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Volume 65 (2014)
- Issue 4 Pages 251-
- Issue 3 Pages 167-
- Issue 2 Pages 61-
- Issue 1 Pages 1-
Volume 65, Issue 3
Displaying 1-11 of 11 articles from this issue
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Original Articles
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—Focusing on Formation of Abdominal Examinations for Anchusan and Kososan—Tatsuhiko SUZUKI, Yuki IMAMURA, Yoshiro HIRASAKI, Takao NAMIKI2014 Volume 65 Issue 3 Pages 167-179
Published: 2014
Released on J-STAGE: November 26, 2014
JOURNAL FREE ACCESSThe practical use of abdominal examination is a major characteristic of Kampo medicine. Although most Kampo medical texts describe an abdominal examination for a Kampo formula, comparative studies between texts have not contributed to any standardized descriptions for such examinations. We investigated descriptions of 147 prescription Kampo extract formulations in Kampo texts written after the Showa Era, and obtained the following results. Abdominal examinations were described differently by authors, even for the same prescription. Additionally, we examined the descriptions for anchusan (安中散) and kososan (香蘇散), which are called the Gosei school formulae (後世方). Descriptions of abdominal examinations for these drugs were not quoted from an original Chinese medical text, but were empirically constituted in Japan. As knowledge was accumulated, these various descriptions were created through limited personal connections, and/or the opinions of particular authorities. We suggest that a consensus on abdominal examinations would further studies on the viability of traditional medicines, and better characterize Kampo medicine.View full abstractDownload PDF (1273K) -
Akira KINEBUCHI, Hiroshi KOSOTO, Yoko KIMURA, Yasushi FUJII, Kazumoto ...2014 Volume 65 Issue 3 Pages 180-184
Published: 2014
Released on J-STAGE: November 26, 2014
JOURNAL FREE ACCESSWe investigated original texts for yokukansan, a familiar Kampo formula, focusing on the classical literature Xue-shi yi-an (薛氏医案) . Yokukansan was described in the Bao-ying jin-jing-lu (保嬰金鏡録) written by Xue ji (薛己) in 1550, the Xiao-er yao-zheng zhi-jue (小児薬証直訣) revised by Xue ji (薛己) in 1551,the Bao-ying cuo-yao (保嬰撮要) by Xue kai (薛鎧) in 1556, and the Xiao-er dou-zhen fang-lun (小児痘疹方論) in 1550. The phrase “one's own work” was used in “Bao-ying jin-jing-lu (保嬰金鏡録)” and in the Xiao-er dou-zhen fang-lun (小児痘疹方論) by Chen wen-zhong (陳文仲). However, there was no mention of “one's own work” in the same title, the Xiao-er dou-zhen fang-lun (小児痘疹方論), as summarized by Xiong zong-li (熊宗立).
Yokukansan was found only in the Xiao-er yao-zheng zhi-jue (小児薬証直訣) revised by Xue ji (薛己) in 1551, but not in the other copies of the same text. Therefore, it seems likely that yokukansan was created by Xue ji (薛己) himself.
Yokukansan was previously thought to have originated with the Bao-ying cuo-yao (保嬰撮要). However, based on use of the phrase “one's own work” in the classical literature, it appears that the original text for yokukansan should be the Bao-ying jin-jing-lu (保嬰金鏡録). Therefore, yokukansan seems to have been made by Xue ji (薛己), and not Xue kai (薛鎧), who was his father.View full abstractDownload PDF (681K)
Clinical Reports
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Yoshinao HARADA2014 Volume 65 Issue 3 Pages 185-190
Published: 2014
Released on J-STAGE: November 26, 2014
JOURNAL FREE ACCESSWe report three cases of stroke in which rikkunshito was administered to improve the reflux of gastric fluid from a nasogastric tube in a short time.
Case 1 : a 63-year old female with right cerebellar hemorrhage who underwent surgical evacuation. Reflux of up to 650 ml gastric fluid from a nasogastric tube was observed after surgery. By the 4 th day of rikkunshito administration, the reflux decreased to 10 ml.
Case 2 : a 44-year old male whose consciousness had deteriorated before surgical treatment because of subarachnoid hemorrhage and re-rupture. Endovascular embolization and bilateral external ventricular drainage were performed for the anterior communicating artery aneurysm. Several days later, rikkunshito administration was initiated because of a reflux of 550 ml gastric fluid from the nasogastric tube. By the 3 rd day of rikkunshito administration, almost no episodes of reflux during tube feeding were observed.
