Consideration of a New Category of Patients for Whom Ryokeijutsukanto is Effective at a Different Stage Then was Previously Reported

Satoshi Minei; Mosaburo Kainuma; Hideyuki Sakamoto; Naoshi Tamaki; Hieofumi Tomori; Yang Cholsong; Yasuo Nakahara; Norihiro Furussyo

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Consideration of a New Category of Patients for Whom Ryokeijutsukanto is Effective at a Different Stage Then was Previously Reported

VernacularTitle:苓桂朮甘湯が適応となる新たな病態に関する考察
Author: Satoshi MINEI ¹ ; Mosaburo KAINUMA ² ; Hideyuki SAKAMOTO ³ ; Naoshi TAMAKI ⁴ ; Hieofumi TOMORI ⁵ ; Yang CHOLSONG ⁶ ; Yasuo NAKAHARA ⁷ ; Norihiro FURUSSYO ²
Author Information

1. Minei Daiichi Hospital
2. Department of General Internal Medicine, Kyushu University Hospital
3. Hide Orthopedics Clinic
4. Tamaki Psycosomatic Clinic
5. Naha City Hospital
6. Yang Herb Clinic
7. Nakahara Kampo Clinic
Keywords: ryokeijutsukanto; sympathetic nerve; parasympathetic nerve; headache; dizziness
From:Kampo Medicine 2019;70(2):141-145
CountryJapan
Language:Japanese
Abstract: Ryokeijutsukanto consists of four crude drugs, Hoelen, Cinnamonmi Cortex, Atractylodis Rhizoma, and Glycyrrhizae Radix. In Kampo medicine, it is used for the yang stage, fluid disturbances, and qi counterflow. It is also used for orthostatic disturbance, which does not change smoothly from parasympathetic nerve dominance to sympathetic nerve dominance. This time, we report that ryokeijutsukanto is also effective for disturbance with function regulation of autonomic nervous system. Case 1: a patient who had headache after exercise and working. Case 2: a patient who had dizziness and cold sweat that appeared in the evening. Case 3: a patient who had headache after working or on holidays. In these cases, ryokeijutsukanto was effective for symptoms that appeared when the patient could not change smoothly from sympathetic nerve dominance to parasympathetic nerve dominance. Furthermore, we found that ryokeijutsukanto was effective, even if there was no sign of fluid disturbance in conjunction with the yang stage and qi counterflow. We identified a new category of patients for whom ryokeijutsukanto is effective.