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8 Cards in this Set

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Dizziness due to Blood Stagnation

Pathophysiology
Maybe acute or chronic.
When acute will have history of head trauma.
When chronic there is often a long history of Liver Qi stagnation (and Frequent depression).
The presence of stagnant Blood obstructs the free movement of Qi and Blood and the distribution of Yin and Yang.
Dizziness due to Blood Stagnation

Clinical Features
-dizziness
-stubborn headache that is fixed and boring
-forgetfulness
-insomnia, restless sleep
-palpitations
-depression, low spirits, irritibility, mood swings
-dark or purplish lips, complexion or scelra, dark rings under eyes, or spider naevi on cheeks and nose
T-purplish or dark with brown or purple petichial spots
P-wiry and choppy
Dizziness due to Blood Stagnation

Treatment Principle and
Prescription
TP: Invigorate blood, eliminate Blood stasis.
Regulate Qi and clear the channels

RX: XUE FU ZU YU TANG
sheng di 12
tao ren 12
hong hua 9
chuan niu xi 9
dang gui 9
chi shao 9
chuan xiong 6
zhi ke 6
jie geng 6
chai hu 6
gan cao 3
Dizziness due to Blood Stagnation

Modifications for:

-with Qi deficiency
-With Cold
-With bone steaming fever
With Qi def:
-tiredness
-easy sweating
-short of breath
+ Huang Qi 24-30 to tonify Qi and move Blood

With Cold:
+ Zhi Fu Zi 6 (30mins before)
+ Gui Zhi

With Bone steaming fever
delete chai hu, jie geng and zhi ke
+ mu dan pi 9
zhi mu 9
huang bai 9
Dizziness due to Blood Stagnation

Variation

Postpartum occurence
postpartum dizziness with signs of Blood Stasis may be a result of incomplete discharge due to obstruction of chong mai qi downwards by retained birth products; causing obstructed qi that accumulates in lower jiao to rebel upwards towards the head.
Correct TP is to gently move stagnant blood and regulate qi and Blood with
RX: QING HUN SAN modified
ren shen 9
jing jie 9
ze lan 9
dang gui 9
yan hu suo 9
mo yao 6
chuan xiong 6
gan cao 3
Dizziness due to Blood Stagnation

Patent Medicine
XUE FU ZHU YU TANG
sheng di 12
tao ren 12
hong hua 9
chuan niu xi 9
dang gui 9
chi shao 9
chuan xiong 6
zhi ke 6
jie geng 6
chai hu 6
gan cao 3
Dizziness due to Blood Stagnation

Acupuncture
Ah Shi points on the head
Ge Shu BL17
San Yin Jiao SP6 (-)
He Gu LI4 (-)
Zhong Du LV4 (-)
Tai Chong LV3 (-)
Yang Lao SI6 (-)
Dizziness due to Blood Stagnation

Clinical Notes
This pattern may be associated with post traumatic shock syndrome, post concussion syndrome, tumours, chronic depression or chronic migraines
- Acute cases generally respond well depending on the severity of the trauma
-Chronic Cases can be difficult to treat successfully