The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
권호 표지
DOI QR코드

DOI QR Code

A Case Report of Persistent Postural-Perceptual Dizziness Treated with Korean Medicine

한방 치료로 호전된 지속체위 - 지각어지럼에 대한 증례 1례

  • Kim, Min-hwa (Dept. of Internal Medicine, Korean Medicine Hospital, Pusan National University) ;
  • Heo, Gi-yoon (Dept. of Internal Medicine, Korean Medicine Hospital, Pusan National University) ;
  • Kang, Hee-kyung (Dept. of Internal Medicine, Korean Medicine Hospital, Pusan National University) ;
  • Nam, I-rang (Dept. of Internal Medicine, Korean Medicine Hospital, Pusan National University) ;
  • Kim, Maria (Dept. of Internal Medicine, Korean Medicine Hospital, Pusan National University) ;
  • Lee, In (Dept. of Internal Medicine, Korean Medicine Hospital, Pusan National University) ;
  • Kwon, Jung-nam (Dept. of Internal Medicine, Korean Medicine Hospital, Pusan National University) ;
  • Kim, So-yeon (Dept. of Internal Medicine, Korean Medicine Hospital, Pusan National University) ;
  • Yun, Young-ju (Dept. of Internal Medicine, Korean Medicine Hospital, Pusan National University) ;
  • Choi, Jun-yong (Dept. of Internal Medicine, Korean Medicine Hospital, Pusan National University) ;
  • Han, Chang-woo (Dept. of Internal Medicine, Korean Medicine Hospital, Pusan National University) ;
  • Park, So-jung (Dept. of Internal Medicine, Korean Medicine Hospital, Pusan National University) ;
  • Hong, Jin-woo (Dept. of Internal Medicine, Korean Medicine Hospital, Pusan National University)
  • 김민화 (부산대학교 한방병원 한방내과) ;
  • 허기윤 (부산대학교 한방병원 한방내과) ;
  • 강희경 (부산대학교 한방병원 한방내과) ;
  • 남이랑 (부산대학교 한방병원 한방내과) ;
  • 김마리아 (부산대학교 한방병원 한방내과) ;
  • 이인 (부산대학교 한방병원 한방내과) ;
  • 권정남 (부산대학교 한방병원 한방내과) ;
  • 김소연 (부산대학교 한방병원 한방내과) ;
  • 윤영주 (부산대학교 한방병원 한방내과) ;
  • 최준용 (부산대학교 한방병원 한방내과) ;
  • 한창우 (부산대학교 한방병원 한방내과) ;
  • 박소정 (부산대학교 한방병원 한방내과) ;
  • 홍진우 (부산대학교 한방병원 한방내과)
  • Received : 2022.08.05
  • Accepted : 2022.09.30
  • Published : 2022.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: The purpose of this study was to report the effectiveness of Korean medicine in the treatment of persistent postural-perceptual dizziness. Methods: A patient with dizziness was treated with Banhabackchulchunma-tang and Gongjin-dan herbal medicines. The severity of symptoms was assessed with a daily visual analog scale (VAS) for dizziness and the frequency of subjective trembling feelings (over 30 minutes). Results: After the treatment, the severity of dizziness was reduced from VAS 5 to VAS 2, and fatigue was improved from VAS 5 to VAS 1. The frequency of subjective trembling feelings was reduced from once every 3-4 days to once every 10 days. Other symptoms, such as dyspepsia, sleep disturbance, and hot flashes, also showed improvement. Conclusion: Treatment with Korean medicine may be an effective option for the treatment of persistent postural-perceptual dizziness.

