Meniere's disease according to Chinese Medicine

Meniere's disease factsheet

In Chinese Medicine, meniere's disease can be associated with ten so-called "patterns of disharmony". Chinese Medicine sees the body as a system, not a sum of isolated parts. A "pattern" is when the system's harmony is disrupted. It is not equivalent to the Western concept of "disease", as a matter of fact here meniere's disease can be caused by ten different patterns.

To understand whether someone's meniere's disease might be caused by a given pattern, one needs to look for signs and symptoms associated with the pattern beyond what one might typically experience from meniere's disease alone. For instance when meniere's disease is caused by the pattern Phlegm, patients also experience symptoms such as feeling of oppression of the chest, muzziness of the head, dizziness and nausea. Similarly, patients with Phlegm typically exhibit slippery (Hua) or wiry (Xian) pulses as well as swollen tongue with sticky coating .

We've listed below a description of the ten patterns associated with meniere's disease so that you can start to get an understanding of the various possibilities according to Chinese Medicine.

Once identified, patterns are often treated using herbal formulas. Drinking herbal infusions is the most common remedy in Chinese Medicine, together with acupuncture. Here we detail below ten formulas that can help treat the various patterns associated with meniere's disease, depending on which pattern fits your profile.

The ten "patterns of disharmony" associated with meniere's disease

Crow-Dipper Rhizomes (Ban Xia) is the key herb for Er Chen Tang, a formula used for Phlegm

Phlegm

Phlegm has a great importance in Chinese Medicine as it is both a condition in and of itself as well as a cause for other diseases.

The main cause for the formation of Phlegm is Spleen Deficiency since the Spleen rules the transformation and transportation of Body Fluids. If this function is impaired, Body Fluids accumulates and change into Phlegm. 

The Lungs and Kidneys may also be involved since they each play a role in handling body Fluids: the Lungs disperse and descend Body Fluids while the Kidneys transform and excrete them. Again, if they fail to perform those roles, Body Fluids will accumulate and become Phlegm.

That being said, the Spleen malfunction is the fundamental reason behind the formation of Phlegm and, as such, treatments will focus on it first and foremost.

There are two broad types of Phlegm: so-called "Substantial Phlegm" and "Non-Substantial Phlegm". Simply put, Substantial Phlegm can be seen, such as sputum in the Lungs and throat. Non-Substantial Phlegm is more hidden and will manifest itself into, for instance, kidney stones, gallstones or arthritic bone deformities.

Phlegm can accumulate and settle down in different parts of the body and lead to corresponding symptoms. For example, if it stays in the joints, muscles and Channels, there are muscle numbness, bone deformities and etc. If it mists the Heart, it causes many mental illness. If it settles in the Gall Bladder or Kidney, it leads to stones in these Organs. 

Phlegm can further be categorized according to its nature: there is Damp-Phlegm, Phlegm-Heat, Cold-Phlegm, Wind-Phlegm, Qi-Phlegm, Phlegm-Fluids and etc. 

"Phlegm-Fluids" is very similar to Dampness and is very watery and thin. It can be heard splashing in the body, found usually in the Stomach and Small Intestines, hypochondrium, limbs or above the diaphragm.

Read more about Phlegm here

The Spleen is a so-called "Zang" Organ. Learn more about the Spleen in Chinese Medicine

Spleen Deficiency with Dampness

Meniere's disease might be due to Spleen Deficiency with Dampness if the condition is paired with typical pattern symptoms such as edema, general sensation of heaviness, diarrhea and urinary difficulty.

Read more about Spleen Deficiency with Dampness here

The Triple Burner is a so-called "Fu" Organ. Learn more about the Triple Burner in Chinese Medicine

Phlegm in the Lower Burner

Meniere's disease might be due to Phlegm in the Lower Burner if the condition is paired with typical pattern symptoms such as throbbing pulsations just below the umbilicus, vomiting frothy saliva, vertigo and shortness of breath.

