Case Reports of Polymyalgia Rheumatica Successfully Treated with Kampo Medicines

DOI Web Site 6 References
  • HIKIAMI Hiroaki
    Department of Japanese Oriental (Kampo) Medicine, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama
  • SHIBAHARA Naotoshi
    Division of Kampo Diagnosis, Institute of Natural Medicine, University of Toyama
  • MURAI Masafumi
    Department of Japanese Oriental (Kampo) Medicine, Oriental Medical Center, Iizuka Hospital
  • NAGATA Yutaka
    Department of Japanese Oriental (Kampo) Medicine, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama
  • INOUE Hiroki
    Department of Japanese Oriental (Kampo) Medicine, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama
  • YAGI Kiyotaka
    Department of Oriental Medicine, Tonami General Hospital
  • FUJIMOTO Makoto
    Department of Japanese Oriental (Kampo) Medicine, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama
  • GOTO Hirozo
    Department of Japanese Oriental (Kampo) Medicine, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama
  • SHIMADA Yutaka
    Department of Japanese Oriental (Kampo) Medicine, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama

Bibliographic Information

Other Title
  • リウマチ性多発筋痛症に対する漢方治療経験
  • 臨床報告 リウマチ性多発筋痛症に対する漢方治療経験
  • リンショウ ホウコク リウマチセイ タハツキンツウショウ ニ タイスル カンポウ チリョウ ケイケン

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Abstract

We report 5 patients with polymyalgia rheumatica (PMR) successfully treated with Kampo medicines. In total, we investigated 10 patients with PMR, including the 5 patients here treated in our department. Results showed that Kampo medicine was effective in 6 cases. One of the 6 refused steroid drug administration, and tapering dosage steroid was difficult in the other 5 patients due to myalgia or inflammation. Except for one case, C-reactive protein in most of the effective cases was below 3.0 mg/dl. On the other hand, the non-effective cases had severe inflammation levels and needed steroid therapy. The effective cases were treated with sokeikakketsuto, tokakujokito, keishibukuryogan, choyotokasyakuyaku, yokuibushihaishosan and tokishakuyakusan, which have the effect of improving oketsu states. Thus, it was considered that Kampo medicine has the potential for treatments in PMR patients who have difficulty tapering steroid dosage and mild inflammation. Moreover, this suggests Kampo medicines that improve oketsu state are useful for PMR treatment.

Journal

  • Kampo Medicine

    Kampo Medicine 61 (5), 699-707, 2010

    The Japan Society for Oriental Medicine

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