A Case of Bronchial Asthma Associated with Irritable Bowel Syndrome successfully treated with Kampo Formulation, Ryokei-Kanso-To.
10.3937/kampomed.44.521
- VernacularTitle:ぶく苓桂枝甘草大そう湯が奏効した気管支ぜん息・過敏性腸症候群の一合併例
- Author:
Naotoshi SHIBAHARA
;
Takashi ITOH
;
Yutaka SHIMADA
;
Harumi MATSUDA
;
Katsutoshi TERASAWA
- Publication Type:Journal Article
- From:Kampo Medicine
1994;44(4):521-526
- CountryJapan
- Language:Japanese
-
Abstract:
We studied a case of bronchial asthma associated with irritable bowel syndrome which responded to Bukuryo-Keishi-Kanzo-taiso-to. The 54-year-old woman was admitted to our hospital due to recurrent abdominal pain and paroxysmal coughing. The abdominal pain was diagnosed as irritable bowel syndrome, and paroxysmal coughing as bronchial asthma. Uzu-Keishi-to, Sekiganyo, Gekyu-shokuso-to were given for abdominal pain, and Ryo-kan-kyo-mi-shin-ge-nin-to and Soshi-koko-to were given for cough. None of these, however, were effective. We consider the condition at the time of attack to be hypochondriasis with palpitation attack, including coughing and abdominal pain, based on the fact that (1) abdominal pain and paroxysmal coughing were accompanied by marked perspiration, (2) the patient felt that something was being pushed upward from the epigastrium into the throat, (3) the patient complained of coldness in the abdomen concomitant with a feeling of warmth in the head, neck, and chest, and (4) subjective palpitations in the upper and lower abdomen were significant. We then used Bukuryo-keishi-kanzo-taiso-to, and both the abdominal pain and the coughing improved using this formulation alone. Although there seem to be two different diseases, they can sometimes be treated as one in kampo medicine.