Reviewed by See Aki, Registered TCM Practitioner · November 2026
由注册中医师 施亚琦医师审阅

一轉頭就暈、低頭久了起來會暈？頭暈與眩暈

简单回答：头晕的原因很多，有些要先看西医，有些和颈部、睡眠、血压、内耳或体质有关。「天旋地转」比较像眩晕，常和内耳有关；「头昏昏、轻飘飘、站不稳」则常和疲劳、睡眠不足、贫血、低血压、颈部紧绷或焦虑有关。醫道閣会先排除需要转介的情况，再依原因用针灸、中药或 SRM 结构疗法调理。

Short answer: dizziness has many causes. Some need a medical doctor first; others relate to the neck, sleep, blood pressure, the inner ear or your constitution. A spinning sensation is more like vertigo and often involves the inner ear. Feeling light-headed, foggy or unsteady is often linked to fatigue, poor sleep, anaemia, low blood pressure, a tight neck or anxiety. At Virtue TCM we first rule out anything that needs referral, then use acupuncture, herbal medicine or SRM structural therapy depending on the cause.

先分辨你是哪一種暈

天旋地转，翻身或抬头时发作：常是内耳的位置性眩晕，通常几十秒就过，可以先请西医或耳鼻喉科确认。
低头工作久了、转头时晕，脖子很紧：常和颈部、上背张力有关，有时伴随后脑勺头痛。
站起来眼前发黑：常和血压、脱水、贫血、月经量多有关。
整天昏沉、疲倦、睡不好、压力大：中医常见气血不足、痰湿或肝阳上扰等体质。

Spinning when you roll over or look up: often a positional inner-ear vertigo that passes in under a minute; have it confirmed by a doctor or ENT. Dizzy after long desk work or when turning the head, with a tight neck: often linked to neck and upper-back tension, sometimes with a headache at the back of the head. Vision greys out when you stand up: often blood pressure, dehydration, anaemia or heavy periods. Foggy all day, tired, poor sleep, stressed: in TCM this often reflects patterns such as qi and blood deficiency or dampness.

頸部為什麼會讓人暈？

颈部的肌肉和关节，会不断告诉大脑「头在哪个位置」。颈部、上背长期紧绷或扭向一边，这些讯号和眼睛、内耳的讯号对不上，就可能出现转头时晕、走路不稳的感觉。这时候，先松开上背和胸廓，让脖子转动恢复平均，常常比只处理脖子本身更有帮助。

Muscles and joints in the neck constantly tell the brain where the head is. When the neck and upper back are tight or turned to one side for a long time, these signals can disagree with what the eyes and inner ear report, which may feel like dizziness when you turn your head or unsteadiness when walking. Freeing the upper back and rib cage so the neck turns evenly again often helps more than working on the neck alone.

醫道閣怎麼處理

醫：把脉看舌，问睡眠、饮食、月经、血压和压力，用中药或针灸调整体质。
形：如果和颈部有关，SRM 会先松上背、胸廓和肩胛，再处理颈部，不用力扳脖子。
養：规律吃饭与喝水、起身慢一点、荧幕高度与休息节奏。

Assess: pulse and tongue, plus sleep, diet, periods, blood pressure and stress, with herbs or acupuncture to address your pattern. Structure: if the neck is involved, SRM frees the upper back, rib cage and shoulder blades before the neck, with no forceful cracking. Recover: regular meals and fluids, standing up slowly, screen height and breaks.

第一次來會做什麼？

问诊约 15 分钟：晕的感觉、多久一次、什么姿势会引发、有没有耳鸣或听力改变、血压和用药，也会把脉看舌。之后医师会说明建议的调理方式。初诊问诊 RM60（带 X 光、血液或其他报告 RM100），复诊 RM30；疗程费用另计，开始前会先说明。

A consultation of about 15 minutes covers what the dizziness feels like, how often and in which positions it comes, any ringing or hearing change, your blood pressure and medicines, plus pulse and tongue. Your practitioner then explains what they suggest. First consultation RM60 (RM100 if we review X-rays, blood tests or other reports), follow-up RM30; treatment is priced separately and explained before anything starts.

這些情況請立刻看西醫

头晕伴随说话不清、脸歪、一侧手脚无力或麻木、看东西重影、走路突然不稳；胸痛、心跳很乱或昏倒；突然听力下降；头部撞击后；或第一次出现很严重、持续不停的眩晕，请立刻到医院或急诊。

Go to A&E straight away if dizziness comes with slurred speech, a drooping face, weakness or numbness on one side, double vision or sudden trouble walking; chest pain, a very irregular heartbeat or fainting; sudden hearing loss; a head injury; or a first episode of severe, non-stop vertigo.

延伸閱讀

头痛从后脑勺开始？紧张型头痛与偏头痛

颈肩痛调理 Neck & Shoulder Pain

内科 General Care

针灸 Acupuncture

个人情况因人而异，疗程建议需经问诊与医师评估后决定。本文不能取代医疗诊断。
Individual conditions vary. Recommendations follow consultation and practitioner assessment. This article does not replace a medical diagnosis.