A Retrospective Study on the Types and Frequency of Use of Herbal Medicines that were Efficacious in Treating Atopic Dermatitis

  • ISOBE Tetsuya
    International Oriental Medical Center, Kishokai Bell net Department of Infertility, Green Bell Clinic

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Other Title
  • アトピー性皮膚炎に対して有効であった漢方薬の種類と頻度に関する後方視的検討
  • アトピーセイ ヒフエン ニ タイシテ ユウコウ デ アッタ カンポウヤク ノ シュルイ ト ヒンド ニ カンスル コウホウ シテキ ケントウ

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Abstract

<p>The current study involved 70 patients with atopic dermatitis who were treated with herbal medicine at this hospital’s Oriental Medicine department. This study examined a total of 237 prescriptions with Kampo diagnosis used to treat those patients. Patients who no longer needed to use a steroid ointment preparation were defined as “complete responders” and both these patients and patients whose use of a steroid ointment preparation decreased 50% or more from the level prior to use of herbal medicine were defined as “responders.” The complete response rate was the percentage of complete responders and efficacy rate was the percentage of responders. Among all patients, efficacy was 56.3% for unseiin > 50.0% for tokiinshi > 41.0% for Keigairengyoto > others. The complete response rate was 25.0% for unseiin > 16.7% for tokiinshi > 15.8% for shishihakuhito > 13.1% for Keigairengyoto > others. Among patients with “reddish” atopic dermatitis, unseiin had the highest efficacy and resulted in the highest complete response rate, followed by shishihakuhito and then keigairengyoto. Among patients with “wet” atopic dermatitis, unseiin had the highest efficacy and resulted in the highest complete response rate, followed by shofusan. When Kampo diagnosis is equivocal and herbal medicines are urgently needed, unseiin should be the prescription of first choice. Based on the condition of the skin, shofusan, shishihakuhito, or tokiinshi should be the second-best option.</p>

Journal

  • Kampo Medicine

    Kampo Medicine 73 (2), 176-181, 2022

    The Japan Society for Oriental Medicine

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