A Report on Three Cases of Infertility that Resulted in Pregnancy and Childbirth when Tokishakuyakusan was Administered Following Symptomatic Treatment Resolving Blood Stasis or Regulating qi
- VernacularTitle:瘀血あるいは気滞を除く随証治療で当帰芍薬散証へ導き，当帰芍薬散内服で妊娠出産にいたった不妊の3症例
- Author:
Toshiko TODA
1
;
Atsuko SHIOTA
2
;
Yuzo FUKUSHIMA
3
;
Ryosuke FUJITA
4
;
Yasushi TAKUSHIMA
5
;
Akiko NOUMI
6
Author Information
- Keywords: tokishakuyakusan; infertility; pregnancy; pattern; abdominal signs
- From:Kampo Medicine 2021;72(4):377-382
- CountryJapan
- Language:Japanese
- Abstract: Tokishakuyakusan is well-known to be useful in infertility. We report 3 cases of infertility that resulted in pregnancy and childbirth due to oral administration of tokishakuyakusan after being led to tokishakuyakusan pattern by symptomatic treatment resolving blood stasis or regulating qi. Case 1 was a 39-year-old woman with unexplained infertility. She visited our hospital because of irritability and was initially administered keishibukuryogankayokuinin and yokukansankachinpihange, and then tokishakuyakusan. After a month of treatment, she conceived. Case 2 was a 33-year-old woman who was diagnosed with ovarian dysfunction and received ovarian stimulation. To support infertility therapy she was administered keishibukuryogan, and subsequently, tokishakuyakusan based on her pattern. After 3 months of treatment, she conceived. Case 3 was a 37-year-old woman who was diagnosed with unexplained infertility and was administered kamishoyosan and hochuekkito for premenstrual syndrome at another hospital. She visited our hospital because of sensitivity to cold and fatigability. The previous treatment was discontinued, and she was administered tokishakuyakusan based on her pattern. After 2 months of treatment, she conceived. All 3 patients continued tokishakuyakusan treatment during pregnancy and successfully delivered live babies. These 3 cases initially received other Kampo medicines and then, tokishakuyakusan, according to the changed Kampo medical pattern. It is important to administer tokishakuyakusan to patients with infertility, following administration of appropriate Kampo medicine to correct their imbalance of qi, blood and fluid and after further confirming the abdominal signs suitable for tokishakuyakusan.
