Four Hemodialysed Patients with Upper Abdominal Discomfort Successfully Treated with Heiisa
10.3937/kampomed.62.584
- VernacularTitle:透析患者における上腹部の消化器症状に対して平胃散が著効した4例
- Author:
Shun TAKAKU
;
Chizuno TAKAKU
;
Hideki KURIBAYASHI
;
Eiichi OSONO
;
Naoki HIRAMA
;
Hidemi TAKAHASHI
- Publication Type:Journal Article
- Keywords:
Hemodialysed patients;
Heiisan;
upper abdominal discomfort
- From:Kampo Medicine
2011;62(4):584-588
- CountryJapan
- Language:Japanese
-
Abstract:
In this report, we describe four hemodialysed patients with upper abdominal discomfort successfully treated with Heiisan, one of the known traditional oriental herbal medicine.Case 1 was a 61-year-old man suffering from upper abdominal discomfort after each meal even though daily taking some medicine for gastritis. Case 2 was a 45-year-old man, who has also been suffering from upper abdominal discomfort after breakfast and supper despite daily taking H2-blocker. Case 3 was a 61-year-old man complaining of upper abdominal discomfort. He has had loss of appetite despite being treated with H2-blocker and gastroprokinetic medication. Case 4 was a 69-year-old woman complaining of upper abdominal discomfort with dull pain before eating. She was diagnosed as chronic gastritis and healing stage of duodenal ulcer and prescribed H2-blocker. However, this medicine did not work.We diagnosed that upper abdominal discomfort in all the patients came from shitsu-jya (pathogenic dampness) in hii (Spleen-Stomach functional unit), and treated them with Heiisan, which was popular to remove shitsu-jya in Hii. Their symptom disappeared soon after taking this medicine.It is also difficult for hemodialysed patients to control their weight due to anuria and they tend to easily gain the weight due to inappropriate eating and drinking, leading to shitsu-jya in such patients. Therefore, our reports suggested that Heiisan was good for hemodialysed patients to control various upper abdominal symptoms that might be caused by shitsu-jya in Hii.
