中医药研究论丛

281.11中药改善血管迷走神经性晕厥之病例报告

TJ TCM.28(1) : 145-165, 2025

DOI : 10.6516/TJTCM.202503_28(1).0011

中药改善血管迷走神经性晕厥之病例报告

Improvement of Vasovagal Syncope with Chinese Herbal Medicine: A Case Report

郑杰元1林姿婷1,*

1行天宫医疗志业医疗财团法人恩主公医院,新北,台湾

【摘要】
本病例是一名62岁男性,经西医诊断患有血管迷走神经性晕厥(Vasovagal Syncope),患者於2023年8月2日至恩主公医院中医部门诊就诊,主要症状为头晕、疲倦、胸闷、心悸及频脉感。中医辨证为肝郁脾虚、心阴虚损、虚阳外越,治则为疏肝健脾、滋阴潜阳。治疗期间主要中医复方以桂枝加龙骨牡蛎汤、炙甘草汤和逍遥散为主,而单味药的加减以黄耆、柏子仁、枳实和薤白为主,持续追踪治疗半年後,患者头晕、疲倦、胸闷、心悸及频脉感等症状均显着改善,病情趋於稳定,目前仍持续於门诊进行追踪治疗。本病例报告显示使用中药治疗可有效缓解迷走神经性晕厥之复杂症状,可提供中药治疗相关疾病之叁考。
【关键词】昏厥(syncope)、血管迷走神经性晕厥(Vasovagal Syncope)、炙甘草汤、桂枝加龙骨牡蛎汤、逍遥散
【Summary】
This case report presents a 62-year-old male diagnosed with Vasovagal Syncope. The patient presented to the Department of Traditional Chinese Medicine at En Chu Kong Hospital on August 2, 2023, and his chief symptoms of dizziness, fatigue, chest tightness, palpitations, and frequent pulse sensation bothered him. From the aspects of traditional Chinese medicine, the syndromes could be classified as stagnation of liver and spleen deficiency, yin deficiency of heart, and outward dispersion of pseudo-hyperactive yang. The medicine treats these symptoms and causes by dispersing stagnated liver qi and strengthening spleen, and nourishing yin for suppressing pseudo-hyperactive yang. The treatment primarily consisted of a combination of Gui Zhi Long Gu Mu Li Decoction, Zhi Gan Cao Decoction, and Xiao Yao San, with modifications including Huangqi, Baiziren, Zhishi, and Xiebai. After six months of treatment and follow-up, the patient effectively improved the symptoms such as dizziness, fatigue, chest tightness, palpitations, and frequent pulse sensation. This case report showed that TCM therapy could effectively alleviate the complicated symptoms of vasovagal syncope, providing a reference for the treatment of related conditions with TCM therapy.
【Keywords】Syncope; Vasovagal Syncope; Gui Zhi Long Gu Mu Li Decoction; Zhi Gan Cao Decoction; Xiao Yao San