• Title/Summary/Keyword: 현훈

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A Case Study about Soyangin Cerebellar Atrophy Patient suffering from Dizziness improved by Hyeungbangjihwang-tang (형방지황탕(荊防地黃湯)으로 호전된 소양인(少陽人) 소뇌위축증 환자의 현훈(眩暈) 치험 1례)

  • Go, Ga-Yeon;Jang, Moon-Hee;Kim, Kang-Yoon;Ahn, Taek-Won
    • Journal of Sasang Constitutional Medicine
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    • v.25 no.3
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    • pp.233-242
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    • 2013
  • Objectives This case is about a Soyangin cerebellar atrophy patient. In this study, we report the effect of Sasang Constitutional treatment to this patient. Methods This patient was treated by Soyangin's constitutional medications and acupuncture according to the result of Sasang Constitutional diagnosis. We used Visual Analogue Scale(VAS) and Equilibrium Function Test. Results and Conclusions This patient's chief complaints were dizziness. By using Hyeungbangjihwang-tang, she showed positive response about her symptom. This study shows that Hyeungbangjihwang-tang has effect to cerebellar atrophy in Soyangin.

A clinical review of Benign Paroxysmal Positional Vertigo Patient-1 case (양성 발작성 체위성 현훈 환자 치험 1례)

  • Kim, Seong-beom;Sim, Sung-yong;Kim, Kyung-jun;Nam, Hye-jeong
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.16 no.1
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    • pp.214-219
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    • 2003
  • Vertigo is one of the common symptoms that we can see often clinically. It is hallucination to motion of oneself or surroundings. Vertigo include not only simple whirling sensation but also leaning or falling down sensation. Particularly in benign paroxysmal positional vertigo(BPPV), the principal symptom is dizziness and accompanied by nausea, lightheadness, vomiting. They are induced by positional change which like shake ones head or lay down or turn over in one' s sleep. Cause of BPPV is otoconium fragments which are released from inner ear and stimulate ampulla of semicircular canal. So in treatment BPPV, we often using the Dix-hallpike maneuver that realignment otoconium fragments. A case of vertigo patient suggested BPPV who is diagnosed oriental medically as weakly dizziness showed prominent improvement by medicate Bojungikgi-tang and operate otoconium-realignmentation (improved Dix-hallpike maneuver) maneuver so we reported.

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Pitfalls in the Diagnosis of Vertigo (현훈 진단에 있어 함정)

  • Kim, Hyun Ah;Lee, Hyung
    • Journal of the Korean neurological association
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    • v.36 no.4
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    • pp.280-288
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    • 2018
  • Vertigo/dizziness is a common complaint in patients who are seeking a primary health clinic. Vertigo is traditionally attributed to damage of the vestibular system. Many peripheral and central vestibular disorders are usually presented with vertigo. However, patients with benign paroxysmal positional vertigo (BPPV), a leading cause of vertigo, may present with postural lightheadedness, near faint, imbalance rather than true vertigo. On the contrary, patients with orthostatic hypotension may present with true spinning vertigo, not dizziness. Persistent postural perceptual dizziness, a second most common cause of dizziness (after BPPV), is mainly occurred after organic vestibular disorders such as BPPV or vestibular neuritis, and classified as a chronic functional vestibular disorder. This article describes non-vestibular disorders presenting dizziness and/or vertigos, which conditions may be misdiagnosed as structural vestibular disorders.

A Case Report of Benign Paroxysmal Positional Vertigo treated by Baekho-tang based on Shanghanlun Provisions (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 백호탕(白虎湯) 투여 후 호전된 양성 돌발성 체위성 현훈 증례 1례)

  • Park, Seo-yeon
    • 대한상한금궤의학회지
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    • v.12 no.1
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    • pp.199-209
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    • 2020
  • Objective: The purpose of this paper is to report the improvement in a patient with benign paroxysmal positional vertigo (BPPV) treated with herbal medication based on the Shanghanlun disease pattern identification diagnostic system. Methods: According to the 'Disease Pattern Identification Diagnostic System based on Shanghanlun Provisions,'the patient was diagnosed with Guorem-byung number 350 provision, and took Baekho-tang herbal medication for 15 days. The result of administration was evaluated using the Dizziness Handicap Inventory (DHI) and the Visual Analog Scale (VAS). Results: After administration of Baekho-tang for 15 days, based on the 350 provision of Baekho-tang diagnosed according to the Shanghanlun provisions, the DHI score decreased from 74 to 16 and the VAS score decreased from 10 to 1. Conclusions: The patient recovered from symptoms of BPPV. This case report suggests that the words '滑,''厥,''裏'on the 350 provision of Shanghanlun mean physical and psychological causes of BPPV in this case.

Clinical Characteristics of Patients with Tinnitus accompanied Vertigo (현훈을 동반한 이명 환자들의 임상적 특성)

  • Kyung-Jun Kim
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.37 no.2
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    • pp.27-36
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    • 2024
  • Objectives : This study is to find out clinical characteristics of patients with Tinnitus and Vertigo. Methods : 28 patients were recruited in this study who were ill with tinnitus accompanied vertigo. They told me the aspects of tinnitus and wrote out the Tinnitus Handicap Inventory(THI). Also, they were divided into central and peripheral vertigo. Through symptoms of tinnitus and vertigo, the discrimination of Heo-sil(虛實) was based on the specific aspect of tinnitus along with Zhuang fu bian zheng(臟腑辨證). Results : In tinnitus, high-narrow tone group is more than low-wide tone group and the rate of Heo symptom(虛證) group is higher than Sil symptom(實證) group. In vertigo, the rate of peripheral group is higher than central group. Conclusions : It is expected that this survey will help patients with both tinnitus and vertigo in their treatment progress and prognostic judgment.

