A Case Report of Exfoliative Cheilitis Successfully Treated with Hochuekkito

VernacularTitle:A Case Report of Exfoliative Cheilitis Successfully Treated with Hochuekkito
Author: Masafumi MURAI ¹ ; Yumiko IBAYASHI ¹ ; Takeshi HORI ² ; Yasuaki MORI ¹ ; Katshuhide KOMEICHI ³ ; Minoru YAEGASHI ¹ ; Sumio IMAI ¹ ; Yoshinori OHTSUKA ⁴ ; Yukihiko HOMMA ¹
Author Information

1. Hokudaimae Clinic, Hokkaido Kampo Medical Center
2. Jikeikai Hospital
3. Obihiro Daiichi Hospital
4. Kin-ikyo Fushiko 10 jyo Clinic
Keywords: exfoliative cheilitis; hochuekkito; psychiatry; bupleurum root; citrus unshiu peel
From:Kampo Medicine 2017;68(3):227-230
CountryJapan
Language:Japanese
Abstract: A 31-year-old woman started to have a yellowish-white scab with exfoliation on her lip after delivery. Her exfoliative cheilitis did not improve with kigikenchuto nor juzentaihoto for treating deficiency of vital energy and lack of blood. After she developed upset stomach, her prescription was changed to hochuekkito which supports the digestive system. Her symptom improved dramatically. The characteristic of exfoliative cheilitis consists of chronic inflammation of lips which is considered to be yang-syndrome, therefore hochuekkito was effective as it covers yang-syndrome as well as yin-syndrome. It is suggested that psychological factors play a role for a pathogenesis of exfoliative cheilitis. We consider that antistress effect of bupleurum root and sedative effect of citrus unshiu peel in hochuekkito might also be key factors.