<b>高度の疲労倦怠感,食欲不振を伴った陳旧性肺結核に人参養栄湯合香蘇散が</b><b>著効した1例</b>  [in Japanese] <b>A Case of Old Pulmonary Tuberculosis with Severe Fatigue and Anolexia Successfully Treated with Ninjin'yoeito and </b><b>Kososan</b>  [in Japanese]

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Author(s)

    • 玉野 雅裕 TAMANO Masahiro
    • 協和中央病院東洋医学センター|筑波大学附属病院 Kyowachuo Hspital Oriental Medicine Center|University of Tsukuba Hospital
    • 加藤 士郎 KATO Shiro
    • 協和中央病院東洋医学センター|野木病院|筑波大学附属病院 Kyowachuo Hspital Oriental Medicine Center|Nogi Hospital|University of Tsukuba Hospital
    • 岡村 麻子 OKAMURA Asako
    • 協和中央病院東洋医学センター|つくばセントラル病院 Kyowachuo Hspital Oriental Medicine Center|Tsukuba Central Hospital
    • 高橋 晶 TAKAHASHI Sho
    • 筑波大学医学医療系災害・地域精神医学 Department of Disaster Psychiatry, Faculty of Medicine, University of Tsukuba

Abstract

<p>慢性呼吸器疾患を有する高齢者は繰り返す呼吸苦により,多大なストレスを受けており,そのため不安感,不眠を基礎に胃腸機能障害を併発しやすい。更に低栄養,免疫力低下が進行し,入退院を繰り返し,著しいQOL の低下,更には認知症の発症,進行を来す症例が多くみられる。今回,全身衰弱化した高齢の陳旧性肺結核患者に,人参養栄湯合香蘇散を投与することにより,食欲が回復,身体活動性が向上,認知症が改善し,呼吸器感染による再入院を回避し得た症例を経験した。人参養栄湯の参耆剤としての効果に,遠志,五味子の鎮静,安神作用,更に香蘇散の理気作用が適切に働き,自律神経を安定化させたことが,著効を得た要因と考えられる。今後,激増する高齢慢性呼吸器疾患症例に対する本処方の有用性が期待される。</p>

<p>Elderly people with chronic lung diseases are always suffered from dyspnea, so they also have much troubles in gastrointestinal functions on the basis of anxiety and insomnia. As a result, they become malnourished with a weakened immune system and are often hospitalized due to respiratory infections for a long time. Their quality of life deteriorates. This time, we experienced an elderly female patient with old pulmonary tuberculosis who was generalized weakness, showed improved appetite loss, physical activity, and dementia symptoms by taking ninjin'yoeito and kososan. She could avoid re-hospitalization due to respiratory infections. Ninjin'yoeito enhanced her energy and physical strength. As a result, she seems to have become markedly healthy. This prescription is expected to be useful for the rapidly increasing number of elderly patients with chronic lung diseases.</p>

Journal

  • Kampo Medicine

    Kampo Medicine 69(2), 127-132, 2018

    The Japan Society for Oriental Medicine

Codes

  • NII Article ID (NAID)
    130007507070
  • NII NACSIS-CAT ID (NCID)
    AN00015774
  • Text Lang
    JPN
  • ISSN
    0287-4857
  • NDL Article ID
    029073964
  • NDL Call No.
    Z19-246
  • Data Source
    NDL  J-STAGE 
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