There is a popular misconception among people about dizziness and vertigo being the same. However, as both symptoms are extremely common, it is the time one knows the exact difference between the two.
Dizziness usually means a sensation of impending loss of consciousness; the patient feels lightheaded, as if he or she is going to fall at any moment. Dizziness is usually caused by problems related to blood circulation. Ayurveda terms this condition as Sanyaasa. Food and drink combined inharmoniously, suppression of the urgings of stools and urine, external injuries, and all acts which lessen the attribute of satva (goodness of mind) and excite the vaata lead to the problem. These penetrating into ducts which are the seat of mind and by which the mind communicates with the senses, increase the attribute of tamas (darkness) and produce loss of consciousness.
On the other hand, people suffering from vertigo will feel themselves or their immediate surrounding spinning around. They cannot stand upright. This condition is called Bhrama in Ayurveda. The vaata and the pitta become excited and combine with the attributes of rajas (passion) and result in the abnormal functioning of the balance mechanism situated in the inner part of the ear. If vertigo comes on very suddenly, it is often accompanied by nausea and vomiting, with profuse sweating. However, if the onset is more gradual, it may be simply described as ‘poor balance’.
In most cases, the common cause of vertigo is a viral illness of an insignificant nature, which leads to an onset of giddiness, nausea and sickness within a few days. On the other hand, any kind of discharge, perforation of the eardrum or infection in the middle-ear cavity can lead to balancing disorders with accompanying vertigo. Apart from this, abnormal heart rhythms, valvular heart disease and low blood pressure can also lead to dizziness, as can anemia and migraine. The common factor in all these conditions is a decrease of oxygen being delivered through the circulation to the brain.
By far, cervical spondylosis, can lead to giddiness and vertigo. The neck contains two small arteries that run up through the vertebrae to supply blood to the back of the brain or the cerebellum. The cerebellum is essential for maintaining an upright posture and balance. That is the reason why in arthritic conditions of the neck, sufferers often experience vertigo when looking upwards or backwards, over their shoulder.
There is a specific condition called Meniere’s disease associated with recurrent vertigo, resulting in ringing in the ears and progressive loss of hearing. Attacks last a few minutes to several hours.
Anything that affects the normal structure or function of the brain may lead to vertigo or dizziness. Concussion after a knock on the head can lead to the condition, but so can more serious disorders such as brain tumors. However, there are other symptoms and signs to indicate that something more central and deep-seated is causing the dizziness or vertigo.
When a person is anxious or under an emotional shock, the rapid over-breathing can lead to this condition. Vertigo is also commonly seen in depression, in which case, it is often long-standing and constant.
Certain allopathic drugs, such as diuretics, aspirin, chloroquine and some antibiotics may provoke vertigo. Hence, these drugs should be used with caution.
Self-Help Guidelines & Ayurvedic Remedies
Ayurvedic treatment is generally planned, based on .careful evaluation of the causative factors of vertigo. However, there are certain general remedial measures to bring down the attack.
• For a home remedy for vertigo, soak five grams each of dry aamla and coriander seeds in water overnight. Strain in the morning and drink by adding little sugar.
• Mix powdered roots of vacha (sweet-flag), and aswagandha. Take one gram of this with 250 ml milk, thrice a day.
• Take one to two grams of powdered whole plant of sankhapushpi with 100 to 250 ml milk twice a day.
• If the attack is preceded by headache, take powder of sarpagandha in 1-2 grams dose, twice a day with three grams of triphala powder.
• Muktabhasma and its preparations are very efficacious in treating vertigo. One to two pills of sutasekara rasa taken with aamla juice and honey is very beneficial in vertigo.
• Saraswataarishta or asvagandhaarishta are useful if the patient has nervous breakdown and vertigo.
• Yogendra ras taken in dosage of 120 mg twice daily with milk is another effective remedy.