A Case of Multiple Intractable Skin Ulcers of Bilateral Legs due to Arteriovenous Fistula Successfully Treated with Kampo Medicines

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  • CHINO Atsushi
    Department of Frontier Japanese Oriental (Kampo) Medicine, Graduate School of Medicine, Chiba University
  • ISHIDA Atsushi
    Department of Surgery, Vascular Surgery, School of Medicine, Jikei University Department of General Surgery, Graduate School of Medicine, Chiba University
  • SEKIYA Nobuyasu
    Department of Frontier Japanese Oriental (Kampo) Medicine, Graduate School of Medicine, Chiba University
  • OHNO Kenji
    Department of Frontier Japanese Oriental (Kampo) Medicine, Graduate School of Medicine, Chiba University
  • HIRASAKI Yoshiro
    Department of Japanese Oriental (Kampo) Medicine, Graduate School of Medicine, Chiba University
  • KASAHARA Yuji
    Department of Frontier Japanese Oriental (Kampo) Medicine, Graduate School of Medicine, Chiba University
  • NAMIKI Takao
    Department of Frontier Japanese Oriental (Kampo) Medicine, Graduate School of Medicine, Chiba University
  • MIYAZAKI Masaru
    Department of General Surgery, Graduate School of Medicine, Chiba University
  • TERASAWA Katsutoshi
    Department of Surgery, Vascular Surgery, School of Medicine, Jikei University

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Other Title
  • 動静脈瘻による多発性難治性両側下腿皮膚潰瘍に対し和漢薬治療が奏効した一例
  • 臨床報告 動静脈瘻による多発性難治性両側下腿皮膚潰瘍に対し和漢薬治療が奏功した一例
  • リンショウ ホウコク ドウ ジョウミャクロウ ニ ヨル タハツセイ ナンチセイ リョウソク カタイ ヒフ カイヨウ ニ タイシ ワカンヤク チリョウ ガ ソウコウ シタ イチレイ

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Abstract

Arteriovenous fistulae are known to be one of the causes of intractable leg skin ulcers. Because they raise peripheral venous pressure, decrease arterial blood flow to peripheral tissue, and cause venous blood congestion, symptoms of skin coldness, edema, pain, dermatitis and skin ulcers may appear in the legs. We observed a 32 year-old woman with multiple intractable bilateral leg skin ulcers due to arteriovenous fistulae successfully treated with Kampo medicines. In 1999, skin ulcers, edema, and pain presented in both her legs. She was diagnosed has having arteriovenous fistulae with various examinations in 2003. She had subsequently been treated with topical preparations on her legs, analgesics and other palliative treatments, but as symptoms had not improved, she first visited our outpatient clinic in August 2006. After an initial oral administration of tokishakuyakusan extract for 6 weeks, her pain improved. Afterwards, ogikenchuto was added for symptoms of qi deficiency. Moreover, bushi powder was added for the treatment of pain exacerbated in cold conditions. After 6 months, the size of her skin ulcers was fairly reduced, and she had no need of analgesic drugs. In past reports, Kampo medicines have not been used for the treatment of intractable skin ulcers due to arteriovenous fistulae. This case suggests that Kampo medicines are a treatment option in this condition.

Journal

  • Kampo Medicine

    Kampo Medicine 61 (3), 325-330, 2010

    The Japan Society for Oriental Medicine

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