Two Case Reports of Idiopathic Thrombocytopenic Purpura in which the Thrombocyte Number Increased after Kampo Medicines were Administered to treat a Subjective Symptom.
10.3937/kampomed.49.829
- VernacularTitle:六君子湯＋四物湯投与後に血小板数が増加した皮膚・消化器症状を伴う特発性血小板減少性紫斑病疑いの２例
- Author:
Hirofumi KAWAGOE
;
Hiroshi SATO
;
Fumihiko SHIROTA
- Publication Type:Journal Article
- Keywords:
idiopathic thrombocytopenic purpura;
Rikkunshi-to;
Shimotsu-to;
Syoukakisyoujou;
Hihubyoujo
- From:Kampo Medicine
1999;49(5):829-834
- CountryJapan
- Language:Japanese
-
Abstract:
Idiopathic thrombocytopenic purpura is an autoimmune disease and is caused by a blood antiplatelet antibody that reacts to thrombocyte membrane. The platelet associated immunoglobulin G (PAIgG) is admitted in idiopathic thrombocytopenic purpura.
Adrenocortical steroids are our first choice as a treatment for idiopathic thrombocytopenic purpura.
However, a sufficient thrombocyte increase is not obtained even when adrenocortical steroids are administered to the idiopathic thrombocytopenic purpura patient.
On the other hand, we use Kampo medicine widely clinically. We are admitting the effectiveness of Kampo medicine in treating many refractory diseases. Even if it corresponds to idiopathic thrombocytopenic purpura that is one of a chronic refractory disease effective Kampo medicine is reorted several Kampo pharmaceutical preparations that are assumed when it is effective in idiopathic thrombocytopenic purpura are Sairei-to, Sho-saiko-to, Kami-kihi-to, etc.
This time we carried out Kampo therapy (Rikkunshi-to, Shimatsu-to) on patients with digestive and cutaneous problems but no other symptoms of hemopathy. A blood specialist at this university hospital tentatively diagnosed the patients' condition as thrombocytopenic purpura. Kampo therapy increased the thrombocyte count and alleviated the symptoms.
This result might suggest the possibility of a therapy for idiopathic thrombocytopenic purpura and even the importance of the therapy in accordance with the oriental medical syndromes.