Case 3 : a 72-year old male who suffered from intratumoral hemorrhage after undergoing surgery for metastatic brain tumor. The intratumoral hemorrhage was treated conservatively. Reflux of 200 ml gastric fluid from the nasogastric tube was observed. By the 3 rd day of rikkunshito administration, the reflux decreased to 10 ml.
These findings suggest that rikkunshito is useful in stroke cases with considerable reflux from a nasogastric tube.View full abstractDownload PDF (673K) -
Yukari GONO, Hiromitsu HOTTA, Toshiyuki OKUTOMI, Tetsuro OIKAWA, Toshi ...2014 Volume 65 Issue 3 Pages 191-196
Published: 2014
Released on J-STAGE: November 26, 2014
JOURNAL FREE ACCESSThe patient was a 14 year-old female. She had been hospitalized repeatedly since infancy for suspected tonsillitis. During this time, she experienced high fever for about a week once a month. In her school years, she often had a recurrent fever with cervical adenitis, with only a mild inflammatory reaction. We diagnosed her symptom as one of a periodic fever syndrome, triggered by the frequent administered antipyretic drugs for fevers of unknown origin (FUO). We also suspected that there was liver tension, based on her abdominal and back examination, and we prescribed yokukansan. After a 3-month course of yokukansan, she no longer experienced these fevers. Most case reports of FUO describe the use of bupleurum root drugs and tonic formulas as treatment. Although yokukansan has traditionally been used for FUO in older texts, to our knowledge, there are no reports on such use clinically. In the present patient's case, the yokukansan may have reduced or eliminated some type of trigger for the fevers, or it may have affected the regulation of cytokines.View full abstractDownload PDF (576K) -
Katsutoshi TERASAWA, Koichi YOKOYAMA, Toru KOBAYASHI, Makoto SUMIKOSHI ...2014 Volume 65 Issue 3 Pages 197-201
Published: 2014
Released on J-STAGE: November 26, 2014
JOURNAL FREE ACCESSPreviously, the authors reported that a painful point at the epigastrium may be closely related with the term “shinkashiketsu” for the Kampo formulation saikokeishito (SKT) which was described in the textbook, shoukanron. In order to find conclusive evidence for our hypothesis, we tried SKT in four patients, whose chief complaints were headache, epigastralgia with headache, irritable bowel syndrome, and anorexia due to Behcet's disease. In this trial, we obtained satisfactory clinical results, which strongly suggest that the symptom of a painful epigastral point correlates with the term shinkashiketsu in the shoukanron description.View full abstractDownload PDF (354K) -
Hideyuki KITAHARA, Tatsuya NOGAMI, Hiroki MISAWA, Sayuri ARAI, Shigeru ...2014 Volume 65 Issue 3 Pages 202-209
Published: 2014
Released on J-STAGE: November 26, 2014
JOURNAL FREE ACCESSWe report two cases of inchinkoto treatment for obstructive jaundice via autoimmune pancreatitis (AIP). Case 1 : A 38-year-old male. After completion of treatment for Mikulicz disease, obstructive jaundice developed. A diagnosis of AIP was based on a high IgG 4 blood level and image views. T-Bil stayed above 20 mg/dl and there was no improvement by oral administration of prednisolone (PSL), ursodeoxycholic acid, or bilirubin adsorption therapy. Upon inchinkoto administration, T-Bil promptly fell to 3 mg/dL. Case 2 : A 77-year-old male. He suffered from itching and constipation, and blood data showed a pattern of obstructive jaundice. Image views suggested AIP, but a duodenal papillary biopsy could not provide a definitive diagnosis. Inchinkoto was administered, and the itching and constipation had mostly disappeared within 1 week. However, these symptoms recurred after one month. A definitive diagnosis of AIP was then reached based on a pancreas biopsy, and a PSL regimen was initiated. From these two cases, we consider that inchinkoto is useful for improving the symptoms of obstructive jaundice induced by AIP.View full abstractDownload PDF (2064K) -
Mio YOSHIDA, Makoto TAKEDA2014 Volume 65 Issue 3 Pages 210-213
Published: 2014
Released on J-STAGE: November 26, 2014
JOURNAL FREE ACCESSThis case involved an 86-year-old woman. She had suffered from vomiting, abdominal pain, distension and constipation, 3 times in 3 years.
Her constipation episodes were not complicated by ileus. There were no obstructive lesions on two colonoscopies.