Read more about Phlegm in the Lower Burner here

Crow-Dipper Rhizomes (Ban Xia) is the key herb for Er Chen Tang, a formula used for Damp-Cold Phlegm

Damp-Cold Phlegm

Pulse type(s): Slippery (Hua)

Tongue coating: Thick white coating

Recommended herbal formula: Er Chen Tang

Symptoms: Nausea Vomiting Dizziness Palpitations Focal distention Coughing with copious white sputum Stifling sensation in the chest and epigastrium

Meniere's disease might be due to Damp-Cold Phlegm if the condition is paired with typical pattern symptoms such as nausea, vomiting, stifling sensation in the chest and epigastrium and palpitations. Similarly, patients with Damp-Cold Phlegm typically exhibit slippery (Hua) pulses as well as a tongue with thick white coating.

Read more about Damp-Cold Phlegm here

Wind-Phlegm

Pulse type(s): Slippery (Hua), Wiry (Xian)

Tongue coating: Thick white coating

Recommended herbal formula: Ban Xia Bai Zhu Tian Ma Tang

Symptoms: Headaches Copious sputum Nausea or vomiting Dizziness or vertigo Stifling sensation in the chest

Meniere's disease might be due to Wind-Phlegm if the condition is paired with typical pattern symptoms such as dizziness or vertigo, headaches, stifling sensation in the chest and nausea or vomiting. Similarly, patients with Wind-Phlegm typically exhibit slippery (Hua) or wiry (Xian) pulses as well as a tongue with thick white coating.

Read more about Wind-Phlegm here

The Spleen is a so-called "Zang" Organ. Learn more about the Spleen in Chinese Medicine

Spleen or Kidney Yang Deficiency

Pulse type(s): Deep (Chen), Fine (Xi)

Tongue color: Pale

Tongue shape: Swollen, Tooth-marked

Recommended herbal formula: Zhen Wu Tang

Symptoms: Edema Coughing Vomiting Dizziness Loose stools Palpitations Urinary difficulty Heavy sensation in the head Abdominal pain that worsens with cold Deep aching and heaviness in the extremities

Meniere's disease might be due to Spleen or Kidney Yang Deficiency if the condition is paired with typical pattern symptoms such as abdominal pain that worsens with cold, urinary difficulty, deep aching and heaviness in the extremities and dizziness. Similarly, patients with Spleen or Kidney Yang Deficiency typically exhibit deep (Chen) or fine (Xi) pulses as well as a pale tongue.

Read more about Spleen or Kidney Yang Deficiency here

Exterior Cold invading the Interior

Pulse type(s): Deep (Chen), Fine (Xi)

Tongue coating: Thin white coating

Recommended herbal formula: Zhen Wu Tang

Symptoms: Dizziness Unsteadiness Generalized twitching Palpitations in the epigastrium Sweating that doesn't reduce fever

Meniere's disease might be due to Exterior Cold invading the Interior if the condition is paired with typical pattern symptoms such as sweating that doesn't reduce fever, palpitations in the epigastrium, dizziness and generalized twitching. Similarly, patients with Exterior Cold invading the Interior typically exhibit deep (Chen) or fine (Xi) pulses as well as a tongue with thin white coating.

Read more about Exterior Cold invading the Interior here

The Spleen is a so-called "Zang" Organ. Learn more about the Spleen in Chinese Medicine

Spleen Yang Deficiency

Generally speaking, Spleen Yang Deficiency often develops from Spleen Qi Deficiency, but it is more extensive and severe. The common manifestations are these related to digestive functions such as loose stools, poor appetite, slight abdominal distension and pain after eating, gas and bloating. Since the Spleen fails to transport the Food Qi to the body, patients also suffer from general fatigue, lassitude, weak limbs, pale tongue and face. Patients prefers to lie down. 

