Four Patients with Calf Cramps who did not Respond to Shakuyakukanzoto but Responded well to Sokeikakketsuto

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  • TAHARA Eiichi
    Department of Japanese Oriental (Kampo) Medicine, Oriental Medical Center, Iizuka Hospital
  • INUTSUKA Hisashi
    Department of Japanese Oriental (Kampo) Medicine, Oriental Medical Center, Iizuka Hospital
  • IWANAGA Jun
    Department of Japanese Oriental (Kampo) Medicine, Oriental Medical Center, Iizuka Hospital
  • MURAI Masafumi
    Department of Japanese Oriental (Kampo) Medicine, Oriental Medical Center, Iizuka Hospital
  • OHTAKE Minoru
    Department of Japanese Oriental (Kampo) Medicine, Oriental Medical Center, Iizuka Hospital
  • DOKURA Junichirou
    Department of Japanese Oriental (Kampo) Medicine, Oriental Medical Center, Iizuka Hospital
  • YANO Hiromi
    Department of Japanese Oriental (Kampo) Medicine, Oriental Medical Center, Iizuka Hospital
  • KIMURA Hideo
    Momochi Toyo Clinic
  • MITSUMA Tadamichi
    Department of Japanese Oriental (Kampo) Medicine, Oriental Medical Center, Iizuka Hospital

Bibliographic Information

Other Title
  • 芍薬甘草湯が無効で疎経活血湯が奏効したこむら返りの４例
  • 臨床報告 芍薬甘草湯が無効で疎経活血湯が奏効したこむら返りの4例
  • リンショウ ホウコク シャクヤク カンゾウトウ ガ ムコウ デ ソケイ カッケツトウ ガ ソウコウ シタ コムラガエリ ノ 4レイ

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Description

We encountered 4 cases of calf cramps in which the herbal mixture shakuyakukanzoto was ineffective but another herbal mixture sokeikakketsuto was effective. In case 1, the patient was a 73-year-old man. He had a history of calf cramps, and started experiencing calf cramps more frequently about1month before he made his first visit to our department. Shakuyakukanzoto (7.5g/day) was initially prescribed, but the frequency of cramps did not change. Then, shakuyakukanzoto was replaced with sokeikakketsuto (7.5g/day), and this resulted in rapid alleviation of the symptom. In case 2, the patient was a 67-year-old woman undergoing outpatient care for shoulder stiffness, low back pain, etc. She started experiencing calf cramps at night and underwent shakuyakukanzoto (7.5g/day) treatment. The frequency of cramps did not change, and hence, shakuyakukanzoto was replaced with sokeikakketsuto (2.5g at bedtime). The symptom was alleviated in response to this therapy. In case 3, the patient was a 66-year-old woman undergoing treatment for low back pain at our department. She experienced calf cramps and was treated with shakuyakukanzobushito (3.0g/day). The response was poor, and the herbal mixture was replaced with sokeikakketsuto (7.5g/day), which resulted in the disappearance of her cramps. In case 4, the patient was a 75-year-old man undergoing treatment for a cold sensation in the left leg. He experienced calf cramps and was treated with shakuyakukanzobushito (1.5g/day). This therapy resulted in only temporary relief from the symptom. After the herbal mixture was replaced with sokeikakketsuto (2.5g/day), the cramps disappeared rapidly. Thus, sokeikakketsuto, which improves blood flow and is thought to manifest analgesic effects, may be used for treating patients with calf cramps who do not respond to shakuyakukanzoto.

Journal

  • Kampo Medicine

    Kampo Medicine 62 (5), 660-663, 2011

    The Japan Society for Oriental Medicine

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