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Pusing tujuh keliling (vertigo) merupakan suatu gejala yang sering menyertai gangguan alat keseimbangan dalam telinga tengah, pada kasus ringan, gejala pusing tujuh keliling dapat hilang atau mereda dengan menutup mata, tetapi pada kasus berat gejala pusing tujuh keliling sedemikian hebat sehingga seolah-olah seperti mabuk perjalanan disertai rasa mual, muntah dan keringat dingin.

Gejala pusing tujuh keliling dapat merupakan gejala dari hipertensi (tekanan darah tinggi) pengerasan pembuluh nadi (arteriosclerosis) neurosis atau gangguan telinga.

 

ETIOLOGI DAN PATOGENESIS DALAM AKUPUNTUR

a.     EKSES YANG LIVER

Liver atau hati yang berunsur kayu dan angin memiliki ciri bergerak dan naik keatas. Kecemasan, depresi dan marah dapat merusak Yin hati sehingga Yang hati ekses.

Pusing tujuh keliling terjadi apabila Yang hati bergerak seperti angin yang naik menyerang otak. Atau biasanya defisiensi air ginjal menyebabkan kegagalan untuk member Qi ke Hati.

Pusing tujuh keliling terjadi karena Hati kekurangan energy sehingga menimbulkan ekses Yang Hati, kadang terjadi defisiensi pada bagian bawah tubuh dan ekses pada bagian atas tubuh bersamaan.

b.    

     DEFISIENSI QI DAN DARAH

Jantung dan Limpa dapat rusak oleh kerja yang berlebihan, kurang istirahat atau kelemahan tubuh setelah sakit berat, Limpa yang rusak gagal membentuk Qi dan darah sehingga terjadi defisiensi Qi dan darah. Pada defisiensi Qi dan darah di daerah otak akan menimbulkan pusing tujuh keliling.

 

c.      SUMBATAN RIAK LEMBAB DARI DALAM

Pada riak lembab yang berlebihan, makan yang tidak teratur dan kerja terlampau keras dapat mengganggu lambung dan Limpa, sehingga fungsi transportasi dan transformasi terganggu. Akibat gangguan tersebut terjadi pembentukan riak lembab, riak dan Qi dapat menggangu naiknya Yang dan turunnya Yin sehingga menimbulkan pusing tujuh keliling.

 

PENGGOLONGAN

a.     Ekses Yang Hati

Gejala Utama :

·        Pusing tujuh keliling yang meningkat pada keadaan marah serta mudah tersinggung

·        Muka merah, mata merah

·        Telingan berdenging

·        Rasa pahit dimulut

·        Gangguan mimpi

·        Lidah merah dan selaput lidah kuning

·        Denyut nadi tegang dan cepat

ANALISA

·        Marah merusak Yin Hati menyebabkan ekese Yang Hati yang menimbulkan api

·        Api yang membumbung ke atas membuat muka merah, mata merah dan mudah tersinggung

·        Semangat yand disimpan di Hati terganggu sehingga terjadi gangguan mimpi

·        Lidah merah dengan selaput lidah kuning, rasa pahit dimulut, denyut nadi tegang dan cepat merupakan tanda defisiensi Yin akibat ekses Api.

b.     DEFISIENSI QI DAN DARAH

Gejala Utama :

·        Pusing tujuh keliling diikuti oleh pucat, lelah dan lesu, berdebar-debar, sulit tidur, bibir dan kuku pucat, malas, lebih pucat serta nadi lemah dan kecil.

·        Pusing tujuh keliling terjadi setelah penyakit berat atau banyak kehilangan darah dan semakin nyata setelah kerja berat.

·        Pada kasus berat kadang terjadi hilang kesadaran.

ANALISA :

·        Pusing tujuh keliling terjadi karena gagalnya Qi dan darah sampai di kepala

·        Jantung mendominasi darah dan limpa mendominasi transportasi dan transformasi untuk pembentukan Qi dan darah.

·        Bila jantung dan Limpa rusak Qi dan darah kurang mencukupi sehingga warna kulit tidak bercahaya, serta kuku dan bibir rusak

·        Defisiensi darah menimbulkan berdebar-debar dan sulit tidur, sedangkan defisiensi Qi menimbulkan kelesuan, malas kurang nafsu makan, yang meningkat akibat kerja berat

·        Lidah pucat, nadi lemah dan kecil merupakan tanda-tanda defisiensi Qi dan darah.

c.      SUMBATAN RIAK LEMBAB DARI DALAM

Gejala Utama :

·        Pusing tujuh keliling dengan rasa berat kepala dan rasa tertekan didada

·        Mual, riak yang berlebihan, kurang nafsu makan, mengantuk, selaput lidah putih dan lengket serta nadi yang lembut dan bergelombang.

ANALISA :

·        Pusing tujuh keliling dengan rasa berat dikepala merupakan gejala gangguan Yang sejati oleh riak lembab.

