The Effect of Mokuboito in the Puerperium Lung Edema

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  • FUKUDA Isao
    Dept of Anesthesiology National Hospital Organization Tokyo National Hospital Matsuda Perinatal Clinic Kosuge Clinic and Yokohama Suzaku Kampo Igaku Center
  • NAKATA Hideyuki
    Center for Kampo Medicine, Nerima General Hospital Department of Advanced Hybrid Medicine, Osaka University Graduate School of Medicine Kosuge Clinic and Yokohama Suzaku Kampo Igaku Center
  • KUSAKADO Munetaka
    Kosuge Clinic and Yokohama Suzaku Kampo Igaku Center
  • KOSUGE Takaaki
    Kosuge Clinic and Yokohama Suzaku Kampo Igaku Center

Bibliographic Information

Other Title
  • 産褥期肺水腫における木防已湯の効果
  • 臨床報告 産褥期肺水腫における木防已湯の効果
  • リンショウ ホウコク サンジョクキ ハイ スイシュ ニ オケル モクボウイトウ ノ コウカ

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Abstract

<p>Mokuboito is a Kampo formulation consisting of four flavors of Sinomeni Caulis Radix (防已), Gypsum Fi­brosum (石膏), Cinnamomi Cortex (桂皮) and Ginseng Radix (人参). From a modern medical interpretation of the source “Kinkiyoryaku” it can be indicated for pulmonary edema, and if administered early in the onset, respiratory management by tracheal intubation can be avoided, which may contribute to improving the pa­tient's QOL. We experienced 10 cases of pulmonary edema that occurred during the postpartum period and were able to avoid tracheal intubation with mokuboito already. All patients complained of dyspnea and moist rales were heard. Their chest X-­rays showed decreased permeability of the lung field and increased pulmonary vascular shadow, increased cardiothoracic ratio (CTR), costophrenic angle (CP angle) blunting, therefore, they were diagnosed as pulmonary edema. After X-­ray confirmation, mokuboito was administered, and in 6 cases,the subjective symptoms decreased from 7 to 4 in NRS (numerical rating scale), the CTR decreased from 60 to 40%, and CP angle, lung field findings, moist rales also improved. In 3 cases, mokuboito+choreito or mokuboito+choreito+choijokito were administered, and the X-­ray findings were similarly improved. Mokuboito was useful for respiratory management of pulmonary edema during puerperium.</p>

Journal

  • Kampo Medicine

    Kampo Medicine 71 (4), 352-361, 2020

    The Japan Society for Oriental Medicine

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