Case Reports of Polymyalgia Rheumatica Successfully Treated with Kampo Medicines
10.3937/kampomed.61.699
- VernacularTitle:リウマチ性多発筋痛症に対する漢方治療経験
- Author:
Hiroaki HIKIAMI
;
Naotoshi SHIBAHARA
;
Masafumi MURAI
;
Yutaka NAGATA
;
Hiroki INOUE
;
Kiyotaka YAGI
;
Makoto FUJIMOTO
;
Hirozo GOTO
;
Yutaka SHIMADA
- Publication Type:Journal Article
- Keywords:
polymyalgia rheumatica;
sokeikakketsuto;
keishibukuryogan;
choyotokasyakuyaku;
oketsu (static blood)
- From:Kampo Medicine
2010;61(5):699-707
- CountryJapan
- Language:Japanese
-
Abstract:
We report 5 patients with polymyalgia rheumatica (PMR) successfully treated with Kampo medicines. In total, we investigated 10 patients with PMR, including the 5 patients here treated in our department. Results showed that Kampo medicine was effective in 6 cases. One of the 6 refused steroid drug administration, and tapering dosage steroid was difficult in the other 5 patients due to myalgia or inflammation. Except for one case, C-reactive protein in most of the effective cases was below 3.0 mg/dl. On the other hand, the non-effective cases had severe inflammation levels and needed steroid therapy. The effective cases were treated with sokeikakketsuto, tokakujokito, keishibukuryogan, choyotokasyakuyaku, yokuibushihaishosan and tokishakuyakusan, which have the effect of improving oketsu states. Thus, it was considered that Kampo medicine has the potential for treatments in PMR patients who have difficulty tapering steroid dosage and mild inflammation. Moreover, this suggests Kampo medicines that improve oketsu state are useful for PMR treatment.
