Treatment of Meniere's Disease with Thought of Constitution Syndrome Differentiation: A Case Report
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1.Department of Encephalopathy, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 101100, China
2.Sleep Psychology Clinic, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 101100, China
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HUANG Lixian, LI Hongyan. Treatment of Meniere's Disease with Thought of Constitution Syndrome Differentiation: A Case Report[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31454320&Fpath=home&index=0
DOI:
HUANG Lixian, LI Hongyan. Treatment of Meniere's Disease with Thought of Constitution Syndrome Differentiation: A Case Report[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=31454320&Fpath=home&index=0DOI:
Treatment of Meniere's Disease with Thought of Constitution Syndrome Differentiation: A Case Report增强出版
Summary of case history, The patient Wang, male, 48 years old, went to a doctor on December 8, 2019 due to "paroxysmal vertigo with hearing loss in the right ear for 3 years, aggravating for 1 month". In the past 3 years, patients often induce dizziness after emotional excitement and tiredness, which lasts for 20 minutes to several hours each time. The vision is shaking, accompanied by right tinnitus and ear congestion. Frequent attacks in the last month. The patient had seen doctors in other hospitals for many times, and no abnormality was found in the head MRI and other examinations. Other diseases could be excluded, and the patient was diagnosed as "Meniere's disease", which was invalid after treatment with drugs such as Minsch Lang and hormone. The patient refused the surgical treatment, so he came to our outpatient clinic to seek TCM diagnosis and treatment.Symptoms and signs:Right tinnitus, lumbago and fatigue, fear of cold and heat, dry mouth without bitterness, do not like drinking water, memory loss, stomach congestion, stomach fear of cold, stool does not take shape, urinate. The tongue is dull with cracks in it, the fur is white and greasy, and the pulse is fine.,TCM diagnosis, vertigo (Cold water flooding).,Western medicine diagnosis ,Meniere's disease.,Therapeutic methods ,In traditional Chinese medicine, the method of tonifying the spleen and kidney, warming yang and promoting diuresis is used to treat it with Jishengqi Pill and Linggui Shugan Decoction plus a reduced formula. At the same time, it is used to control salt, maintain emotional comfort, and soak feet in hot water at night.,Clinical outcomes ,The patient did not have dizziness after taking the medicine, the tinnitus was reduced, and the right ear hearing was fair.
Committee on Hearing and Equilibrium. Report of subcommittee.on equilibrium and its measurement.Meniere's disease.criteria for diagnosis and evaluation of therapy for reporting[J].Trans Am Acad Ophthalmol Otolaryngol,972,76(6):1462-1464.