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    neurological

    Vertigo (adjunctive care)

    Also known as: vertigo, dizziness, BPPV, benign paroxysmal positional vertigo, vestibular neuritis

    Vertigo is a spinning sensation, most often from the inner ear (BPPV, vestibular neuritis). Diagnosis and repositioning manoeuvres come first; Chinese medicine treats it as Xuàn Yūn with Liver Yang rising, Phlegm-Damp or Qi and Blood deficiency patterns.

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    Lifestyle & Diet

    • •BPPV often responds quickly to the Epley manoeuvre done by a GP or physiotherapist.
    • •Vestibular rehabilitation exercises help persistent dizziness.
    • •Get up slowly and keep a light on at night to prevent falls.
    • •Stay hydrated and limit alcohol.

    Cautions & Contraindications

    See sources
    • •Any stroke signs must be referred to emergency care before any treatment.[,]
    • •Avoid strong stimulation at GB20 and neck points in suspected vertebral artery problems.[]

    When to reassess or seek care again

    See sources

    Track dizziness episodes per week and falls every 2–4 weeks. Refer if new neurological signs or no improvement in 4 weeks.

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    Sources & Further Reading

    Clinical guidance, red flags and safety notes on this page draw on the following current sources alongside the classical references above.

    1. Healthdirect Australia · 2024
    2. NICE · 2023
    3. Stroke Foundation · 2024
    4. AHPRA / Chinese Medicine Board of Australia · 2024

    Educational reference for licensed practitioners. Not a substitute for individual clinical assessment. Refer to conventional care for any red-flag or undiagnosed presentation.