<b>Six Hemodialysis Cases with Shoulder Disorders Successfully Treated with G</b><b>oshakusan</b> / 日本東洋医学雑誌

ABSTRACT

<p>A dialysis patient may experience shoulder disorders that are not associated with a history of dialysis treatment. We reported regarding 6 dialysis patients with shoulder disorders who were successfully treated with <i>goshakusan</i>. The subjective symptom was cold in 3 of the 6 patients, and the objective symptom was interior cold in 3 patients. All patients had symptoms of <i>ketsu </i>(blood) deficiency with skin dryness and amyotrophy and of <i>sui </i>(body fluids) disturbance with decreased urine volume and water metabolism with renal dysfunction. Furthermore, they had symptoms of <i>ki </i>(<i>Qi</i>) deficiency with malaise and dry mouth after dialysis treatment. If these conditions continue, the dialysis patient will experience a decline in metabolism and decreases heat production, and “the cold” condition may occur. Four of the 6 patients complained of gastrointestinal dysfunction, and 1 experienced stomachache after receiving a painkiller, and they all had dietary symptoms. All symptoms improved after prescribing <i>goshakusan</i>. The conditions of the <i>ki</i>, <i>ketsu</i>, <i>sui</i>, cold, and dietary symptoms are recognized in dialysis patients, and <i>goshakusan </i>may be a suitable herbal medicine in cases with repeated shoulder disorders.</p>