A case of Megacolon Successfully Treated by Re-dosage of Kobokusanmotsuto; After an Attack of Pseudoaldosterenism induced by Chukenchuto
10.3937/kampomed.57.57
- VernacularTitle:中建中湯による偽性アルドステロン症を経て厚朴三物湯の再投与にて軽快した巨大結腸症の一例
- Author:
Tatsuya NOGAMI
;
Hideo KIMURA
;
Hiroshi OKA
;
Mosaburo KAINUMA
;
Hisashi INUZUKA
;
Koichi NAGAMINE
;
Tadamichi MITSUMA
- Publication Type:Journal Article
- Keywords:
Kampo Medicine;
megacolon;
pseudoaldosteronism;
Koboku-sanmotsu-to;
Hachimi-jio-gan
- From:Kampo Medicine
2006;57(1):57-63
- CountryJapan
- Language:Japanese
-
Abstract:
We present a case of megacolon successfully treated with Kampo medicine. A 65-year-old male diagnosed with megacolon in 1999, came to our department in July 2003 complaining of severe abdominal distention. We successively used different Kampo formulae, in accordance with the diagnostic standard known as “SHO” which were: Daikenchu-to, Koboku-sanmotsu-to, Chukenchu-to, and Koboku-sanmotsu-to again. Daikenchu-to was only partly effective. Koboku-sanmotsu-to made the abdominal distention worse, forcing a change of drug. Chukenchu-to relieved the symptoms for some time, but the patient had to be hospitalized because of pseudoaldosteronism caused by the drug. Koboku-sanmotsu-to, however, worked smoothly on the second occasion and the symptoms disappeared. The efficacy of Koboku-sanmotsu-to was completely different on the two occasions it was used. This suggests that the pathological conditions were in a state of change, and these changes were identical to changes of SHO. This case reinforces the importance of detecting changes of the SHO accurately.
