めまいに対して沢瀉湯が奏効した3症例  [in Japanese] Three Cases of Dizziness and Vertigo Successfully Treated with Takushato  [in Japanese]

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Abstract

日常診療でめまいを訴える患者は多いが,標準的治療は確立されていない。今回,沢瀉湯の投与でめまいが改善した症例を提示する。症例1は38歳,女性。2年前から船酔いのようなめまいが出現,最近になり悪化した。沢瀉湯を処方,1カ月後めまいは改善した。咽中炙臠を訴えたため半夏厚朴湯加蒼朮沢瀉に転方,約2カ月後めまいはほぼ消失した。症例2は61歳,女性。4カ月前にもめまいがあった。MRIで異常なく症状も軽快していたが,数日前動揺性めまいが出現した。沢瀉湯を処方,1カ月後めまいは消失した。症例3は67歳,女性。2カ月前から仰臥位などで動揺性めまいが出現,良性発作性頭位変換性めまいと診断され投薬を受けたが改善しない。沢瀉湯3倍量を処方,1カ月の服用でめまいは著明に改善し,耳科的検査所見も改善した。沢瀉湯は,西洋医学的治療で改善しないめまいに対しても有効例があり,積極的に使用されてよい処方の一つと考えられる。

Dizziness and vertigo are frequent complaints in the clinic, but standardized treatments have not yet been established. Here we report three cases of dizziness and vertigo successfully treated with takushato. Case 1 involved a 38-year-old woman who experienced dizziness, which had made her feel as if she was sea sick for 2 years, and which was worsening. After taking takushato for a month, her dizziness improved.<br>Because she complained of an abnormal pharyngeal sensation, her prescription was changed to hangekobokuto in combination with takushato, and her dizziness almost disappeared 2 months after her first visit. Case 2 involved a 61-year-old woman who had had dizziness and vertigo for 4 months. Although no abnormality was observed on MRI, she developed labile vertigo a few days later. After taking takushato for a month, she felt no dizziness or vertigo at all. Case 3 involved a 67-year-old woman in whom labile vertigo had developed even while supine for 2 months, and although receiving medication for a diagnosis of benign paroxysmal positional vertigo, did not improve. Triple dose takushato was remarkably effective, and improved her otological findings. Takushato is one hopeful option for the medical treatment of refractory dizziness and vertigo.

Journal

  • Kampo Medicine

    Kampo Medicine 61(3), 331-336, 2010-05-20

    The Japan Society for Oriental Medicine

References:  15

Cited by:  2

Codes

  • NII Article ID (NAID)
    10030705252
  • NII NACSIS-CAT ID (NCID)
    AN00015774
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    02874857
  • NDL Article ID
    10731187
  • NDL Source Classification
    ZS47(科学技術--医学--治療医学・看護学・漢方医学)
  • NDL Call No.
    Z19-246
  • Data Source
    CJP  CJPref  NDL  J-STAGE 
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