On top of above, the Yang Deficiency also brings in additional Cold symptoms, such as a cold feeling and cold limbs. It is because Spleen Yang fails to warm the body and Organs. Therefore, the body metabolism get slower and some food are not digested properly and passes directly into the stools.

Since the Spleen fails to perform the function of transforming and transporting fluids, the circulation of Body Fluids is disturbed, causing symptoms such as Oedema, vaginal discharge and Lung mucus. The Yang Deficiency pattern is even more likely to form Dampness and Phlegm.

Read more about Spleen Yang Deficiency here

The Stomach is a so-called "Fu" Organ. Learn more about the Stomach in Chinese Medicine

Stomach Qi Deficiency with Phelgm

Pulse type(s): Empty (Xu), Wiry (Xian)

Tongue coating: Thick white coating

Recommended herbal formula: Xuan Fu Dai Zhe Tang

Symptoms: Hiccuping Regurgitation Nausea or vomiting Unremitting belching Hard epigastric focal distention

Meniere's disease might be due to Stomach Qi Deficiency with Phelgm if the condition is paired with typical pattern symptoms such as unremitting belching, hiccuping, regurgitation and nausea or vomiting. Similarly, patients with Stomach Qi Deficiency with Phelgm typically exhibit empty (Xu) or wiry (Xian) pulses as well as a tongue with thick white coating.

Read more about Stomach Qi Deficiency with Phelgm here

Phlegm-Fluids in the hypochondrium

Pulse type(s): Slippery (Hua), Soggy (Ru), Wiry (Xian)

Tongue coating: Thick white coating

Tongue color: Pale

Tongue shape: Swollen

Recommended herbal formula: Ling Gui Zhu Gan Tang

Symptoms: Palpitations Dizziness or vertigo

Meniere's disease might be due to Phlegm-Fluids in the hypochondrium if the condition is paired with typical pattern symptoms such as palpitations and dizziness or vertigo. Similarly, patients with Phlegm-Fluids in the hypochondrium typically exhibit slippery (Hua), soggy (Ru) or wiry (Xian) pulses as well as a pale tongue with thick white coating.

Read more about Phlegm-Fluids in the hypochondrium here

The ten herbal formulas that might help with meniere's disease

Wu Ling San

Source date: 220 AD

Number of ingredients: 5 herbs

Key actions: Promotes urination,. Warms the Yang. Strengthens the Spleen. Promotes Qi transformation function. Drains Dampness. Clears edema.

Why might Wu Ling San help with meniere's disease?

Because it is a formula often recommended to help with the patterns Phlegm, Spleen Deficiency with Dampness and Phlegm in the Lower Burner which are sometimes associated with meniere's disease. If any of these patterns look like something you might suffer from, this formula might help (although please seek confirmation with a professional practitioner beforehand).

Read more about Wu Ling San here

Zhen Wu Tang

Source date: 220 AD

Number of ingredients: 5 herbs

Key actions: Warms and tonifies the Yang and Qi of the Spleen and Kidneys. Eliminates Dampness.

Why might Zhen Wu Tang help with meniere's disease?

Because it is a formula often recommended to help with the patterns Spleen or Kidney Yang Deficiency, Exterior Cold invading the Interior and Spleen Yang Deficiency which are sometimes associated with meniere's disease. If any of these patterns look like something you might suffer from, this formula might help (although please seek confirmation with a professional practitioner beforehand).

Read more about Zhen Wu Tang here

Er Chen Tang

Source date: 1148 AD

Number of ingredients: 5 herbs

Key actions: Dries Damp and dispels Phlegm. Regulates Qi and harmonizes the Middle Burner (Stomach and Spleen).

Why might Er Chen Tang help with meniere's disease?

Because it is a formula often recommended to help treat Damp-Cold Phlegm, a pattern sometimes associated with meniere's disease. If it looks like you might suffer from Damp-Cold Phlegm, this formula might help (although please seek confirmation with a professional practitioner beforehand).

