Note: The following text is selected from A  Practical English-Chinese Library of Traditional Chinese Medicine by Prof.Dr. Enqin Zhang(Engin CAN), he was the chief editor&author of the books, now lecturing and practising Chinese medicine at The Asante Academy of Chinese Medicine in the  Middlesex University Archway Campus, 2-10 Highgate Hill, N19   5LW, London, U.K.For more information, Tel:0044 7804709475;

Meniere's disease is also known as hydrops of membranous labyrinth. Its clinical characteristics are paroxysmal dizziness, fluctuating deafness, tinnitus and a feeling of fullness in the ear. It belongs to the category of "xuan yun" (dizziness) in TCM.  
Main Points of Diagnosis

1. It occurs most often in middle-aged males, as a result of fatigue, change in mood and lack of sleep.

2. The patient suffers from paroxysmal vertigo and a sensation of rotating around or floating-and sinking, accompanied with spontaneous nystagmus, nausea, vomiting, pallor and cold sweating. The dizziness may last for several minutes or even several hours, but the patient is conscious.

3. Constant tinnitus occurs, which is aggravated before or after the attack of the disease.

4. The patient has sensorineural deafness. it fluctuates prior to and after the attack of the disease. Hyper-sensitive sign to high-pitch sound may occur.

5. The patient has a feeling of fullness in the ear and head.

6. Examination shows the drum membrane is normal. There is horizontal or slightly rotatory nystagmus during the attack. Hearing test indicates a sensorineural hypoacusis and recruitment may be present. The vestibular function test shows that its function is reduced during the period of the attack.

7. Glycerin test shows positive. 

Differentiation and Treatment of Common Syndromes  

1. The Type of the Hyperactivity of the Live-yang.

Main Symptoms and Signs: Vertigo occurs mostly after a change in mood. Tinnitus like chattering sound of machine is present, accompanied with restlessness, irritability, headache and a feeling of fullness in the ear as well as a flushing face, red eyes, a bitter taste in the mouth and dryness in the throat. The tongue is red and its fur yellow. The pulse is taut and rapid.

Therapeutic Principle: Calming the liver to stop endogenous wind and nourishing yin to suppress yang.

Recipe: Decoction of Gastrodia and Uncaria

gastrodia tuber

scutellaria root

achyranthes root

eucommia bark

hooked uncaria (decocted later)