Symptom family: Balance Disorders

Sub-symptom(s): Severe Dizziness

Did you mean? Vertigo

What is Dizziness?

Dizziness encompasses a range of sensations, from feeling faint and lightheaded to experiencing a loss of balance or vertigo—a false sense that you or your surroundings are spinning or moving. It can be momentary or persistent, and it may be indicative of various underlying conditions. Severe dizziness is particularly disorienting, often requiring medical attention to determine its cause and appropriate treatment.

How does TCM view Dizziness?

In Traditional Chinese Medicine, dizziness is often perceived as a disharmony within the body's internal landscape. It's considered a symptom of underlying imbalances, whether in Qi (vital energy), Blood, Yin, Yang, or the harmony between these elements.

Identifying the precise pattern of disharmony is crucial in TCM, as it guides the bespoke treatment—aiming not just to alleviate the symptom of dizziness but to address its root cause and restore the body's balance.

Root Causes of Dizziness in TCM

TCM attributes dizziness to a few key patterns of imbalance. A common cause is the Deficiency of Qi and Blood, leading to inadequate nourishment of the brain.

Another is the disruption of Kidney and Liver Yin, which can destabilize the body's grounding forces and lead to dizziness. Understanding these patterns is essential for a TCM practitioner to effectively tailor a treatment plan that might include acupuncture, herbal medicine, and dietary adjustments.

Explore below more details about what might cause Dizziness according to TCM.

  • By Syndrome
  • By Organ
  • Heat
  • Yin Deficiency
  • Blood Deficiency
Detailed description of the cause

Heat

In TCM "Heat" signifies an excess of Yang energy, leading to an imbalance where heat predominates over the body's cool Yin aspects. This condition is metaphorically akin to an internal over-heating. Symptoms indicative of Heat can include feelings of warmth, fever, sweating, irritability, red face, thirst with a preference for cold drinks, and a rapid pulse. The tongue may appear red with a yellow coating. Unlike the common interpretation of heat in terms of temperature, in TCM, it represents a state of hyperactivity or inflammation in the body.... see more

Heat Patterns That Can Lead to Dizziness

Common Symptoms: Bitter Taste In The Mouth Thirst Tinnitus Insomnia Dry Stools Constipation Scanty And Dark Urine Restlessness

