A Case of an Anorectic Post-gastrectomy Patient Treated with Kososan and Rikkunshito
10.3937/kampomed.56.577
- VernacularTitle:早期胃癌に対する幽門側胃切除後の食欲不振に香蘇散合六君子湯が奏効した一例
- Author:
Ryosuke OBI
;
Susumu TETSUMURA
;
Yoshiro HIRASAKI
;
Hideo KIMURA
;
Kazufumi KOUTA
;
Tadamichi MITSUMA
;
Yutaka SHIMADA
;
Katsutoshi TERASAWA
- Publication Type:Journal Article
- Keywords:
early gastric cancer;
post-gastrectomy;
appetite loss;
nausea;
vomiting;
Koso-san;
Rikkunshi-to
- From:Kampo Medicine
2005;56(4):577-583
- CountryJapan
- Language:Japanese
-
Abstract:
We report a case of an anorectic 71-year-old male post-gastrectomy patient who was successfully treated with Koso-san and Rikkunshi-to. The patient underwent resection for early gastric cancer (0-IIa+IIc). After partial gastrectomy, he suffered from nausea and vomiting. He was treated with endoscopic balloon dilatation at the anastomotic site, and was simultaneously treated with some western drugs. However, he was completely unable to eat because of nausea and vomiting. Oriental medicine was then recommended. We treated him with Kampo medicines in combination with parenteral nutrition. After the administration of Koso-san, his nausea and vomiting disappeared immediately and he could ingest a fluid diet. Further, after the administration of Koso-san and Rikkunshi-to, his food intake increased. Finally, he could eat ordinary meals and his food intake reached an adequate level. This suggests that Koso-san and Rikkunshi-to are useful in the treatment of anorectic patients after gastrectomy.