Read more about Er Chen Tang here

Ban Xia Bai Zhu Tian Ma Tang

Source date: 1732 AD

Number of ingredients: 8 herbs

Key actions: Dries and dissolves Phlegm. Strengthens the Spleen. Smoothes the Liver and calms Liver Wind (antispasmodic).

Why might Ban Xia Bai Zhu Tian Ma Tang help with meniere's disease?

Because it is a formula often recommended to help treat Wind-Phlegm, a pattern sometimes associated with meniere's disease. If it looks like you might suffer from Wind-Phlegm, this formula might help (although please seek confirmation with a professional practitioner beforehand).

Read more about Ban Xia Bai Zhu Tian Ma Tang here

Xuan Fu Dai Zhe Tang

Source date: 220 AD

Number of ingredients: 7 herbs

Key actions: Regulates the downward flow of Stomach Qi. Expectorant, treats hiccups.

Why might Xuan Fu Dai Zhe Tang help with meniere's disease?

Because it is a formula often recommended to help treat Stomach Qi Deficiency with Phelgm, a pattern sometimes associated with meniere's disease. If it looks like you might suffer from Stomach Qi Deficiency with Phelgm, this formula might help (although please seek confirmation with a professional practitioner beforehand).

Read more about Xuan Fu Dai Zhe Tang here

Ling Gui Zhu Gan Tang

Source date: 220 AD

Number of ingredients: 4 herbs

Key actions: Warms and transforms Phlegm-Fluids. Strengthens the Spleen. Resolves Dampness.

Why might Ling Gui Zhu Gan Tang help with meniere's disease?

Because it is a formula often recommended to help treat Phlegm-Fluids in the hypochondrium, a pattern sometimes associated with meniere's disease. If it looks like you might suffer from Phlegm-Fluids in the hypochondrium, this formula might help (although please seek confirmation with a professional practitioner beforehand).

Read more about Ling Gui Zhu Gan Tang here

Wei Ling Tang

Source date: 1481 AD

Number of ingredients: 9 herbs

Key actions: Promotes urination. Warms the Yang. Strengthens the Spleen. Drains Dampness. Promotes the movement of Qi. Harmonizes the Stomach.

Why might Wei Ling Tang help with meniere's disease?

Because it is a formula often recommended to help treat , a pattern sometimes associated with meniere's disease. If it looks like you might suffer from , this formula might help (although please seek confirmation with a professional practitioner beforehand).

Read more about Wei Ling Tang here

Wu Mei Wan

Source date: 220 AD

Number of ingredients: 9 herbs

Key actions: Warms the Organs. Drains Heat. Calms roundworms. Drains the Liver. Calms the Stomach.

Why might Wu Mei Wan help with meniere's disease?

Because it is a formula often recommended to help treat , a pattern sometimes associated with meniere's disease. If it looks like you might suffer from , this formula might help (although please seek confirmation with a professional practitioner beforehand).

Read more about Wu Mei Wan here

Chai Hu Jia Long Gu Mu Li Tang

Source date: 220 AD

Number of ingredients: 12 herbs

Key actions: Unblocks the three Yang warps. Sedates and calms the Spirit.

Why might Chai Hu Jia Long Gu Mu Li Tang help with meniere's disease?

Because it is a formula often recommended to help treat , a pattern sometimes associated with meniere's disease. If it looks like you might suffer from , this formula might help (although please seek confirmation with a professional practitioner beforehand).

Read more about Chai Hu Jia Long Gu Mu Li Tang here

Wu Zhu Yu Tang

Source date: 220 AD

Number of ingredients: 4 herbs

Key actions: Warms and tonifies the Liver and Stomach. Directs Rebellious Qi downward. Stops vomiting.

Why might Wu Zhu Yu Tang help with meniere's disease?

Because it is a formula often recommended to help treat , a pattern sometimes associated with meniere's disease. If it looks like you might suffer from , this formula might help (although please seek confirmation with a professional practitioner beforehand).

Read more about Wu Zhu Yu Tang here