中醫藥研究論叢

264.7 中樞型眩暈(Central Vertigo)的針灸治療病例報告

 TJ TCM.26(4) : 83-90, 2023

DOI : 10.6516/TJTCM.202309_26(4).0007
 
中樞型眩暈(Central Vertigo)的針灸治療病例報告
A Case Report of Acupuncture Treatment of Central Vertigo
黃繻誼 1,2 林崇舜 1,2,*
1 花蓮慈濟醫院中醫部,花蓮,台灣
2 慈濟大學學士後中醫系,花蓮,台灣
【摘要】
一位83歲女性病患,患有間歇性頭暈長達五十多年,於十五年開始在西醫耳鼻喉科診所就診,並診斷為中樞型眩暈,發作時表現頭昏無力,伴隨肩頸緊繃感,嚴重發作時須躺在床上數小時,並服用 Aspirin 等西藥控制症狀,發作的頻率及強度並未獲得改善,在五月份至中醫門診求助治療,在經絡診 斷上,病位落於手足少陽經及足太陽經,臟腑病位則在肝腎,故治療上選擇 局部穴位如頭部的四神聰、百會、暈聽區、風池,遠端手足取穴則選取承山 、太谿、太衝等,並搭配耳豆穴位按壓。在經過三個月的針灸治療(一週一 次)搭配耳穴按壓後,患者頭暈的發作頻率由一週三次,改善為兩週一次, 在主觀的頭暈程度感受(VAS Dizziness)上,由八分轉為四分。
【關鍵詞】眩暈、針灸、中樞型眩暈
Syu-Yi Huang1,2 Chung-Shuen Lin1,2,*
1 Department of Chinese Medicine, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan
 2 School of Post-Baccalaureate Chinese Medicine, Tzu Chi University, Hualien, Taiwan
【Summary】
A 83-year-old female patient suffered from intermittent dizziness for over than fifty years. She started to seek ear-nose-throat out-patient department since fifteen years ago, and was diagnosed with central vertigo. During an attack, she would feel weak and dizzy, accompanied by tension in the shoulders and neck. When the se[1]vere dizziness attacked, she was forced to lie on bed for several hours and took Bokey(Aspirin) one tablet daily. However, the occurring frequency of dizziness and the severity did not improve. She went to the out-patient department of Traditional Chinese Medicine of Hualien Tzu Chi Hospital in May. Based on meridian diagno[1]sis, her condition was located in the Hand Shaoyang Meridian, Foot Taiyang Merid[1]ian, and the liver and kidney organs. Therefore, local acupoints such as Si Shen Cong (EX-HN1), Baihui (DU20), the vertigo and hearing area, and Fengchi (GB20) were selected for treatment, as well as distant acupoints such as Chengshan (BL57), Taixi (KI3), and Taichong (LR3). Ear seed acupressure was also used. After the three-month acupuncture therapy (one times per week), her occurring frequency of dizziness turns from three times per week to one times two week. The subjective Visual Analogue Scale (VAS Dizziness) score changes from 8 to 4 scores.
Keywords
acupuncture, Central vertigo, acupressure