Clinical Characteristics of Chronic Otolaryngeal Patients Treated with Kampo Medicines

Hitoshi Nishikawa; Shin Takayama; Akiko Kikuchi; Takehiro Numata; Yuka Ikeno; Soichiro Kaneko; Tetsuharu Kamiya; Ryutaro Arita; Natsumi Saito; Minoru Ohsawa; Michiyo Kojima; Hiroyo Sasaki; Kazuyoshi Yamashita; Tadashi Ishii

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Clinical Characteristics of Chronic Otolaryngeal Patients Treated with Kampo Medicines

VernacularTitle:耳鼻咽喉科領域の症状に対する漢方治療例の検討
Author: Hitoshi NISHIKAWA ¹ ; Shin TAKAYAMA ² ; Akiko KIKUCHI ² ; Takehiro NUMATA ² ; Yuka IKENO ² ; Soichiro KANEKO ² ; Tetsuharu KAMIYA ² ; Ryutaro ARITA ² ; Natsumi SAITO ² ; Minoru OHSAWA ² ; Michiyo KOJIMA ² ; Hiroyo SASAKI ² ; Kazuyoshi YAMASHITA ² ; Tadashi ISHII ³
Author Information

1. Kakuda ENT Clinic
2. Department of Education and Support for Regional Medicine, Department of Kampo Medicine, Tohoku University Hospital
3. Red Cross Sendai Hospital
Keywords: otolaryngeal; Kampo medicine; therapeutic effect; period from first visit to improvement
From:Kampo Medicine 2019;70(1):18-24
CountryJapan
Language:Japanese
Abstract: The background and course of Kampo treatment in 39 patients with uncontrollable otolaryngeal symptoms treated between April 2013 and March 2016, in the Department of Kampo Medicine at Tohoku University Hospital, were analyzed retrospectively. An improvement in overall symptoms was noted with Kampo treatment in 28 of 39 cases (71%). The commonly reported subjective symptoms included glossodynia (7 cases), postnasal drip (4 cases), oral discomfort (4 cases), dizziness (3 cases), and taste disorder (3 cases). Analysis using the classification of qi, blood, and fluid revealed that cases with qi stagnation pattern (15 of 18 cases) were effectively treated with Kampo treatment. Prior reports support our finding that smoothing qi with Kampo medicine is effective in alleviating some chronic symptoms. The symptoms improved within 6 weeks after the treatment was initiated. Therefore, a 6-week period can be considered sufficient to determine the effectiveness of Kampo medicine. Many of the patients for whom Kampo treatment was not effective had depression and domestic stress. In conclusion, Kampo treatment may be effectively used to treat uncontrollable, chronic otolaryngeal symptoms in selected cases that are unresponsive to Western medicine.