Three Cases of Calf Cramps with Internal Coldness Caused by Kidney Deficiency Presenting with Gastrointestinal Dysfunction Successfully Treated with Shimbuto
10.3937/kampomed.66.302
- VernacularTitle:胃腸虚弱を伴い腎虚を背景とした裏寒証のこむら返りが真武湯で軽快した3症例
- Author:
Yoko KIMURA
;
Hiroshi SATO
;
Takashi ITO
- Publication Type:Journal Article
- Keywords:
calf cramp;
shimbuto;
internal coldness;
gastrointestinal dysfunction;
kidney deficiency
- From:Kampo Medicine
2015;66(4):302-306
- CountryJapan
- Language:Japanese
-
Abstract:
We describe three cases of calf cramps successfully treated with shimbuto. Case 1 was a 74-year-old female who suffered from calf cramps and knee pain caused by gonarthrosis. She was treated with boiohito, but did not respond. When she complained of diarrhea, shimbuto was substituted for boiohito. After taking shimbuto, her knee pain improved, and her cramps disappeared. Case 2 was a 77-year-old female who suffered from leg edema and calf cramps. Tokishakuyakusan was prescribed, but she complained of an upset stomach. Tokishakuyakusan was replaced with shimbuto, and her cramps improved together with a decrease in the coldness and edema in her legs. Case 3 was a 79-year-old female who took kososan for uneasiness and restlessness after the death of her husband. She had edema and coldness in her legs, and suffered from calf cramps during the daytime and early in the morning. Shimbuto was added to kososan, and her coldness improved ; subsequently the leg edema diminished, and finally her cramps disappeared.
These cases suggest that shimbuto is indicated for patients with calf cramps, who report internal coldness caused by kidney deficiency with gastrointestinal dysfunction.
