Context: Pharmacologic treatment of dizziness is still not well-established. Consequently, traditional Japanese (Kampo) herbal medicine is commonly used. Ryokeijutsukanto is used to treat dizziness caused by orthostatic dysregulation (OD).
Objective: We aimed to evaluate the effectiveness of ryokeijutsukanto, a traditional Japanese (Kampo) herbal medicine, in treating dizziness, including light-headedness and/or palpitations. We focused on dizziness caused by OD, a condition commonly treated with ryokeijutsukanto.
Design: We used a case series design.
Setting: The study was centered in the department of internal medicine and department of otolaryngology at a general hospital.
Patients: We tested ryokeijutsukanto in four female patients who were experiencing dizziness and who were diagnosed with OD.
Intervention(s): The patients received ryokeijutsukanto (1.5 g to 4.2 g of dried extract daily).
Main Outcome Measure(s): Ryokeijutsukanto was prescribed to the four patients; clinical efficacy and improvement in dizziness were assessed using the Clinical Global Impression-Improvement scale and Vertigo Symptom Scale-Short Form.
Results: All patients intended to continue Kampo treatment since high curative effects and no adverse effects were observed.
Conclusions: To the best of our knowledge, this is the first report elucidating the effectiveness of ryokeijutsukanto in treating dizziness as a result of OD. Ryokeijutsukanto may be an appropriate complementary therapy for OD.
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