Kampo Medicine
Online ISSN : 1882-756X
Print ISSN : 0287-4857
ISSN-L : 0287-4857
Volume 57, Issue 5
Displaying 1-7 of 7 articles from this issue
  • A Study of Goshajinkigan Administered to 109 Cases
    Minoru YOSHIDA
    2006 Volume 57 Issue 5 Pages 633-637
    Published: September 20, 2006
    Released on J-STAGE: March 12, 2010
    JOURNAL FREE ACCESS
    We evaluated the clinical efficacy of Goshajinkigan in patients complaining of lower urinary tract symptoms (LUTS). A total of 109 patients (86 males and 23 females) who were orally administered Goshajinkigan at a dose of 5 to 7.5g/day for 4 to 8 weeks, were studied retrospectively. Improvements of symptoms were confirmed in 50 patients. Multivariate analysis showed the response rates were significantly higher among patients with urgency, residual feeling, myocardial ischemia and brain infarction respectively, and were significantly lower among patients with hesitancy. Our findings suggest that Gosha jinki-gan mainly improves urgency and/or residual feeling of lower urinary tract symptoms, and that these symptoms are the main LUTS associated with jinkyo.
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  • Eiichi TAHARA, Takuhiro SHINTANI, Kenzo MORIYAMA, Kikuyo NAKAO, Yasuyu ...
    2006 Volume 57 Issue 5 Pages 639-643
    Published: September 20, 2006
    Released on J-STAGE: March 12, 2010
    JOURNAL FREE ACCESS
    We analyzed the differences between responder and non-responder groups using Choyoto for hand eczema. In 7 cases the drug was effective, and in 6 cases it was not. Most patients in the effective group had white-complexioned skin, and the eczema tended to localize on the hands. In contrast, most patients in the non-effective group had with sleep difficulties and/or a smoking habit. In addition, they showed marked symptoms of Oketsu such as dark red gingiva, indicating that many of the non-effective hand eczema cases had elevated Oketsu scores. It was shown that objective and subjective symptoms could be indicators for the choosing of Choyoto for hand eczema treatment.
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  • Kazuyuki ISHIDA, Hiroshi SATO
    2006 Volume 57 Issue 5 Pages 645-650
    Published: September 20, 2006
    Released on J-STAGE: March 12, 2010
    JOURNAL FREE ACCESS
    Rehabilitation and exercise are occasionally restricted by intractable pain to an extent greater than that estimated due to physical dysfunction. Here, we report three patients with intractable pain in whom Kampo medicine was highly effective, in cases where common treatments such as the administration of non-steroidal anti-inflammatory drugs and nerve blockade proved ineffective. Sokeikakketsuto extract was prescribed for three patients with different conditions: intermittent claudication of cauda equina due to lumbar spondylolisthesis, posttraumatic chronic psychogenic pain, and complex regional pain syndrome type 1 that occurred after cerebral infarction. Sokeikakketsuto extract alleviated severe pain and therefore facilitated rehabilitation and exercise in all three of these cases. From the viewpoint of Kampo medicine, we hypothesized that all three cases shared some common etiology of blood abnormalities, although conventional medical diagnosis differed for each. We suggest that treatment with Sokeikakketsuto extract corrected the blood abnormalities, thereby resulting in the successful treatment of intractable pain in these patients.
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  • Junichi YAMAKAWA, Junji MORIYA, Kazuya KUSAKA, Tohru ITOH, Yoshiharu M ...
    2006 Volume 57 Issue 5 Pages 651-654
    Published: September 20, 2006
    Released on J-STAGE: March 12, 2010
    JOURNAL FREE ACCESS
    A 70 year-old male with nodular multiple angiitis visited our outpatient clinic because of cold sensation and dysthesia. Although the vascular disease went into remission with steroid and immunosuppressant use, dysthesia continued. An improvement in subjective symptoms was evaluated with a visual analogue scale, after Gosha jinki-gan extract was administered on the basis of Kampo diagnosis. Furthermore, this beneficial effect increased when Syuchibushi matsu administration was added. Thus far, there are no such reports on Goshajinkigan as being useful for nodular multiple angiitis. Although the direct effect was not seen on the peripheral nerve conduction velocity, Goshajinkigan might be useful for the treatment of subjective cold sensation and dysthesia symptoms, in patients with nodular multiple angiitis. The mechanism of the above effect is considered to be similar to that in diabetic peripheral neuropathy.
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  • Katsuyoshi MIZUKAMI, Kimitaka HATANAKA, Yoshiro TANAKA, Takashi ASADA
    2006 Volume 57 Issue 5 Pages 655-660
    Published: September 20, 2006
    Released on J-STAGE: March 12, 2010
    JOURNAL FREE ACCESS
    We described here five patients with Alzheimer's disease (AD) who have behavioral and psychological symptoms of dementia (BPSD), and who have shown a remarkable improvement as a result of Yokukansan treatment. All five patients exhibited irritability and excitement, four of the patients suffered from aggression and insomnia, and three suffered from wanderings. All of the patients started recovering from these symptoms within 1-2 weeks from the start of the treatment, without any adverse reaction. In conclusion, our case study suggests that Yokukansan is a safe and effective treatment for AD patients with BPSD. Our study further suggests that Yokukansan is especially useful for patients who are difficult to treat with neuroleptics, such as patients with insomnia and wandering, patients exhibiting a depressive state as well as irritability and excitement, and those with physical symptoms, including gait disturbances and urinary incontinence.
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  • Nobuyasu SEKIYA, Takao NAMIKI, Yuji KASAHARA, Toshiaki KOGURE, Takeshi ...
    2006 Volume 57 Issue 5 Pages 661-667
    Published: September 20, 2006
    Released on J-STAGE: March 12, 2010
    JOURNAL FREE ACCESS
    The source of Jiinshihoto, which has been used for patients troubled by chronic cough with Ki obstruction, is Wanbinhuichun. We report on 8 cases with various chronic inflammatory diseases in the airway successfully treated with Jiinshihoto. They had similar symptoms, i. e., chronic coughing both dry and moist, and the abnormal sensations in the throat. Our experience with these cases suggests that tympanitic sound on right half side of the abdomen increase the accuracy of Jiinshihoto usage.
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  • 2006 Volume 57 Issue 5 Pages 669-670
    Published: September 20, 2006
    Released on J-STAGE: March 12, 2010
    JOURNAL FREE ACCESS
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