A Case Report of Fever of Unknown Origin Successfully Treated with Saikatsugekito

Masafumi MURAI; Takeshi HORI; Yasuaki MORI; Katshuhide KOMEICHI; Nobuo MASAUZI; Minoru YAEGASHI; Sumio IMAI; Yoshinori OHTSUKA; Yukihiko HOMMA

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A Case Report of Fever of Unknown Origin Successfully Treated with Saikatsugekito

VernacularTitle:10年間続いた不明熱に柴葛解肌湯が奏効した1例
Author: Masafumi MURAI ¹ ; Takeshi HORI ¹ ; Yasuaki MORI ¹ ; Katshuhide KOMEICHI ¹ ; Nobuo MASAUZI ² ; Minoru YAEGASHI ¹ ; Sumio IMAI ³ ; Yoshinori OHTSUKA ¹ ; Yukihiko HOMMA ⁴
Author Information

1. Hokudaimae Clinic, Hokkaido Kampo Medical Center
2. Kin-ikyo Fushiko 10 jyo Clinic
3. Hokkaido University, Faculty of Health Sciences
4. Sapporo Maternity Women's Minami-Ichijo-Clinic
Keywords: fever of unknown origin; saikatsugekito; gobyo; heibyo
From:Kampo Medicine 2020;71(1):24-29
CountryJapan
Language:Japanese
Abstract: A42-year-old man presented with a history of tidal fever almost every evening to night with 10-year duration. We could not find out the cause of his fever, so we thought he was classified in fever of unknown origin. The patient suffered from an anhydrosis phase during the temperature rose, but his fever broke after perspiration occurred at the end. The lack of perspiration with fever is a typical symptom of excess pattern of tai yang stage, and fever at night is suggestive of shao yang stage. Saikatsugekito was thought to be best suited as it would address both stages. The formula promoted perspiration, and the body temperature remained stable thereafter. It is not unusual to encounter complicated symptoms due to combined or overlapped pattern in clinical setting. This case represented successful outcome by identifying and analyzing the concept of gobyo and heibyo and prescribing a formula accordingly.