좌측 전정기능 이상으로 발생한 현훈의 갈근해기탕 치험 1례

Abstract

Objectives This study aimed to report the clinical improvement of dizziness symptoms in a patient diagnosed with vestibular hypofunction. Based on Sasang Constitutional Medicine, the patient was classified as a Taeeumin with liver heat pattern, and was treated accordingly. Methods The patient received Sasang-type tailored treatment including herbal medicine (Galgeunhaegi-tang) and adjunctive therapies from January 6th to February 19th, 2025. The treatment outcomes were assessed through the Dizziness Handicap Inventory (DHI), Numerical Rating Scale (NRS) for dizziness, balance assessment using posturography, baropodometric analysis, and records of accompanying symptoms. Results During the treatment period, dizziness intensity showed gradual improvement, with complete resolution of symptoms in the final weeks. DHI scores and posturographic measures demonstrated functional recovery. Additionally, constitutional symptoms such as frequent loose stools, halitosis, and thirst also improved, indicating an overall stabilization of both chronic and acute pattern presentations. Conclusion This case suggests that a constitutional diagnosis and treatment approach using Galgeunhaegitang may be effective in improving vestibular hypofunction-related dizziness and accompanying systemic symptoms in Taeeumin patients.