<b>A Case of Amenorrhea Successfully Treated with Uyakujunkisan </b> / 日本東洋医学雑誌

ABSTRACT

Japanese Kampo doctors usually understand amenorrhea as caused by <i>oketsu </i>(blood stasis) and <i>kekkyo </i>(blood insufficiency). In recent years, there have been a few case reports which describe patients treated only with prescriptions for <i>junki </i>function (the treatment of <i>kiutsu </i>or <i>ki </i>stasis). Our case was 37 year-old woman with amenorrhea from osteopathy manipulation a half year previously in London. Her usual menstruation had been normal. She had thoracic and sacral pain, joint click, epigastric pain, lower abdominal pain, hematuria and muscle stiffness but her usual daily living was not affected. No abnormality was noted with laboratory or imaging, or endocrinological tests. From a Kampo examination, she was diagnosed with <i>hiesho </i>(coldness) and kiutsu. We chose uyakujunkisan without white silkworm, with aconite root. Her arthralgia and <i>hiesho </i>improved one month later, and her menstruation re-started three months later. Uyakujunkisan is introduced in the <i>Wazaikyokuho</i>, and we believe this classical textbook indicates that this prescription can be used to treat amenorrhea. <i>Ki </i>abnormality is one of the most important complications of secondary amenorrhea and a prescription with <i>junki </i>function is important treatment option. Thus, in assessment of patients with amenorrhea,we feel it is important to focus on <i>ki </i>abnormality.