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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 5
Displaying 1-7 of 7 articles from this issue
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Clinical Investigations
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Minoru OTAKE, Akihito YOSHIMURA, Hiromi MAEDA, Yui ITO, Koso UEDA, Jun ...2013 Volume 64 Issue 5 Pages 261-264
Published: 2013
Released on J-STAGE: February 28, 2014
JOURNAL FREE ACCESSOtsujito is a well-known herbal preparation used for treating hemorrhoidal disease. However, we considered the anatomical similarities between the lips and the anus, and here report a case of inflammation of the lips with blood stasis successfully treated with otsujito as well.
The case was a 59-year-old woman suffering from eczema on her face and neck. The eczema showed a tendency to improve with herbal treatment, but inflammation and pruritus of the lips continued. Taking into account the presence of blood stasis, we included otsujito in the treatment and her symptoms improved.
Otsujito contains bupleurum, cimicifuga, scutellaria, and rhubarb, which dissipates heat, and angelica,which resolves blood stasis. Therefore, we consider that inflammation of the lips with blood stasis can be treated with otsujito.View full abstractDownload PDF (365K) -
Yoriko MORIOKA, Hiroshi SATO2013 Volume 64 Issue 5 Pages 265-268
Published: 2013
Released on J-STAGE: February 28, 2014
JOURNAL FREE ACCESSWe report a case of pneumothorax successfully treated with hochuekkito.
The patient was a 56-year-old female, who was diagnosed with right-sided pneumothorax, and who improved after resting cure. However, her condition did not completely resolve. About three years later, we prescribed hochuekkito because her pneumothorax became worse with general fatigue. Five days after taking hochuekkito, the pneumothorax improved in her chest X-ray. But it became worse again, and finally she underwent an endoscopic operation. This case suggests the possibility that hochuekkito can improve pneumothorax temporally. There is no literature on Kampo therapy as it applies to pneumothorax, and we believe this case to be the first report of value on the subject.View full abstractDownload PDF (1351K) -
Katsutoshi TERASAWA, Tohru KOBAYASHI, Makoto SUMIKOSHI, Kohichi YOKOYA ...2013 Volume 64 Issue 5 Pages 269-271
Published: 2013
Released on J-STAGE: February 28, 2014
JOURNAL FREE ACCESSWe reported the case of a 9-year-old girl who complained of irritability with sounds, headache, nausea and ease of fatigability, who was successfully treated with the Kampo formulation, ryokito. Her irritability with sound occurred following bilateral ear pain. Her headache, nausea and antipathy towards smells appeared in conjunction with aggravation of this pain symptom. We recognized this patient as having a Ki-distribution imbalance, and so prescribed ryokito as a decoction. Following her use of this formulation, her complaints improved remarkably within about 8 weeks.View full abstractDownload PDF (265K) -
Masahiro OHIRA, Atsuhito SAIKI, Takashi OHSHIRO, Kazue SUZUKI, Ichiro ...2013 Volume 64 Issue 5 Pages 272-277
Published: 2013
Released on J-STAGE: February 28, 2014
JOURNAL FREE ACCESSWe report the case of a 51-year-old woman whose body weight was increased after bariatric surgery. She has been obese from a young age. When she was 30 years old, she developed type 2 diabetes mellitus. She was hospitalized for diabetic ketoacidosis at 45 years of age. She was diagnosed bulimic at 48 years of age, and body weight reduction with diet and exercise therapy became difficult because she was bulimic. Then, she underwent bariatric surgery and her body weight had reduced by 11 kg, 6 months after the surgery. However, her body weight began to increase again 7 months post surgery. At this time, her mental status had become unstable and she ate constantly in the afternoons. We administered yokukansan 5 g/day to treat her unstable mental status. Her body weight then decreased in accord with decreasing energy intake after the administration of yokukansan. She also became aware that her mental status was improving. Furthermore, her HbA1c (JDS) decreased from 8.7% to 7.1% after yokukansan treatment. In this case, it is possible that yokukansan suppressed the overeating by stabilizing her mental status, with the parallel decreases in body weight and HbA1c.View full abstractDownload PDF (475K) -
Kaori SAWAI, Kenji WATANABE2013 Volume 64 Issue 5 Pages 278-281
Published: 2013
Released on J-STAGE: February 28, 2014
JOURNAL FREE ACCESSIt is difficult to treat arthralgia of unknown cause. We report a case of polyarthralgia treated effectively with hochuekkito.
The case was a 48 year-old woman who had polyarthralgia for three months. Her joints were not swollen and reddish. There were no remarkable signs of rheumatoid arthritis or any other immune diseases. She also complained of fatigability. She was diagnosed as patterns of qi deficiency and qi stagnation. After prescribing hochuekkito for fatigability, her arthralgia as well as fatigability substantially decreased. In this case, it is suggested that hochuekkito was effective as a qi-tonifying formulation.View full abstractDownload PDF (302K) -
Hiromi YANO, Eiichi TAHARA, Junichiro DOKURA, Jun IWANAGA, Hisashi INU ...2013 Volume 64 Issue 5 Pages 282-288
Published: 2013
Released on J-STAGE: February 28, 2014
JOURNAL FREE ACCESSWe administered a Kampo decoction containing bushi (prepared aconiti tuber) or uzu (un-prepared aconiti tuber) to two children in Aso Iizuka hospital. Case 1 was a thirteen year-old girl with atopic dermatitis that worsened after her topical steroid was stopped. When her itching sensation was reduced following a bath, we considered that she was suffering from coldness. Therefore we administered a half dose of bukuryoshigyakuto.The next morning her old skin flaked off and her skin appeared healthy. We administered bukuryoshigyakuto before every meal and there was rapid improvement in her dermatitis. Case 2 was a twelve year-old girl with orthostatic dysregulation who was unable to attend school. She had become aware of coldness the previous autumn and had not been able to go to school, nor even sit up, since the previous winter because of severe fatigue. We diagnosed her with severe coldness and so started sekiganryo administration, and included 2 g of uzu. We gradually increased the uzu. At a result, her severe fatigue improved to the extent that she could eat breakfast and go to school inside the hospital. Children may have severe coldness if they suffer from a long-term illness. Moreover, particular attention should be given to toxicity caused by aconiti tuber.View full abstractDownload PDF (1281K)
Perspective
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Kentaro IWATA, Yoshinori NOGUCHI, Asako DOI, Takashi NISHIMOTO2013 Volume 64 Issue 5 Pages 289-302
Published: 2013
Released on J-STAGE: February 28, 2014
JOURNAL FREE ACCESSThe management of influenza has dramatically changed since the introduction of the rapid influenza diagnostic test, or RIDT, and neuraminidase inhibitors (NI). However, it is still far from optimal due to low RIDT sensitivity and problems involving NI such as side effects and the potential emergence of resistant virus.Therefore, we developed a decision-making model for the management of influenza, which includes Kampo medicines in its strategies. First, the severity of patients is evaluated. If a patient is judged at severe or high-risk, intravenous NI would be the main component of treatment. If a patient has neither a severe condition nor is at high-risk, the patient would be asked to choose either NI or Kampo medicine. In the former, RIDT would be used if pretest probability was less than 50%, but it would not be used if it was more than 50%, based on the lack of influence on the post-test probability. For the latter, RIDT would be not used in general as Kampo targets “phenomena”, not the virus per se. This model enables us to optimize the use of RIDT by appropriately selecting patients based on the characteristics of RIDT, and by avoiding unnecessary tests and their misinterpretation.View full abstractDownload PDF (593K)
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