The Effect of the Tianma Gouteng Yin Formula Therapy on Patients with Vertigo of Liver Hyperactivity Syndrome
Keywords:
vertigo, tianma gouteng yin, hepatic hyperactivity syndromeAbstract
Based on WHO data in 2019, vertigo was experienced by 7.4% of the global population aged 18–79 years. In Indonesia, Basic Health Research (2023) reported a very high prevalence of vertigo, making it the third most common complaint in hospitals, with a prevalence rate of 50% in the 40–50-year age group. A preliminary survey at the Divine Nature Health Center in 2024 confirmed the high number of vertigo cases, with an average of 500 patients every three months, of which liver yang hyperactivity syndrome was the most frequent (300 patients per three months). This research aims to determine the effect of the Tianma Gouteng Yin formula therapy on vertigo patients with liver yang hyperactivity syndrome. The study employed a quantitative method using a pre-experimental one-group pre–post test design. Fifty research subjects were selected through purposive sampling between March and June 2025. Subjects aged 40–50 years received Tianma Gouteng Yin therapy twice daily at 2 grams for one week. Measurements were conducted using the VSS-SF questionnaire before and after therapy. Results showed that the average VSS-SF score decreased from 10.6 (pretest) to 2.96 (posttest). Statistical analysis indicated an asymp. sig. value of 0.000 (p < 0.05) and an effect size (r = -0.869), demonstrating that Tianma Gouteng Yin formula therapy has a significant and strong effect in reducing VSS-SF scores in vertigo patients with liver yang hyperactivity syndrome.
Downloads
References
Anwar, L.O.M et al. (2024). Uji Antioksidan Ekstrak Daun Sirsak (Annona Muricata L.): Studi Kualitatif Dan Kuantitatif . Cakrawala Medika: Journal Of Health Sciences. Vol. 03 No. 01, Desember 2024 https://doi.org/10.59981/466rbk90
Bae, Chang Hoon et al. “Current diagnosis and treatment of vestibular neuritis: a narrative review.” Journal of Yeungnam medical science vol. 39,2 (2022): 81-88. doi:10.12701/yujm.2021.01228
Baloh, R.W. & Honrubia, V. (2020). Clinical Neurophysiology of the Vestibular System (4th ed.). Oxford University Press.
Ban Hua & Kang, H.I (2024). Prevalensi Vertigo Berdasarkan Sindrom dan Formula Traditional Chinese Medicine Pada Penderita di Klinik Duta Hong Periode Oktober Hingga Desember 2022. https://repository.medikasuherman.ac.id/xmlui/handle/123456789/5747.
Baumgartner B, Taylor RS. Peripheral Vertigo. (2025). StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK430797/
Chen, J, & Zhang, H. (2010). Traditional Chinese medicine approach to vertigo and dizziness. Chinese Journal of Integrative Medicine.
Fang Jiang, ZhaoBai (2021) Acupuncture and Moxibustion. People’s medical publishing house
Furman, J.M. & Cass, S.P. (2021). Vestibular Disorders: A Case Study Approach to Diagnosis and Treatment (4th ed.). Oxford University Press.
Harditya, K.B. et al. (2023). Efek Akupunktur Terapi Pada Penderita Benign Paroxymal Positional Vertigo: Sebuah Laporan Kasus. Jurnal Riset Kesehatan Nasional. VOL. 7 NO. 1 April 2023 | DOI :https://doi.org/10.37294.
Herdman, S. J., & Clendaniel, R. A. (2020). Vestibular Rehabilitation. F.A. Davis.
Hong.Y.D. et al. (2020). Pharmacodynamics and metabonomics study of Tianma Gouteng Decoction for treatment of spontaneously hypertensive rats with liver-yang hyperactivity syndrome. Elsevier, DOI: 10.1016/j.jep.2020.112661
Ikhwan. (2023). Pengaruh Repetitive Transcranial Magnetic Stimulation Terhadap Vertigo Sentral Pada Stroke. Departemen Neurologi Fakultas Kedokteran Universitas Hasanuddin Makassar. https://repository.unhas.ac.id/id/eprint/28244/
Jia,T. et al. (2020). Randomized Controlled Trials of Tianma Gouteng Decoction Combined with Nifedipine in the Treatment of Primary Hypertension: A Systematic Review and Meta-Analysis. Hindawi Evidence-Based Complementary and Alternative Medicine Volume 2020. https://doi.org/10.1155/2020/5759083
Kementerian Kesehatan Republik Indonesia. (2025). Webinar Optimalisasi Diagnosis dan Terapi Klinis Penyakit Vertigo. Diakses dari https://lms.kemkes.go.id/courses/e1e3cf40-297a-4b07-aded-5b85c0cb4b48
Li, X, & Li, G. (2016). The role of liver wind in vertigo pathogenesis: A TCM perspective. Journal of Traditional Chinese Medicine.
Lin, J. et al. (2019). "Scalp Acupuncture for Vestibular Dysfunction". Acupuncture & Meridian Studies.
Sibuea, S. & Wardani, H. N. (2023). A Holistic Management of a 48 Year Old Woman with Vertigo Using a Family Medicine Approach. Medical Profession Journal of Lampung, 13(7), 1238-1247. https://doi.org/10.53089/medula.v13i7.874
Smith, P.F. & Darlington, C.L. (2022). The Neuropharmacology of Vertigo. Springer Nature.
Stanton, M. & Freeman, A.M. (2023). Vestibular Neuritis. In: StatPearls Treasure Island (FL): StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK549866/
Strupp, M. et al. (2020). "Diagnosis and Treatment of Vestibular Syndromes". New England Journal of Medicine. DOI: 10.1056/NEJM199901143400217
World Health Organization. (2025). Ear and hearing care. Diakses dari https://www.afro.who.int/health-topics/ear-health
Wu, J, & Yang, X. (2018). The influence of spleen deficiency and dampness on dizziness: clinical and experimental evidence. Chinese Medicine.
Xing, X. et al. (2020). "Neuroplasticity and Acupuncture". Neuroscience Research. https://www.frontiersin.org/journals/aging-neuroscience/articles/10.3389/fnagi.2025.1515327
Yao,Q.R. et al. (2024) Research Progress on Tianma Gouteng Decoction in the Treatment of Vertigo Due to Hyperactivity of Liver Yang. MEDS Chinese Medicine. Clausius Scientific Press, Canada DOI: 10.23977/medcm.2024.060319 ISSN 2616-1753 Vol. 6 Num. 3.
Zhang, Y. (2015). Traditional Chinese Medicine Approach to Dizziness and Vertigo. People's Medical Publishing House.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Heriyanto Heriyanto, Hari Iskandar Kang, Stefanus Aditya, Franciscus Xaverius, La Ode Muhamad Anwar
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under aCreative Commons Attribution-ShareAlike 4.0 International (CC-BY-SA). that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
