1.Consideration to Clinical Indication of Boiogito
Nobuyasu SEKIYA ; Yukitaka HIYAMA ; Takao NAMIKI ; Yuji KASAHARA ; Atsushi CHINO ; Katsumi HAYASHI ; Toshiaki KOGURE ; Takeshi TATSUMI ; Naotoshi SHIBAHARA ; Toshiaki KITA ; Yoshiro HIRASAKI ; Katsutoshi TERASAWA
Kampo Medicine 2008;59(4):623-631
Boiogito, which has been used for obesity, edema and arthritis by using flabby constitution as a clinical indication, is mentioned in Jin Kui Yao Lue (Synopsis of the Golden Chamber). We experienced five cases of wind-wetness syndrome or edema caused by the pathogen Wind successfully treated with boiogito. There were common findings in these cases, i.e., heavy sweating or perspiration while sleeping, chilly feelings and worsening of the evening subjective symptoms and pulse diagnoses, such as floating, string-like and congested pulse in objective findings. On the basis of these cases, we investigated the efficacy of boiogito extract in 10 patients having the all of common findings mentioned above. As a result, boiogito improved symptoms in 8 patients. This suggests that medical examination by interview and distinctive pulsation are important in deciding the Kampo diagnosis for boiogito.
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2.Embryological Consideration of Half-exterior Half-interior
Eiichi TAHARA ; Takahiro SHINTANI ; Tadamichi MITSUMA
Kampo Medicine 2008;59(6):813-820
We sought a connection between the half-exterior half-interior symptoms (hanpyo hanri sho), mentioned in the classic Chinese Shang han lun text and used in Kampo medicine, and embryology. An agreement between these shao yang (lesser yang) symptoms, and embryonic brachial arch domains was found. A part of the brachial arches strongly agrees with the ruling domain from the trigeminal nerve to the vagal nerve, and a connection was also seen to the vestibulocochlear nerve and partly to the accessory nerve. Thus we believe that half-exterior half-interior symptoms are a condition which relate back to part of the brachial arches, and are a result of so-called Heat reaction. Shang han lun Chinese medicine and embryology are two completely different fields. However, we consider an embryological view of nerve pathways to be helpful in understanding half-exterior half-interior symptoms, at least to a certain degree.
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