Pattern Name Relevant Symptoms Relevant Formulas
Damp-Heat Dizziness, Fever, Neck gland swelling, Headaches, Tight feeling in chest and stomach, Sticky taste in the mouth, Absence of thirst, Feeling of heat, Feeling of heaviness, Bitter taste in the mouth, Acne... see more Long Dan Xie Gan Tang | Yi Huang Tang
Damp-Heat in the Gallbladder Dizziness, Hypochondriac pain, Hypochondriac distention, Nausea or vomiting, Fat malabsorption, Dull yellow complexion, Scanty and dark urine, Fever, Dry mouth without desire to drink, Bitter taste in the mouth, Tinnitus, Irritability, Feeling of heaviness, Limb numbness, Foot edema, Alternating diarrhea and constipation, Alternating sensation of hot and cold, Yellow sclera... see more Yin Chen Hao Tang
Heat in the Blood Dizziness, Feeling of heat, Red skin eruptions, Thirst, Frequent bleeding, Bloody sputum, Hematochezia, Hematuria, Vomiting blood, Cough of blood, Nosebleeds, Excessive menstruation... see more Liang Di Tang | Long Dan Xie Gan Tang | Jia Wei Xiao Yao San | Qing Jing San | Di Gu Pi Yin
Empty-Heat or Fire caused by Yin Deficiency Dizziness, Afternoon heat sensation, Dry mouth, Preference for sipping, Dry mouth and throat at night, Night sweats, Cardiac burning sensation, Hot palms and soles, Dry stools, Scanty and dark urine, Flushed cheekbones... see more Tian Wang Bu Xin Dan | Qing Hao Bie Jia Tang | Huang Lian E Jiao Tang | Dang Gui Liu Huang Tang | Suan Zao Ren Tang
Half Exterior Half Interior Dizziness, Chest distension, Bitter taste in the mouth, Dry cough, Anxiety, Restlessness, Vomit, Loss of appetite, Blurry vision... see more Xiao Chai Hu Tang
Kidney Yin Deficiency With Empty-Heat Blazing Dizziness, Flushed cheekbones, Restlessness, Insomnia, Night sweats, Low grade fever in the afternoon, Heat sensation in palms, Afternoon heat sensation, Evening heat sensation, Scanty and dark urine, Hematuria, Dry throat, Preference for sipping, Tinnitus, Hearing loss, Lower back pain, Nocturnal emission, Hypersexuality, Dry stools... see more Liu Wei Di Huang Wan | Zhi Bo Di Huang Wan
Liver Fire Blazing Dizziness, Irritability, Anger, Tinnitus, Deafness, Temporal headache, Flushed face, Eye hyperemia, Thirst, Bitter taste in the mouth, Vivid dreaming, Constipation, Dry stools, Dark urine, Nosebleeds, Cough of blood, Vomiting blood... see more Long Dan Xie Gan Tang | Dang Gui Long Hui Wan | Xie Qing Wan
Liver Fire insulting the Lungs Dizziness, Shortness of breath, Asthma, Hypochondriac pain and discomfort, Cough with yellow or blood tinged sputum, Headaches, Flushed face, Thirst, Bitter taste in the mouth, Eye hyperemia, Scanty and dark urine, Constipation... see more Long Dan Xie Gan Tang | Ke Xie Fang
Liver Wind agitating Internally due to extreme Heat Dizziness, High fever, Convulsions, Stiff neck, Hand tremor, Opisthotonos Tian Ma Gou Teng Yin | Ling Jiao Gou Teng Tang | Feng Yin Tang
Liver Wind agitating Internally due to Liver Fire Dizziness, Tremors, Irritability, Anger, Tinnitus, Deafness, Temporal headache, Flushed face, Eye hyperemia, Thirst, Bitter taste in the mouth, Vivid dreaming, Constipation, Dry stools, Dark urine, Nosebleeds, Vomiting blood, Cough of blood... see more Ling Jiao Gou Teng Tang | Feng Yin Tang | Zi Xue Dan
Stagnant Liver Qi turning into Fire Dizziness, Hypochondriac distention, Upper abdominal distension, Stifling sensation in the chest, Irritability, Melancholia, Depression, Mood swings, Globus sensation, Feeling of heat, Flushed face, Thirst, Anger, Pre menstrual tension, Irregular periods, Pre menstrual breast distension, Excessive menstruation... see more Jia Wei Xiao Yao San | Xuan Yu Tong Jing Tang
Phlegm-Heat in the Lungs Dizziness, Coughing, Shortness of breath, Wheezing, Stifling sensation in the chest, Sputum, Feeling of heat, Thirst, Head and body heaviness, Copious thick yellow sputum... see more Er Chen Tang | Wen Dan Tang | Ren Shen Ge Jie San | Qing Qi Hua Tan Wan | Ma Xing Shi Gan Tang | Qing Xin Li Ge Tang | Pi Pa Qing Fei Yin
Kidney and Liver Yin Deficiency causing Heat in the Blood Dizziness, Tinnitus, Night sweats, Back pain, Dark urine, Bleeding between periods Liu Wei Di Huang Wan | Zuo Gui Wan | Er Zhi Wan | Liang Di Tang
Heat Excess in the Liver or Gallbladder Dizziness, Hypochondriac pain, Headaches, Red and irritated eyes, Hearing loss, Ear swelling, Bitter taste in the mouth, Irritability, Painful urination, Swollen and itchy external genitalia, Foul-Smelling vaginal discharge... see more Long Dan Xie Gan Tang
Disharmony between Heart and Kidneys Dizziness, Tinnitus, Insomnia, Palpitations, Poor memory, Lower back pain, Knee pain, Night sweats, Constipation, Menopausal hot flashes, Blurry vision... see more Liu Wei Di Huang Wan | Tian Wang Bu Xin Dan
Qi Stagnation in Gallbladder and Stomach with Phlegm Heat Dizziness or vertigo, Nausea or vomiting, Vertigo, Vivid dreaming, Palpitations, Anxiety, Excessive hunger, Focal distention of the chest, Bitter taste in the mouth, Slight thirst, Copious thick yellow sputum... see more Wen Dan Tang

TCM Herbal Formulas for Dizziness

In TCM, formulas and herbs are selected based on the individual's unique pattern of disharmony. For dizziness resulting from Qi and Blood Deficiency, a practitioner might recommend Bu Zhong Yi Qi Tang, a formula designed to enhance Qi while nurturing Blood.

