A Case of Osteoarthrosis with Graves' Disease Successfully Controlled with Daiou-Kanzui-To.
10.3937/kampomed.48.459
- VernacularTitle:大黄甘遂湯が奏効したバセドウ病を伴う変形性関節症の一例
- Author:
Eiichi TAHARA
;
Takashi ITOH
;
Katsumi HAYASHI
;
Tadamichi MITSUMA
;
Katsutoshi TERASAWA
- Publication Type:Journal Article
- Keywords:
Daiou-Kanzui-To;
Osteoarthrosis;
Edema;
Graves' disease;
gonalgia
- From:Kampo Medicine
1998;48(4):459-466
- CountryJapan
- Language:Japanese
-
Abstract:
Satisfactory results were obtained when Daiou-kanzui-to was administered to a patient suffering from osteoarthritis with Graves' disease.
The patient was a 61-year-old female, whose chief complaint was bilateral knee joint pain and leg edema. She was admitted to our clinic in May, 1995. She was diagnosed with Graves' disease and thiamazole was administered for six months. After discharge, the knee joint pain and edema worsened and she was readmitted to our clinic **********. Abdominal examination revealed fullness and lenderness of the lower abdomen. After administration. of Daiou-kanzui-to, the knee joint pain and leg edema improved remarkably, and she was discharged on **********. Although hyperthyroidism was discovered during the second admission, it improved without anti-thyroid drugs after five months of treatment with Daiou-kanzui-to.
Despite the fact that Daiou-kanzui-to is a strong purgative, no side effects were observed even with longterm administration. There are only two reports on the use of Daiou-kanzui-to since the Meiji era. The authors investigated old texts concerning abdominal symptoms, such lower abdominal fullness, which characterizes Daiou-kanzui-to, to establish indications for its application.