A Case of Atypical Ménière’s Disease with Frequent Urination Successfully Treated with Choreitogoshimotsuto
- VernacularTitle:頻尿症状を伴うメニエール病非定型例に猪苓湯合四物湯が有効であった1例
- Author:
Akiko SHIRAI
1
;
Keiko OGAWA
2
Author Information
- Keywords: Ménière’s disease; choreitogoshimotsuto; blood deficiency; static blood; yin deficiency
- From:Kampo Medicine 2023;74(4):342-347
- CountryJapan
- Language:Japanese
- Abstract: Ménière’s Disease is an unexplained inner ear lymphedema disease. We report a case of atypical Ménière’s Disease with frequent urination in which choreitogoshimotsuto (CRTST) was effective. A 47-year-old woman had repeated bilateral tinnitus and hearing loss for the past 3 years, and was diagnosed with an atypical case of Ménière’s Disease at a local otolaryngologist. She continued oral administration of isosorbide, but repeated exacerbations and remissions. Given the pathology of fluid retention, blood deficiency, static blood, and yin deficiency, we prescribed her CRTST referring to the symptom of frequent urination. The symptoms of frequent urination and tinnitus subsequently improved and CRTST was naturally discontinued after 1 year and 3 months. CRTST has the effects of fluid regulation, heat clearance, nourishment of yin, tonifying blood, and resolving blood stasis. Goreisan and Saireito are generally used for Ménière’s Disease because inner ear lymphedema is regarded as fluid retention. This case shows that CRTST can be an effective option for treatment of Ménière’s Disease caused by pathological conditions such as fluid retention, blood deficiency, static blood, and yin deficiency.
