A Case of Microvascular Angina Treated with Dai-kankyo-to.

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  • KIMURA Hideo
    Department of Japanese Oriental (Kampo) Medicine, Oriental Medical Center, Iizuka Hospital
  • KOUTA Kazufumi
    Department of Japanese Oriental (Kampo) Medicine, Oriental Medical Center, Iizuka Hospital
  • MITSUMA Tadamichi
    Department of Japanese Oriental (Kampo) Medicine, Oriental Medical Center, Iizuka Hospital

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Other Title
  • 微小血管性狭心症に対する大陥胸湯の一使用経験
  • リンショウ ホウコク ビショウ ケッカンセイ キョウシンショウ ニ タイスル ダイカンキョウ トウ ノ イチ シヨウ ケイケン

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Abstract

A 72-year-old female who had been experiencing chest pain after slight exertion for over one month was admitted to our hospital. An electrocardiogram after exercise revealed a myocardial ischemic change. We diagnosed Ketsu-kyo on the basis of symptoms such as extreme tenderness in the epigastric region (Shinka-hiko) and also tenderness in the anterior chest wall. After prescribing Dai-kankyo-to, which was made by boiling with Daio, Bosyo and Kantsui, the expected diarrhea did not occur. We then made Dai-kankyo-to according to the original method of Sho-kan-ron and administered it. The chest pain disappeared and severe diarrhea occurred. A coronary angiogram did not reveal a stenotic lesion and the patient was diagnosed with microvascular angina pectoris. This suggests that Dai-kankyo-to may be an effective treatment of microvascular angina in its acute stage.

Journal

  • Kampo Medicine

    Kampo Medicine 54 (5), 945-950, 2003

    The Japan Society for Oriental Medicine

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