Four Hemodialysed Patients with Upper Abdominal Discomfort Successfully Treated with Heiisan

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  • 透析患者における上腹部の消化器症状に対して平胃散が著効した４例
  • 臨床報告 透析患者における上腹部の消化器症状に対して平胃散が著効した4例
  • リンショウ ホウコク トウセキ カンジャ ニ オケル ジョウ フクブ ノ ショウカキ ショウジョウ ニ タイシテ ヘイ イサン ガ チョコウ シタ 4レイ

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Abstract

In this report, we describe four hemodialysed patients with upper abdominal discomfort successfully treated with Heiisan, one of the known traditional oriental herbal medicine.<BR>Case 1 was a 61-year-old man suffering from upper abdominal discomfort after each meal even though daily taking some medicine for gastritis. Case 2 was a 45-year-old man, who has also been suffering from upper abdominal discomfort after breakfast and supper despite daily taking H2-blocker. Case 3 was a 61-year-old man complaining of upper abdominal discomfort. He has had loss of appetite despite being treated with H2-blocker and gastroprokinetic medication. Case 4 was a 69-year-old woman complaining of upper abdominal discomfort with dull pain before eating. She was diagnosed as chronic gastritis and healing stage of duodenal ulcer and prescribed H2-blocker. However, this medicine did not work.<BR>We diagnosed that upper abdominal discomfort in all the patients came from shitsu-jya (pathogenic dampness) in hii (Spleen-Stomach functional unit), and treated them with Heiisan, which was popular to remove shitsu-jya in Hii. Their symptom disappeared soon after taking this medicine.<BR>It is also difficult for hemodialysed patients to control their weight due to anuria and they tend to easily gain the weight due to inappropriate eating and drinking, leading to shitsu-jya in such patients. Therefore, our reports suggested that Heiisan was good for hemodialysed patients to control various upper abdominal symptoms that might be caused by shitsu-jya in Hii.

Journal

  • Kampo Medicine

    Kampo Medicine 62 (4), 584-588, 2011

    The Japan Society for Oriental Medicine

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