呂宇軒中醫師: Dizziness WFU

2023年8月3日 星期四

Dizziness

Recently, Mary's menstruation came, and the majority of blood loss appeared in the first few days, with some dark-colored blood clots . She often felt physically tired and weak. To make matters worse, when she changed her posture from  sitting to standing, she often felt black in front of her eyes and inclined to faint.

Bob has been running several kilometers every day recently to participate in the singer's audition . In order to look fit, he often merely eats one meal a day or even none. Today, he feels very uncomfortable. In addition to severe dizziness, his body keeps sweating.

After playing basketball, John caught a cold. In addition to sneezing, runny nose, and nasal congestion all day long, his  head often felt dizzy a lot, as if it was covered by a piece of wet cloth. He felt heaviness among his head and his thoughts were much duller than usual.

Kevin, who is studying medicine, gets up early today to study for a midterm exam, but suddenly feels dizzy, heavy-headed and light-footed, and his eyes keeps twitching(Nystagmus) and he feels nauseous. After a while, Kevin calms down and integrates the knowledge he had learned before, and presumed that he might have a dislodged ear stone.(Benign paroxysmal positional vertigo,BPPV)

Identical symptom  yet so many possibilities


Anemia can cause dizziness, especially for women who experience heavy menstrual bleeding, if they have congenital Thalassemia or iron-deficiency anemia, the symptoms will be more obvious. If there is a sudden black out  occuring  while changing posture, it is known as orthostatic hypotension , which is also related to anemia. 

The treatment is mainly to improve anemia and pay attention to not changing postures too quickly. Modern medicine may recommend some iron supplements, and we Chinese medicine physicians can use herbs such as Si Wu Tang, Dang Gui, and Huang Qi to supplement oxygen and blood.

Hypoglycemia often causes symptoms such as dizziness and sweating, and the body will feel very weak due to the lack of energy needed for momentum, which will also affect the strength and coordination of muscles. Many people who engage in intermittent-fasting will encounter such discomfort, so it is recommended that people  prepare some energy bars or chocolate bars around them in case of emergency. If the symptoms are too severe, remember to see a doctor.

We Chinese medicine physicians may diagnose  the cause of a flu with wind, cold, and dampness. If one's head feels particularly heavy, like being covered with a layer of cloth, the dampness is stronger and excessive. The Chinese herbal medicine can achieve the effect of dispelling wind, dispelling cold, and removing dampness. We could use Gui Zhi Tang as a basic formula to repair the damaged body and spicy and warm medicine such as Fang Feng, Qiang Huo, and Ma Huang. Adding some Cang Er Zi will help with nasal congestion, and Cang Zhu and Chen Pi can be used  to remove dampness more efficiently.


Dislodged ear stones(Benign paroxysmal positional vertigo,BPPV) is quite difficult to be dealt with. The human body is symmetrical, so there are paired organs such as ears, hands, and eyes. When the ear stones on either side are affected by external forces or self-influence and leave their original positions, it will cause imbalance on both sides, resulting in symptoms such as dizziness, heavy-headed and light-footed, eye movement (Nystagmus), nausea and vomiting. This situation does not require medication or injection. Seek an experienced otorhinolaryngologist to perform the canalith repositioning procedure(CPR) and the symptoms will relieve.