A Case Report of Somatic Symptom Disorder Successfully Treated with Keppuchikuoto Modified Formula
- VernacularTitle:身体症状症に対して血府逐瘀湯加法が有効であった1例
- Author:
Masahiro FUJITA
1
;
Chitoshi IZOE
2
;
Takashi NISHIMOTO
1
Author Information
- Keywords: somatic symptom disorder; keppuchikuoto; liver qi depression; blood stasis
- From:Kampo Medicine 2022;73(1):74-80
- CountryJapan
- Language:Japanese
- Abstract: We report a case of a 74-year-old woman who suffered from uncomfortable heat under her right shoulder blade and felt anxiety about general fatigue that had been worsening mainly in the summer. She visited our Kampo clinic because of insufficient effect of various types of drug that had been prescribed by 3 doctors for about a year. We made the diagnosis of somatic symptom disorder and suggested Kampo therapy with decoction. We thought this might be caused by liver qi depression, blood deficiency, and blood stasis because he had symptoms of dry skin, cold of feet, deeply located fine pulse, pale and purple tongue with yellow thick fur, fullness in the chest and hypochondrium. Therefore we administered keppuchikuoto modified formula. Her symptom improved within about a month after taking this formulation. There was no recurrence of the physical symptom and fatigue in the summer during taking medicine for about 20 months. Evidence-based treatment in somatic symptom disorder has not been established and some cases are resistant to treatments in modern Western medicine. Kampo medicine may be useful and hopeful.
