The Study of Trigeminal Neuralgia, that Responded well to Kampo.
10.3937/kampomed.54.383
- VernacularTitle:三叉神経痛に対して漢方薬が有効であった症例の検討
- Author:
Isamu HORIGUCHI
;
Tetsuya OTAKE
;
Takayoshi OKADA
;
Yukinari TOMITA
;
Tatsuya SHIGA
- Publication Type:Journal Article
- Keywords:
trigeminal neuralgia;
suidoku;
Kampo medicine;
hyokansho
- From:Kampo Medicine
2003;54(2):383-386
- CountryJapan
- Language:Japanese
-
Abstract:
For many patients with trigeminal neuralgia, oral administration of carbamazepine is highly effective. Micro decompression surgery (Jannetta's operation) is also considered a fundamental treatment. However, there are patients who do not respond to carbamazepine and who hesitate to have surgery. Here, we report 14 cases whose pain was relieved solely by Kampo (7 cases) or by a combination of Kampo and carbamazepine (7 cases). The Kampo formulations used were Goshuyu-to (2 cases), Gorei-san (9 cases), Saiko-keishi-to (1 case), Toki-shigyaku-ka-goshuyu-shokyo-to (1 case) or Mao-bushi-saishin-to (1 case), depending on the “Zheng” of each patient. In trigeminal neuralgia, the nerve root is compressed or adhered to surrounding vessels, such as the superior cerebellar artery. It is highly possible that localized edema at the point of compression is responsible for the pain. The diuretic action of the Kampo may diminish the localized edema around the trigeminal nerve root.
