This report describes the cases of three patients suffering from severe atopic dermatitis resistant to steroid therapy who were successfully treated by Japanese herbal medicine. For the therapy, the formulas were decided on the basis of the combination therapy of Honchi and Hyochi. Honchi was administered to improve the constitution of each patient, and Hyochi was performed when indicated by skin conditions. All three patients showed erythroderma, with exudation on large areas of their bodies, and complained of severe itching.
Case 1 was a 38-year-old man with striking edema and oliguria, and who complained of a sense of coldness (HIE). He recovered promptly after being treated with Kei-hi-to as Honchi, and Chorei-to and Sanmotsu-ogon-to as Hyochi. Case 2 was a 58-year-old woman who was allergic to Keishi and Ogon. She complained of dizziness, mild headaches and digestive problems. Hange-byakujutsu-tenma-to and Haino-san-kyu-to were effective as Honchi and as Hyochi respectively. Case 3 was a 23-year-old man afflicted with dryness and exudation of the skin. He was treated with Hyochi and Honchi, alternatively or simultaneously. Juzen-dai-ho-to, Saiko-keishi-to and Byakko-ka-ninjin-to were used as Honchi, and Oren-gedoku-to, Keigai-rengyo-to and Jumi-haidoku-to were used as Hyochi. Those formulas were altered according to his systemic and cutaneous conditions.
All three patients showed striking improvement within 18 months of beginning the Japanese herbal medicine therapies.

Rosacea begins with recurrent episodes of blushing that eventually become persistent dark facial erythema. Its etiology is still unknown, and no curative therapy has been established. We successfully treated 10 middle-aged female patients with several Kampo formulas. Ages of the patients ranged from 46 to 81 years old (average 60.6 years old). Periods from disease onset to the beginning of therapy were1month to 6 years (average 2.2 years). The Kampo formulas used were daisaikoto with orengedokuto in 7 cases, and kakkonkokato in 3 cases. All patients healed within 14 months. We thus recommended daisaikoto with orengedokuto, or kakkonkokato as a first choice for the treatment of rosacea.

We successfully treated 5 patients with seborrheic dermatitis using Kampo medicine. Three of these patients presented with facial the lesions which had persisted for 1 to 2 years despite their having received treatment with steroid ointments or ketokonazol lotions. We treated these patients with jumihaidokuto and they recovered significantly within a few months. The two remaining patients presented with scalp lesions, which had persisted for10and 25 years respectively. We treated them with a combined formulation of keigairengyoto, makyoyokukanto and yokukansankachimpihange, and they improved remarkably after 2 and 8 months respectively.
Medicine, Kampo ; Seborrheic dermatitis ; Cases ; seconds ; month