A case of lrritable Bowel Syndrome with Recurrent and Severe Abdominal Pain Successfully Treated with Saiko-sokan-to / 日本東洋医学雑誌

ABSTRACT

A patient with gas symptom-predominant irritable bowel syndrome (IBS) who complained of recurrent severe abdominal pain was successfully treated with Saiko-sokan-to.<br>The patient was a 31-year-old male. Beginning in November, 1994, he repeatedly visited the emergency clinic with severe abdominal pain and abdominal distension. He was hospitalized three times, but no organic disorder was found. He usually had alternating constipation and diarrhea. He was diagnosed as gas symptom-predominant IBS because he mainly complained of gas symptoms such as abdominal distension, borborygmus and flatus together with abdominal pain. He was also suspected of having splenic flexure syndrome because his abdominal roentgenography revealed apparent intestinal gas at the splenic flexure. After treatment with Igakutoshi Saiko-sokan-to was begun in June 1996, his abdominal pain disappeared. Furthermore, emotional instability, lightheadedness, and skin troubles were also alleviated.<br>Saiko-sokan-to is indicated for patients having Sigyaku-san syo with severe Ki-depression, and appears to be a useful agent for gas symptom-predominant IBS.