The Third Clinical College, Zhejiang Chinese Medical University, Hangzhou, China.
Department of Acupuncture and Moxibustion, The Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Medicine (Baltimore). 2023 Nov 24;102(47):e36032. doi: 10.1097/MD.0000000000036032.
Horizontal semicircular canal benign paroxysmal positional vertigo (HSC-BPPV) is a second common canal of Benign Paroxysmal Positional Vertigo (BPPV); its actual incidence may have been underestimated because of its complex pathogenesis. Although the canalith repositioning maneuver is the treatment of choice, it has a high recurrence rate, affecting some patients' lives and psychology. We submit a case report describing acupuncture and wheat grain moxibustion treatment for HSC-BPPV.
A 70-year-old patient with HSC-BPPV had low acceptability of the otolith repositioning treatment strategy and reported intolerance during the procedure. He turned to acupuncture as a result of recurrent attacks of vertigo.
Horizontal semicircular canal benign paroxysmal positional vertigo.
The intervention project was acupuncture followed by wheat grain moxibustion treatment, administered once every 2 days, 3 times a week. The whole treatment period lasted for 2 months.
The patient's clinical symptoms of vertigo improved significantly after 8 weeks of acupuncture and wheat grain moxibustion treatment. The Dizziness Handicap Inventory (DHI) and Visual Vertigo Analogue Scale (VVAS) scores decreased, thus verifying that the severity of vertigo was reduced.
This brief clinical report suggests that acupuncture therapy may be a complementary option for treating HSC-BPPV.
水平半规管良性阵发性位置性眩晕（HSC-BPPV）是良性阵发性位置性眩晕（BPPV）的第二常见管型；由于其发病机制复杂，实际发病率可能被低估。虽然耳石复位手法是首选治疗方法，但复发率高，影响部分患者的生活和心理。我们提交了一份病例报告，描述了针刺和麦粒灸治疗 HSC-BPPV。
一位 70 岁的 HSC-BPPV 患者对耳石复位治疗策略的接受度较低，并在治疗过程中报告不耐受。由于眩晕反复发作，他转而接受针刺治疗。
水平半规管良性阵发性位置性眩晕。
干预方案为针刺联合麦粒灸治疗，隔日一次，每周 3 次。整个治疗周期持续 2 个月。
患者在接受 8 周的针刺和麦粒灸治疗后，眩晕的临床症状明显改善。眩晕残障程度量表（DHI）和视觉眩晕模拟量表（VVAS）评分降低，表明眩晕严重程度降低。
这份简短的临床报告提示针刺疗法可能是治疗 HSC-BPPV 的一种补充选择。
