帰耆建中湯加烏頭が有効であった術後腰部脊柱管狭窄症の1例 A Case with Lumber Spinal Canal Stenosis Successfully Treated with Kigikenchutokauzu

我々は，腰部脊柱管狭窄症による術後残存症状が漢方治療で軽快した1例を経験した。症例は，69歳，女性。主訴は，下肢のしびれ・冷感・疼痛。67歳時に脊柱管狭窄症と診断され，69歳時に腰椎椎弓除去術および腰椎後側方固定術を受けたが，術後も症状は持続した。また，手術縫合創も完治しなかった。このため，術後26日目に，漢方治療を目的として当科に転科となった。帰耆建中湯加烏頭を投与したところ，下肢冷感は著明に改善した。さらに，縫合創も処方後7日目でほぼ治癒した。帰耆建中湯加烏頭により，脊柱管狭窄症術後の残存症状が改善したばかりでなく，創傷治癒を促進したと推察された。

We report on a patient with residual complaints after an operation for lumber canal stenosis, successfully treated with the Kampo medicine, kigikenchutokauzu. The patient was 69 year-old woman complaining of severe coldness, numbness, and bilateral leg pain. She was diagnosed as having spinal canal stenosis when she was 67 years of age. Posterolateral fusion with laminectomy was performed at the age of 69, although severe coldness, numbness, and pain persisted even after her surgery. Also, her sutures had not healed. She was referred to our department 26 days after her surgery in order to receive Kampo therapy. Kigikenchutokauzu was prescribed, and her condition markedly improved. Her sutures healed completely 7 days after start of administration. This suggests that kigikenchutokauzu may be effective not only for the residual spinal canal stenosis symptoms, but also for the postoperative healing of sutures.