<b>Endolymphatic Hydrops as a Clinical Condition in Traditional Oriental Medicine —Is an Endolymphatic Hydrops Condition the Same as </b><i><b>Suidoku</b></i><b>? Analysis of Endolymphatic Hydrops by Traditional C / 日本東洋医学雑誌

ABSTRACT

<p>Endolymphatic hydrops, regarded as a marker of Ménière's disease, can now be diagnosed using MRI. Since endolymphatic hydrops is considered a condition of fluid disturbance known as <i>suidoku </i>in Kampo medicine, Kampo preparations with a water flow smoothing ability are often used to treat endolymphatic hydrops. However, the hypothesis that endolymphatic hydrops is <i>suidoku </i>indication has not been fully tested. We used traditional Chinese medicine to diagnose patterns in 11 patients who had been diagnosed with endolymphatic hydrops using MRI. Additionally, we researched the literature regarding the condition of fluid disturbance and resulting vertigo. Of the 11 patients, seven showed disorder of fluid, eight showed kidney (traditional medicine, TM) disorder, and five showed liver (TM) disorder. According to the literature, the vertigo condition caused by fluid disturbance was described in the chapters “tanyinkesoubing and shuiqibing” in the “Jinguiyaolue”. Since no auditory symptom is mentioned in these chapters on vertigo, vertigo caused by fluid disturbance might differ from typical Ménière's disease with auditory symptoms. It is suggested that the patients with endolymphatic hydrops do not necessarily indicate <i>suidoku </i>and we should consider the states of kidney (TM) and liver (TM) disorders.</p>