She again suffered from same symptoms in March 2012. Abdominal radiography and CT scans showed significant gasses in her intestine along with a large volume of stool. The previous treatments had not been effective. So we switched to hachimigan with her. This Kampo medicine was very effective. Eight days after hachimigan administration start, all symptoms were relieved. Moreover, no constipation was observed in a 1 year course of hachimigan treatment. We thus conclude that hachimigan was very effective for this patient's constipation.View full abstractDownload PDF (1256K) -
Hiromi MAEDA, Yui ITO, Koso UEDA, Akihito YOSHIMURA, Junichiro DOKURA, ...2014 Volume 65 Issue 3 Pages 214-218
Published: 2014
Released on J-STAGE: November 26, 2014
JOURNAL FREE ACCESSWe experienced a 56-year-old male who had suffered from diarrhea, epigastric discomfort and an enlarged abdomen feeling for 12 years, and who was diagnosed with irritable bowel syndrome. Although he had undergone treatment using Western medicine in many hospitals, his condition had not improved. He was therefore started on Kampo medicine 5 years ago. However, since the enlarged abdomen feeling worsened whenever he changed his prescription, it was difficult to treat him on an outpatient basis. Thus we tried hospitalization. His feeling of enlarged abdomen was near continuous, but the discomfort from a spasmodic enlarged abdomen feeling was greater. We recognized the spasmodic feeling to be hontonki disease and started ryokeikansoto. The spasmodic feeling disappeared promptly after hospitalization. On the 12 th day of hospitalization, we noticed that the circumference of his navel was cold. Therefore, we changed his prescription to ryokito, which is kind of ryokeikansoto, containing ryokyo, which dispels cold and stops pain, and then the near continuous feeling of enlarged abdomen also disappeared. He was discharged from hospital on the 24 th day. Although the original text for ryokito states that it cures a right fleshy tumor and pain, this suggests that ryokito is effective in cases of hontonki disease and cold, even when not necessarily accompanied by hypochondralgia.View full abstractDownload PDF (429K) -
Takerou TAKAMURA2014 Volume 65 Issue 3 Pages 219-223
Published: 2014
Released on J-STAGE: November 26, 2014
JOURNAL FREE ACCESSA 7 year-old male patient who suffer from trigeminal trophic syndrome following herpes zoster was treated with a combination of rokumigan and sansoninto. We conclude that the pathogeneses in this case were excessive rises in liver yang and liver wind caused by yin deficiencies of the kidneys and liver, and that these were ameliorated by the effect of the rokumigan and sansoninto combination in nourishing kidney yin, clearing away heat-evil, and eliminating restlessness.View full abstractDownload PDF (554K)
Investigation Report
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Takeshi OJI, Takao NAMIKI, Kazuo MITANI, Keigo UEDA, Toshiya NAKAGUCHI ...2014 Volume 65 Issue 3 Pages 224-230
Published: 2014
Released on J-STAGE: November 26, 2014
JOURNAL FREE ACCESSIn Kampo medicine, a tongue examination, whereby the shape and color of the tongue is observed, is thought to reveal the constitution and condition of the patient. In Japan, numerous books on this tongue examination have been published. However, tongue findings are expressed differently in these books, and a standard description for such findings has yet to be established. A standard description would be useful when examining the tongue, and when educating students of Kampo medicine. We therefore compared how tongue colors and shapes were expressed in the Japanese literature on tongue examinations (12 publications).
Using these results, we have arrived at a standardized description for tongue findings in accordance with Kampo specialists of tongue diagnoses at many facilities. In the process, we focused on easily recognizable findings that can be noted with short clinical examination times, and that can also be understood by beginners.View full abstractDownload PDF (827K)
Perspective
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Katsutoshi TERASAWA2014 Volume 65 Issue 3 Pages 231-235
Published: 2014
Released on J-STAGE: November 26, 2014
JOURNAL FREE ACCESSThe abdominal diagnosis plays an essential role in Japanese Kampo medicine. Moreover, this diagnostic method is a characteristic practice in Kampo medicine. The conventional method of abdominal diagnosis is performed with the patient in a supine position. However, the author has found that several patients have presented with tenderness of the epigastrium or hypochondrium in a standing position, which was not detected in a conventional supine position. This paper is intended to announce the significance of a new method of abdominal diagnosis named “Ritsuishin”. In this paper, the author describes the utility of this method via a case of saikokeishikankyoto and of hontonto (Chugoho).View full abstractDownload PDF (725K)
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