1Center of Traditional medicine, Taipei Veterans General Hospital, Taipei, Taiwan
2College of Chinese Medicine, China Medical University, Taichung, Taiwan
3Institute of Traditional Medicine, National Yang-Ming University, Taipei, Taiwan
4School of Medicine, National Yang-Ming University, Taipei, Taiwan
【Summary】
Reversible cerebral vasoconstriction syndrome (RCVS) is an underrecognized neurological disease in which patients suffer from sudden severe headache (often called thunderclap headache) and reversible cerebral vasoconstriction. Nimodipine is currently the most commonly used drug to treat the disease. Though there is no corresponding disease name in Chinese medicine, but the description of headache can be seen as early as in the "Huangdi Neijing ", and it can be divided into exogenous headache and introgenous headache. Exogenous headache is mostly caused by pathogenic wind, and the treatment is mainly to dispelling wind; introgenous headaches are mostly related to liver, spleen and kidney. And the treatment is mostly focused on strengthening the body. In this article, by sharing a 45-year-old RCVS patient, taking Nimodipine and at the same time combined with Chinese medicine (mainly with Jia Wei Xiao Yao San, Qing Shang Juan Tong Tang, combined with Tianma, Manjingzi, and Danshen) to stabilize the condition. Frequent headaches, fatigue, nausea, palpitations, chest tightness and other discomforts were all improved, and followup imaging also showed significant changes. This case can provide a reference for the effective clinical experience of treating RCVS with Chinese medicine and western medicine.
98.3 中藥結合西醫治療可逆性腦血管收縮症候群
