RESUMEN
The 38-years old woman was hospitalized due to peritonitis carcinomatosa after 8 months, since the operation for advanced gastric cancer. Although the dosage of domperidone suppository, metoclopramide injection and haloperidol injection was started to prevent her from vomiting, it was stopped because of the complication of extrapyramidal symptoms. Instead of previous prescription, the traditional Japanese medicine, ice candy of rikkunshito, was prepared and started to give her. After its dosage, the number of vomit was gradually decreased, and she was permitted to go back her home. Before a dosage of ice candy of rikkunshito, it was impossible for her to eat orally even if she felt hungry and had appetite, which caused a strong grief to her. Ice candy of rikkunshito is a smooth medicine and expected to prevent from vomiting while an intake of ice candy orally. Hence, it is considered that there is possibility to have effectiveness both physically and psychologically. After few days from going back home, she caused a consciousness impediment. Her last stay at home was only few hours. After one month since then, she died leaving her message,“I was tired out, but happy to stay at my home.”
RESUMEN
Background : Kampo, or traditional Japanese medicine education, was accepted into the education system after a new requirement of being able “to roughly explain Wakan (Japanese/Chinese) medicines" was added to the core curriculum model.<br>Purpose : Kampo medicine has been taught at all 80 medical schools and universities since 2007. We con ducted a nationwide survey to understand the present situation, gain insights from several Kampo education viewpoints, and elucidate any challenges for the Japan Society for Oriental Medicine (JSOM) in future.<br>Method : A postal questionnaire survey was sent to 80 medical schools and universities from the Liaison Committee of JSOM.<br>Results : 67 out of the 80 medical institutions (83.8% return rate) responded to the survey. The answered survey results were as follows : Kampo medicine is needed in regular clinical practice (91%), studies are needed to evaluate the outcome of Kampo Medicine education (77%), and dedicated staff members are being trained (46%).<br>Conclusions : Further development of graduate education and its standardization as well as improvement of bedside training is needed for Kampo education. In addition, establishment of a post-graduate Kampo education system will be crucial in the future.