양성돌발체위현기증 환자 치험 1례 = Case Study of Peripheral Vertigo and Nausea Diagnosed as Benign Paroxysmal Positional Vertigo Improved by Traditional Korean Medicine

다국어 초록 (Multilingual Abstract)

Objective: We report a case of a 73-year-old Korean male with vertigo and nausea, both of which were brought about by head repositioning. The condition was diagnosed as benign paroxysmal positional vertigo (BPPV).Method: The patient was treated with acupuncture, electroacupuncture, cupping, transcutaneous electrical nerve stimulation (TENS), and herbal medicine (Bosimsahwacheonggan-tang [補心瀉火淸肝湯]). We conducted the vertigo symptoms scale (VSS) and the dizziness handicap inventory (DHI) to evaluate the degree of the patient’s symptoms.Results: Vertigo and nausea started to improve after the administration of Bosimsahwacheonggan-tang, but although the patient took the anti-vertigo medication and a tranquilizer after the symptoms became aggravated, no prominent improvements could be observed.Conclusion: These results suggest that traditional Korean medical treatment may be effective in treating peripheral vertigo due to BPPV.

참고문헌 (Reference)

1 김태연, "한방병원에 입원한 두위 현훈 환자의 임상 분석" 대한한방내과학회 32 (32): 371-386, 2011

2 이은, "頭位변환에 따른 회전성 현훈증에서澤瀉湯加味方 투여 20例의 임상고찰" 한의병리학회 15 (15): 1057-1060, 2001

3 송진수, "苓桂朮甘湯 투여로 치료된 양성 돌발성 체위성 현훈 환자 치험 3례" 대한한방안이비인후피부과학회 23 (23): 210-217, 2010

4 이재휘, "滋陰健脾湯加味方을 투여한 어지럼증 환자 70례에 대한 분석 및 고찰" 한의병리학회 24 (24): 171-176, 2010

5 정달림, "歸脾湯加味方 복용 후 호전된 양성 돌발성 체위성 현훈 환자 1례" 대한한방안이비인후피부과학회 21 (21): 199-205, 2008

6 Guneri E, "The effects of betahistine in addition to epley maneuver in posterior canal benign paroxysmal positional vertigo" 2011

7 Jacobson P, "The development of the dizziness handicap inventory" 116 (116): 424-427, 1990

8 Lee GW, "Textbook of Neurology" PANMUN EDUCATION 369-370, 2005

9 Desai DS, "Role of Modified Epley’s Maneuver and Brandt-Daroff Exercises in Treatment of Posterior Canal BPPV: A Comparative Study" 3 (3): 1059-1064, 2015

10 Jeong YJ, "One Case of Dizziness Patients Suggested Benign Paroxysmal Positional Vertigo treated by Jaeumkunbitang-gamibang and Dix-hallpike maneuver" 21 (21): 181-184, 2000

11 Pianese CP, "New approaches to the management of peripheral vertigo: Efficacy and safety of two calcium antagonists in a 12-week, multinational, double-blind study" 23 (23): 357-363, 2002

12 Duracinsky M, "Literature review of questionnaires assessing vertigo and dizziness, and their impact on patients' quality of life" 10 (10): 273-284, 2007

13 Parnes LS, "Diagnosis and management of benign paroxysmal positional vertigo (BPPV)" 169 (169): 681-693, 2003