經方治癒周邊性眩暈之醫案報告

眩暈是臨床常見的主訴，病患會感覺到周遭景物旋轉或搖晃，無法維持平衡與姿勢。嚴重時會影響到工作、開車以及日常生活能力。雖然大部分的突發性眩暈病患於發病兩週內會逐步緩解，但少部眩暈症狀會持續困擾患者。周邊性眩暈是頭暈最主要的類型，約佔總發病原因40%，通常西醫治療採取藥物或物理治療療法，但仍有一定比率的病患無法得到良好的改善。本病例報告提出一個陣發性頭暈頻頻發作，曾有三次嚴重到突然昏倒、意識不清的患者，在接受一個月的中藥治療後，頭暈的症狀改善至沒有再度發作，且追蹤一個月均沒有再度發作。與其他療法相比，具有療效迅速且能持續的優點，為醫者在臨床面對此類病症，值得參考的良好方法之一。

關鍵字

眩暈；苓桂朮甘湯；中藥；辛夷散

並列摘要

Vertigo is a common chief complaint. The patient often experiences as a sensation of spinning(either the room spinning or the person spinning) and he is unable to maintain balance and posture. Furthermore, it also affects work, driving a car or daily living. Although most of the sudden onset of vertigo patients will be gradually relieved in two weeks, about a small number of patients will develop chronically. Peripheral vertigo is the most important type of dizziness, accounting for about 40% and usually can be treated with the modern western medicine. However, there are still a certain percentage of patients who cannot get a better improvement. This case report presents patient with frequent episodes of paroxysmal dizziness who had three serious experiences of falling down unconsciously. After receiving the traditional Chinese medicine one month, the symptom improved to not relapse again by following one month. Compared with other therapies, Chinese medicine has the advantage of rapid and sustained effect. As a doctor in the face of such clinical symptoms, this case is extremely worthy for us to appreciate.