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Treatment of Dizziness Based on the Theory of "One-gas Circulation"
Abstract
The theory of "Earth Pivot Four Elephants, One Qi Circulation" was initially proposed by Huang Yuanyu, a royal physician in the Qing Dynasty. It emphasizes the central role of the spleen and stomach in the middle burner as the pivot, with the liver and lungs serving as the wheels of the four elephants. This theory highlights that the healthy movement of middle qi ensures the smooth circulation of qi, allowing clear yang to rise and turbid yin to descend. Based on this theory and the holistic view of "Earth Pivot Four Elephants," this article posits that dizziness arises from the deficiency of the middle earth, the failure of the pivot to rotate, leading to liver stagnation, wind disturbance, lung stagnation, turbid reversal, and the loss of nourishment to the clear orifices. Clinically, the focus should be on strengthening the middle burner, restoring the pivot's function, and regulating the liver and lungs to harmonize the ascending and descending movements, thereby achieving coordinated wheel and pivot movements and the smooth circulation of qi. This approach aims to provide new insights for the clinical treatment of dizziness.
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