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Volume 64 (2013)
- Issue 6 Pages 319-
- Issue 5 Pages 261-
- Issue 4 Pages 205-
- Issue 3 Pages 143-
- Issue 2 Pages 67-
- Issue 1 Pages 1-
Volume 64, Issue 4
Displaying 1-8 of 8 articles from this issue
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Original Article
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Yoko KIMURA, Akira TANAKA, Hiroshi SATO2013 Volume 64 Issue 4 Pages 205-211
Published: 2013
Released on J-STAGE: November 19, 2013
JOURNAL FREE ACCESSObjectives : We evaluated the efficacy of tokishakuyakusan and kamishoyosan for patients who complained of feeling cold, and identified key symptoms that would predict positive treatment outcomes for coldness with these medicines.
Design : A retrospective cohort study
Subjects and Methods : The subjects were 188 patients who reported feeling cold. They were treated with tokishakuyakusan or kamishoyosan according to their Sho for more than one month. The relationships between improvement of cold sensation and 62 factors, including other symptoms noted at the first medical examination, were evaluated by means of cross-sectional analysis, followed by logistic regression.
Results : The factors of coldness of the abdomen (odds ratio, 5.0), vertigo (7.7), dimness of sight (16) and blushing (5.6), without anger (0.11) or tinnitus (0.025), were found to be predictors of a positive effect with tokishakuyakusan treatment (p < 0.001). The factors of hot flushes (14), without coldness of the whole body (0.099), and faint feeling (0.21) were significant for kamishoyosan (p < 0.001). This suggests that kamishoyosan can improve subjective coldness of the extremities (AIC -8.64), especially of the legs (-2.23).
Conclusions : Coldness in the abdomen was an important indicator for treatment with tokishakuyakusan, while coldness in the legs, but not in the whole body, was important in the case of kamishoyosan.View full abstractDownload PDF (591K)
Clinical reports
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Toshihito TSUBO, Masayuki NISHIMURA, Eiji HASHIBA, Hirobumi OKAWA, Hir ...2013 Volume 64 Issue 4 Pages 212-215
Published: 2013
Released on J-STAGE: November 19, 2013
JOURNAL FREE ACCESSWe studied the effects of orengedokuto on central hyperthermia after mild hypothermia therapy for cardiac arrest. The subjects in this study were 7 patients who showed central hyperthermia (>38.3 °C) after mild hypothermia therapy. Orengedokuto 7.5-15 g/day was administered and central temperature was monitored. Maximum change in central temperature was 1.55 ± 0.71 °C(from 39.1 ± 0.7 °C to 37.6 ± 0.7 °C) (p < 0.05). Mean change was 0.35 ± 0.77 °C, (from 37.7 ± 0.6 °C to 37.5 ± 0.7 °C). Thus we conclude that orengedokuto is a drug with applications in the treatment of central hyperthermia after mild hypothermia therapy.View full abstractDownload PDF (308K) -
Hajime NAKAE2013 Volume 64 Issue 4 Pages 216-221
Published: 2013
Released on J-STAGE: November 19, 2013
JOURNAL FREE ACCESSInflammatory swelling after viper bite envenomation has the potential for causing multiple organ dysfunctions. We report 2 cases of viper bite that were successfully treated with saireito. A 79-year-old man suffered viper bite envenomation. Saireito was administered to reduce the swelling of the right lower leg. The patient's symptom was improved without any complications. A 68-year-old man suffered the same condition. The swelling spread over the chest and tako-tsubo-like left ventricular (= apical ballooning cardiomyopathy) dysfunction developed. Saireito was administered to reduce the swelling of the left upper limb. The patient was discharged without any severe complications. Thus, saireito may be useful for the treatment of swelling due to viper bite envenomation.View full abstractDownload PDF (776K) -
Tomoaki FUKUDA, Tadaaki KAWANABE, Tetsuro OIKAWA, Toshihiko HANAWA2013 Volume 64 Issue 4 Pages 222-226
Published: 2013
Released on J-STAGE: November 19, 2013
JOURNAL FREE ACCESSWe report a patient with hemifacial spasm in whom daijokito was effective. The patient was a 57-year-old woman who visited our clinic for treatment of fatty liver and asthma. She had been suffering from left blepharospasm and paroxysmal twitching movement of the left lower jaw in stressful situations during the 2 years prior to her first visit to us. After we prescribed daijokito because of her pot belly, she had no more asthma attacks and her left facial spasm improved. Seven months later, we added inchinko to daijokito for her liver damage. When we followed the test results of her clinical survey for two years, we found that her weight had decreased and liver function was improved after starting this dosage. We diagnosed her paroxysmal involuntary twitching on the left side of the face as hemifacial spasm, because these symptoms were unilateral. We regard that her hemifacial spasm was improved with relaxation, anticonvulsants, and the antianxiety action of daijokito.View full abstractDownload PDF (493K) -
