- VernacularTitle:蜂窩織炎における漢方治療の意義 —下肢蜂窩織炎の3症例から—
- Author:
Ryo YOSHINAGA
1
;
Yusuke GOTO
1
;
Toshinobu MAKI
1
;
Hiroki INOUE
1
;
Hiromi YANO
1
;
Eiichi TAHARA
1
Author Information
- Keywords: cellulitis; water imbalance; heat; blood stasis
- From:Kampo Medicine 2021;72(2):135-143
- CountryJapan
- Language:Japanese
- Abstract: In this report, we present three cases of lower limb cellulitis. The first case was an 88-year-old woman and the second case was a 36-year-old man. In addition to standard therapy, both of them received Kampo therapies with keishinieppiitto and jidabokuippo during the acute phase of cellulitis and were promptly cured. The third case was a 52-year-old woman with severe obesity suffering from repeated and intractable cellulitis. She received Kampo therapy including keishibukuryogan. The redness and swelling in her leg gradually disappeared. Administration of adequate antibiotics and elevation of affected areas are important for the treatment of cellulitis. Even with appropriate therapy, some patients are slow to respond and difficult to treat. The skin findings in cellulitis are swelling, redness, heat, and pain, which can be recognized and treated as water imbalance, heat, and blood stasis in Kampo medicine. This case report suggests that cellulitis during the acute phase can be treated with keishinieppiitto and the treatment of water imbalance and heat is important. After the acute phase, the treatment of blood stasis is important. Considering the time of onset and skin findings in cellulitis, Kampo therapy can contribute to the rapid recovery of cellulitis.