Qi and blood can lead to feelings of weakness, fatigue, and dizziness. This is particularly relevant given your mention of feeling unbalanced and having muscle weakness. TCM often recommends nourishing foods and herbs that can help build Qi and blood, such as goji berries, red dates, and certain types of ginseng.
3. Stomach Cold: A "cold" stomach can lead to digestive issues and may contribute to feelings of dizziness. Eating warm, easily digestible foods and avoiding cold or raw foods may help improve your condition.
4. Sleep and Breathing Issues: You mentioned having sleep apnea and using a CPAP machine. Sleep disturbances can significantly impact overall health and contribute to feelings of dizziness and fatigue. Ensuring that your sleep is restful and that your breathing is well-managed during sleep is crucial. It may be beneficial to consult with a sleep specialist if you haven't already.
5. Physical Therapy and Manipulation: You noted that physical therapy and manipulation have sometimes worsened your symptoms. This could indicate that the techniques used may not be suitable for your specific condition. It might be worth discussing with your physical therapist or seeking a second opinion to explore alternative approaches that might be gentler or more effective for your situation.
6. Lifestyle Adjustments: Incorporating gentle exercises, such as Tai Chi or Qi Gong, can help improve balance and circulation without overexerting yourself. Additionally, ensuring you stay hydrated and maintain a balanced diet can support overall health.
7. Consultation with TCM Practitioners: Since you have already seen TCM practitioners, it may be beneficial to seek a second opinion or find a practitioner who specializes in treating chronic conditions. They may provide a different perspective or treatment plan that could be more effective.
In conclusion, while your symptoms are complex and multifaceted, TCM offers various approaches to address the underlying imbalances that may be contributing to your dizziness. It is essential to maintain open communication with your healthcare providers, both Western and Eastern, to create a comprehensive treatment plan that addresses all aspects of your health. Remember, healing is often a gradual process, and it may take time to find the right combination of treatments that work for you.
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