ABSTRACT
Herein, we report kyukikyogaito treatment that was effective for repeated hemoptysis due to pulmonary endometriosis. A 27-year-old Japanese woman visited our hospital because of repeated hemoptysis associated with menstruations. Computed tomography (CT) on one day of hemoptysis revealed ground-glass pattern in the left lower lobe, and later we confirmed bleeding from left B6 bronchus by bronchoscopy. We diagnosed her as having pulmonary endometriosis clinically. She had repeated hemoptysis every month for 3 years with a moderate amount of bleeding. At the age of 30, she showed frequent hemoptysis for several days in February in 20XX. We conducted oriental medical examination, and diagnosed blood deficiency and deficiency cold pattern as the main pathological conditions. We administered kyukikyogaito for the duration of each menstruation. She took kyukikyogaito for the first 3 days of her menstruation in March, and for the 5 days from 2 days before her menstruation in April. As a result, she had a small amount of hemoptysis only once in 2 months. She stopped taking kyukikyogaito from May, and her hemoptysis resolved. In Western medicine, the therapeutics of pulmonary endometriosis are endocrinotherapy and surgery. It was suggested that kyukikyogaito is effective for pulmonary endometriosis with imperfection of throughfare and conception vessels pattern, and deficiency cold pattern.