A Case of Jugular Sense of Discomfort with Dryness and Nonproductive Cough Successfully Treated with Soshikokito

HOSHINO Ayami, TATSUMI Takeshi, OKU Yuko, SATO Hiroko, ITO Katsuhiko, TAMURA Jun'ichi, KOGURE Toshiaki

doi:10.3937/kampomed.58.1121

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Other Title

蘇子降気湯と茯苓飲の併用が奏効した咽喉頭違和感と乾性咳嗽の一例
臨床報告蘇子降気湯と茯苓飲の併用が奏効した咽喉頭違和感と乾性咳嗽の一例
リンショウホウコクソシコウキトウトブクリョウインノヘイヨウガソウコウシタインコウトウイワカントカンセイガイソウノイチレイ

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Abstract

We report a case with an intractable jugular sense of discomfort, with dryness and nonproductive cough successfully treated with soshikokito. A 62-year-old Japanese man developed jugular sense of discomfort with dryness and nonproductive cough, after odontotherapy in October. Although he was treated with Western drugs by an otolaryngologist, under the diagnosis of xerostomia with no mechanical problems, his symptoms did not disappear. The symptoms followed a protracted course, and he further developed a loss of appetite. At the time of first visit in October, otorhinolaryngological studies showed no structural lesions or problems, with the exception of minimum salivation in the normal range on a gum test. There was no evidence of dry eyes. With the diagnosis of xerostomia, Bakumondoto-go-hangekobokuto was administered for a month but showed no sign of improvement. Making a shift to bukuryoin-go-hangekobokuto regained his appetite, but did not produce any improvement on dryness. We then utilized soshikokito under the interpretation that both dryness and nonproductive cough is ki-gyaku. The soshikokito therapy reduced his dryness in a month's time. Additionally, his nonproductive cough gradually decreased, and within 11 months after, he had no symptoms, regardless of a gradual medication withdrawal.

Journal

Kampo Medicine

Kampo Medicine 58 (6), 1121-1126, 2007

The Japan Society for Oriental Medicine

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