手の反射性交感神経性ジストロフィーに対する漢方治療の経験  [in Japanese] Kampo Therapy for Reflex Sympathetic Dystrophy of the Hand  [in Japanese]

急性期RSDの5例に対し柴苓湯と六君子湯を投与し,疼痛(VAS),腫脹,手指運動障害について検討した。うち4例が6週以内に疼痛が半分以下に減少し有効であった。腫脹,手指運動障害は疼痛に先行して改善する傾向があった。RSDの急性期は局所の炎症が主体であるが,発症しやすい精神的素因や発症後の気虚があり,全身的疾患の部分症と認識する必要がある。それゆえ柴苓湯と六君子湯による漢方治療は合理的な治療法と考えられた。

Five patients in the acute stage of reflex sympathetic dystrophy (RSD) of the hand were treated with Sairei-to and Rikkunshi-to, and were evaluated for pain (visual analog scale: VAS), swelling and limitation of finger motion. Four of the five patients had good results, with a decrease in pain to less than 50% of initial pain on VAS within six weeks. Swelling and finger motion tended to improve earlier than pain. In general, symptoms of RSD are limited to those associated with local inflammation during the acute stage, but patients with RSD tend to have psychological factors that can trigger generalized complaints even before the onset of RSD and to feature 'kikyo,' a loss of vitality, after RSD onset. RSD should therefore be recognized as one feature of a generalized disease. Oral Kampo therapy using Sairei-to and Rikkunshi-to appears to be a reasonable treatment for early RSD.