The patient arrived with a diagnosis already in mind: BPPV. He had researched extensively, consulted doctors, watched videos, and even asked AI. Yet after careful assessment, Dr Huang concluded it was unlikely to be BPPV. This case explores why saying “No” is sometimes one of the most important responsibilities of a clinician.

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I used three-edged needle pricking with mild bloodletting, followed by localized cupping, aiming to release fascial tension in this region.

The result was immediate.

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