Dizziness and Vertigo

EXCESS

PHLEGM

paroxysmal dizziness and rotary vertigo, heaviness and heavy sensations in the head, aggravated by motion, stifling sensation in the chest; difficulty in thinking
or concentrating, especially in the morning;

nausea, profuse sputum, somnolence, greasy tongue coating, slippery pulse

wind phlegm

headache, clear urine, possible loose stools, white tongue coat

Ban Xia Bai Zhu Tian Ma Tang

heat phlegm

bitter taste in mouth, yellow urine, yellow tongue coat, possible constipation

Wen Dan Tang + Huang Qin, Huang Lian

LIVER

dizziness and vertigo that feels like motion sickness, tinnitus, irritability, red face, insomnia, dream disturbed sleep, the head distending headache, symptoms aggravated by emotional stress, red tongue, wiry and rapid pulse

Yang rising: a sensation of heat rushing into the head

Tian Ma Gou Teng Yin

excess fire: thirst, scanty yellow urine

Long Dan Xie Gan Tang

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water retention in lower Jiao dizziness, vomiting of frothy saliva, shortness of breath, throbbing pulsations just below the umbilicus, coughing, a moist white tongue coating; floating and slippery pulse

Wu Ling San

Differentiation

Symptoms

Formula

Excess with deficiency		Kidney Yang deficiency with dampness		dizziness, heavy sensation in the head, palpitations; possible shivering and trembling with unsteady appearance; cold limbs, loose stools, a swollen pale tongue with teethmarks and white, slippery coating; deep and thin weak pulse		Zhen Wu Tang
		Shao Yang syndrome		dizziness, nausea or vomiting, bitter taste in the mouth, dry throat, full sensation in the chest and hypochondria, poor appetite, may have alternating chills and fever, wiry pulse		Xiao Chai Hu Tang
		Qi deficiency with phlegm		dizziness and tinnitus with a desire to lie down, symptoms worsened in standing position and induce by exertion; lassitude, poor appetite, spontaneous sweating, loose stools, pale tongue, weak pulse	profuse phlegm, greasy tongue coating	Si Jun Zi Tang + Er Chen Tang
D e f i c i e n c y	Qi deficiency				may have prolapse of rectum or uterus	Bu Zhong Yi Qi Tang
	Blood deficiency			dizziness which is worse when very quickly standing up from a seated position, blurred vision, low energy, numbness in the extremities, pale tongue, thready pulse; usually includes a history of bleeding		Si Wu Tang
	Qi and Blood deficiency			dizziness or fainting, especially when standing up from a seated position, aggravated by overwork; insomnia, palpitations, pale face, lassitude, spontaneous sweating, pale tongue, weak pulse		Gui Pi Tang Shi Quan Da Bu Tang
	Stomach and Liver def. cold			dizziness and vertigo with vertex headache; dry heaves, spitting of clear fluids, or vomiting immediately after eating; cold hands and feet; white, moist tongue coat, weak and wiry pulse		Wu Zhu Yu Tang
	Kidney Deficiency		Yin	persistent dizziness and vertigo with empty feeling which is worse in the afternoon and evening, aggravated by overwork and overthinking, poor memory, lassitude, lumbar soreness	red tongue with scanty coating, wiry thready pulse	Liu Wei Di Huang Wan
			Yang		cold limbs, pale tongue, white coat, deep thready pulse	Jin Gui Shen Qi Wan