<b>苓桂五味甘草湯の適応病態に関する一考察 </b>  [in Japanese] <b>On Clinical Findings and Indications for Ryokeigomikanzoto </b>  [in Japanese]

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Abstract

苓桂五味甘草湯は『金匱要略』所載の方剤であるが,痰飲咳嗽篇に記されているためか,幾つかの成書は咳嗽を使用目的としている。しかし,筆者らはこの方剤が苓桂甘棗湯,苓桂朮甘湯と構成生薬が一味異なっていることから,その応用範囲はより広汎なものではないかと考えた。そこで,顔面の紅潮と下肢の冷えを目標に,鼻周囲発赤,下肢冷感,排尿困難症,脊髄小脳変性症,耳鳴の症例に用いたところ,効果が得られたので,それらの概略を記した。また,この方剤の適応となる病症の容を文献的考察も併せて考察した。

Ryoukeigomikanzoto is a Kampo formulation originally described in the text <i>Kinkiyouryaku</i>. This formulation has also been described as an indication for respiratory disease in some texts, because it was classified under respiratory diseases in the <i>Kinkiyouryaku</i>.<br>The authors, however, considered that indications for ryoukeigomikanzoto could be wider than previously thought. The composition of this formulation is very similar that of ryokeimikanto and ryokeijutsukanto. And we have prescribed ryokeigomikanzoto for patients with a reddish face and coldness of the legs, whose chief complaints were a reddish nose, coldness of the leg, dysuria, spioncerebellar degeneration and ringing of the ears. Moreover, we have obtained good results from the current trial. This report is intended to elucidate indications for this formulation by means of past clinical results and our own experience.

Journal

  • Kampo Medicine

    Kampo Medicine 65(1), 33-37, 2014

    The Japan Society for Oriental Medicine

Codes

  • NII Article ID (NAID)
    130004513929
  • Text Lang
    JPN
  • ISSN
    0287-4857
  • Data Source
    J-STAGE 
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