Exploration of Wang Tao's Theory of Treating Vestibular Migraine from the Perspective of GV
Chief physician Wang Tao believes that the pathogenesis and lesion site of vestibular migraine(VM)are closely linked to the govern vessel(GV),liver,kidney,and brain.Diagnosis and treatment should emphasize the interconnection of these three systems.Drawing from Professor Zhang Daozong's academic concept of"lesion in the brain,primarily treating the GV,"Professor Wang adopts the treatment principle of unblocking the GV,regulating the mind,harmonizing yin and yang,and replenishing deficiencies.Given the strong association between this disease's occurrence,progression,and the GV,clinical treatment often starts from the GV.Wang empha-sizes precision in acupuncture,advocating for fewer but more effective points to avoid depleting healthy qi and to balance expelling path-ogenic factors while strengthening the body.Based on his extensive clinical experience,he has developed an acupuncture treatment prin-ciple that prioritizes meridian-based point selection,complemented by balancing upper and lower body points and leveraging effective empirical points.His core treatment concept is"unblocking the GV and regulating the mind,as well as supplementing the liver and kid-ney."Point selection:Baihui(GV20),Shenting(GV24),Fengfu(GV16),Lieque(LU7),Houxi(SI3),and Taiyang(EX-HN5).For deficiency syndrome characterized by kidney essence depletion and insufficient nourishment of the brain marrow,presenting as per-sistent dull or spasmodic pain,Mingmen(GV4)and Shenshu(BL23)are selected.For excess syndrome with liver yang hyperactivity,seen in patients prone to irritability and anger,Taichong(LR3)and Taixi(KI3)are selected.Wang advocates differentiated acupunc-ture techniques based on syndrome nature.For excess syndrome,needles are inserted during inhalation to suppress pathological energy and withdrawn during exhalation to expel pathogens,embodying the principle of"gaining and eliminating."For deficiency syndrome,needles should be inserted during exhalation and withdrawn during inhalation to replenish deficiencies,reflecting the principle of"fol-lowing and assisting."For deficiency cases,warm acupuncture and moxibustion is preferred over standard acupuncture for superior effi-cacy.Wang also stresses the importance of preventive treatment to manage the disease's onset,progression,transmission and prognosis improvement.He incorporates cognitive behavioral therapy for psychological intervention,helping patients adjust emotions and behav-iors.
vestibular migraine(VM)treating from the perspective of govern vessel(GV)acupuncture and moxibustionunblocking GV and regulating the mindWang Tao