A Case of Intractable Buttock Pain that Developed from Chronic Postsurgical Pain to Chronic Pain Successfully Treated with Yokukansan and Keishikaryukotsuboreito
- VernacularTitle:遷延性術後痛から慢性疼痛に移行した難治性臀部痛に抑肝散と桂枝加竜骨牡蛎湯の併用が奏功した1例
- Author:
Hiromi UENO
1
;
Kosuke HAMADA
1
;
Tomoko SHINTANI
2
;
Hiroaki WATANABE
1
;
Makoto TAKEDA
3
;
Michiaki YAMAKAGE
1
Author Information
- Keywords: yokukansan; keishikaryukotsuboreito; chronic postsurgical pain; chronic pain
- From:Kampo Medicine 2025;76(3):173-178
- CountryJapan
- Language:Japanese
- Abstract: We report a case of persistent pain in a 21-year-old male patient, which responded well to yokukansan and keishikaryukotsuboreito, after biopsy surgery performed 5 years ago. Chronic postsurgical pain (CPSP) is a condition in which pain persists even after the surgical wound has healed, significantly affecting the patient’s daily life and mental state. Our patient was diagnosed with fibrous osteodysplasia based on a biopsy of the sacral region, but his postoperative pain persisted and became chronic. The patient’s activities of daily living (ADL) significantly declined, and he was unable to maintain a normal school life. Simultaneous treatment with shigyakusan, keishibukuryogankayokuinin, tramadol hydrochloride, and acetaminophen was started, and the medication was repeatedly changed. His quality of life notably improved with yokukansan and keishikaryukotsuboreito. In recent years, there have been many reports of the use of yokukansan for chronic pain, and the results of our case suggest that the addition of the anxiolytic and analgesic effects of keishikaryukotsuboreito is effective for intractable chronic pain.
