Meniere’s Disease

Why it works: Proposed mechanisms: standardized Ginkgo extracts (e.g., EGb 761) have antioxidant, microcirculatory and anti-platelet-activating-factor effects that have been studied in vertigo o...

Instructions: There is no MD-specific, evidence-based dosing protocol for ginkgo. If a patient and their clinician elect an off-label trial, studies in mixed-etiology vertigo typically used EGb...

Warnings: Bleeding risk / drug interactions: Ginkgo can inhibit platelet aggregation and increase bleeding ris...

Studies: Not specific to Ménière’s disease:Randomized, double-blind n...

Why it works: Symptom target—not a cure: Ginger doesn’t treat the inner-ear pathology of Ménière’s. It may help during attacks by reducing nausea and the sensation of vertigo, similar to how it’...

Instructions: Because high-quality trials in Ménière’s are lacking, usage borrows from dosing used for nausea/motion sickness and from the small vestibular study:. Onset of an attack (nausea/ver...

Warnings: Bleeding/anticoagulants & antiplatelets: Ginger may increase bleeding risk or affect drug metabolism...

Studies: Direct Ménière’s trials: None showing ginger alters disease...

Why it works: Pathophysiology fit. Ménière’s is strongly associated with endolymphatic hydrops—excess inner-ear fluid that distorts vestibular signals and precipitates vertigo, tinnitus, aural f...

Instructions: Classical composition & preparation (decoction).. Common ingredients include processed Pinellia (Zhi Ban Xia), Tian Ma, Bai Zhu, Chen Pi/Ju Hong, Fu Ling, Gan Cao, Sheng Jiang, Da...

Warnings: Use only processed Pinellia (Ban Xia).. Raw Pinellia is irritant/toxic; pharmaco-toxicology shows pr...

Studies: Meta-analyses focused on Ménière’s:Systematic review/meta-an...

Why it works: TCM mechanism (pattern-based): TMGY is a classic formula used when dizziness/vertigo, tinnitus, headache, and irritability are driven by “Liver Yang rising” and “internal wind.” It...

Instructions: Classical composition & dose (decoction):. • Ingredients & amounts: Tian Ma 9 g; Gou Teng 12 g; Shi Jue Ming 18 g; Zhi Zi 9 g; Huang Qin 9 g; Du Zhong 9 g; Yi Mu Cao 9 g; Sang Ji S...

Warnings: Because TMGY is multi-herb, think in terms of class-wide cautions and key-herb cautions:. Blood pres...

Studies: Traditional/observational literature: Reviews and Chinese-la...

Why it works: Mechanistic plausibility (indirect): Magnesium modulates calcium channels and NMDA receptors, influences vascular tone, and has antioxidant/anti-excitotoxic effects in auditory pat...

Instructions: Forms & absorption. • Common forms: magnesium glycinate, citrate, oxide. Citrate/glycinate tend to be better absorbed and gentler on the gut than oxide; labels list elemental magne...

Warnings: Upper limit (supplements): The adult UL is 350 mg/day of elemental magnesium from supplements (does...

Studies: For related symptoms/conditions (indirect support)Migraine p...