
Q It seems like benign paroxysmal positional vertigo (BPPV) occurs more frequently when I am too tired or stressed. Is it just my imagination?
A It is not just your imagination. Overwork, lack of sleep, and chronic stress disrupt blood circulation in the inner ear and the balance of the autonomic nervous system, causing otoliths to become unstable and lowering the threshold for dizziness. Managing your physical condition is the key variable in preventing recurrence.
Detailed Answer
BPPV attacks occur more frequently and intensely when you are sleep-deprived, overworked, or stressed, rather than when you are in good condition. Chronic stress and fatigue tense the autonomic nervous system, constricting blood vessels in the inner ear and impairing endolymphatic circulation, causing otoliths to dislodge easily. Furthermore, the more fatigued you are, the lower your ability to adapt to the balance system becomes, leading to severe dizziness even from small otolith movements. Vitamin D deficiency also affects the stability of otoliths, so it is worth checking. From the perspective of a Korean medicine clinic, overwork and stress deplete Qi and blood (Qi-blood Yang deficiency), weakening the kidney's ability to nourish the ear, while causing liver energy to surge upward (Liver Yang hyperactivity), which disrupts the inner ear along with phlegm. Dongjedang aims to create a physical condition where benign paroxysmal positional vertigo (BPPV) occurs less frequently even at the same level of fatigue, by tailoring its treatment to this internal background. This involves dissolving phlegm and reinforcing Qi and blood using herbal medicines that manage phlegm and dizziness, as well as relieving tension in the back of the neck through acupuncture.
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