Clinical Record: Vertigo (眩晕)
Patient: Mrs. J | Date: Apr 19, 2024
Primary Pattern
Kidney Yang Deficiency with Phlegm-Dampness obstruction and secondary Liver-Yang hyperactivity.
Subjective Findings & Clinical History
This section provides the foundational context of the patient's presentation, outlining the primary complaints, relevant medical and lifestyle history, and key physical observations that inform the diagnostic direction.
Chief Complaint
Recurrent vertigo, tinnitus, insomnia.
Medical History
Chronic occupational stress; surgical history of right nephrectomy.
Dietary Habits
Habitual consumption of cold-natured foods and fluids.
Pulse Observation
Weak in the Chi (proximal) position, indicating depletion of Ming Men fire.
Systemic Imbalance Analysis
Visualizing the core diagnostic pattern. This radar chart illustrates the profound deficiency in the lower burner (Kidney Yang) contrasting with the pathological excesses accumulating in the middle and upper burners (Phlegm and Liver Wind).
Interactive Pathomechanism
Explore the cascading "Root-Branch" relationship. Click on each stage of the pathological process below to understand how the foundational deficiency leads to the ascending symptoms of vertigo and insomnia.
Root (Deficiency)
Nephrectomy and lifestyle factors have depleted Ming Men fire, disabling the warming of the Middle Jiao.
Core Treatment Principles
The overarching strategy required to reverse the pathomechanism described above.
Warm & Strengthen
Restore Ming Men fire and fortify Spleen/Middle Jiao.
Resolve & Clear
Transform phlegm-dampness and open the orifices.
Anchor & Harmonize
Soothe the Liver, anchor Yang, and extinguish wind.
Treatment Phasing
Visualizing the clinical timeline. The initial weeks focus heavily on resolving the immediate Spleen/Phlegm obstruction before safely transitioning focus to deeper Liver/Kidney anchoring without causing stagnation.
⚠ Safety Precaution: Avoid bitter/cold clearing herbs (e.g., Long Dan Cao) to prevent further damage to Yang.
Clinical Modalities Protocol
Detailed prescriptions across dietary, acupuncture, and herbal modalities. Navigate the tabs below to explore the specific interventions chosen to execute the treatment principles.
Dietary Restrictions & Emphasis
- Absolute restriction of raw and cold foods.
- Eliminate iced beverages and salads which suppress Middle Jiao fire.
- Emphasize warming, cooked, and easily digestible foods.
- Incorporate warm culinary spices (ginger, cinnamon, cardamom) to aid transformation.
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