·        Rasa tertekan didada dan mual disebabkan oleh obstruksi daerah Qiao tengah.

·        Kurang nafsu makan dan mengantuk disebabkan oleh defisiensi Yang Limpa

·        Selaput lidah yang putih dan lengket serta nadi lembut dna bergelombang merupakan tanda peningkatan riak lembab.

 

TATA LAKSANA TERAPI AKUPUNTUR UNTUK VERTIGO

a.     EKSES YANG HATI

a.     Dipilih titik pada meridian Hati dan Ginjal untuk meningkatkan Ying dan menenangkan Yang

b.     Tusukan tonifikasi dan sedasi dipilih sesuai dengan kondisi penyakit

c.      Biasanya dipilih titik-titik

1.     GB 20  Fengchi (fungce)

2.     BL 18 Ganshu

3.     KI 3 Taixi

4.     BL 23  Shenshu

5.     LR 2  Xingjian

Penjelasan :

·        Tusukan tonifikasi dilakukan pada : BL 23 Shensu dan KI 3 Taixi untuk menambah air ginjal

·        Tusukan sedasi dilakukan pada : BL 18, LR 2 dan GB 20 untuk menenangkan Yang Hati.

 

b.     DEFISIENSI QI DAN DARAH

·        Dipilih titik meridian REN, Kandung kemih dan lambung dengan cara tonifikasi (kadang dimoksa) untuk menambah Qi dan darah.

Titik yang dipilih adalah :

GV20, BL20, CV4, ST36 dan SP6

 

Penjelasan:

·        Moksibusi pada GV20 mengakibatkan naiknya Qi dan darah ke kepala sehingga menurunkan pusing

·        CV4 digunakan untuk memperkuat Qi primer dan BL20 SP6 untuk memperkuat Limpa dan Lambung untuk membentuk Qi darah

 

c.      RETENSI RIAK LEMBAB DARI DALAM

Pemilihan titik Asosiasi (Su-belakang) dan titik Waspada (Alarm, Mu depan) dari Limpa dan Lambung merupakan upaya untuk menghilangkan lender dan menurunkan lembab.

Titik yang dipilih :

1.     ST 8  Touwei

2.     BL 20 Pishu

3.     CV 12  Zhongwan

4.     PC 6 Neiguan

5.     BL 40 Fenglong

Penjelasan :

·        BL 20 Pishu dan CV12 Zhongwan untuk memperkuat Limpa dan lambung sehingga menurunkan riak lembab

·        ST40 Fenglong merupakan titik Luo meridian lambung sehingga Qi menurun dan menghilangkan riak

·        ST8 Touwei sebagai terapi simptomatik pusing tujuh keliling

·        PC6 neiquan untuk merelaksasikan dada, mengatur Qi serta menyelaraskan Qi lambung untuk menghilangkan mual

TERAPI AKUPUNTUR UNTUK VERTIGO

As he reflected on the festering wounds deepened by race and grievance that have been on painful display in America’s cities lately, President Obama on Monday found himself thinking about a young man he had just met named Malachi.

A few minutes before, in a closed-door round-table discussion at Lehman College in the Bronx, Mr. Obama had asked a group of black and Hispanic students from disadvantaged backgrounds what could be done to help them reach their goals. Several talked about counseling and guidance programs.

“Malachi, he just talked about — we should talk about love,” Mr. Obama told a crowd afterward, drifting away from his prepared remarks. “Because Malachi and I shared the fact that our dad wasn’t around and that sometimes we wondered why he wasn’t around and what had happened. But really, that’s what this comes down to is: Do we love these kids?”

Many presidents have governed during times of racial tension, but Mr. Obama is the first to see in the mirror a face that looks like those on the other side of history’s ledger. While his first term was consumed with the economy, war and health care, his second keeps coming back to the societal divide that was not bridged by his election. A president who eschewed focusing on race now seems to have found his voice again as he thinks about how to use his remaining time in office and beyond.

Continue reading the main story Video
Play Video|1:17

Obama Speaks of a ‘Sense of Unfairness’

Obama Speaks of a ‘Sense of Unfairness’

At an event announcing the creation of a nonprofit focusing on young minority men, President Obama talked about the underlying reasons for recent protests in Baltimore and other cities.

By Associated Press on Publish Date May 4, 2015. Photo by Stephen Crowley/The New York Times.

In the aftermath of racially charged unrest in places like Baltimore, Ferguson, Mo., and New York, Mr. Obama came to the Bronx on Monday for the announcement of a new nonprofit organization that is being spun off from his White House initiative called My Brother’s Keeper. Staked by more than $80 million in commitments from corporations and other donors, the new group, My Brother’s Keeper Alliance, will in effect provide the nucleus for Mr. Obama’s post-presidency, which will begin in January 2017.

