A Case of Amenorrhea Successfully Treated with Uyakujunkisan
10.3937/kampomed.64.227
- VernacularTitle:続発性無月経に烏薬順気散が有効だった一例
- Author:
Tetsuhiro YOSHINO
;
Yuko HORIBA
;
Kenji WATANABE
- Publication Type:Journal Article
- Keywords:
amenorrhea;
uyakujunkisan;
treatment of ki abnormality
- From:Kampo Medicine
2013;64(4):227-230
- CountryJapan
- Language:Japanese
-
Abstract:
Japanese Kampo doctors usually understand amenorrhea as caused by oketsu (blood stasis) and kekkyo (blood insufficiency). In recent years, there have been a few case reports which describe patients treated only with prescriptions for junki function (the treatment of kiutsu or ki stasis). Our case was 37 year-old woman with amenorrhea from osteopathy manipulation a half year previously in London. Her usual menstruation had been normal. She had thoracic and sacral pain, joint click, epigastric pain, lower abdominal pain, hematuria and muscle stiffness but her usual daily living was not affected. No abnormality was noted with laboratory or imaging, or endocrinological tests. From a Kampo examination, she was diagnosed with hiesho (coldness) and kiutsu. We chose uyakujunkisan without white silkworm, with aconite root. Her arthralgia and hiesho improved one month later, and her menstruation re-started three months later. Uyakujunkisan is introduced in the Wazaikyokuho, and we believe this classical textbook indicates that this prescription can be used to treat amenorrhea. Ki abnormality is one of the most important complications of secondary amenorrhea and a prescription with junki function is important treatment option. Thus, in assessment of patients with amenorrhea,we feel it is important to focus on ki abnormality.
