Clinical Report : Successful Application of Treatments with Kampo Medicine that Focused on liver-qi Stagnation Remedies for three Postpartum Women Experiencing Poor Physical Conditions / 日本東洋医学雑誌

Many postpartum women experience various poor physical conditions and are unresponsive to Western medical treatments. In such cases, treatments with Kampo medicine have so far focused on improving qi deficiency alone or both qi and blood deficiencies. This study describes the three cases of the patients for whom a favorable outcome was achieved despite a relatively poor prognosis by better understanding their status before pregnancy and their conditions during pregnancy and delivery, and by combining treatments for liver­qi stagnation with those for improving prenatal or postnatal qi deficiency.

<b>Clinical Usefullness of a Database Obtained from the Experience of Physicians Prescribing Herbal Medicines : Report on a </b><b>Questionnaire Regarding Treatment for Chillness of the Limbs</b> / 日本東洋医学雑誌

Aim of the present study was to statistically evaluate the examination rule with use of a questionnaire obtained from physicians regarding treatment for chillness of the limbs, and to prove the clinical usefulness of the database. The database showed that tokishigyakukagoshuyushokyoto was the most frequently used to treat chillness of the limbs, and subsequently keishikajutsubuto, hachimijiogan, and tokishakuyakusan were ranked as drugs with wide use. When physicians determined a kampo formulation suitable for each patient, they used findings specific for the kampo formulation, but not uniform findings obtained from the four traditional examination methods (i.e., inspection, listening and smelling, interviewing, palpitation). There was a statistical difference in the selection mode of drugs among physicians. In a simulation obtained from a questionnaire, there was a positive association between time (time X) to the start of becoming physically warm in the limbs, and time (time Y) to remission (<i>R</i>²= 0.971, <i>P </i>= 0.014). The formula (Y = 4.379 X−0.519), which could predict time Y on the basis of information on time X, was able to accurately monitor the clinical courses of 7 responders to treatment for chillness of the limbs. Taken together, these results strongly suggest that the database constructed in the present study may be useful for evaluation of traditional Kampo medicine, and might allow us to perform more fittingly personalized Kampo medicine in the near future.