2019 Volume 70 Issue 2 Pages 130-135
The patient was an 84-year-old woman living in a nursing home. Her chief complaint was difficulty in moving her body due to extreme pain. She could not lie down especially in a supine position because of severe unidentified somatic pain from left side of lower chest to flank. According to her family, she had been taking 2-3 L of water daily at her nursing home to avoid dehydration even in the wintertime. Therefore she urinated frequently, but she also had constipation for several days. Since NSAIDs had been not effective, byakujutsubushito was administered from the first day of her hospitalization. Accordingly, her constipation improved and her pain quickly faded away. We inferred that her pain resulted from “fluid disturbance” caused by massive intake of water in the wintertime in Aizu region. We believe that byakujutsubushito is a useful Kampo medicine for the treatment of pain resulting from “wind-dampness” along with keishibushito and kanzobushito.
