Journal of Neurosurgery and Kampo Medicine
Online ISSN : 2758-1594
Print ISSN : 2189-5562
Original Article
The evaluation of ku–oketsu medicine by adding tongue examination in the patients with intracerebral hemorrhage
Toshihiro YamamuraTakumi KudoKaoru TamuraShoko FujiiJunichi FuruyaMasahiko ShimadaTaketoshi Maehara
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JOURNAL FREE ACCESS

2018 Volume 4 Issue 1 Pages 20-24

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Abstract

Background: Intracranial hemorrhage (ICH) is classified into ‘oketsu’ syndrome in Japanese traditional medicine. Ku–oketsu medicines such as keishibukuryogan improve brain edema and accompanying symptoms. Tongue examination is useful for a diagnosis of ‘oketsu’ syndrome. We investigated the association between the residual hematoma and tongue findings in the patients with ICH who have administered ku–oketsu medicine.

Methods: We have administered keishibukuryogan and sennoside to seven ICH patients hospitalized from April to October, 2017. We have started to take tongue photographs at the time of oral health care every one week or two weeks. Computed tomography is taken on the day of hemorrhage, and one week and two weeks after the hemorrhage. We assessed the association between the residual ratio of hematoma and the tongue findings.

Results: In the un–operated cases, the residual ratio of hematoma of the patients with more tongue findings was higher than the one who had less tongue findings.

Conclusions: The tongue examination possibly evaluates the effect of ku–oketsu medicine in the patients with ICH.

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© 2018 The Japanese Society for Kampo Medicine and Neurological Surgery
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