A Case of Chi-no-michi-sho that was Successfully Treated with Traditional Japanese Herbal Medicine for Seven Years

Ichiro Yamazaki; Hiroko Morohashi; Tsukasa Fueki; Kenya Inukai; Toru Yanase

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A Case of Chi-no-michi-sho that was Successfully Treated with Traditional Japanese Herbal Medicine for Seven Years

VernacularTitle:血の道症に漢方治療が7年に渡り奏効した一症例
Author: Ichiro YAMAZAKI ¹ ; Hiroko MOROHASHI ² ; Tsukasa FUEKI ³ ; Kenya INUKAI ⁴ ; Toru YANASE ⁵
Author Information

1. Takada Nishishiro Hospital
2. Lhasa Internal Medicine and Dermatology Clinic
3. Matuya Fharmacy
4. Department of Traditional Medicine, Toho University School of Medicine
5. Inukai ENT Clinic
Keywords: chi-no-michi-sho; headache; weight loss amenorrhea; hyperthyroidism; tokishakuyakusan
From:Kampo Medicine 2020;71(4):344-351
CountryJapan
Language:Japanese
Abstract: Chi-no-michi-sho involves neuropsychiatric and physical symptoms that appear with hormonal changes, such as those during pregnancy and menopause. Until now, there were many case reports, which were within 2 years from the start of treatment. We present a case of chi-no-michi-sho that was successfully treated with Kampo formulations for 7 years. A 43-year-old woman had complaints of candida eczema in the vulva, palpitations, and headache. Tokishakuyakusan and shakanzoto were then administered for kekkyo (blood deficiency), oketsu (blood stasis), and suidoku (fluid retention), and a topical antifungal agent was administered for candida eczema. The headache and palpitations were reduced. Subsequently, tokishigyakukagoshuyuto and keishibukuryogan were administered because of skin rash and deterioration of sensitivity to cold. However, various symptoms, such as weight loss amenorrhea due to self-determination, eczema, feeling heavy in the head, and edema, remained. We prescribed tokishakuyakusan again in addition to Western medical treatment. Her menstruation then resumed ; her eczema, palpitations, and headache also improved. However, she developed hyperthyroidism. While paying attention to organic diseases such as thyroid dysfunction, prescription of tokishakuyakusan may be effective when chi-no-michi-sho is long-lasting and there are blood deficiency and stasis with fluid retention.