消化管の神経症

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書誌事項

タイトル別名
  • Studies on Neurces of Digestive Organs
  • ショウカカン ノ シンケイショウ

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説明

Among sixty outpatients who came to our clinic complaining of chronic indigestion for the period of one month, 25.50% belonged to neurotic reaction of a type or another, and 43.7% to psychosomatic disorders of digestive organs including neurotic reactions. One hundred patients of psychosomatic disorders of digestive organs, who came to our clinic for the past one year, have been studied throughly from both somatic amd psychic aspects. Various psychological tests (Rorschach, T. A. T., Sentence Completion Test, psychosomatic case record etc.) applied to these hundred patients revealed the following fact.<BR>Majority of them have introverted personality and heredity of psychoneurosis and disorders of digestive organs.<BR>Experimental studies by means of hypnosis also have been carried out in several cases. In these experiments we could confirm the definite changes in the function oftheir digestive tract by kymographic tracings of gastric and colonic motility and x-ray examination, coinciding with certain emotional stresses, which had been ascertained to be principal cause of their psychosomatic disorders by psychoanalytic interview in advance. This fact suggests that experimental approach will be possible to disclose the emotional stress playing a main role in a psychosomatic condition.<BR>We studied the correlation between emotions and functions of digestive organs in healthy per sone, in whom various emotions were produced under hypnosis, as follows.<BR>In one patient of cancer phobia, esophageal curve by kymographic tracing became markedly irregular with increased tension by the suggestion of cancer. The similar effect was observed in esophageal curves of healthy sbjects by the suggestion of fear.<BR>The suggestion of cheerful dinner, joy and angry under hypnosis tend to increase acidity and quantity of gastric juice of healthy subjects. Fear and imaginary gastric disturbance tend to produce the reverse effect.<BR>The suggestion of fear, sadness, distasteful meal tend to inhibit the gastric motility aid lower the tension in polisographs and kimographs of healthy subjects. Joy, anxiety, angry and delicious meal tend to produce the reverse effect.<BR>Castro-colonic reflex was observed by the suggestion of delicious meal in kymographic tracings of colonic motility of seven out of nine healthy subjects. Resentment and fear tend to elevate colonic motility. Sadness produced inhibiting effect to colonic motility in some subjects and the reverse effect in others. The similar facts was confirmed by x-ray examination of the colons of these subjects.<BR>We have experimentaly proved the important role of swallowed air in producing psychosomatic symptoms of digestive organs, belching of gas, meteriosm and gas pain seem to be primarily caused by swallowed air and abnormal retention of the air owing to colonic dysfunction commonly seen in neurotic subjects.<BR>We have proved the important role of psychogenic factor in patients of biliary dyskinesia. The suggestion of various emotions were given to healthy subjects who swallowed duodenal tube prior to hypnosis. Fear and resentment tend to inhibit the outflow of bile, while anxiety and joy often seem to accerelate it.<BR>We have mentioned the fact that the equivalent of migraine and epilepsy must always be suspected when patient has suffered from many severe spells of vomiting or epigastralgia, perhaps for years, without coming to any bad end.<BR>The influence of emotions upon autonomic nervous system was wobserved by means of Wenger's method in healthy subjects. The sympathetic dominancy was found by the st ggestion of fear and anxiety under hypnosis, while joy and anger produced parasympathetic dominancy.<BR>The amount of 17-ketosteroid excreted into the urine for every three hours was determined all day long in healthy and neurotic subjects.

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