메니에르병의 한의치료에 관한 국내외 임상 연구 동향: 스코핑 리뷰

Abstract

Abstract Objectives : The purpose of this scoping review is to examine the trends in domestic and international clinical research on Korean medicine treatments for Meniere’s disease over the past 10 years. Methods : This study was conducted in the form of a scoping review, following the five-stage framework proposed by Arksey and O’Malley. A literature search was conducted on clinical studies of Korean medicine treatments for Meniere’s disease published between 2016 and 2025 across five domestic and international databases(RISS, KISS, OASIS, PubMed, and CNKI). The included study designs were limited to randomized controlled trials(RCTs), non-RCTs, before–after studies, case reports, and case series. Treatments included all types of Korean medicine interventions whether used alone or in combination. Key data such as treatment type, treatment duration, outcome measures, and adverse events were extracted and analyzed. Results : A total of 12 studies were included in this review: five case reports, one case series, five randomized controlled trials(RCTs), and one before-after study. Herbal medicine was the most frequently used intervention(n=9), followed by acupuncture(n=7) and pharmacopuncture(n=3). Various herbal prescriptions were used, with Oryeong-san and Banhabaekchulcheonma-tang among the most common. Alismatis Rhizoma(Taeksa) was the most frequently used single herb. Commonly used acupuncture points included Tinggong(SI19), Baihui(GV20), and Fengchi(GB20). Seven of the 12 studies combined Korean medicine with conventional Western medical treatments. All included studies reported symptom improvements after treatment. Only four studies addressed adverse events, of which three reported minor and non-serious effects. Conclusions : This study found that clinical research on Korean medicine treatments for Meniere’s disease primarily involved multimodal interventions, with considerable variation in interventions and outcome measures. To enhance the quality and clinical applicability of future research, standardized diagnostic criteria and high-quality studies with long-term follow-up are needed.