For a pattern of Kidney and Liver Yin Deficiency, Liu Wei Di Huang Wan may be used to nourish Yin and provide a stabilizing effect. These formulas are part of a broader strategy to realign the body's energies and alleviate dizziness.

Explore below some TCM herbal formulas used to address dizziness, organized by cause and by formula type.

  • By Cause
  • By Formula Type
  • Heat
  • Yin Deficiency
  • Blood Deficiency

All Formulas Recommended for Dizziness Caused by Heat

Formula Patterns Suitable For
Long Dan Xie Gan Tang Damp-Heat, Heat in the Blood, Liver Fire Blazing, Liver Fire insulting the Lungs, Heat Excess in the Liver or Gallbladder... see more
Liu Wei Di Huang Wan Kidney and Liver Yin Deficiency causing Heat in the Blood, Kidney Yin Deficiency With Empty-Heat Blazing, Disharmony between Heart and Kidneys... see more
Tian Wang Bu Xin Dan Empty-Heat or Fire caused by Yin Deficiency, Disharmony between Heart and Kidneys... see more
Ling Jiao Gou Teng Tang Liver Wind agitating Internally due to extreme Heat, Liver Wind agitating Internally due to Liver Fire... see more
Wen Dan Tang Phlegm-Heat in the Lungs, Qi Stagnation in Gallbladder and Stomach with Phlegm Heat... see more
Liang Di Tang Heat in the Blood, Kidney and Liver Yin Deficiency causing Heat in the Blood
Jia Wei Xiao Yao San Heat in the Blood, Stagnant Liver Qi turning into Fire
Feng Yin Tang Liver Wind agitating Internally due to extreme Heat, Liver Wind agitating Internally due to Liver Fire... see more
Zuo Gui Wan Kidney and Liver Yin Deficiency causing Heat in the Blood
Suan Zao Ren Tang Empty-Heat or Fire caused by Yin Deficiency
Er Zhi Wan Kidney and Liver Yin Deficiency causing Heat in the Blood
Tian Ma Gou Teng Yin Liver Wind agitating Internally due to extreme Heat
Er Chen Tang Phlegm-Heat in the Lungs
Xiao Chai Hu Tang Half Exterior Half Interior
Zhi Bo Di Huang Wan Kidney Yin Deficiency With Empty-Heat Blazing
Ren Shen Ge Jie San Phlegm-Heat in the Lungs
Yi Huang Tang Damp-Heat
Yin Chen Hao Tang Damp-Heat in the Gallbladder
Qing Jing San Heat in the Blood
Di Gu Pi Yin Heat in the Blood
Qing Hao Bie Jia Tang Empty-Heat or Fire caused by Yin Deficiency
Huang Lian E Jiao Tang Empty-Heat or Fire caused by Yin Deficiency
Dang Gui Liu Huang Tang Empty-Heat or Fire caused by Yin Deficiency
Dang Gui Long Hui Wan Liver Fire Blazing
Xie Qing Wan Liver Fire Blazing
Ke Xie Fang Liver Fire insulting the Lungs
Zi Xue Dan Liver Wind agitating Internally due to Liver Fire
Xuan Yu Tong Jing Tang Stagnant Liver Qi turning into Fire
Qing Qi Hua Tan Wan Phlegm-Heat in the Lungs
Ma Xing Shi Gan Tang Phlegm-Heat in the Lungs
Qing Xin Li Ge Tang Phlegm-Heat in the Lungs
Pi Pa Qing Fei Yin Phlegm-Heat in the Lungs

Acupoints for Dizziness

TCM also employs acupuncture to address dizziness. Points like Baihui DU-20 at the crown of the head or Fengchi GB-20 at the base of the skull are often used to clear the mind and stabilize internal Wind, which in TCM is thought to contribute to dizziness.

The selection of acupoints is based on the specific TCM diagnosis and is used in conjunction with other treatment modalities to harmonize the body's functions and alleviate the symptoms of dizziness.

