A Case of Chronic Heart Failure with Hypotension Successfully Treated with Goreisan
10.3937/kampomed.63.185
- VernacularTitle:低血圧症を伴う慢性心不全の水分管理に五苓散が有効であった一症例
- Author:
Ryukichi MATSUI
;
Takuya YAMAGUCHI
;
Shotai KOBAYASHI
;
Atsushi NAGAI
;
Shuhei YAMAGUCHI
- Publication Type:Journal Article
- Keywords:
goreisan;
heart failure;
hypotension;
pleural effusion
- From:Kampo Medicine
2012;63(3):185-190
- CountryJapan
- Language:Japanese
-
Abstract:
We report a case of chronic heart failure with hypotension, successfully treated with goreisan (Wu lin san).In this case, goreisan improved both the heart failure symptoms and water regulation. This 91-old woman had been receiving treatment for congestive heart failure, mitral regurgitation, aortic regurgitation and atrial fibril lation, and had undergone pacemaker implantation due to sick sinus syndrome. She underwent repeated hospi talization due to aggravation of her chronic heart failure. She was re-admitted because of systemic edema as well as exacerbation of heart failure symptoms which included pleural effusions. Blood pressure remained constant at about 80/50 mmHg. She was prescribed furosemide 40 mg. Thereafter, cerebral infarction compli cations arose. Therefore, it became difficult to increase the quantity of diuretics. We administered goreisan without change to the other oral medications. Many of her symptoms improved and the pleural effusion resolved without affecting blood pressure.
Goreisan is one representative herbal formula for promoting diuresis. In this case, it is thought that goreisan showed actions that influenced water regulation.
