Consideration of a New Category of Patients for Whom Ryokeijutsukanto is Effective at a Different Stage Then was Previously Reported / 日本東洋医学雑誌

Ryokeijutsukanto consists of four crude drugs, Hoelen, Cinnamonmi Cortex, Atractylodis Rhizoma, and Glycyrrhizae Radix. In Kampo medicine, it is used for the yang stage, fluid disturbances, and qi counterflow. It is also used for orthostatic disturbance, which does not change smoothly from parasympathetic nerve dominance to sympathetic nerve dominance. This time, we report that ryokeijutsukanto is also effective for disturbance with function regulation of autonomic nervous system. Case 1: a patient who had headache after exercise and working. Case 2: a patient who had dizziness and cold sweat that appeared in the evening. Case 3: a patient who had headache after working or on holidays. In these cases, ryokeijutsukanto was effective for symptoms that appeared when the patient could not change smoothly from sympathetic nerve dominance to parasympathetic nerve dominance. Furthermore, we found that ryokeijutsukanto was effective, even if there was no sign of fluid disturbance in conjunction with the yang stage and qi counterflow. We identified a new category of patients for whom ryokeijutsukanto is effective.

Rehabilitation for Patients Recovering from Threatened Abortion and Premature Labor : During Pregnancy and the Postpartum Period / The Japanese Journal of Rehabilitation Medicine

Bed rest for pregnant women recovering from threatened abortion and premature labor to prevent abortion can cause deconditioning syndrome, but it is not clear what kind of physical exercise should be provided for these patients. To better provide appropriate rehabilitation for threatened abortion and premature labor patients, we investigated patient clinical records retrospectively. In 11 patients who were provided rehabilitation within the past three years, eight delivered during hospitalization and three became independent in ADLs and were discharged while still pregnant. All patients who delivered during their hospitalization became independent in ADLs immediately after delivery, and as a result, the maternal prognosis was good. Choosing an appropriate rehabilitation approach for patients with threatened premature labor may help alleviate their deconditioning during pregnancy without any adverse impact.