Classification of vertigo: true vertigo, false vertigo 1, true vertigo refers to diseases of the eye, proprioception or vestibular system, with obvious foreign bodies or self-rotation. According to the different damaged parts, it can be divided into ocular vertigo, proprioception vertigo and vestibular vertigo. Vertigo symptoms caused by vestibular diseases are mostly serious, such as Meniere's syndrome, vertebrobasilar insufficiency, brain stem infarction and so on. , often relapse. Ophthalmic vertigo can be a physiological phenomenon or a pathological phenomenon. If you stare at the scenery outside the window for a long time on the train, dizziness and railway nystagmus can appear; Looking down at the fleeting water under your feet on the Gao Qiao, you will feel dizzy and moving in the opposite direction. These are physiological vertigo induced by visual and optokinetic stimuli, and the symptoms will disappear after leaving the environment. Eye diseases such as acute ophthalmoplegia can lead to diplopia and dizziness. Vertigo caused by proprioception disorder is called postural vertigo, which is found in syringomyelia and syphilis patients and is caused by deep sensory disorder and dyskinesia. 2. Pseudovertigo refers to dizziness caused by systemic diseases, such as cardiovascular and cerebrovascular diseases, anemia, uremia, drug poisoning, endocrine diseases, neurosis and so on. Almost all patients have different degrees of dizziness, and patients feel "floating" without obvious sense of rotation. △ Medical history and clinical symptoms and signs 1, the situation before vertigo attack, and whether there are factors such as excessive alcohol and tobacco, emotional instability, fatigue and insomnia before the attack. 2. Vertigo attack (1): sudden attack or slow attack at night or in the morning, (2) first attack or recurrent attack; (3) Under what circumstances, body position changes, neck torsion, or special body position; (4) Whether the form of vertigo is rotating or non-rotating; (5) whether the intensity can be sustained and whether the consciousness is awake; (6) Whether dizziness is alleviated or aggravated when eyes are open and closed, and whether dizziness is aggravated when acousto-optic stimulation or changing body position. 3. Vertigo with symptoms (1) autonomic nervous symptoms: blood pressure changes, sweating, pale face, diarrhea; (2) Ear symptoms: deafness, tinnitus and stuffy ears; (3) Eye symptoms: black eyes, diplopia and blurred vision; (4) Neck symptoms: neck or shoulder pain, numbness of upper limbs and limited movement; (5) Central nervous system symptoms: headache, disturbance of consciousness, sensorimotor disorder, language or pronunciation disorder, etc. What tests should dizziness do? Vestibular function examination: (1) vestibular function examination in clinic or bedside: including upright dumping test, standing still test, neck twisting test, etc. (2) nystagmus (3) electronystagmography (4) Balance posture diagram △ Auditory function examination: imaging examination: head CT, MRI, etc. Determine whether there is a head mass, ischemic or hemorrhagic disease. Other medical examinations: including blood pressure, electrocardiogram and biochemical examination. △ Various common systemic diseases with vertigo 1 and cerebrovascular vertigo: sudden severe rotational vertigo with nausea and vomiting, gradually relieved after 10-20 days, mostly accompanied by tinnitus and deafness, but conscious. 2. Vertigo caused by brain tumor: Mild vertigo often occurs in the early stage, which can be a sense of swing and instability. Rotational vertigo is rare, and symptoms such as unilateral tinnitus and deafness often occur. With the development of the lesion, there may be signs of damage to the adjacent cranial nerves, such as numbness of the affected side, hypoesthesia and peripheral facial paralysis. 3, cervical vertigo: manifested as various forms of dizziness, accompanied by dizziness, trembling, unstable standing, ups and downs and other feelings. Vertigo recurs, and its occurrence is obviously related to the sudden rotation of the head, that is, it mostly occurs when the neck is active, and sometimes it presents postural vertigo when sitting up or lying down. Generally, the attack time is short, ranging from a few seconds to a few minutes, and some last longer. Neck or occipital pain may occur in the morning. Some patients may have symptoms of cervical nerve root compression, that is, arm numbness and weakness, and objects fall involuntarily. More than half of them can be accompanied by tinnitus, and 62-84% patients have headaches, which are mostly confined to the occipital region and often present paroxysmal jumping pain. 4, ocular vertigo: non-motor illusion vertigo, mainly manifested as instability, aggravated by excessive use of eyes, relieved after closing eyes. Vertigo lasts for a short time, which is aggravated when you open your eyes to see moving objects outside, and relieved or disappeared after you close your eyes. Often accompanied by blurred vision, decreased vision or diplopia. Vision, fundus and eye muscle function are often abnormal, and the nervous system has no abnormal performance. 5, cardiovascular vertigo: dizziness caused by hypertension can be clearly diagnosed by blood pressure measurement. Carotid sinus syndrome can cause paroxysmal dizziness or syncope. The inducing factors are mostly factors that suddenly cause carotid artery compression, such as sharp neck turn, bow, tight collar and so on. 6. Endocrine vertigo: Hypoglycemic vertigo often occurs before starvation or eating, and lasts for tens of minutes to 1 hour. Symptoms are relieved or disappeared after eating, often accompanied by fatigue. Check the blood sugar during the attack and you can find hypoglycemia. Thyroid dysfunction can also lead to dizziness, and the main clinical symptom is balance disorder. The related examination of thyroid function can confirm the diagnosis. 7. Dizziness caused by blood diseases: leukemia, pernicious anemia, hypercoagulable diseases, etc. It can cause dizziness and can be diagnosed by blood system examination. 8. Neurofunctional vertigo: Patients have various symptoms, and dizziness is mostly pseudovertigo, often accompanied by headache, head swelling, heaviness, or neurosis such as insomnia, palpitation, tinnitus, anxiety, dreaminess, inattention, memory loss, and no sense of rotation or shaking of foreign objects. For women over 45 years old, we should also pay attention to the differentiation from menopausal syndrome. Treatment 1: Treat dizziness with eggs and brown sugar. Heat soybean oil in a pot. Put 2 eggs and 30 grams of brown sugar (stir with a little water) into the pot and fry until cooked. Take it on an empty stomach 10 day. In order to consolidate the curative effect, you can take it for a few more days. Method 2: Fence medicated diet is used to treat dizziness with 25 grams of Chinese herbal medicine Fence, eggs with shells 1 piece and 50 grams of rice, boiled into porridge, and seasoned with appropriate amount of oil, salt and monosodium glutamate. After cooking, remove the fence residue and eggshell, and eat medicinal porridge and eggs twice a day, which can treat dizziness and headache and help lower blood pressure.