A Case of an Anorectic Post-gastrectomy Patient Treated with Kososan and Rikkunshito

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  • OBI Ryosuke
    Department of Japanese Oriental (Kampo) Medicine, Faculty of Medicine, Toyama Medical and Pharmaceutical University
  • TETSUMURA Susumu
    Department of Japanese Oriental (Kampo) Medicine, Oriental Medical Center, Iizuka Hospital
  • HIRASAKI Yoshiro
    Department of Japanese Oriental (Kampo) Medicine, Faculty of Medicine, Toyama Medical and Pharmaceutical University
  • KIMURA Hideo
    Department of Japanese Oriental (Kampo) Medicine, Oriental Medical Center, Iizuka Hospital
  • KOUTA Kazufumi
    Department of Japanese Oriental (Kampo) Medicine, Faculty of Medicine, Toyama Medical and Pharmaceutical University
  • MITSUMA Tadamichi
    Department of Japanese Oriental (Kampo) Medicine, Oriental Medical Center, Iizuka Hospital
  • SHIMADA Yutaka
    Department of Japanese Oriental (Kampo) Medicine, Faculty of Medicine, Toyama Medical and Pharmaceutical University 21<sup>st</sup> Century COE program, Toyama Medical and Pharmaceutical University
  • TERASAWA Katsutoshi
    21<sup>st</sup> Century COE program, Toyama Medical and Pharmaceutical University Department of Japanese Oriental (Kampo) Medicine, Graduate School of Medicine, Chiba University

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Other Title
  • 早期胃癌に対する幽門側胃切除後の食欲不振に香蘇散合六君子湯が奏効した一例
  • リンショウ ホウコク ソウキ イガン ニ タイスル ユウモンソク イ セツジョ ゴ ノ ショクヨク フシン ニ コウソサン ゴウ リックンシトウ ガ ソウコウ シタ イチレイ

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Description

We report a case of an anorectic 71-year-old male post-gastrectomy patient who was successfully treated with Koso-san and Rikkunshi-to. The patient underwent resection for early gastric cancer (0-IIa+IIc). After partial gastrectomy, he suffered from nausea and vomiting. He was treated with endoscopic balloon dilatation at the anastomotic site, and was simultaneously treated with some western drugs. However, he was completely unable to eat because of nausea and vomiting. Oriental medicine was then recommended. We treated him with Kampo medicines in combination with parenteral nutrition. After the administration of Koso-san, his nausea and vomiting disappeared immediately and he could ingest a fluid diet. Further, after the administration of Koso-san and Rikkunshi-to, his food intake increased. Finally, he could eat ordinary meals and his food intake reached an adequate level. This suggests that Koso-san and Rikkunshi-to are useful in the treatment of anorectic patients after gastrectomy.

Journal

  • Kampo Medicine

    Kampo Medicine 56 (4), 577-583, 2005

    The Japan Society for Oriental Medicine

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