A Case of Painful Bedridden Patient with Multiple Fractures due to Osteoporosis Successfully Treated with Keishi-bushi-To
10.3937/kampomed.56.103
- VernacularTitle:桂枝附子湯が奏効した重症骨粗しょう症に伴う多発性骨折による難治性とう痛の１例―寝たきり状態からの回復―
- Author:
Susumu TETSUMURA
;
Hideo KIMURA
;
Masumi SATO
;
Kazufumi KOTA
;
Tadamichi MITSUMA
- Publication Type:Journal Article
- Keywords:
osteoporosis;
multiple fractures;
bedridden state;
Keishi-bushi-to
- From:Kampo Medicine
2005;56(1):103-108
- CountryJapan
- Language:Japanese
-
Abstract:
A 68-year-old female who had suffered from lumbar vertebral fractures due to osteoporosis six years before was admitted to our hospital because of thoracodorsal pain of an unknown origin, and systemic contact dermatitis, on November 2000. The patient had been forced into a bedridden state due to severe pain. A bone scintigram showed multiple high accumulations in the thoracispinal region, but malignant disease could not be detected. Furthermore, a MRI demonstrated multiple thoracolumber vertebral compression fractures. Keishi-bushi-to was administered to control severe and superficial pain, and the presence of cold limbs. Pain was gradually diminished and the patient could be started on rehabilitation one month after treatment. Furthermore, several Kampo formulas, such as Ogi-kenchu-to, Keikyososo-oshinbu-to and Hachimi-jio-gan were administered on the basis of pain and skin condition. In the end, the patient could stand up with support eleven months after treatment.
Based on this experience, it is suggested that Keishi-bushi-to may be an effective treatment for severe pain arising from multiple fractures with osteoporosis.
