<b>Assessment of Types of Menstrual Migraine Treated with Periodical Application of Goreisan in Combination with G</b><b>oshuyuto</b>

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  • KIMURA Yoko
    Institute of Oriental Medicine, Tokyo Women's Medical University, School of Medicine
  • TANAKA Akira
    Department of Surgery, Tokai University School of Medicine
  • SATO Hiroshi
    Institute of Oriental Medicine, Tokyo Women's Medical University, School of Medicine Department of Health Informatics, Niigata University of Health and Welfare
  • ITO Takashi
    Institute of Oriental Medicine, Tokyo Women's Medical University, School of Medicine

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Other Title
  • <b>呉茱萸湯で効果不十分な月経関連片頭痛患者に</b><b>五苓散を月経周期に合わせて投与した症例の検討</b>
  • 臨床報告 呉茱萸湯で効果不十分な月経関連片頭痛患者に五苓散を月経周期に合わせて投与した症例の検討
  • リンショウ ホウコク ゴ グミ ユ デ コウカ フジュウブン ナ ゲッケイ カンレンヘン ズツウ カンジャ ニ ゴレイサン オ ゲッケイ シュウキ ニ アワセテ トウヨ シタ ショウレイ ノ ケントウ

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Abstract

<p>Background : Menstrual migraine is more resistant to treatment than that of nonmenstrual episodes. Hormonal progesterone changes may cause sui (water/fluid) disturbance, in Kampo medicine terms. We therefore treated patients with menstrual migraine in which goshuyuto was ineffective, with the combination of goreisan and goshuyuto.<br>Subjects & Methods : Subjects were 37 female patients with coldness (mean age 37 years, age range 23-48 years), whose migraine during their intra-menstrual periods was successfully treated with goshuyuto for 3 months. In order to treat migraine in the menstrual period, goreisan was added to goshuyuto from 1 week before onset, until the end of their menstrual period. Results : Among 37 patients, the treatment was effective in 26 patients (70%). Significant variables were found to be dull headache (p = 0.003), edema (p = 0.006), vertigo (p = 0.014) and oliguria (p = 0.014) during attacks, as well as worsening before rain (p = 0.004). Conclusion : The periodical combination of goreisan and goshuyuto seems to be effective in patients with menstrual migraine who report symptoms of sui disturbance, such as dull headache and oliguria during their attacks.</p>

Journal

  • Kampo Medicine

    Kampo Medicine 68 (1), 34-39, 2017

    The Japan Society for Oriental Medicine

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