Effect of occupational therapy for delirium patient with carcinomatous meningitis of lung cancer

<b>Purpose: </b>A report of effective occupational therapy for delirium patients with cancer is uncommon. We report a patient of carcinomatous meningitis, in whom her daily activity is improved by occupational therapy. <b>Case: </b>Firstly, we supported her meals and then started occupational therapy accepting her interest. Although degree of confusion and her performance status was not varied from beginning to end, she could concentrate our programmed works and change her way of feelings. Also occupational therapy promotes reminiscence about her life review and friendship among other patients even in delirium condition. <b>Conclusion: </b>Occupational therapy can reduce cancer patients' impatience, anxiety and solitary feelings and improve quality of life.

Kobokushichimotsuto (Mongolia Seven Combination); Its Mechanism of Disease and Application / 日本東洋医学雑誌

Based on our own 35 cases treated with kobokushichimotsuto as well as our predecessors' experience and their opinions, we investigated the drug's mechanism of action and its background indications. Our predecessors' opinions seem to be divided into two groups. Group A : An external pattern/syndrome (a keishito indication) of external contraction, followed by an interior heat pattern/syndrome (a kobokusammotsuto indication) appear. Mechanism of disease wise, this means that both external and internal patterns/syndromes exist at the same time. Because an internal pattern/syndrome is heavier than an external one, both patterns/syndromes are simultaneously treated, by making both medicinals bound together. Group B : Internal heat due to yang exuberance with yin debilitation is the mechanism of disease here. In group A, cause of disease is classed as a true heat pattern/syndrome. In group B, depending whether the internal heat belongs to either true heat or false type, deficiency and excess of pulse/abdominal patterns/syndromes change, and appetite differs. In either group, no peony is used to cope with the chest pattern/syndrome induced by the progression of gastric heat into the chest. Our cases consisted of upper respiratory illnesses with appetite loss, gastrointestinal diseases with chest oppression, respiratory diseases and intestinal obstructions. Kobokushichimotsuto, however, can be applied to neuroses, mental disorders and low back pains.