頸部推拿治療頸源性頭暈－病例報告

Manipulation of Neck for Cervicogenic dizziness- Case Reports

楊宗憲(Tsung-Hsien Yang) ； 黃敬雯(Ching-Wen Huang) ； 黃新家(Hsin-Chia Huang)

《中醫藥雜誌》 29卷2期 (2018/12) Pp. 140-148

https://doi.org/10.3966/241139642018122902010

摘要

頸源性頭暈目前機制不明，診斷主要依靠病史（如外傷史）及理學檢查等方式，並且排除前庭功能引起的頭暈後，才能成立。目前認為的發病原因是頸部結構的異常，影響位於頸部的感覺神經傳入系統，導致本體感覺、視覺、前庭系統之間的聯繫發生阻礙，進而造成頭暈。本篇報告追蹤2015年07月至2016年06月一年間，前來本人門診就診的患者，共有三例皆因外傷後引起的頸源性頭暈。三例皆為女性，且在受傷前少有頭暈或暈眩症狀。經過2或3次的頸項部手法治療後，頭暈頻率均有明顯改善，後續三個月追蹤也沒有復發情況。雖然外傷造成的頸源性頭暈還不知道確切機制，但憑著中醫骨傷科治療的原則－骨正筋柔、氣血自流，來處理骨錯縫、筋出槽的頸部，的確能達到良好的治療效果。

關鍵字

頸源性頭暈 ； 手法 ； 推拿

並列摘要

The diagnosis of cervicogenic dizziness is dependent on correlating symptoms, such as imbalance, dizziness, and neck pain. Besides, it is necessary for excluding other vestibular disorders based on history, physical examinations, and vestibular function tests. Currently, it is thought that injury or pathology of the neck may be associated with a sense of dizziness because of the strong connections between cervical receptors and balance function. There were 3 females coming to my out-patient department with the symptom of dizziness after head/neck trauma from 2015.07 to 2016.06. After exposure to manipulation of neck 2 to 3 sessions, the symptoms subsided, and were never recurrent after the following 3 months. The method of manipulation is safe and easy to operate. Although the mechanism of cervicogenic dizziness is unknown, the treatment with the principles of traditional Chinese medicine manipulation-reduction to the subluxation and immobilization of cervical joint for cervicogenic dizziness is good.

並列關鍵字

Cervicogenic dizziness ； Manipulation ； Tuina

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