Yang Wen-Chieh
Department of Traditional Chinese Medicine Taipei Veterans General Hospital Hsinchu Branch Hsinchu Taiwan.
Clin Case Rep. 2025 Jan 24;13(2):e70147. doi: 10.1002/ccr3.70147. eCollection 2025 Feb.
Subclavian steal syndrome (SSS) often goes undiagnosed because of its variable and subtle symptoms, highlighting the need for innovative diagnostic approaches. This case report explores the integration of traditional Chinese medicine (TCM) in both diagnosing and managing SSS, marking a pioneering contribution to the field. An 80-year-old woman with persistent dizziness, unresponsive to conventional treatments, underwent TCM pulse diagnosis, which revealed significant inter-arm pulse discrepancies. Subsequent Western imaging confirmed SSS. The patient was treated with Chinese herbal medicines (CHMs) targeting Qi deficiency and blood stasis, resulting in significant symptom improvement and a reduction in inter-arm systolic blood pressure disparities. Follow-up over 1 year showed sustained benefits. The integration of TCM pulse diagnosis, CHMs, and Western imaging highlights their complementary roles and potential as adjunctive therapies for managing SSS, offering a novel and comprehensive therapeutic strategy.
锁骨下动脉盗血综合征(SSS)因其症状多变且隐匿,常未被诊断出来,这凸显了创新诊断方法的必要性。本病例报告探讨了中医在SSS诊断和管理中的应用,为该领域做出了开创性贡献。一名80岁女性持续头晕,常规治疗无效,接受了中医脉诊,发现双臂脉搏存在明显差异。随后的西医影像学检查证实为SSS。该患者接受了针对气虚血瘀的中药治疗,症状明显改善,双臂收缩压差减小。1年的随访显示持续受益。中医脉诊、中药和西医影像学的结合突出了它们的互补作用以及作为辅助治疗SSS的潜力,提供了一种新颖而全面的治疗策略。