Four Cases of Chronic Constipation Treated with Kami-shoyo-san.
10.3937/kampomed.50.275
- VernacularTitle:加味しょう遥散が奏功した慢性便秘の四例
- Author:
Naoki MANTANI
;
Hirozo GOTO
;
Hiroshi FUJINAGA
;
Yutaka SHIMADA
;
Katsutoshi TERASAWA
- Publication Type:Journal Article
- Keywords:
chronic constipation;
spastic constipation;
stimulant laxative;
anthraquinone laxative;
side effect;
Kami-shoyo-san
- From:Kampo Medicine
1999;50(2):275-280
- CountryJapan
- Language:Japanese
-
Abstract:
In Japan chronic constipation is divided into two groups: atonic constipation and spastic constipation. Stimulant laxatives are unsuitable for patients with spastic constipation, and routine use of stimulant laxatives over long periods of time should be discouraged. Nevertheless stimulant laxatives are often used continually among these patients because their stools are too hard and infrequent without stimulant laxatives.
In this report, we present 4 cases of chronic constipation treated with Kami-shoyo-san. Cases 1, 2 and 3 were patients with spastic constipation and case 1, 3 and 4 had used stimulant laxatives continually. In all cases both stimulant laxatives and Kampo medicines containing Rhei Rhizoma caused adverse effects such as abdominal discomfort and pollakisuria. Kami-shoyo-san improved bowel movement as well as other complaints: irritability, heat in the upper part of the body, painful tension of shoulder muscles, fatigue, dysmenorrhea and pollakisuria. Withdrawal from stimulant laxatives was achieved in the patients except for case 2. In drug treatment of chronic constipation, Kampo medicines such as Kami-shoyo-san seem to be useful in withdrawal from stimulant laxatives.