Five Case Report of Peripheral Vertigo Diagnosed Dam Hun with Oriental Medical Treatment - Banhabaeckchulchunma-tang gagam - (담훈으로 변증된 말초성 현훈 환자 5례에 대한 임상보고 - 반하백출천마방 가감방을 중심으로 -)

  • An, So-Hyun;Choi, Jeong-Sik;Cho, Chung-Sik;Kim, Cheol-Jung
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.23 no.1
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    • pp.263-268
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    • 2009
  • Pripheral vertigo occurs if there is a problem with the part of the inner ear that controls balance or with the vestibular nerve, which connects the inner ear to the brainstem. Peripheral vertigo is caused by benign paroxysmal positional vertigo(BPPV), Menieres disease, vestibular neuronitis, or labyrinthitis. We diagnosed five patients who have severe vertigo as peripheral vertigo and Dam Hun. We treated them with Banhabaeckchulchunma-tang gagam and acupuncture. After treatment, vertigo and other symptoms -nausea, vomiting, abdominal discomfort had improved. So I report these cases, but more clinical case reports are needed.

A Clinical report on 8 Constitutional Acupuncture Therapies for Treatment One Case of Dissiness Suggested Menieres Syndrome (메니에르 증후군 의증의 현훈 환자 1례에 대한 팔체질침을 사용한 증례 보고)

  • Lee Hyoung Ho;Kim Jin gue;Jung Myung gul;Kim Yong chan;Kim Jong dae
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.16 no.5
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    • pp.1079-1083
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    • 2002
  • Dizziness is a common and often vexing symptom. But the cause of dizziness is very various and generally divided into peripheral and central. Although there are some clinical reports about dizziness. there isn't any report by Constitutional therapy. In this study, the author reports a case of recurrence and persistent vertigo. he was consulted to local E.N.T. and clinically suggested Menier's disease with tinnitus, mild deafness, and vertigo. By using the method of 8 Constitutional Acupuncture therapy and herbal medication(Mihudungsikjang-tang) regarding him as COLONOTONIA. After he regarded and treated as GOLONOTONIA, the symptoms disappeared.

Development of Standardized Pattern Identification for Dizziness by Delphi Method (현훈(어지럼증) 한의표준변증안 개발을 위한 전문가 델파이 조사)

  • Oh, Se-Hee;Jung, Chan-Yung;Hong, Seung-Ug
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.33 no.2
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    • pp.43-54
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    • 2020
  • Objectives : The goal of this study is developing standardized pattern identification of dizziness using delphi method. Methods : The pattern identification of dizziness which derived through literature review is studied by delphi method. A group of 9 experts of korean medicine participated in Delphi examination. Experts carried out evaluating and correcting the pattern identification and symptoms by e-mail. Results : Through 3 delphi examinations, final standardized pattern identification of dizziness was suggested. It consisted of 2 items of excess syndrome, 2 items of excess-deficiency combination syndrome, and 3 items of deficiency syndrome. Conclusions : By the delphi examinations among experts, a standardized pattern identification of dizziness was suggested. These pattern identification will contribute to research and treatment of korean medicine. Further study is necessary for modification of pattern identification by practical clinical use.

Case Studies of Central Vertigo Patients Diagnosed as Cerebellar infarction (중추성 현훈과 운동실조를 주소로 한 소뇌경색 환자 치험 1례)

  • Choi, Ki-Suk;Lee, Hyung-Ho;Shin, Yong-Soo;Kim, Jin-Sung;Kim, Young-Suk;Han, Yang-Hee;Im, Mi-Kyung
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.22 no.6
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    • pp.1589-1593
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    • 2008
  • Vertigo is a frequent clinical finding in cerebellar infarction patients. In this report, one case suffered from central vertigo diagnosed as cerebellar infarction and could not walk without any help. After the Oriental medicine therapy, the severity of his vertigo reduced and he could walk without any help in hospital. We suggest Oriental medicine therapy is significantly effective on the treatment of cerebellar infarction.

Treatment of Benign Paroxysmal Positional Vertigo (양성돌발성 체위현훈의 치료)

  • Kim, Chul-Seung
    • Korean Journal of Clinical Laboratory Science
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    • v.40 no.2
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    • pp.135-141
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    • 2008
  • Benign paroxysmal positional vertigo (BPPV) is one of the most common clinical entities encountered in a dizziness clinic. Treatment of this disease, canalith repositioning procedures, have been reported to be successful in 44-90%. Treatment requires only one treatment visit in most patients. However, there are significant numbers of patients who require multiple treatment visits for relief. The goal of this study is to identify variables that may be associated with these difficult to treat cases. Retrospective review was performed for the patients diagnosed as BPPV at St. Carollo dizziness center. Variables for statistical analysis included age, sex, involved canal, presence of bilateral disease, presence of recent head trauma, presence of chronic otitis media, history of middle ear surgery, history of otologic surgery, unilateral vestibular loss, underlying disease such as hypertension or diabetes, change of involved canal during treatment course and number of treatment visits. Two hundred patients with BPPV who received treatment were identified from JAN. 2006 to JUN. 2007. 87% required one treatment visit, 5% required second treatment visit, and 95% were successfully treated after three treatment visits. Variables such as bilateral disease, post-traumatic BPPV, duration of symptom before treatment and change of involved canal during treatment were significantly related with number of treatments. Patient's with bilateral BPPV or with recent head trauma or longer duration of symptom are more likely to require multiple visits for canalith repositioning.

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