Clnical Application of Daio-Bushi-to for the Prevention of Ileus.
10.3937/kampomed.46.9
- VernacularTitle:腸閉塞の予防を目的とした大黄附子湯の使用経験
- Author:
Shigeki SAKURAI
;
Takayoshi TSUNEDA
- Publication Type:Journal Article
- Keywords:
Daiobushi-to;
prevention of ileus
- From:Kampo Medicine
1995;46(1):9-19
- CountryJapan
- Language:Japanese
-
Abstract:
Five cases are reported where Daiobushi-to was used for prevention of ileus. The abdominal symptoms that had occurred daily disappeared, and ileus did not recur.
The first case was a 78-year-old female. She had had a uterine myomectomy 23 years previously, and had suffered from ileus repeatedly since then. In November of 1987, she was admitted to the emergency room of the author's hospital for abdominal pain and vomiting. Slight relief of the abdominal pain and vomiting was obtained upon administration of Daikenchu-to via enema, but the Kampo formula was changed to Daiobushi-to due to a lack of bowel movements. Progress has been normal for seven years after this.
The second case was a 34-year-old male. In 1986 he received emergency surgery for a punctured duodenal ulcer. After surgery, he experience attacks of abdominal pain that would appear and disappear. In July of 1989, he was admitted to the hospital complaining of abdominal pain and vomiting. He was diagnosed as having ileus and given a Daikenchu-to enema. Shakuyakukanzo-to-go-Daiobushi-to was also administered, and, five years later, he continues to progress well.
Case 3 was an 87-year-old male who came to the hospital complaining of repetitative ileus. In 1975 he underwent partial gastrectomy for stomach cancer. After surgery he would have to be hospitalized once or twice a year for ileus. In 1984, following unsuccessful preventative treatment, he had surgery for ileus. However, despite the surgery he continued to suffer from symptoms of ileus, finally coming to the authors' clinic in March of 1990. First, Daikenchu-to-go-shokenchu-to was administered for one year, during which ileus did not occur, but in October of 1991 he had a reccurrence requiring hospitalization in the author's department. After a Daikenchu-to enema, Daiobushi-to was administered. He has been free of recurrence for the three years since he was released from the hospital, and has continued to do well up until the present.
Case 4 was a 67-year-old female, who came to the author's department to receive treatment for recurring ileus. She had had a total hysterectomy in 1970 for uterine cancer, and had also recienved radiation therapy. Five years after surgery, she began to suffer form repetitative ileus. Now, two and a half years after commencement of Daiobushi-to administration, her progress is good.
Case 5 was a 70-year-old female who had undergone a partial gastrectomy for stomach cancer in 1992. She began to suffer from constipation after surgery, and developed ileus two months after surgery, requiring emergency hospitalization. She was given Daiobushi-to and has been progressing well for the two years since then.
