Kampo Therapy on Acute Phases of Illness
10.3937/kampomed.62.172
- VernacularTitle:急性期における漢方治療
- Author:
Tadamichi MITSUMA
;
- Publication Type:Journal Article
- Keywords:
Kampo;
acute disease;
yin-and-yan;
six stages of disease;
keisinieppiitito
- From:Kampo Medicine
2011;62(2):172-195
- CountryJapan
- Language:Japanese
-
Abstract:
This shows my clinical experiences with Japanese traditional (Kampo) treatments on acute phases of illness, mainly some case reports.Shanghanlun, which is one of the most famous textbooks about ancient Chinese medicine, must be the oldest textbook of EBM. In the book, clinical courses and variations of acute febrile diseases are stated with the suitable prescription respectively based on clinical experiences. Regarding the Kampo practice, especially at the acute phase, it is very important to judge the yin-and-yan and the six stages of disease. Only the excess-deficiency theory is inadequate. Heat-cold which is an aspect of yin-and-yan is also important. Besides, particularly at acute febrile disease, we should find changes in the clinical condition like the six stages of disease caused in the clinical process. Sometimes the Kampo diagnosis can be two or three stages at same time, or be one but look like multiple stages.Kampo medicine effects change so quickly that trying therapeutic diagnosis for the appropriate prescription called shihuku is very useful especially for acute diseases. During a Kampo examination, checking the pulse condition and abdominal signs including cold and warm sensation are effective. On the prescription, Keishinieppiichito is often potent and should be used more frequently to treat patients in acute febrile disease. For treatment of serious cases, I believe that we need more medical institutions which can hospitalize using natural Kampo formulas, containing raw aconite i.e.
