A Case of Fatigue-Related Gingival Bleeding with Spleen Failing to Control the Blood Successfully Treated with Kamikihito During theTreatment of Other Symptoms

Noritada Kato; Koichiro Tanaka; Tomoko Niimi; Sadahiro Tamashima; Kazuhiko Nara; Koki Chiba; Hiroko Takahashi; Chiho Otani

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A Case of Fatigue-Related Gingival Bleeding with Spleen Failing to Control the Blood Successfully Treated with Kamikihito During theTreatment of Other Symptoms

VernacularTitle:A Case of Fatigue-Related Gingival Bleeding with Spleen Failing to Control the Blood Successfully Treated with Kamikihito During theTreatment of Other Symptoms
Author: Noritada KATO ¹ ; Koichiro TANAKA ² ; Tomoko NIIMI ² ; Sadahiro TAMASHIMA ² ; Kazuhiko NARA ³ ; Koki CHIBA ⁴ ; Hiroko TAKAHASHI ² ; Chiho OTANI ²
Author Information

1. Health Care Center, Fuji Electric
2. Department of Traditional Japanese Medicine, Faculty of Medicine, School of Medicine, Toho University
3. Tokyo Medical and Dental University Dental Hospital
4. Tamashima Hematology and Kampo Clinic
Keywords: gingival bleeding; kamikihito; Kampo; spleen failing to control the blood; fatigue
From:Kampo Medicine 2017;68(3):218-221
CountryJapan
Language:Japanese
Abstract: In dentistry, it is empirically known that the acute exacerbation of periodontal disease often occurs at the time of fatigue, but scientific verification has never been made about the relationship of fatigue and bleeding. In Kampo medicine, there is the concept of spleen failing to control the blood as bleeding at the time of fatigue. Kihito and kamikihito are often used for this condition. Spleen failing to control the blood means that lack of vital energy causes the bleeding. Kamikihito is most often used in the treatment of idiopathic thrombocytopenic purpura. Moreover, there have been some reports on the use of kamikihito in the treatment of gynecological fraud bleeding and aplastic anemia. However, there has been no report on the use of it in the treatment of gingival bleeding. In this case, neither cytopenia nor obvious coagulopathy was recognized. In Kampo medicine, not only spleen failing to control the blood but also blood stasis or blood heat is considered to be the cause of bleeding, but the effectiveness of kamikihito for this case suggested pathophysiology of spleen failing to control the blood. Kamikihito could be a choice to treat gingival bleeding at the time of fatigue.