Investigation of Clinical Indications of Goreisan in Patients with Epigastralgia in the Summer Season
10.3937/kampomed.61.722
- VernacularTitle:五苓散が有効であった夏季の冷飲食後に生じた心窩部痛の検討
- Author:
Yoko KIMURA
;
Akira KINEBUCHI
;
Kazumoto INAKI
;
Hiroshi SATO
- Publication Type:Journal Article
- Keywords:
goreisan;
epigastralgia;
summer heat;
cold drinks and foods
- From:Kampo Medicine
2010;61(5):722-726
- CountryJapan
- Language:Japanese
-
Abstract:
Teian Azai classically described that summer heat was caused by humidity in addition to hot weather. It may occur after becoming chilled while asleep, enjoying the evening cool, and taking cold foods and drinks. Humidity and high temperature prevent qi circulation in the stomach. Therefore, he insisted that goreisan, a formula improving water circulation, could be applied for diverse symptoms caused by summer heat. We present two cases of patients with epigastralgia caused by cold foods and drinks in air-conditioned environments, whose symptoms were improved by goreisan. In prior treatment, anchusan in case1, and rikkunshito in case 2 were not effective for their epigastralgia. Nineteen cases of epigastralgia after taking cold foods and drinks in summer, including these two cases, revealed that goreisan was efficacious against summer epigastralgia with white fur on the tongue and a stuck feeling in the pit of the stomach. Abdominal fluid congestion is a major abdominal sign for an indication of goreisan, but a stuck feeling in the pit of the stomach presented in some effective cases with goreisan. We concluded that epigastralgia caused by cold foods and drinks with white fur on the tongue and a stuck feeling in the pit of the stomach could be a target for the application for goreisan.
