The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
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A Case Report of Dizziness with Postural Hypotension Improved by Korean Medicine Treatment

한의 치료로 호전된 기립성 저혈압을 동반한 어지럼증 환자 치험 1례

  • Jeong-hui Kim (Dept. of Circulatory Internal Medicine, College of Korean Medicine, Daejeon University) ;
  • Ye-seul Park (Dept. of Circulatory Internal Medicine, College of Korean Medicine, Daejeon University) ;
  • Ju-yeon Song (Dept. of Circulatory Internal Medicine, College of Korean Medicine, Daejeon University) ;
  • Ho-ryong Yoo (Dept. of Circulatory Internal Medicine, College of Korean Medicine, Daejeon University) ;
  • In-chan Seol (Dept. of Circulatory Internal Medicine, College of Korean Medicine, Daejeon University) ;
  • Yoon-sik Kim (Dept. of Circulatory Internal Medicine, College of Korean Medicine, Daejeon University)
  • 김정희 (대전대학교 한의과대학 심계내과학교실) ;
  • 박예슬 (대전대학교 한의과대학 심계내과학교실) ;
  • 송주연 (대전대학교 한의과대학 심계내과학교실) ;
  • 유호룡 (대전대학교 한의과대학 심계내과학교실) ;
  • 설인찬 (대전대학교 한의과대학 심계내과학교실) ;
  • 김윤식 (대전대학교 한의과대학 심계내과학교실)
  • Received : 2023.05.26
  • Accepted : 2023.07.03
  • Published : 2023.06.30
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Abstract

Background: Postural hypotension refers to a drop in systolic blood pressure of 20 mmHg or diastolic blood pressure of 10 mmHg or more within three minutes after standing up from lying down. Symptoms of postural hypotension not only include dizziness and blurred vision but also fatigue, cognitive decline, leg weakness, headache, and, in severe cases, fainting. Postural hypotension is a phenomenon that occurs in about 6% of the total population, and in Korea, the number of patients with postural hypotension is continuously increasing. Both pharmacological and non-drug therapies, which are treatment methods for this disease, do not show a satisfactory symptom improvement effect. Case summary: A 65-year-old male patient who visited the hospital complaining of dizziness and paresthesia due to postural hypotension was treated with acupuncture, moxibustion, and herbal medicine. For symptom evaluation, the numeric rating scale (NRS) of each symptom was used, and blood pressure change according to posture was measured. After treatment, the NRSs of dizziness and dysesthesia were decreased, and blood pressure changes according to posture was improved. Conclusion: This case report suggests that Korean medicine treatment, including acupuncture, electro-acupuncture, moxibustion, and herbal medicine, can be an effective treatment for dizziness with postural hypotension.