“This will remain a mission for me and for Michelle not just for the rest of my presidency but for the rest of my life,” Mr. Obama said. “And the reason is simple,” he added. Referring to some of the youths he had just met, he said: “We see ourselves in these young men. I grew up without a dad. I grew up lost sometimes and adrift, not having a sense of a clear path. The only difference between me and a lot of other young men in this neighborhood and all across the country is that I grew up in an environment that was a little more forgiving.”

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Organizers said the new alliance already had financial pledges from companies like American Express, Deloitte, Discovery Communications and News Corporation. The money will be used to help companies address obstacles facing young black and Hispanic men, provide grants to programs for disadvantaged youths, and help communities aid their populations.

Joe Echevarria, a former chief executive of Deloitte, the accounting and consulting firm, will lead the alliance, and among those on its leadership team or advisory group are executives at PepsiCo, News Corporation, Sprint, BET and Prudential Group Insurance; former Secretary of State Colin L. Powell; Senator Cory Booker, Democrat of New Jersey; former Attorney General Eric H. Holder Jr.; the music star John Legend; the retired athletes Alonzo Mourning, Jerome Bettis and Shaquille O’Neal; and the mayors of Indianapolis, Sacramento and Philadelphia.

The alliance, while nominally independent of the White House, may face some of the same questions confronting former Secretary of State Hillary Rodham Clinton as she begins another presidential campaign. Some of those donating to the alliance may have interests in government action, and skeptics may wonder whether they are trying to curry favor with the president by contributing.

“The Obama administration will have no role in deciding how donations are screened and what criteria they’ll set at the alliance for donor policies, because it’s an entirely separate entity,” Josh Earnest, the White House press secretary, told reporters on Air Force One en route to New York. But he added, “I’m confident that the members of the board are well aware of the president’s commitment to transparency.”

The alliance was in the works before the disturbances last week after the death of Freddie Gray, the black man who suffered fatal injuries while in police custody in Baltimore, but it reflected the evolution of Mr. Obama’s presidency. For him, in a way, it is coming back to issues that animated him as a young community organizer and politician. It was his own struggle with race and identity, captured in his youthful memoir, “Dreams From My Father,” that stood him apart from other presidential aspirants.

But that was a side of him that he kept largely to himself through the first years of his presidency while he focused on other priorities like turning the economy around, expanding government-subsidized health care and avoiding electoral land mines en route to re-election.

After securing a second term, Mr. Obama appeared more emboldened. Just a month after his 2013 inauguration, he talked passionately about opportunity and race with a group of teenage boys in Chicago, a moment aides point to as perhaps the first time he had spoken about these issues in such a personal, powerful way as president. A few months later, he publicly lamented the death of Trayvon Martin, a black Florida teenager, saying that “could have been me 35 years ago.”

Photo
 
President Obama on Monday with Darinel Montero, a student at Bronx International High School who introduced him before remarks at Lehman College in the Bronx. Credit Stephen Crowley/The New York Times

That case, along with public ruptures of anger over police shootings in Ferguson and elsewhere, have pushed the issue of race and law enforcement onto the public agenda. Aides said they imagined that with his presidency in its final stages, Mr. Obama might be thinking more about what comes next and causes he can advance as a private citizen.

That is not to say that his public discussion of these issues has been universally welcomed. Some conservatives said he had made matters worse by seeming in their view to blame police officers in some of the disputed cases.

“President Obama, when he was elected, could have been a unifying leader,” Senator Ted Cruz of Texas, a Republican candidate for president, said at a forum last week. “He has made decisions that I think have inflamed racial tensions.”

On the other side of the ideological spectrum, some liberal African-American activists have complained that Mr. Obama has not done enough to help downtrodden communities. While he is speaking out more, these critics argue, he has hardly used the power of the presidency to make the sort of radical change they say is necessary.

The line Mr. Obama has tried to straddle has been a serrated one. He condemns police brutality as he defends most officers as honorable. He condemns “criminals and thugs” who looted in Baltimore while expressing empathy with those trapped in a cycle of poverty and hopelessness.

In the Bronx on Monday, Mr. Obama bemoaned the death of Brian Moore, a plainclothes New York police officer who had died earlier in the day after being shot in the head Saturday on a Queens street. Most police officers are “good and honest and fair and care deeply about their communities,” even as they put their lives on the line, Mr. Obama said.

“Which is why in addressing the issues in Baltimore or Ferguson or New York, the point I made was that if we’re just looking at policing, we’re looking at it too narrowly,” he added. “If we ask the police to simply contain and control problems that we ourselves have been unwilling to invest and solve, that’s not fair to the communities, it’s not fair to the police.”

Moreover, if society writes off some people, he said, “that’s not the kind of country I want to live in; that’s not what America is about.”

His message to young men like Malachi Hernandez, who attends Boston Latin Academy in Massachusetts, is not to give up.

“I want you to know you matter,” he said. “You matter to us.”

Obama Finds a Bolder Voice on Race Issues

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