Clinical research progress on acupuncture for the treatment of otogenic vertigo

Abstract

Otogenic vertigo is a common disorder that affects the vestibular system, which often results in considerable discomfort and impaired daily functioning. Traditional Chinese medicine (TCM), including acupuncture and moxibustion, has been historically utilized to manage the symptoms of vertigo. However, the effectiveness and methodology of these treatments have rarely been investigated in the medical literature. This study reviews the existing literature on the point selection, method, and therapeutic effect of acupuncture and moxibustion to provide a reference for the TCM treatment of otogenic vertigo. A literature search was performed using the PubMed search engine. The terms used included otogenic vertigo, acupuncture treatment, and acupuncture point selection. A total of 34 relevant articles were retrieved from PubMed. These suggest that the clinical treatment of otogenic vertigo should consider the functions of zang-fu organs and meridians and select different acupuncture treatment methods according to syndrome differentiation based on the difference between deficiency and excess. Acupuncture and moxibustion therapy should be based on acupoint selection, considering the syndrome differentiation, supplemented with experience. The treatment of otogenic vertigo with acupuncture and moxibustion refers to the selection of appropriate acupuncture methods under the guidance of TCM theory and following the principles of syndrome, disease, and meridian differentiation. Common acupuncture methods include body acupuncture, auricular acupuncture, scalp acupuncture, acupoint injection, electroacupuncture, and moxibustion. There are many acupuncture and moxibustion acupoints selected for the treatment of otogenic vertigo. Individualized treatment according to the patient’s specific condition is effective and safe, which can help to improve the patient’s vertigo symptoms and cerebral blood perfusion.

Keywords: Otogenic vertigo; Acupuncture treatment; Acupuncture point selection; Review

Core Tip: Holistic approach: The treatment of otogenic vertigo with acupuncture and moxibustion in traditional Chinese medicine (TCM) emphasizes the essential role of zang-fu organs and meridians, thus indicating the need for a comprehensive approach in clinical practice. Syndrome differentiation: Effective acupuncture and moxibustion therapy rely heavily on precise acupoint selection based on detailed syndrome differentiation. This tailored approach helps cater to the patient’s individual needs by distinguishing between deficiency and excess conditions. Diverse techniques: A variety of acupuncture methods are utilized for the management of otogenic vertigo, including body acupuncture, auricular acupuncture, scalp acupuncture, acupoint injection, electroacupuncture, and moxibustion. This diversity allows for flexible treatment plans that can be adapted to each patient’s specific symptoms and conditions. Evidence-based recommendations: This review highlights the importance of evidence-based practice by considering 34 relevant articles to support the selection of appropriate therapeutic techniques according to TCM principles. Safety and efficacy: Personalized acupuncture and moxibustion treatments are both safe and effective in improving the symptoms of vertigo and cerebral blood perfusion, thus enhancing patient quality of life.