The Features of Oriental Medicine and Kampo Treatment for Undifferentiated Finger Arthritis
- VernacularTitle:中年女性を中心とした明確な診断がつかない手指痛の東洋医学的特徴と漢方治療
- Author:
Keita MIYANISHI
1
;
Michihiko HIRATA
2
;
Kazuhiro ORIBE
3
Author Information
- Keywords: finger pain; undifferentiated arthritis; Kamishoyosan
- From:Kampo Medicine 2019;70(3):240-246
- CountryJapan
- Language:Japanese
- Abstract: There are cases of finger pain in which a definite diagnosis including rheumatoid arthritis cannot be made even after thorough examinations. We herein report the results of Kampo treatment in such cases with so called undifferentiated arthritis. Sixty-two patients (male, n = 5 ; female, n = 57 ;average age, 49.7 years) were included in the present study. There is a tendency of the Kampo concept of a cold pattern (n = 39 ; 63%), static blood (oketsu, n = 47;76%), and qi stagnation (n = 44 ;71%). Among the 62 cases, excellent results were obtained in 29 cases (47%), good results were obtained in 10 cases (16%), and no effect was obtained in 23 cases (37%). Kamishoyosan, which was administered in 30 cases, was the most commonly used Kampo medicine. In most cases, Kampo treatment was given with a combination of two or more formulas. A paired formula of kamishoyosan and keishikaryojutsubuto was used in 9 cases, 8 of which showed good or excellent results (efficacy rate : 89%). Qi- and/or ketsu-tonifying formulations and formulations with warming effects were often used for the treatment of undifferentiated finger arthritis.
