Dizziness: Causes and Solutions from Traditional and Neurological Perspectives - Neurology

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Could you please clarify what you mean by "dizziness 2"?


1.
When I visited a traditional Chinese medicine practitioner, he checked my pulse and said that "qi is not reaching the head." What could be the reason for this? How can it be resolved?
2.
If I combine this with the previous issue of dizziness, what could be the underlying cause?

Hsu, 10~19 year old female. Ask Date: 2012/10/30

Dr. Gao Chunde reply Neurology


Traditional Chinese Medicine (TCM) descriptions may not be easily interpreted or answered by Western medicine practitioners, and it may be necessary to consult an experienced TCM physician or a physician trained in both TCM and Western medicine.
As mentioned in the previous article, when visiting a Western doctor, the physician may investigate conditions such as anemia, hyperthyroidism, dehydration, or hypotension, and then provide treatment based on the examination results.

Reply Date: 2012/10/30

More Info


Dizziness is a common complaint that can stem from various causes, and understanding its origins is crucial for effective management. In traditional Chinese medicine (TCM), dizziness may be attributed to a deficiency of "Qi" (vital energy) or blood that fails to nourish the head. When a practitioner states that "Qi does not reach the head," they are suggesting that there may be an imbalance in the body's energy flow, which can lead to symptoms like dizziness, lightheadedness, or even fainting.
From a TCM perspective, several factors can contribute to this condition:
1. Qi Deficiency: This can occur due to poor diet, overwork, or chronic illness, leading to insufficient energy to support bodily functions, including circulation to the head.

2. Blood Deficiency: Similar to Qi deficiency, inadequate blood supply can fail to nourish the brain, resulting in dizziness. This is often seen in individuals with anemia or those who have experienced significant blood loss.

3. Liver Qi Stagnation: The liver plays a crucial role in the smooth flow of Qi throughout the body. Stress, emotional disturbances, or dietary factors can lead to stagnation, causing dizziness.

4. Phlegm-Damp Accumulation: In TCM, excess phlegm can obstruct the flow of Qi and blood, leading to feelings of heaviness and dizziness.

To address these issues, TCM practitioners may recommend herbal remedies, acupuncture, dietary changes, and lifestyle modifications aimed at restoring balance. For instance, herbs that tonify Qi and blood, such as ginseng or goji berries, may be suggested. Acupuncture points that promote circulation and alleviate stagnation can also be targeted.

From a Western medical perspective, dizziness can be classified into several categories, including:
1. Vestibular Disorders: Conditions affecting the inner ear, such as benign paroxysmal positional vertigo (BPPV), Meniere's disease, or vestibular neuritis, can lead to dizziness and balance issues.

2. Neurological Causes: Dizziness can also arise from neurological conditions such as migraines, multiple sclerosis, or transient ischemic attacks (TIAs). These conditions may require imaging studies or further neurological evaluation.

3. Cardiovascular Issues: Orthostatic hypotension (a drop in blood pressure upon standing) or arrhythmias can cause dizziness, particularly in older adults or those with underlying heart conditions.

4. Metabolic and Systemic Factors: Conditions like dehydration, hypoglycemia, or thyroid dysfunction can lead to dizziness. Blood tests may be necessary to assess these factors.

Combining insights from both TCM and Western medicine can provide a comprehensive approach to managing dizziness. For instance, if a patient experiences dizziness alongside symptoms of anxiety or stress, addressing both the physical and emotional aspects may yield better results.
In conclusion, understanding the causes of dizziness requires a multifaceted approach that considers both traditional and modern medical perspectives. If you are experiencing persistent dizziness, it is advisable to consult healthcare professionals from both fields. They can work together to identify the underlying causes and develop a tailored treatment plan that may include lifestyle changes, dietary adjustments, acupuncture, medications, or other interventions. Regular follow-ups and monitoring can help ensure that the treatment remains effective and that any new symptoms are addressed promptly.

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