中醫治療更年期頭痛併發腦鳴病例報告

TCM Treatment of Headache with Buzzing in Brain during Menopause: A Case Study

謝瓊慧(Chiung-Hui Hsieh)

《台灣中醫臨床醫學雜誌》 13卷4期 (2007/12) Pp. 294-300

https://doi.org/10.6968/TJCCM.200712.0294

摘要

一位53歲女性，主訴症狀爲頭痛、腦鳴及血壓升高，且正值月經紊亂階段，故判斷與更年期症候群相關。西藥治療後血壓略降，但頭痛及腦鳴症狀仍未改善，故至本院中醫科就診，採用中醫滋陰潛陽法治療，以天麻鉤藤散合知柏地黃丸爲主方加味，治療後頭痛及腦鳴消失，且更年期症狀也同時獲得改善。而本患者在治療過程中腦鳴聲消失，轉變爲耳鳴，由此推論，腦鳴可能是程度較嚴重的耳鳴，與西醫論腦鳴並未與耳鳴區分的觀點一致。此案例說明以中藥治療頭痛、腦鳴或更年期症候群具有療效全面、作用持久及副作用小等優點，值得加以推展。

關鍵字

更年期 ； 耳鳴 ； 滋陰潛陽法 ； 天麻鉤藤散 ； 知柏地黃丸

並列摘要

A 53 years-old female complained about headache, buzzing in brain, and high blood pressure during menopause. Her blood pressure lowers a little bit after Western medication, but headache and buzzing are not improved. When she received TCM treatment in our department, the treatment principle for her is nourshing yin and checking exuberant yang with TianMaGouTengSan and ZhiBoDiHuangWan modified. Headache and buzzing disappeared, and symptoms of menopause are also imroved after treatment. During treatment, patient's buzzing in brain disappeared and became tinnitus. Therefore, the buzzing sound in brain could be a more serious tinnitus, which coincides with the viewpoint of Western medicine that there is no difference with buzzing in brain and tinnitus. This case explains that TCM can be advantageous in treating headache, buzzing in brain or other symptoms during menopuase.

並列關鍵字

menopuase ； buzzing in brain ； nourish yin to check exuberance of yang ； TianMaGouTengSan ； ZhiBoDiHuangWan