Meniere's disease is also known as hydrops of membranous
labyrinth. Its clinical characteristics are paroxysmal
dizziness, fluctuating deafness, tinnitus and a feeling of
fullness in the ear. It belongs to the category of "xuan yun"
(dizziness) in TCM.
Main
Points of Diagnosis
1. It occurs most often in middle-aged males, as
a result of fatigue, change in mood and lack of sleep.
2. The patient suffers from paroxysmal vertigo and a sensation
of rotating around or floating-and sinking, accompanied with
spontaneous nystagmus, nausea, vomiting, pallor and cold
sweating. The dizziness may last for several minutes or even
several hours, but the patient is conscious.
3. Constant tinnitus occurs, which is aggravated before or after
the attack of the disease.
4. The patient has sensorineural deafness. it fluctuates prior
to and after the attack of the disease. Hyper-sensitive sign to
high-pitch sound may occur.
5. The patient has a feeling of fullness in the ear and head.
6. Examination shows the drum membrane is normal. There is
horizontal or slightly rotatory nystagmus during the attack.
Hearing test indicates a sensorineural hypoacusis and
recruitment may be present. The vestibular function test shows
that its function is reduced during the period of the attack.
7. Glycerin test shows positive.
Differentiation and Treatment of Common Syndromes
1. The Type of the Hyperactivity of the
Live-yang.
Main Symptoms and Signs: Vertigo occurs mostly after a change in
mood. Tinnitus like chattering sound of machine is present,
accompanied with restlessness, irritability, headache and a
feeling of fullness in the ear as well as a flushing face, red
eyes, a bitter taste in the mouth and dryness in the throat. The
tongue is red and its fur yellow. The pulse is taut and rapid.
Therapeutic Principle: Calming the liver to stop endogenous wind
and nourishing yin to suppress yang.
Recipe: Decoction of Gastrodia and Uncaria
gastrodia tuber
scutellaria root
achyranthes root
eucommia bark
hooked uncaria (decocted later)
capejasmine fruit
motherwort
loranthus mullberry mistletoe
fleece-flower stem
poria with hostwood
raw abalone shell (decocted first)
All the above herbs are to be decocted in water for oral
administration.
2) The Type of the Turbid Phlegm Obstructing in the
Middle-Warmer.
Main Symptoms and Signs: There are such symptoms as dizziness in
the head as if it were tightly wrapped up, a feeling of fullness
in the chest and poor appetite. The fur of the tongue is white
and greasy and the pulse taut and slippery.
Recipe: Decoction of Pinellia, White Atractylodes and Gastrodia
prepared pinellia
parched white atractylodes rhizome
gastrodia tuber
tangerine peel
poria with hostwood
licorice root
fresh ginger
Chinese date
All the above herbs are to be decocted in water for oral
administration.
3) The Type of the Deficiency of Both the Spleen and the
Kidneys.
Main Symptoms and Signs: There are repeated occurrences of
vertigo and tinnitus which is like singing of cicadas,
accompanied with short breath, fatigue, soreness and weakness of
the waist and knees, amnesia, excessive dreaming during sleep,
clear urine and long-time urination at night, a light-red tongue
with white fur, and thready and feeble pulse.
Therapeutic Principle: Replenishing qi, warming the kidney and
removing water retention to relieve dizziness.
Recipe: Decoction for Reinforcing Middle-Warmer and Replenishing
Qi, compounded with Diuretic Decoction by Strengthening Yang of
the Spleen and Kidneys.
astragalus root
ginseng
white atractylodes rhizome
tangerine peel
cimicifuga rhizome
bupleurum root
prepared aconite root
fresh ginger
Chinese angelica root
poria with hostwood
white peony root
licorice root
All the above herbs are to be decocted in water for oral
administration.
For those who have excessive liver-fire, add 9 grams of gentian
root and 9 grams of moutan bark. For those who have severe
tinnitus, add 9 grams of magnetite and 9 grams of grassleaved
sweetlflag rhizome. For those suffering from insomnia and
dysphoria, add 15 grams of fleece-flower stem, 15 grams of raw
dragon's bone and 15 grams of raw oyster shell. For those with
serious nausea and vomiting, add 15 grams of red ochre, 9 grams
of inula flower (wrapped in a piece of cloth before it is
decocted) and 6 grams of bamboo shavings.
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