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Benign Paroxysmal Positional Vertigo (BPPV)

How Chinese medicine differentiates BPPV — brief, intense spinning triggered by turning over in bed, looking up, or bending forward — into the five patterns you'll actually meet in practice, and the points for each. Distinct from this site's own general Vertigo and Meniere's Disease pages by mechanism. Acupuncture only — no herbs.

This page is educational, for practitioners and students — it is not a diagnostic tool and does not replace a proper in-person assessment. Vertigo with double vision, slurred speech, limb weakness, or a severe new headache needs prompt medical evaluation before assuming a simple pattern — those are stroke warning signs, not BPPV.
General Acupuncture Points

Acupuncture points traditionally used for BPPV — 9 key points, used across the patterns below rather than tied to just one.

PointKey action
LR-3Subdues Liver-Yang. Extinguishes interior Wind.
G.B.-20Expels exterior Wind. Extinguishes interior Wind. Subdues Liver-Yang. Clears Heat.
DU-20Extinguishes interior Wind. Subdues Liver-Yang. Raises Yang.
ST-40Resolves Phlegm and Dampness. Calms the Mind and opens the Mind's orifices.
ST-36Tonifies Qi and Blood. Tonifies the Stomach and Spleen.
SP-6Strengthens the Spleen. Nourishes Blood and Yin.
REN-6Tonifies Qi and Yang. Raises sinking Qi.
REN-12Tonifies Stomach and Spleen. Resolves Dampness and Phlegm.
KI-3Tonifies the Kidneys (both Yin and Yang). Strengthens the lower back and knees.
BL-23Tonifies the Kidneys and nourishes Kidney-Essence. Strengthens the lower back.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Liver Yang Rising View full pattern →

Clinical manifestations: Sudden spinning vertigo triggered by head movement, throbbing/distending headache at the temples, irritability and quick temper, flushed face and red eyes, tinnitus, soreness and weakness of the lower back and knees.
Tongue: Red body with redder sides, thin dry yellow or scanty coat. Pulse: Wiry, possibly fine and rapid.
Treatment principle: Subdue Liver Yang, extinguish internal Wind, clear Heat.
Note: no moxa. Direct exact-name match with this site's own Liver-Yang-rising slide.

2. Wind-Phlegm

Clinical manifestations: Dizziness with a heavy, foggy sensation, nausea or vomiting of phlegm, copious white frothy sputum, chest stuffiness or fullness, heaviness in the body or limbs, trembling or numbness in the hands.
Tongue: Slightly pale and swollen with teeth marks, white greasy coating. Pulse: Wiry and slippery.
Treatment principle: Transform Wind-Phlegm and stop spasms, strengthen the Spleen, calm the Liver.
Note: no moxa. This site's three Liver-Wind slides are all Fire- or Blood-deficiency-based — none matches a plain excess Wind-Phlegm presentation, a gap also confirmed on the Apraxia page last batch — no pattern link is given here; points still link fine individually.

3. Phlegm-Dampness in the Middle-Burner

Clinical manifestations: Heaviness in the head as if wrapped in cloth, nausea, bloating, poor appetite, thick white greasy tongue coating, drowsiness and a heavy sluggish body.
Tongue: Pale and swollen with scalloped edges, thick white greasy coating. Pulse: Slippery, often soggy or slow.
Treatment principle: Dry Dampness and transform Phlegm, regulate Qi and harmonize the middle burner.
Note: no moxa. This site has no plain excess Damp-Phlegm/middle-burner-obstruction slide, the same gap confirmed on the Vertex Headache page this same batch and the SIBO page last batch — no pattern link is given here; points still link fine individually.

4. Qi and Blood Deficiency

Clinical manifestations: Dizziness triggered by head movement, worse when tired, persistent fatigue and weakness, pale or sallow complexion, heart palpitations, poor appetite.
Tongue: Pale body, may be thin or have teeth marks, thin white coating. Pulse: Fine and weak, especially at the right Guan position.
Treatment principle: Tonify Qi, nourish Blood, strengthen the Spleen.
Note: moxa applicable throughout. This site has no combined Qi-and-Blood-deficiency slide, a gap confirmed absent many times over — no pattern link is given here; points still link fine individually.

5. Kidney Essence Deficiency View full pattern →

Clinical manifestations: Dull chronic dizziness feeling hollow or empty in the head, soreness and weakness of the lower back and knees, tinnitus or gradual hearing loss, poor memory and difficulty concentrating, frequent nighttime urination.
Tongue: Pale, thin body with little or no coating, possibly fine cracks. Pulse: Fine, deep, weak at both Chi (rear) positions.
Treatment principle: Nourish Kidney Yin, benefit Essence and fill the Marrow.
Note: moxa applicable on BL-23. Direct exact-name match with this site's own Kidney-Essence-deficiency slide.
Related conditions

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