A Case of Subacute Thyroiditis Satisfactorily Treated with Kampo-therapy

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  • HIRASAKI Yoshiro
    Department of Japanese Oriental (Kampo) Medicine, Iizuka Hospital
  • OKA Hiroshi
    Department of Japanese Oriental (Kampo) Medicine, Iizuka Hospital
  • TETSUMURA Susumu
    Department of Japanese Oriental (Kampo) Medicine, Iizuka Hospital
  • OBI Ryousuke
    Department of Japanese Oriental (Kampo) Medicine, Faculty of Medicine, Toyama Medical and Pharmaceutical University
  • KIMURA Hideo
    Department of Japanese Oriental (Kampo) Medicine, Iizuka Hospital
  • KOUTA Kazufumi
    Department of Japanese Oriental (Kampo) Medicine, Iizuka Hospital
  • MITSUMA Tadamichi
    Department of Japanese Oriental (Kampo) Medicine, Iizuka Hospital

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Other Title
  • 亜急性甲状腺炎に対する漢方治療の一使用経験
  • リンショウ ホウコク アキュウセイ コウジョウセンエン ニ タイスル カンポウ チリョウ ノ イチ シヨウ ケイケン

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Abstract

We report the case of a 77-year-old female with subacute thyroiditis who was successfully treated with traditional herbal medicine (Kampo-therapy). On 18th December 2001, the patient was admitted to our hospital because of malaise and loss of appetite.<br>The patient complained of what she thought was a sore throat that began one month prior to admission, with a fever rising to 37.8°C 4 days before admission. Physical examination showed tenderness and swelling of the thyroid. Blood examination showed hyperthyroidism (TSH 0.02μIU/ml fT3 20.18ng/dl fT4 5.21ng/dl) and high inflammation (CRP 13.7 ESR 122mm/hr). We then diagnosed subacute thyroiditis and treated her with Kampo-therapy only. We arranged herbs according to the “Sho-kan-ron (_??__??__??_)” and gave her Keishi-ni-eppi-ichi-to (_??__??__??__??__??__??__??_) and Choi-joki-to (_??__??__??__??__??_). Four days after admission, her intermittent fever disappeared. After 10 days, her CRP became negative. After 13 days, almost all the symptoms had disappeared. Thyroid function (fT3, fT4) returned to normal after 17 days of Kampo-therapy. Subacute thyroiditis is a self limiting disease, but steroid therapy is often needed to reduce the symptoms and avoid thyrotoxicosis. In this case, the patient made a relatively quick recovery without steroid therapy. We suggest Kampo-therapy can be an effective treatment for subacute thyroiditis.

Journal

  • Kampo Medicine

    Kampo Medicine 55 (3), 319-324, 2004

    The Japan Society for Oriental Medicine

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