Traditional Chinese Medicine Definition

Senile Vertigo, known as "dizziness" in traditional Chinese medicine, falls under the category of geriatric diseases. According to the "Textbook of Internal Medicine in Traditional Chinese Medicine," senile vertigo refers to a condition in the elderly where dizziness and dizziness are the primary manifestations due to factors such as liver and kidney Yin deficiency, insufficient Qi and blood, and internal obstruction of phlegm and dampness, leading to malnutrition of the clear orifices and blockage of the brain collaterals.

In clinical practice of traditional Chinese medicine, the core pathogenesis of senile vertigo is often related to liver and kidney Yin deficiency and insufficient Qi and blood. Common precipitating factors include long-term illness with physical weakness, emotional disorders, and irregular diet. During differentiation of symptoms, attention should be paid to the following key points:

1. Liver Yang Excess Syndrome: Patients often exhibit symptoms such as dizziness, tinnitus, irritability, and facial redness. The therapeutic approach is to calm the liver and subdue Yang, and to calm the wind and stop dizziness.
2. Qi and Blood Deficiency Syndrome: Patients usually show symptoms such as increased dizziness upon movement, fatigue, and pale complexion. The therapeutic approach is to tonify Qi and blood and to invigorate the spleen and stomach.

In clinical differentiation, it is also necessary to distinguish between cold and heat, as well as deficiency and excess. If a patient presents with dizziness, nausea, vomiting, a red tongue with a yellow coating, it indicates liver Yang excess; whereas if the patient presents with dizziness, blurred vision, pale complexion, and a pale tongue with a white coating, it indicates Qi and blood deficiency. The overall therapeutic direction suggests that in the clinical treatment of senile vertigo, it is important to harmonize Yin and Yang, tonify the liver and kidney, and adopt corresponding treatment methods based on specific patterns.

Common Syndrome Types and Key Points of Differentiation

肝阳上亢证

Main Manifestations：眩晕耳鸣,急躁易怒,面红

Management Approach：平肝潜阳,熄风定眩

气血亏虚证

Main Manifestations：眩晕动则加剧,神疲,面色苍白

Management Approach：补益气血,健运脾胃

The above syndrome information is based on traditional Chinese medicine textbooks and clinical standards. Specific differentiation should be completed by a practicing traditional Chinese medicine physician in person.

Physician's Clinical Insights

Senile vertigo patients often suffer from Qi and blood deficiency. Treatment focuses on strengthening the spleen and Qi, promoting blood circulation, and observing their gait stability.

— 王正香中医执业医师

Reviewed by：王正香（中医执业医师）｜ 2026-07-08 ｜ Version 2

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This page is for the popular science of traditional Chinese medicine knowledge and does not constitute medical advice. Specific diagnosis should be completed by a licensed traditional Chinese medicine practitioner in person.

参考文献：《中医内科学》（十三五规划教材）、《中医病证诊断疗效标准》(ZY/T001.1-94)、《中医病证分类与代码》(GB/T 15657-2021)

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