Tetsuhiro YOSHINO, Yuko HORIBA, Kenji WATANABE2013 Volume 64 Issue 4 Pages 227-230
Published: 2013
Released on J-STAGE: November 19, 2013
JOURNAL FREE ACCESSJapanese Kampo doctors usually understand amenorrhea as caused by oketsu (blood stasis) and kekkyo (blood insufficiency). In recent years, there have been a few case reports which describe patients treated only with prescriptions for junki function (the treatment of kiutsu or ki stasis). Our case was 37 year-old woman with amenorrhea from osteopathy manipulation a half year previously in London. Her usual menstruation had been normal. She had thoracic and sacral pain, joint click, epigastric pain, lower abdominal pain, hematuria and muscle stiffness but her usual daily living was not affected. No abnormality was noted with laboratory or imaging, or endocrinological tests. From a Kampo examination, she was diagnosed with hiesho (coldness) and kiutsu. We chose uyakujunkisan without white silkworm, with aconite root. Her arthralgia and hiesho improved one month later, and her menstruation re-started three months later. Uyakujunkisan is introduced in the Wazaikyokuho, and we believe this classical textbook indicates that this prescription can be used to treat amenorrhea. Ki abnormality is one of the most important complications of secondary amenorrhea and a prescription with junki function is important treatment option. Thus, in assessment of patients with amenorrhea,we feel it is important to focus on ki abnormality.View full abstractDownload PDF (336K) -
Katsutoshi TERASAWA, Koichi YOKOYAMA, Tohru KOBAYASHI, Makoto SUMIKOSH ...2013 Volume 64 Issue 4 Pages 231-233
Published: 2013
Released on J-STAGE: November 19, 2013
JOURNAL FREE ACCESSA 67 year-old women who suffered from painful palms and soles with burning sensation for 2 years was treated. At first, she visited the department of dermatology and then consulted our department. The authors considered these symptoms as already being described in the great classic Kinkiyoryaku (Chin Keiu Yao Lueh). We then prescribed shokenchuto, which resulted immediate clinical improvement. The authors have again realized that the classical textbook is based on proper clinical observations that are useful today.View full abstractDownload PDF (1127K) -
Toshihiro ISHIKAWA2013 Volume 64 Issue 4 Pages 234-242
Published: 2013
Released on J-STAGE: November 19, 2013
JOURNAL FREE ACCESSIn Kampo medicine, the emotion of fear is closely related to the kidney. Therefore, rokumigan medication for kidney malfunction can be expected to be effective for fear-related psychiatric symptoms. The author has experienced 7 cases with neurosis successfully treated with rokumigan. Three cases were diagnosed as adjustment disorder, two cases as social phobias, one case as generalized anxiety disorder, and one case as psychosomatic disease. Three cases were effective with a single administration of rokumigan, while four cases needed another medication such as etizolam and other Kampo medicines. All cases had symptoms for jinkyo such as weakening of the lower body, shofuku-fujin (weakness or numbness of the lower abdomen) and weak palpation at shakumyaku points. All cases had symptoms for hot state, and six cases had symptoms for deficiency of ki. Furthermore, these cases for rokumigan were effective not only for fear, anxiety, and insomnia, but also dysuria, simultaneous existing cold and hot state and menstrual disorder as atypical genital bleeding.View full abstractDownload PDF (451K)
Perspective
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Katsutoshi TERASAWA2013 Volume 64 Issue 4 Pages 243-245
Published: 2013
Released on J-STAGE: November 19, 2013
JOURNAL FREE ACCESSThe abdominal sign “shinkashiketsu” (lump of the epigastrium) is an important sign for the choice saikokeishito. However, an understanding of this symptom has been not defined in concrete terms. The author has found that this symptom can be recognized as a small painful point lying median to the xiphiod process and navel. This specific painful point is described equally in the textbook Shokanron and others. And the senior physician Kenzo Okuda has interpreted the suitability of their prescriptions as being decided by clinical results. Thus, the author has confidence that this painful point is an important indicator for saikokeishito.View full abstractDownload PDF (394K)
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