Basilar insufficiency according to Chinese Medicine

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Basilar insufficiency factsheet

In Chinese Medicine, basilar insufficiency can be associated with four so-called "patterns of disharmony". Chinese Medicine sees the body as a system, not a sum of isolated parts. A "pattern" is when the system's harmony is disrupted. It is not equivalent to the Western concept of "disease", as a matter of fact here basilar insufficiency can be caused by four different patterns.

To understand whether someone's basilar insufficiency might be caused by a given pattern, one needs to look for signs and symptoms associated with the pattern beyond what one might typically experience from basilar insufficiency alone. For instance when basilar insufficiency is caused by the pattern Spleen or Kidney Yang Deficiency, patients also experience symptoms such as abdominal pain that worsens with cold, urinary difficulty, deep aching and heaviness in the extremities and dizziness. Similarly, patients with Spleen or Kidney Yang Deficiency typically exhibit deep (Chen) or fine (Xi) pulses as well as a pale tongue.

We've listed below a description of the four patterns associated with basilar insufficiency so that you can start to get an understanding of the various possibilities according to Chinese Medicine.

Once identified, patterns are often treated using herbal formulas. Drinking herbal infusions is the most common remedy in Chinese Medicine, together with acupuncture. Here we detail below two formulas that can help treat the various patterns associated with basilar insufficiency, depending on which pattern fits your profile.

The four "patterns of disharmony" associated with basilar insufficiency

The Spleen is a so-called "Zang" Organ. Learn more about the Spleen in Chinese Medicine

Spleen or Kidney Yang Deficiency

Pulse type(s): Deep (Chen), Fine (Xi)

Tongue color: Pale

Tongue shape: Tooth-marked, Swollen

Recommended herbal formula: Zhen Wu Tang

Symptoms: Edema Coughing Vomiting Dizziness Loose stools Palpitations Urinary difficulty Heavy sensation in the head Abdominal pain that worsens with cold Deep aching and heaviness in the extremities

Basilar insufficiency might be due to Spleen or Kidney Yang Deficiency if the condition is paired with typical pattern symptoms such as abdominal pain that worsens with cold, urinary difficulty, deep aching and heaviness in the extremities and dizziness. Similarly, patients with Spleen or Kidney Yang Deficiency typically exhibit deep (Chen) or fine (Xi) pulses as well as a pale tongue.

Read more about Spleen or Kidney Yang Deficiency here

Exterior Cold invading the Interior

Pulse type(s): Deep (Chen), Fine (Xi)

Tongue coating: Thin white coating

Recommended herbal formula: Zhen Wu Tang

Symptoms: Dizziness Unsteadiness Generalized twitching Palpitations in the epigastrium Sweating that doesnt reduce fever

Basilar insufficiency might be due to Exterior Cold invading the Interior if the condition is paired with typical pattern symptoms such as sweating that doesnt reduce fever, palpitations in the epigastrium, dizziness and generalized twitching. Similarly, patients with Exterior Cold invading the Interior typically exhibit deep (Chen) or fine (Xi) pulses as well as a tongue with thin white coating.

Read more about Exterior Cold invading the Interior here

The Spleen is a so-called "Zang" Organ. Learn more about the Spleen in Chinese Medicine

Spleen Yang Deficiency

Pulse type(s): Deep (Chen), Slow (Chi), Weak (Ruo)

Tongue color: Pale

Recommended herbal formulas: Zhen Wu Tang, Bu Zhong Yi Qi Tang, Yi Huang Tang

Symptoms: Edema Fatigue Cold limbs Weak Limbs Loose stools Poor appetite Feeling of cold Vagina discharge

Generally speaking, Spleen Yang Deficiency often develops from Spleen Qi Deficiency, but it is more extensive and severe, with additional Cold symptoms, such as a cold feeling and cold limbs. It is because Spleen Yang fails to warm the body and Organs. Because of that, the body metabolism get slower and some food are not digested properly and passes directly into the stools. Since the Spleen fails to perform the function of transforming and transporting fluids, the circulation of Body Fluids is disturbed, causing symptoms such as Oedema, vaginal discharge and Lung mucus.

The causes are similar to these of Spleen Qi Deficiency, along with surplus consumption of cold, raw foods and drinks and overexposure to cold damp environments and climates.

Read more about Spleen Yang Deficiency here

Phlegm-Fluids in the hypochondrium

Pulse type(s): Slippery (Hua), Soggy (Ru), Wiry (Xian)

Tongue coating: Thick white coating

Tongue color: Pale

Tongue shape: Swollen

Recommended herbal formula: Ling Gui Zhu Gan Tang

Symptoms: Palpitations Dizziness or vertigo

Basilar insufficiency might be due to Phlegm-Fluids in the hypochondrium if the condition is paired with typical pattern symptoms such as palpitations and dizziness or vertigo. Similarly, patients with Phlegm-Fluids in the hypochondrium typically exhibit slippery (Hua), soggy (Ru) or wiry (Xian) pulses as well as a pale tongue with thick white coating.

Read more about Phlegm-Fluids in the hypochondrium here

The two herbal formulas that might help with basilar insufficiency

Zhen Wu Tang

Source date: 220 AD

Number of ingredients: 5 herbs

Key actions: Warms and tonifies the Yang and Qi of the Spleen and Kidneys. Eliminates Dampness.

Why might Zhen Wu Tang help with basilar insufficiency?

Because it is a formula often recommended to help with the patterns Spleen or Kidney Yang Deficiency, Exterior Cold invading the Interior and Spleen Yang Deficiency which are sometimes associated with basilar insufficiency. If any of these patterns look like something you might suffer from, this formula might help (although please seek confirmation with a professional practitioner beforehand).

Read more about Zhen Wu Tang here

Ling Gui Zhu Gan Tang

Source date: 220 AD

Number of ingredients: 4 herbs

Key actions: Warms and transforms Phlegm-Fluids. Strengthens the Spleen. Resolves Dampness.

Why might Ling Gui Zhu Gan Tang help with basilar insufficiency?

Because it is a formula often recommended to help treat Phlegm-Fluids in the hypochondrium, a pattern sometimes associated with basilar insufficiency. If it looks like you might suffer from Phlegm-Fluids in the hypochondrium, this formula might help (although please seek confirmation with a professional practitioner beforehand).

Read more about Ling Gui Zhu Gan Tang here