Health tips: there are elderly people at home, we should understand some basic knowledge of elderly care, today we will talk about how to deal with senile vertigo. Senile vertigo is a common and frequently occurring disease in clinic. The author uses TCM syndrome differentiation and treatment, the curative effect is satisfactory.
Patients with hyperactivity of liver Yang have vertigo, tinnitus, headache and distension, which are aggravated by irritation or tiredness. It can calm the liver and latent Yang and nourish the liver and kidney. In addition, Tianma Gouteng drink is used to add or subtract Gastrodia elata, Uncaria uncaria, Cassia obtusifolia, chrysanthemum, Achyranthes bidentata, Eucommia ulmoides, Dipsacus asperata, mulberry parasitism, Prunella vulgaris, Tribulus terrestris, motherwort, etc. In the patients with phlegm turbidity, dizziness, tinnitus, heavy head, chest tightness and abdominal distension were found. Treatment with dry dampness phlegm, spleen and kidney. The prescription uses Banxia Baizhu Tianma decoction, medicinal pinellia, Atractylodes macrocephala, Gastrodia elata, Atractylodes, Poria cocos, Alisma, Pueraria, Schisandra chinensis, Astragalus membranaceus, epimedium, etc.
Patients with deficiency of Qi and blood have vertigo, tinnitus, aggravation of movement and fatigue. Treatment with Yiqi Yangxue, Jianpi Bushen. Guipi Decoction is used to treat Radix Astragali, Radix Codonopsis, Rhizoma Atractylodis Macrocephalae, Radix Angelicae sinensis, radix rehmanniae, Radix Polygoni Multiflori, longan meat, Fructus Schisandrae, Pericarpium Citri Reticulatae, fried licorice, etc. The symptoms of kidney essence deficiency include dizziness, tinnitus, listlessness, less sleep and more dreams, forgetfulness, and weakness of waist and knee. For those with Yin deficiency, Zuogui pill was used to treat Yin deficiency and kidney deficiency. For Yang deficiency patients, Zuogui pill was used for treatment. The pathogenesis of senile vertigo is the mixture of deficiency and excess. This deficiency is mainly due to deficiency of kidney essence, followed by deficiency of Qi and blood, and marked excess mainly includes liver wind, phlegm turbidity, qi stagnation and blood stasis. Kidney deficiency and blood stasis often run through the whole course of the disease. Therefore, in the treatment of regulating liver and spleen, replenishing qi and nourishing blood, regulating qi and resolving phlegm, tonifying kidney and filling essence, promoting blood circulation and removing blood stasis should be carried out all the time.
Medication for the elderly should be careful and concise, light and stable. In order to avoid aggravating the burden on the stomach and intestines, it is appropriate to take about ten kinds of medicine, and the dosage should not exceed 15g.