Keywords

Acknowledgement

이 과제는 부산대학교 기본연구지원사업(2년)에 의하여 연구되었음

References

  1. Brandt T. Phobic postural vertigo. Neurology 1996;46(6):1515-9. https://doi.org/10.1212/WNL.46.6.1515
  2. Ruckenstein MJ, Staab JP. Chronic subjective dizziness. Otolaryngol Clin North Am 2009;42(1):71-7. https://doi.org/10.1016/j.otc.2008.09.011
  3. Kim HA, Lee H. Pitfalls in the Diagnosis of Vertigo. J Korean Neurol Assoc 2018;36(4):280-8. https://doi.org/10.17340/jkna.2018.4.2
  4. Lee JD. Persistent Postural-Perceptual Dizziness. Stress 2016;20:25.
  5. Bisdorff A, Von Brevern M, Lempert T, Newman -Toker DE. Classification of vestibular symptoms: towards an international classification of vestibular disorders. J Vestib Res 2009;19(1-2):1-13. https://doi.org/10.3233/VES-2009-0343
  6. Lee GD. Persistent postural perceptual dizziness. Res Vestibul Sci 2016;15(3):70-3. https://doi.org/10.21790/rvs.2016.15.3.70
  7. Bronstein AM. The visual vertigo syndrome. Acta Otolaryngol Suppl 1995;520 Pt 1:45-8. https://doi.org/10.3109/00016489509125186
  8. Jacob RG, Redfern MS, Furman JM. Space and motion discomfort and abnormal balance control in patients with anxiety disorders. J Neurol Neurosurg Psychiatry 2009;80(1):74-8. https://doi.org/10.1136/jnnp.2007.136432
  9. Staab JP, Eckhardt-Henn A, Horii A, Jacob R, Strupp M, Brandt T, et al. Diagnostic criteria for persistent postural-perceptual dizziness (PPPD): consensus document of the committee for the classification of vestibular disorders of the Barany society. J Vestib Res 2017;27(4):191-208. https://doi.org/10.3233/VES-170622
  10. Godemann F, Siefert K, Hantschke-Brug emann M, Neu P, Seidl R, Strohle A. What accounts for vertigo one year after neuritis vestibularis - anxiety or a dysfunctional vestibular organ? J Psychiatr Res 2005;39(5):529-34. https://doi.org/10.1016/j.jpsychires.2004.12.006
  11. Heinrichs N, Edler C, Eskens S, Mielczarek MM, Moschner C. Predicting continued dizziness after an acute peripheral vestibular disorder. Psychosom Med 2007;69(7):700-7. https://doi.org/10.1097/PSY.0b013e318151a4dd
  12. Best C, Tschan R, Eckhardt-Henn A, Dieterich M. Who is at risk for ongoing dizziness and psychological strain after a vestibular disorder? Neuroscience 2009;164(4):1579-87. https://doi.org/10.1016/j.neuroscience.2009.09.034
  13. Thompson KJ, Goetting JC, Staab JP, Shepard NT. Retrospective review and telephone follow -up to evaluate a physical therapy protocol for treating persistent postural-perceptual dizziness:a pilot study. J Vestib Res 2015;25:97-103.
  14. Staab JP, Ruckenstein MJ, Amsterdam JD. A prospective trial of sertraline for chronic subjective dizziness. Laryngoscope 2004;114(9): 1637-41. https://doi.org/10.1097/00005537-200409000-00025
  15. Rhee CK, Park GH, Lee CH, Chung SY, Jung PS. Psychogenic Dizziness: The psychiatric diagnosis and vestibular function tests. Journal of the Korean Balance Society 2003;2(1):73-7.
  16. Seok JI, Lee HM, Yoo JH, Lee DK. Residual dizziness after successful repositioning treatment in patients with benign paroxysmal positional vertigo. J Clin Neurol 2008;4(3):107-10. https://doi.org/10.3988/jcn.2008.4.3.107
  17. Kim HA, Lee H. Autonomic dysfunction as a possible cause of residual dizziness after successful treatment in benign paroxysmal positional vertigo. Clin Neurophysiol 2014;125(3):608-14. https://doi.org/10.1016/j.clinph.2013.08.008
  18. Wu P, Cao W, Hu Y, Li H. Effects of vestibular rehabilitation, with or without betahistine, on managing residual dizziness after successful repositioning manoeuvres in patients with benign paroxysmal positional vertigo: a protocol for a randomised controlled trial. BMJ open 2019;9(6):e026711. https://doi.org/10.1136/bmjopen-2018-026711
  19. Jung NR, Kim KT, Shin SM, Ko H. A Study on the Characteristics of Patients Treated for Dizziness with Jeoreongchajeonja-tang: A Retrospective Analysis of 63 Cases. The Journal of Internal Korean Medicine 2019;40(6):1122-35. https://doi.org/10.22246/jikm.2019.40.6.1122
  20. Kim YT, Chae JK, Kim GW, Shin HM. Effects of BanhabackchulChunma-tang on the Vascular Relaxation and its mechanism. Journal of Physiology & Pathology in Korean Medicine 2002;16(1):62-6.
  21. HA WJ, Moon SK, Lee HG, Cho SY, Park SU, Jung WS, et al. Clinical Effectiveness of Ikgibohyeol-tang (Yiqibuxue-tang) and Deer Antler on Fatigue Symptoms and HRV Results in Outpatients at Korean Medical Hospital: A Retrospective Chart Review Study. Journal of Korean Medicine 2022;43(3):139-49. https://doi.org/10.13048/jkm.22036
  22. Lee JH, Jo DC, Kim CG, Moon SJ, Park TY, Ko YS, et al. A Literature Review of Effectiveness on the Gongjin-dan (Gongchen-dan). Journal of Oriental Rehabilitation Medicine 2013;23(3): 69-78.