漢方治療で発作が消失したパニック障害の3例  [in Japanese] Three Cases of Panic Disorder Successfully Treated with Kampo Formulae  [in Japanese]

Access this Article

Search this Article

Author(s)

Abstract

小半夏加茯苓湯の方意を含む漢方薬治療で症状の著明改善が図れたパニック障害の3例を経験した。症例1:47歳男性,運転士,血圧上昇を伴う一過性脳虚血発作を引き金に発症。身体疾患の発症がストレスを増強させ心下の気水が鬱して痰熱となりパニック発作になったと考えられる。小半夏加茯苓湯に黄連湯の方意をあわせて症状は消失した。症例2:49歳女性,主婦,家庭内のストレスをきっかけに発症。肝血不足,疎泄不良と脾虚が重なり心下の飲を起こしたと考え,小半夏加茯苓湯を含む茯苓飲合半夏厚朴湯エキスに加味逍遙散エキスを合わせて奏効した。症例3:32歳女性,主婦,子育ての疲労をきっかけに発症。疲れによって脾虚から心下の飲がおこるとともに血虚に陥ったと考え,小半夏加茯苓湯と十全大補湯合方を用い奏効した。『金匱要略』の方剤小半夏加茯苓湯は,中焦の飲と気の上逆を引き降ろすことで「心下痞」「眩悸,」を全例で改善し,症例毎に随証治療をあわせおこなうことでパニック発作が消失した。

We report three cases of panic disorder treated with kampo formulae including shohangekabukuryoto. Case One was a 47-year-old driver. Sharp rises in blood pressure caused transient ischemic attacks in the brain. We suspected that anxiety over recurrent brain attacks stagnated his water and <i>qi</i> below the heart and caused phlegm heat, which lead to his panic disorder. His symptoms were cured with shohangekabukuryoto and the substance of orento. Case Two was a 49-year-old homemaker. Her domestic anxiety developed into a panic disorder. We suspected that her anxiety diminished the blood and the function of her liver, as well as her splenic sufficiency. Her attacks were cured with kamishoyosan, and with bukuryoingohangekobokuto which contains shohangekabukuryoto. Case Three was a 32-year-old homemaker. Overwork through her child-raising tasks developed into a panic disorder. We suspected that fatigue caused her splenic insufficiency and resulted in blood deficiency with the extra water below the heart. Shohangekabukuryoto and juzentaihoto were very effective, and resolved her attacks.<br>These cases suggest that shohangekabukuryoto improved epigastric discomfort, dizziness and palpitation by justifying middle-<i>jiao</i> dysfunction, <i>qi</i> and water regurgitation. In each of the three cases, shohangekabukuryoto showed efficacy for panic disorder with other kampo formulae for respective signs and symptoms.

Journal

  • Kampo Medicine

    Kampo Medicine 59(5), 721-726, 2008-09-20

    The Japan Society for Oriental Medicine

References:  12

Codes

  • NII Article ID (NAID)
    110006967187
  • NII NACSIS-CAT ID (NCID)
    AN00015774
  • Text Lang
    JPN
  • Article Type
    NOT
  • ISSN
    02874857
  • NDL Article ID
    9682628
  • NDL Source Classification
    ZS47(科学技術--医学--治療医学・看護学・漢方医学)
  • NDL Call No.
    Z19-246
  • Data Source
    CJP  NDL  NII-ELS  J-STAGE 
Page Top