<b>Five Cases of Acute Ventilation Attack Successfully Treated with Shigyakusan in the Emergency Department</b>

  • SAKAMOTO Atsuhiko
    Department of Respiratory Medicine, National Hospital Organization Kokura Medical Center Center of General Internal Medicine, Haradoi Hospital
  • KAINUMA Mosaburo
    Community Medicine Education Unit, Graduate School of Medical Science, Kyushu University
  • KINOSHITA Yoshiaki
    Department of Respiratory Medicine, National Hospital Organization Kokura Medical Center
  • TSURUTA Ryosuke
    Acute and General Medicine, Yamaguchi Graduate School of Medicine
  • HIDAKA Kouko
    Department of Respiratory Medicine, National Hospital Organization Kokura Medical Center
  • KURIYAMA Kazumichi
    Soshin-an Kuriyama Clinic

Bibliographic Information

Other Title
  • <b>救急受診した過換気発作に四逆散が有効と考えられた5症例</b>
  • 臨床報告 救急受診した過換気発作に四逆散が有効と考えられた5症例
  • リンショウ ホウコク キュウキュウ ジュシン シタ カカンキ ホッサ ニ ヨン ギャクサン ガ ユウコウ ト カンガエラレタ 5 ショウレイ

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Abstract

We report five cases of acute hyperventilation attack, with bilateral fullness of the chest and hypochondrium, and bilateral rectus abdominis muscle strain, that were successfully treated with shigyakusan. Case 1 was a 47-year-old female ; case 2 was an 18-year-old female ; case 3 was a 23-year-old female ; case 4 was a 39-year-old male ; and case 5 was a 40-year-old male. All five patients visited the emergency department with complaints of severe dyspnea and tetany. Their abdominal signs were characteristic, with remarkable bilateral fullness of the chest and hypochondrium and bilateral rectus abdominis muscle strain. In cases 1 to 4, the patients were given 2.5 g of shigyakusan extract, and their symptoms promptly improved. In case 5, as the patient could not swallow the prescribed medication at presentation, intramuscular diazepam was given. Thereafter, he complained of continuous severe numbness ; we subsequently gave him shigyakusan, and his numbness promptly improved. In conclusion, shigyakusan seems to be a useful Kampo drug for the treatment of acute hyperventilation attack.

Journal

  • Kampo Medicine

    Kampo Medicine 67 (2), 164-168, 2016

    The Japan Society for Oriental Medicine

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