Experience of Professor LIU Zhibin in Treating Senile Benign Paroxysmal Positional Vertigo with Scalp Hairline Micro-Needling Therapy

Professor Liu Zhibin employs scalp hairline microneedle therapy to treat benign paroxysmal positional vertigo (BPPV) in the elderly, based on the pathomechanism understanding that “deficiency of the lower jiao is the root cause, ascending wind disturbance is the manifest symptom, and turbid pathogens harming the clear essence is the transformation.” This therapy targets bilateral scalp points at the hairline and lower jiao points, exerting effects of nourishing water to support wood, subduing yang to extinguish wind, and unblocking yang to disperse nodules. By stimulating specific cranial regions, it modulates neural reflexes and vestibular function, enhances inner ear circulation, and promotes otolith dispersion—particularly suitable for elderly patients unsuitable for manual repositioning techniques. Clinical observations confirm this method's safety, minimal discomfort, and significant efficacy, demonstrating the integration of traditional Chinese medicine principles with modern physiological mechanisms. A case report is appended for verification.