Trials of Kampo Therapy in the Treatment of Central Serous Chorioretinopathy.
10.3937/kampomed.47.837
- VernacularTitle:中心性しょう液性網脈絡膜症に対する漢方治療
- Author:
Satoru KUROKI
- Publication Type:Journal Article
- Keywords:
central serous chorioretinopathy;
macular edema
- From:Kampo Medicine
1997;47(5):837-843
- CountryJapan
- Language:Japanese
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Abstract:
Using Oriental medical pathology, the author attempted to define the cause of macular subretinal fluid of central serous chorioretinopathy, which is regarded as a psychosomatic disease of unknown etiology in Western medicine. The patients participating in this study were 19 males and 11 females ranging in age from 31 to 53 who had sought treatment at the author's clinic for this disease.
The patients received only Kampo formulas, which were selected on the basis of Kampo diagnostics. The course of the disease was observed by testing visual acuity, central visual fields or fluorescein angiography. The results were as follows: the types of stress which were considered to be the cause of the disease were visual in 8 cases, mental in 14 cases, physical in 3 cases and unknown in 5 cases. Types of signs and symptoms observed were those associated with the liver meridian in 22 cases, the spleen meridian in 15 cases, the kidney meridian in 8 cases, and the heart meridian in 1 case. In 9 of these cases, the liver meridian had affected the spleen meridian.
Kampo formulas such as Saikokeishi-to, Gorei-san, Rokumi-gan and Keishibukuryo-gan were frequently administered to 23 cases effectively treated within one month. Consierding the results of Kampo diagnosis and treatment, the author concluded that the macular edema associated with this disease may be ralated to the fact that visual or mental stress affects the liver meridian and seocondary impairs the spleen meridian. It is also associated with weakness of the kidney meridian and to inborn weakness of the spleen meridian.
