Two Cases of Pulsatile Tinnitus Successfully Treated with Hachimijiogan
- VernacularTitle:八味地黄丸が奏効した拍動性耳鳴の2例
- Author:
Kazuhiro HIRASAWA
1
;
Kiyoaki TSUKAHARA
2
Author Information
- Keywords: pulsatile tinnitus; carotid artery stenosis; kidney yang deficiency; hachimijiogan
- From:Kampo Medicine 2023;74(3):223-227
- CountryJapan
- Language:Japanese
- Abstract: Pulsatile tinnitus results from turbulence that occurs in the vascular lumen of the neck, skull base, and temporal bone region. Here we report two cases in which hachimijiogan was effective for pulsatile tinnitus which was thought to be caused by carotid artery stenosis. Case 1 was a 77-year-old man. He had been aware of left pulsatile tinnitus for more than 10 years, and visited our department. Ultrasonography revealed a 56% stenosis in the left carotid artery, which was considered to be the cause of tinnitus. We administered him hachimijiogan because he had a pattern of kidney yang deficiency. After 12 weeks of administration, his symptom disappeared. Case 2 was an 86-year-old man. He had been aware of pulsatile tinnitus for a year, and visited our department. He was pointed out about 70% stenosis in the left carotid artery at another hospital, and we thought this was the cause of tinnitus. We administered him hachimijiogan because he had a pattern of kidney yang deficiency. After 16 weeks of administration, his symptom improved to about one quarter. It is considered that there are cases where pulsatile tinnitus due to carotid artery stenosis associated with arteriosclerosis can be treated as kidney deficiency, as well as age-related inner ear tinnitus.
