ABSTRACT
For the dispensing of Kampo formulas, only an adult dose is described by conventional formulary. Therefore a child's dose is often prescribed by reducing instructions for the fraction-times of an adult dose. However, it is necessary to study whether the content of Kampo-extract pharmaceutical preparations at a child's dose, are similar to decoctions prepared by reducing the dose of crude drugs, and reducing the quantity of water by fraction-times. Therefore it was compared whether the constituents of a decoction liquid at an adult dose, were equal to those of a child's dose. In the decoction method of our clinic, adult doses are decocted with an initial 600mL quantity of water to half volume, as per the normal decoction method, whereas children's doses are reduced to 2/3 or 1/3 times that of adult dose, and decocted to half of the early-stage quantity of water that they are with adults. In the present study, three Kampo formulas which have been used frequently in our clinic and have different prescription weights i.e., Oren-gedoku-to (9g), Keishi-bukuryo-gan-ryo (20g), and Juzen-taiho-to (33g) were studied. When child and adult doses were compared, a difference was noted in pH, extraction rate and extracted constituents. Extraction rates for a child's dose of Oren-gedoku-to and Juzen-taiho-to were lower than that of an adult dose. Extraction rates of component gradients? ferulic acid in Oren-gedoku-to, pae-oniflorin in Keishi-bukuryo-gan-ryo, and paeoniflorin and liquiritin in Juzen-taiho-to? for a child's dose were lower than those of an adult dose. However, extraction rates of component gradients? albiflorin in Keishi-bukuryo-gan-ryo and albiflorin and trans-cinnamic acid in Juzen-taiho-to ? for a child's dose (quantity of 1/3 times) were higher than those of an adult dose. These results suggest that the content of a decoction, which was prepared by reducing an adult dose to the fraction-time of a child's dose, is not the same as reducing the amount of Kampo-extract pharmaceutical preparation to the fraction-time of a child's dose.
ABSTRACT
Recently, the number of physicians using Kampo (Japanese traditional herbal) medicines has been increasing in Japan, and it is becoming more common for pharmacists to dispense Kampo medicines. As Kampo medicines become more popular, in addition to extract formulae, the use of decocting formulae that are more suited to each patient's predisposition and symptoms has increased. Therefore, more pharmacists are dispensing such decocting formulae. However, dispensing decocting formulae can be a complicated task. The risk of dispensing errors is not small. In present paper, we examined preventive measures based on investigations of errors involving decocting formulae in our Kampo clinic. From 1990 to 1999, there were 54 cases in which errors were found after patients received their medicines, and 44 of these cases were dispensing errors. To prevent such errors, in addition to having the knowledge of Kampo medicine and medicinal herbs that is needed for dispensing decocting formulae, it is also necessary to understand the contents of the prescription. The most important preventive measures are to re-inspect the weight and contents of the prescription after preparing it, and to do a final inspection of the medicine contents with the patient. It is expected that this report will play a role in preventing dispensing errors of Kampo medicines by pharmacists.
ABSTRACT
In general hospitals or clinics, medical treatment and instruction in medical therapies and nursing are carried out by the medical staff (doctors, pharmacists and nurses) on hand. It is necessary to understand overall trends in patient illness, in addition to personal information, in order to practice medical care comprehensively. For these reasons we analyzed popular medicines, patient make up, and major disease distributions at our own Kampo clinic institute, for patients admitted since 2001.<br>34% of our patients were male and 66% were female. The majority of these patients were between 20 to 30 years old or, 50 to 70 years old. There were few patients, either male or female, in their 40s. As for major disease distribution, atopic dermatitis was most common among both males and females. Next in line were cold sensations and endometriosis, for females, while respiratory organ diseases such as bronchial asthma or nasal inflammation, and Alzheimer's disease were most common, for males.<br>Among major disease types, atopic dermatitis was treated with Oren-gedoku-to (JTDN: Japanese Traditional Drug Name) and Ogi-kenchu-to (JTDN), while diabetes was treated with Hachi-mi-gan (JTDN) and Seishin-renshi-in (JTDN). Cold sensations were treated with Toki-shigyaku-ka-goshuyu-shokyo-to (JTDN) and Toki-shakuyaku-san (JTDN), while hypertension was treated with Cho-to-san and Saiko-ka-ryukotsu-borei-to (JTDN).<br>The present report contains information useful for diagnosis with Kampo medicines, as well as instruction in the nursing and use of these medications by doctors, pharmacists and nursing staff. This report may be utilized in order to administer appropriate medical care for patients.
ABSTRACT
Kampo medicines containing Bupleuri Radix (Sho-saiko-to and Sho-saiko-to plus Fossilia ossis mastodi and Ostreae testa) were decocted with four kinds of mineral waters and tap water, and the extracts were analyzed for saikosaponin contents by HPLC. The results indicated that the yield of the extracted materials was the largest when Kampo medicines were decocted with the hard water compared with other mineral water extracts. However, the same extract contained the smallest amount of saikosaponin b<sub>2</sub> of those tested. Extractions made with the mineral waters having a weakly acidic or weakly alkaline nature gave similar yields of the extracted materials and saikosaponin b<sub>2</sub> contents.<br>Present results suggest a possibility that decoction using a hard water significantly affects extraction of certain ingredients in Kampo medicine.
ABSTRACT
Kaolin was tested on 180 crude drugs for use as a coloring agent. Eight crude drugs—Atractylodis Rhizoma, Atractylodis Lanceae Rhizoma, Magnoliae Cortex, Asiasari Radix, Pogostemi Herba, Linderae Radix, Citri Leiocarpae Exocarpium and Caryophylli Flos-exhibited coloration. The present results indicate that kaolin can be added as a colorant to crude drugs as a simple method for the distinguishing and identifying the crude drugs in the Kampo pharmacy.
ABSTRACT
When the Kampo treatment is considered for skin diseases of infants, difficulties arise because of the medicine's smell and taste. One of the ways is to give Kampo medicine to their mothers with the expectation that Kampo medicine will be transfered to the infant through lactation. The results of this treatment of ten infants are reported here. One suffered from seborrheic eczema and nine from atopic dermatitis. Nine out of ten cases were cured by the treatment of Kampo medicine in periods ranging from one month to one year and four months. The other case had to continue Kampo medicine by himself for one year and seven months after discontinuance of breast feeding. This therapeutic way is also good for the mothers with atopic dermatitis. In cases of atopic dermatitis in both mothers and children, children improved in a rather short period compared to their mothers. As a result, for the treatment of the skin diseases of infants, administration of Kampo medicine to their mother should be considered.
ABSTRACT
A taste survey was conducted on decocted Kampo medicines, and the strength and weakness of the taste on each decoction expressed numerically. This data was used to construct a decocted Kampo medicine taste rank table and a table summarizing the tastes for the different Kampo decoctions.<br>The taste rank table and the summary table can be used to know the taste of the Kampo formula being administered to the Patient, and are therefore thought to be useful in Kampo treatment and as administration guidelines.