A Case of Chronic Heart Failure Successfully Treated with Bukuryokyoninkanzotokaboiogi
10.3937/kampomed.62.147
- VernacularTitle:茯苓杏仁甘草湯加防已黄耆により慢性心不全が改善した1症例
- Author:
Kazuyoshi KORI
;
Tetsuro OIKAWA
;
Toshihiko HANAWA
;
- Publication Type:Journal Article
- Keywords:
bukuryokyoninkanzoto;
bukuryokyoninkanzotokaboiogi;
chronic heart failure
- From:Kampo Medicine
2011;62(2):147-151
- CountryJapan
- Language:Japanese
-
Abstract:
We report a case of chronic heart failure successfully treated with bukuryokyoninkanzotokaboiogi. The case was an 87-year-old woman whose chief complaint was chest oppression at rest. She had been diagnosed with chronic heart failure and treated at a university hospital for 6 years, including several episodes of hospitalization. The patient's chest oppression was so strong that she felt depressed. Therefore, she consulted our institute to receive a Kampo treatment in addition to the western medications she was taking. At the patient's first visit to our institute, her serum brain natriuretic peptide (BNP) value was 545pg/ml, and her cardiothoracic rate (CTR) on chest radiogram was 64.1. The severity of the patient's chest oppression was class IV, according to the classification system of the New York Heart Association (NYHA). After we prescribed bukuryokyoninkanzotokaboiogi, her chest oppression and depressive mood gradually improved. Approximately one year later, the patient's BNP value had lowered to 104pg/ml, and CTR was reduced to 57.5. Eventually, her chest oppression and depressive mood disappeared completely. At that time, the chest oppression was categorized as class I in NYHA classification. Treatment with western medicines was not changed over the total clinical course of this case. These results suggest that bukuryokyoninkanzotokaboiogi could be a useful formulation for the treatment of chronic heart failure.
