Menieres Disease

Question 1

definition:

Answer 1

chronic Dz of inner ear characterized by vertigo, tinnitus, hearing loss

Question 2

etiology:

Answer 2

1) KID ess XU (sex, illness) —> fail to nourish brain/yin xu leads to yang shi then disturbs clear orfice—>vertigo
2) LIV yang rising (stress, anger)—>LIV Qi stg—>fire—> dist. clear orfice
3) Qi/blood XU (diet, overthink, cold drugs)—> SP/ST weak—>D—>PH—>block MJ
4) Obsrtuction of trubid PH

Question 3

Obstruction of turbid PH SX:

Answer 3

heavy head, chest tightness, vomit PH, nausea, loss appetite

Question 4

QI/blood XU SX:

Answer 4

poor appetite, loose stool, palpitations, SOB, listlessness

Question 5

KID ess XU SX:

Answer 5

low back/knee pain, dizziness, tinnitus

Question 6

LIV yang rising SX:

Answer 6

irritability, anger, hypochondriac pain

Question 7

patterns:

Answer 7

1) KID ess xu
2) LIV yang raising
3) Qi/blood xu
4) Obstruction of turbid PH

Question 8

DX:

Answer 8

rule out: HTN, brain injury, other illness (common cold)

Question 9

differentiate XU/SHI:

Answer 9

XU vs SHI
chronic/recurrent acute
long short
mild dizziness severe dizziness
SOB, listlessness vomit PH
palpitations
P=deep, thin, weak P=strong, wiry, rapid

Question 10

POT

Answer 10

attack (SHI): transform PH/subdue yang, reduce, 1/day, use shaoyang/taiyang points

remission (XU): tonify KID ess/tonify Qi/blood, tonify

Question 11

points:

Answer 11

GB-20/DU-20 (dizziness/vertigo)
SI-19 (dizziness, vertigo)
PC-6 (nausea)
LIV-3, SP-6, LI-4

Question 12

KID ess XU points:

Answer 12

moxa RN-4/6
GB-39
UB-23/18/20/52

Question 13

LIV yang rising points

Answer 13

taiyang, DU-23, SP-6, KID-1/7, LIV-8, UB-18/23

Question 14

Qi/blood XU points

Answer 14

UB-20/21/17, ST-36, SP-6, RN-4/6

Question 15

Obstruction of turbid PH points

Answer 15

ST-40, RN-12, yintang, ST-36, UB-20/21

Question 16

ALT remedies:

Answer 16

1) moxa (DU-20)
2) auricular ( forehead, HT, KID, shenmen, inner ear, adrenal gland, subcortex, occipital)
3) scalp acu (dizziness, hearing lines)
4) herbs

Question 17

point prescription protocols (2):

Answer 17

1) primary: PC-6, ST-36, LI-4, LIV-3, SP-6
secondary: DU-20, SI-19, ST-40, LU-7

2) primary: threading needle: DU-20—>DU-23/DU-20—>DU-17
secondary: HT-7 use 3 cun needle thread to elbow

Question 18

EDU:

Answer 18

1) red rest during attack (quiet, prevent accident)
2) avoid rapid movement of head
3) limit fluid intake (drink less water)
4) low salt diet
5) reg. exercise (remission)
6) quit smoking/alcohol

Question 19

chinese name:

Answer 19

Xuan Yun