Preventive Effects of Bakumondo-to (TJ-29) in a Patient with Congestive Heart Failure Associated with Thirst.

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  • KATAYOSE Dai
    The First Department of Internal Medicine, Tohoku University School of Medicine
  • NINOMIYA Mototsugu
    The First Department of Internal Medicine, Tohoku University School of Medicine
  • ENDO Masato
    The First Department of Internal Medicine, Tohoku University School of Medicine
  • SHIRATO Kunio
    The First Department of Internal Medicine, Tohoku University School of Medicine

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Other Title
  • 口渇を伴う重症心不全患者の漢方療法　　麦門冬場投与後下大静脈径が減少した一例

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Description

A 76-year-old patient with double valvular replacement was hospitalized every year during the last four years because of congestive heart failure. It was thought that the patient had difficulties in maintaining appropriate water intake because of a lack of understanding about the disease. However the findings of his tongue indicated that the patient suffered from severe deficiency of Yin-fluid. We therefore hypothesized that the thirst derived from deficiency of Yin-fluid. Diuretics may have affected the patient's control of water intake. After he was discharged from hospital, we avoided increasing the dose of diuretics and administered Seihai-to (TJ-90), Gosha-jinki-gan (TJ-107) and then Bakumondo-to (TJ-29). After we used Bakumondo-to, the diameter of the inferior vena cava (IVC) was significantly decreased (IVC=8mm, P<0.01 smirnoff's test) as compared with the estimated IVC before Kampo treatment (19.6±2.2mm, α=0.05, n=13). Because the amount of Bakumondo-to administrated was not very large, it is unlikely that Bakumondo-to directly reduced the blood volume. Bakumondo-to may prevent heart failure by modifying the sensation of thirst as the cause of inappropriate water intake.

Journal

  • Kampo Medicine

    Kampo Medicine 51 (1), 23-28, 2000

    The Japan Society for Oriental Medicine

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