A Case Report of Fever of Unknown Origin Successfully Treated with Saikatsugekito / 日本東洋医学雑誌

A42-year-old man presented with a history of tidal fever almost every evening to night with 10-year duration. We could not find out the cause of his fever, so we thought he was classified in fever of unknown origin. The patient suffered from an anhydrosis phase during the temperature rose, but his fever broke after perspiration occurred at the end. The lack of perspiration with fever is a typical symptom of excess pattern of tai yang stage, and fever at night is suggestive of shao yang stage. Saikatsugekito was thought to be best suited as it would address both stages. The formula promoted perspiration, and the body temperature remained stable thereafter. It is not unusual to encounter complicated symptoms due to combined or overlapped pattern in clinical setting. This case represented successful outcome by identifying and analyzing the concept of gobyo and heibyo and prescribing a formula accordingly.

The Practical Use of Asada's Saikatsugekito from the Viewpoint of "Heibyo" / 日本東洋医学雑誌

Asada's Saikatsugekito, which is a mixture of ginseng-and jujube-free, but gypsumadded Shosaikoto-Kakkonto mixture, is thought to be used for the Heibyo of Taiyobyo and Ritekisyoyosho according to its composition and the contents of the description in its source. On the other hand, in the treatment of Heibyo, Senhyogori may be the therapeutical principle for such a pathological condition according to that for Taiyobyo and Yomeibyo, but the present treatment is thought to be exceptionally beneficial due to the effect of Hyorisokai. The present case of cold syndrome, which initially was supposed to be Maotosho, was diagnosed, on the day after its first examination, as transferred to Ritekisyoyosho, i. e. Heibyo of Taiyosho and Ritekisyoyosho. The present treatment caused its symptomatic remission in a short period of time. This may be indicative of the significance of the present treatment for such a state of Heibyo of Taiyobyo and Ritekisyoyosho. From the viewpoint of Heibyo treatment, we should bear in mind that some exceptional use, such as in the present treatment, may be practical in consideration of the therapeutical principle.