Case Reports of Kampo Treatment on Acute Cholecystitis or Cholangitis in the Long-term Bedridden Patients.
10.3937/kampomed.50.897
- VernacularTitle:長期臥床患者に併発した急性胆嚢炎・胆管炎に対する漢方治療の経験
- Author:
Hiroaki HIKIAMI
;
Kazuhiko NAGASAKA
;
Takeshi TATSUMI
;
Hiroyori TOSA
;
Katsutoshi TERASAWA
- Publication Type:Journal Article
- Keywords:
Aging;
Kampo treatment;
Acute cholecystitis or cholangitis;
Cholecystolithiasis;
Inchinko-to;
Inchin-shigyaku-to;
Dai-saiko-to;
Bukuryo-shigyaku-to
- From:Kampo Medicine
2000;50(5):897-908
- CountryJapan
- Language:Japanese
-
Abstract:
In all but a few cases, the treatment for elderly patients must be conservative owing to the unavoidably poor general condition of the patients.
We report on three cases of long-term bedridden patients with acute cholecystitis or cholangitis who were effectively treated with Kampo prescriptions. An 86-year-old male with choledecholithiasis and acute cholangitis responded to Inchin-ko-to. When he repeatedly relapsed after the discontinuance of Kampo treatment, Inchin-ko-to was effective, and Inchin-shingyaku-to successfully improved his general condition. In an 89-year-old male with acute cholecystitis, Dai-saiko-to extracts and Bukuryo-shigyaku-to were effective. An 88-year-old female with cholecystolithiasis and acute cholecystitis responded to Dai-saiko-to and Bukuryo-shigyaku-to.
Most elderly patients are Inkyo-sho (Yin-deficient). But, when they are suffering from acute sickness, it is important to treat them according to the principle of “Senkyukokan (treating acute symptoms before treating chronic internal symptoms).” The severe sickness is treated first, and then the mild phase of the disease is treated.