Explore below some acupoints used to address dizziness, organized by meridian.

  • By Meridian
  • Bladder Channel
  • Gall Bladder Channel
  • Governing Vessel
Zanzhu BL-2

Zanzhu BL-2

On the medial extremity of the eyebrow, or on the supraorbital notch.

Meichong BL-3

Meichong BL-3

Vertically above the medial extremity of the eyebrow and medial canthus of the eye, 0.5 cun within the anterior hairline, between Shenting DU-24 and Quchai BL-4.

Wuchu BL-5

Wuchu BL-5

1 cun within the anterior hairline and 1.5 cun lateral to the anterior midline. It is also 0.5 cun posterior to Quchai BL-4.

Chengguang BL-6

Chengguang BL-6

1.5 cun lateral to the anterior midline and 2.5 cun within the anterior hairline. On the other hand, this point is at the medial third and lateral two-thirds of the distance from anterior midline to the line vertically from Touwei ST-8. Chengguang BL-6 is also 1.5 cun posterior to Wuchu BL-5.

Tongtian BL-7

Tongtian BL-7

1.5 cun lateral to the anterior midline and 4 cun within the anterior hairline.

Luoque BL-8

Luoque BL-8

1.5 cun lateral to the anterior midline and 5.5 cun superior to the anterior hairline. Or 0.5 cun posterior to Baihui Du-20 at the vertex.

Yuzhen BL-9

Yuzhen BL-9

First identify Naohu DU-17 which is on the superior border of the external occipital protuberance. Yuzhen BL-9 is 1.3 cun lateral to Naohu DU-17.

Tianzhu BL-10

Tianzhu BL-10

1.3 cun lateral to Yamen DU-15 on the posterior midline, 0.5 cun above the posterior hairline, on the lateral side of trapezius muscle.

Dazhu BL-11

Dazhu BL-11

On the level of the lower border of the spinous process of the 1st thoracic vertebra (T1), 1.5 cun (about 2 finger-breadths) lateral to the posterior midline.

Ganshu BL-18

Ganshu BL-18

1.5 cun lateral to the lower border of the spinous process of the 9th thoracic vertebra (T9).

Sanjiaoshu BL-22

Sanjiaoshu BL-22

1.5 cun lateral to the lower border of the spinous process of the 1st lumbar vertebra.

Shenshu BL-23

Shenshu BL-23

1.5 cun lateral to the lower border of the spinous process of the 2nd lumber vertebra (L2).

Gaohuangshu BL-43

Gaohuangshu BL-43

3 cun (about 4 finger-breadths) lateral to the lower border of the spinous process of the 4th thoracic vertebra (T4).

Yixi BL-45

Yixi BL-45

3 cun (about 4 finger-breadths) lateral to the lower border of the spinous process of the 6th thoracic vertebra (T6).

Zhishi BL-52

Zhishi BL-52

3 cun lateral to the lower border of the spinous process of the 2nd lumber vertebra (L2).

Chengjin BL-56

Chengjin BL-56

5 cun inferior to Weizhong BL-40 which is the midpoint of the popliteal crease. In the center of the belly of gastrocnemius muscle, midway between Heyang BL-55 and Chengshan BL-57.

Feiyang BL-58

Feiyang BL-58

On the posterior border of fibula, about 1 cun inferior and lateral to Chengshan BL-57, 7 cun directly above Kunlun BL-60.

Kunlun BL-60

Kunlun BL-60

In the depression between the tip of the lateral malleolus and the Achilles tendon.

Shenmai BL-62

Shenmai BL-62

In the depression directly below the lateral malleolus tip.

Jinggu BL-64

Jinggu BL-64

On the lateral side of the foot dorsum, below the tuberosity of the 5th metatarsal bone, at the border of the red and white skin.

Shugu BL-65

Shugu BL-65

On the lateral side of the foot dorsum, proximal to the head of the 5th metatarsal bone, at the border of the red and white skin.

Zutonggu BL-66

Zutonggu BL-66

In the depression distal and inferior to the 5th metatarsophalangeal joint, at the lateral border of the foot.

Zhiyin BL-67

Zhiyin BL-67

On the lateral side of the little toe, about 0.1 cun posterior to the corner of the nail.

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