RESUMO
We evaluated body constituents patterns of 74 consecutive patients with neurological degenerative disorders. They comprise Parkinson's disease (n = 38), amyotrophic lateral sclerosis (n = 19), and multiple system atrophy (n = 17). We compared body constituents patterns between them and 149 consecutive patients with other neurological diseases of the same age. We used ki-ketsu-sui scores to evaluate body constituents patterns in all cases. Ki-ketsu-sui scores measure six factors : qi deficiency (kikyo), qi stagnation (kiutsu), qi counterflow (kigyaku), blood deficiency (kekkyo), blood stasis (oketsu), and fluid retention (suitai). As a result of multivariate analysis, neurological degenerative disorders had large weight of blood deficiency, fluid retention and qi stagnation. Their adjusted odds ratios (95% confidence interval) were 3.02 (1.43-6.48), 2.37 (1.13-5.11), 2.33 (1.01-5.44), respectively. Most relevant factor to neurological degenerative disorders was a blood deficiency. Taking into consideration a prescription of “shimotsuto rui” may contribute to alleviate patient's suffering. In addition to subjective symptoms, we need an oriental medicine scale such as pulse, tongue, and abdominal examinations to judge a therapeutic effect of Kampo medicine.
