An Effective Case of Keishikajutsubuto and Maobushisaishinto for Arthritis

Masahiro Ohira; Michiaki Kimura; Takaaki Kosuge; Kotaro Kumano; Ichiro Tatsuno; Tetsuo Akiba

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An Effective Case of Keishikajutsubuto and Maobushisaishinto for Arthritis

VernacularTitle:桂枝加朮附湯エキスと麻黄附子細辛湯エキスの併用により軽快した関節炎の一例
Author: Masahiro OHIRA ¹ ; Michiaki KIMURA ² ; Takaaki KOSUGE ¹ ; Kotaro KUMANO ² ; Ichiro TATSUNO ¹ ; Tetsuo AKIBA ³
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1. Department of Kampo, Toho University Sakura Medical Center
2. Department of Internal Medicine, Toho University Sakura Medical Center
3. Kosuge Clinic and Yokohama Suzaku Kampo Igaku Center
Keywords: palindromic rheumatism; fever; arthralgia; keishikajutsubuto; maobushisaishinto
From:Kampo Medicine 2021;72(4):388-396
CountryJapan
Language:Japanese
Abstract: We report the case of a 60-years-old man who complained fever and left knee pain. Fever and arthralgia appear once a month, and these symptoms disappear spontaneously in 3 days. The patient came to our hospital to receive Kampo treatment, because the patient experienced improving these symptoms by Kampo medicine about 20 years ago. I judged the arthralgia as kanshippi, because the arthralgia improved when the patient warmed the joint. We prescribed keishikajutsubuto 7.5 g/day. Arthralgia improved after administration of keishikajutsubuto, but the attack appeared every month. We prescribed maobushisaishinto 5 g/day in addition to keishikajutsubuto 5 g/day for further improvement of arthralgia. The frequency of fever and arthralgia attack was dramatically decreased after we prescribed keishikajutsubuto 5 g/day and maobushisaishinto 5 g/day. We considered the possibility of palindromic rheumatism based on clinical symptoms, X-ray in other clinic and blood test results in our hospital. We report an effective case of keishikajutsubuto and maobushisaishinto on arthritis attacks with fever that resolved spontaneously in a short time.