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中医药研究论丛
 264.7 中枢型眩晕（Central Vertigo）的针灸治疗病例报告
TJ TCM.26(4) : 83-90, 2023
DOI : 10.6516/TJTCM.202309_26(4).0007
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中枢型眩晕（Central Vertigo）的针灸治疗病例报告
A Case Report of Acupuncture Treatment of Central Vertigo
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黄繻谊 1,2 林崇舜 1,2,*
1 花莲慈济医院中医部，花莲，台湾
2 慈济大学学士後中医系，花莲，台湾
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【摘要】
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一位83岁女性病患，患有间歇性头晕长达五十多年，於十五年开始在西医耳鼻喉科诊所就诊，并诊断为中枢型眩晕，发作时表现头昏无力，伴随肩颈紧绷感，严重发作时须躺在床上数小时，并服用 Aspirin 等西药控制症状，发作的频率及强度并未获得改善，在五月份至中医门诊求助治疗，在经络诊 断上，病位落於手足少阳经及足太阳经，脏腑病位则在肝肾，故治疗上选择 局部穴位如头部的四神聪、百会、晕听区、风池，远端手足取穴则选取承山 、太溪、太冲等，并搭配耳豆穴位按压。在经过三个月的针灸治疗（一周一 次）搭配耳穴按压後，患者头晕的发作频率由一周三次，改善为两周一次， 在主观的头晕程度感受（VAS Dizziness）上，由八分转为四分。
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【关键词】眩晕、针灸、中枢型眩晕
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Syu-Yi Huang1,2 Chung-Shuen Lin1,2,*
1 Department of Chinese Medicine, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan
2 School of Post-Baccalaureate Chinese Medicine, Tzu Chi University, Hualien, Taiwan
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【Summary】
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A 83-year-old female patient suffered from intermittent dizziness for over than fifty years. She started to seek ear-nose-throat out-patient department since fifteen years ago, and was diagnosed with central vertigo. During an attack, she would feel weak and dizzy, accompanied by tension in the shoulders and neck. When the se[1]vere dizziness attacked, she was forced to lie on bed for several hours and took Bokey(Aspirin) one tablet daily. However, the occurring frequency of dizziness and the severity did not improve. She went to the out-patient department of Traditional Chinese Medicine of Hualien Tzu Chi Hospital in May. Based on meridian diagno[1]sis, her condition was located in the Hand Shaoyang Meridian, Foot Taiyang Merid[1]ian, and the liver and kidney organs. Therefore, local acupoints such as Si Shen Cong (EX-HN1), Baihui (DU20), the vertigo and hearing area, and Fengchi (GB20) were selected for treatment, as well as distant acupoints such as Chengshan (BL57), Taixi (KI3), and Taichong (LR3). Ear seed acupressure was also used. After the three-month acupuncture therapy (one times per week), her occurring frequency of dizziness turns from three times per week to one times two week. The subjective Visual Analogue Scale (VAS Dizziness) score changes from 8 to 4 scores.
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【Keywords】
acupuncture, Central vertigo, acupressure
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