Josh, I developed vertigo about 10 days ago and it is killing me. It strikes when I try to eat or chew.

Are you sure you mean vertigo or are you talking about TMJ? AS well, but
rare and very painful, it could be trigeminal neuralgia. These are just
some things to look into. The TMJ and neuralgia would be more painful, as
the vertigo would consist more of dizziness with sporadic headaches. TMJ can
be caused by MANY things, but the most common is forward head posture,
which: retrudes the mandible, puts more occlusal pressure on the back
molars, pulls the hyoid bone up, stretches the infrahyoid muscles, there can
be a medially pull of the L.pterygoid on the disc, etc. This can also cause
impingement of the trigeminal nerve through some of the muscles of
mastication (masseter, lat and med pterygoid, etc).

Here is what I would do:

1. Get a full assessment by a CHEK Level 3 or 4. They will provide you
with a full upper quarter assessment to see what the issue is at hand.
2. Bell’s Palsy in TCM happens secondary to a external wind pathogen
getting in the body.

This can be a wind issue, related to
the LV. This can be due to heat, deficient or excesses.

a. Eye Lid Twitch – Eye Lid flickering, due to wind from either internal or
external wind.
Heart and Spleen Deficiency – Gui Pi Tang or Si Quan Da Bu Tang
Liver Wind – Tian Ma Gou Teng Yin
External Wind Invasion – Gui Gan Long Mu Tang

b. Liver

The liver’s main physiological functions and indicators are: (1) storing
blood; (2) creating unrestrained conditions for qi; (3) controlling the
tendons and the luster reflected in the nails; and (4) opening into the eye.

Storing Blood

The liver stores blood and regulates the volume of blood circulation
according to the needs of various tissues and organs. During rest the amount
of blood required by the body decreases and the surplus is stored in the
liver. During vigorous activity blood is released from the liver to increase
the volume of circulating blood. As Wang Bin’s Annotations on the Suwen
notes, “The liver stores blood, the heart circulates blood. When the body
moves blood circulates in the channels, when at rest it flows back to the
liver.” If the liver’s blood storage function is abnormal, there will be an
affect on normal body activities causing hemorrhagic diseases. For example,
if liver blood is deficient the following problems may appear: the symptoms
of vertigo, contracture of spasm of muscles and tendons, impairment of
flexion and extension of limbs or scanty menstruation and amenorrhea.

Promotion of Unrestrained Conditions for Qi

Liver qi possesses the function of regulation. It is responsible for the
ascending, descending, and harmony of bodily qi. If the body’s qi activity
is harmonious and its ascending and descending are normal then the internal
organs will continue their normal physiological activities. This function of
the liver involves the following aspects:

The liver harmonizes the emotions. Traditional Chinese medicine considers
that the normal or abnormal function of an unrestrained and free flowing qi
is directly related to emotional activities, and that the mental state is
not only dominated by the heart but also the liver. When qi activities are
normal, the body has a harmonious circulation of qi and blood, an easy mind
and happy emotions. If there is a dysfunction of qi’s free flow, it will
directly affect the individual’s emotional state. For example, liver qi
stagnation will give rise to stuffiness and fullness of the chest, unhappy
feelings, hypochondriasis, or even mental depression, crying, irregular
menstruation, etc. If there is hyperactivity of the liver qi, there may be
irritability, anger, insomnia, dream disturbed sleep, dizziness, vertigo, a
ringing in the ear (tinnitus), or deafness. Any sudden change in the normal
pattern of the emotions, especially great anger or mental depression, can
affect and free flowing and spreading function of liver qi resulting in the
pathological changes of liver qi stagnation.

Liver qi regulation can assist the ascending function of the spleen and the
descending function of the stomach. This also involves bile secretion. Bile
is necessary for the digestion of food and drink. If liver qi loses its
harmonious flowing activities, it will affect the digestive function of the
spleen and stomach and the excretion of bile, leading to the pathological
symptoms of jaundice and bitter taste. It is very common that patients with
stagnation of liver qi may not only have symptoms such as distension, pain
in the chest and hypochondriac regions, anxiety, and anger, but also
belching due to the failure of the stomach qi to descend and diarrhea caused
by the dysfunctional ascending of spleen qi. The former is known as “liver
qi affecting the stomach,” and the latter as “disharmonious conditions
between the liver and the spleen.”

Controlling the Tendons and the Luster Reflected in the Nails

The tendons, fascia, and ligaments of the body all rely on the nourishment
of liver blood. The movements of limbs and joints are not only the result of
tendon flexing but are also related to the strength or weakness of liver
blood. Only if liver blood is ample, can it nourish and supplement the
tendons to continue the normal movements of the limbs. If the liver blood is
insufficient and fails to nourish the tendons, the patient might experience
symptoms such as tremors of the hands or feet, numbness of the limbs, or
even difficulty in flexing and extending the limbs. If pathogenic heat
exhausts the body fluid leading to the consumption of blood, then this will
cause convulsion,, opisthotonos and lockjaw (trismus). As the Suwen notes,
“various kinds of wind diseases causing the eyes to state upwards,
twitching, dizziness, and vertigo, belong to the liver.”

It is said that, “Nails are the remains of the tendons,” The dryness or
moisture of the nails can reflect the sufficiency or insufficiency of liver
blood. When liver blood is plentiful the tendons are supple and the nails
appear hard and moist. If liver blood is insufficient and incapable of
nourishing the tendons, then the nails may be thin, soft, brittle, and pale.
The Suwen records, “The liver communicates with the tendons. The health of
the liver is reflected in the luster of the nails.”

Opening into the Eye

The essential qi of the five zang and six fu organs flows upwards to nourish
the eye. Thus those organs, especially the liver, have a close relationship
with the eye. The liver’s function of storing blood nourished the eye as its
channel travels upwards connecting to the eye system. In the Suwen it says,
“Liver qi is in communication with the eyes, so the eyes will be able to
distinguish the five colors.” Thus an abnormality of liver function can
affect the eyes. If the liver blood is insufficient, there will be a dryness
of the eyes, blurred vision, or night blindness. If pathogenic wind-heat
attacks the liver channel, redness, swelling and pain in the eyes will be
the symptoms. If the liver fire flares up, conjunctivitis may occur. If
liver yang is in preponderance, dizziness and vertigo occur. Liver wind
stirring up produces convulsions with the eyes staring upwards.