Keywords

References

  1. Ahn MS. Orthostatic Intolerance Syndrome. International Journal of Arrhythmia 2016;17(2):80-5. https://doi.org/10.18501/arrhythmia.2016.014
  2. Health Insurance Review and Assessment Service. Healthcare Big data Hub [Internet]. Available from:http://opendata.hira.or.kr/op/opc/olap4thDsInfo.do
  3. Khurana RK. Coat-hanger ache in orthostatic hypotension. Cephalalgia 2012;32(10):731-7. https://doi.org/10.1177/0333102412449932
  4. Robertson D, Kincaid DW, Haile V, Robertson RM. The head and neck discomfort of autonomic failure: an unrecognized aetiology of headache. Clinical Autonomic Research 1994;4(3):99-103. https://doi.org/10.1007/BF01845772
  5. Bleasdale-Barr KM, Mathias CJ. Neck and other muscle pains in autonomic failure: their association with orthostatic hypotension. Journal of The Royal Society of Medicine 1998;91(7):355-9. https://doi.org/10.1177/014107689809100704
  6. Ricci F, Caterina RD, Fedorowski A. Orthostatic Hypotension : Epidemiology, Prognosis, and Treatment. Journal of The American College of Cardiology 2015;66(7):848-60. https://doi.org/10.1016/j.jacc.2015.06.1084
  7. Lee MS, Park YG, Bae NY. A Case Study of a Taeeumin Patient with Advanced Parkinson's Disease Having Orthostatic Hypotension. Journal of Sasang constitutional medicine 2016;28(2):193-204. https://doi.org/10.7730/JSCM.2016.28.2.193
  8. Radtke A, Lempert T, von Brevern M, Feldmann M, Lezius F, Neuhauser H. Prevalence and complications of orthostatic dizziness in the general population. Clin Auton Res 2011;21(3):161-8. https://doi.org/10.1007/s10286-010-0114-2
  9. Kang JH, Shin JY, Kim MJ, Ma HI. Differential Diagnosis of Vertigo. The Journal of Medicine and Life Science 2019;16(3):64-75. https://doi.org/10.22730/jmls.2019.16.3.64
  10. Kim DH. Orthostatic Dizziness. Research in VestibularScience 2011;10(2):150-4.
  11. Freeman R, Wieling W, Axelrod FB, Benditt DG, Benarroch E, Biaggioni I, et al. Consensus statement on the definition of orthostatic hypotension, neurally mediated syncope and the postural tachycardia syndrome. Clinical Autonomic Research 2011;21(2):69-72.
  12. Consensus statement on the definition of orthostatic hypotension, pure autonomic failure, and multiple system atrophy. The Consensus Committee of the American Autonomic Society and the American Academy of Neurology. Neurology 1996;46(5):1470.
  13. Ward C, Kenny RA. Reproducibility of orthostatic hypotension in symptomatic elderly. The American Journal of Medicine 1996;100(4):418-22. https://doi.org/10.1016/S0002-9343(97)89517-4
  14. Raj SR, Coffin ST. Medical therapy and physical maneuvers in the treatment of the vasovagal syncope and orthostatic hypotension. Progress in Cardiovascular Diseases 2013;55(4):425-33. https://doi.org/10.1016/j.pcad.2012.11.004
  15. Perlmuter LC, Sarda G, Casavant V, Mosnaim AD. A review of the etiology, associated comorbidities, and treatment of orthostatic hypotension. American Journal of Therapeutics 2013;20(3):279-91. https://doi.org/10.1097/MJT.0b013e31828bfb7f
  16. Nwazue VC, Raj SR. Confounders of vasovagal syncope: orthostatic hypotension. Cardiology Clinics 2013;31(1):89-100.
  17. Baek HN, Yoon HO. Orthostatic hypotension. Journal of Korean Society of Health-system Pharmacists 2016;33(4):321-32.
  18. Jeong KH, Lee E. A Systematic Review on Drug Safety for Molsidomine, Nicorandil and Trimetazidine. Korean Journal of Clinical Phamacy 2016;26(2):172-80.
  19. Lee JH. Chung-Gang-Eui-Gam. Seoul: Seongbosa; 1984, p. 224-6.
  20. The Society of Sasang Constitutional Medicine. Clinical Practice Guideline of Korean Medicine-Dizziness. Paju: Koonja; 2021, p. 44-74.
  21. Hwang DY. Bangyaghabpyeon. Seoul: yeonglimsa; 2002, p. 133-5.
  22. Korean Acupuncture & Moxibustion Society Textbook Compilation Committee. Acupuncture Medicine. 4th ed. Seoul: Hanmi Medicine Publish Company; 2016, p. 777-9.
  23. Yi GH, Jung CY, Hong SU. The Analysis on Trend of Clinical Studies about Dizziness in Journal of Korean Medicine. Journal of Korean Medicine Ophthalmology & Otolaryngology & Dermatology 2017;30(3):88-102.
  24. Yi S, Hiromi M, Shingo H, Hiroyuki S. Pressor effect of electroacupuncture on hemorrhagic hypotension. American Journal of Physiology Regulatory, Intergrative and Comparative Physiology 2003;285(6):1446-52. https://doi.org/10.1152/ajpregu.00243.2003
  25. Mohammad AS, Mohammad HE, Mohammad BK, Sina G, Farahzad J, Sakine S. Electroacupuncture Stimulation at Acupoints Reduced the Severity of Hypotension During Anesthesia in Patients Undergoing Liver Transplantation. Journal of Acupuncture and Meridian Studies 2012;5(1):11-4. https://doi.org/10.1016/j.jams.2011.11.001
  26. Jung HK, Lai JN, Lin JG, Chiang HJ, Wang YC, Kao ST. Intradialytic hypotension: Is intradialytic acupuncture a complementary option? A case report. Explore 2022;18(1):31-5. https://doi.org/10.1016/j.explore.2021.02.002