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2018年12月11日

第19回国際東洋医学会総会【アトピー性皮膚炎でのリバウンドをどのように乗り越えるか】


第19回国際東洋医学会総会

 


【アトピー性皮膚炎でのリバウンドをどのように乗り越えるか】(英語)
Can we overcome steroid withdrawal syndrome of atopic dermatitis only with traditional chinese herbal medicine?   AKIYOSHI YAMANAKA1, Takehiko Furuhashi2, Ayumi Sugaya3, Satosi Masuzugawa4, Yukio Kaneko5 1Outpatient Department, Yurigaoka-clinic, Japan, 2Outpatient Department, Mie Prefectural Shima Hospital, Japan 3Outpatient Department, Shiroko Clinic, Japan 4Outpatient Department, Masuzugawa Neurology Clinic, Japan, 5Outpatient Department, Kaneko Clinic, Japan   【Introduction】Atopic dermatitis does not have few cases becoming steroid-dependent. Nevertheless,when treatment is prolonged and/or corticosteroid doses are high, in addition to the significant side-effects associated with treatment (Cushing's syndrome), suspension or withdrawal in an inappropriate manner can cause five complications:secondary adrenal insufficiency and/or syndrome of inappropriate secretion of antidiuretic hormone (SIADH) due to suppression of the hypothalamus-pituitary-adrenal axis (HPA), steroid withdrawal, red skin syndrome (topical steroid withdrawal)  or deprivation syndrome and reactivation of the underlying disease. These symptoms sometimes include life-threatening complications. We must control complications in order to cure steroid-dependent atopic dermatitis only by traditional herbal medicine. 【Materials & Methods】We use pattern identification as the basis for determining traditional chinese herbal medicine treatment without using steroids. 【Cases】43 years male. 【Present illness】He has atopic dermatitis from childhood. An effect of topical steroids gradually decreased from his puberty, and eczema was gradually aggravated. 【Discriminate】Kidney deficiency water syndrome, kidney yang deficiency. 【Formula】Ji Sheng Shen Qi Wan and Zhen Wu Tang. 【Clinical course】His all symptoms disappeared in 6 months. 【Cases】40 years old level male. 【Present illness】He has atopic dermatitis from childhood. He consulted our hospital recently because he was not able to completely control his eczema by topical steroids. 【Discriminate】Kidney yang deficiency. 【Formula】Jin Gui Shen Qi Wan and Zhen Wu Tang. 【Clinical course】His all symptoms disappeared in 8 months. 【Results and discussion】Two cases remitted in 6-8 months. 2 cases had kidney yang deficiency, and the former progressed for systemic edema in kidney deficiency water syndrome. The formula performed 2 cases together on the basis of Jin Gui Shen Qi Wan (Ba Wei Di Huang Wan) and Zhen Wu Tang. The former was used Ji Sheng Shen Qi Wan (Niu Che Shen Qi Wan) which added niu xi and che qian zi to Jin Gui Shen Qi Wan which provided irrigation because of complicated systemic edema. The latter was used Jin Gui Shen Qi Wan (Ba Wei Di Huang Wan) and Zhen Wu Tang. We understood that even traditional chinese medicine could cure these cases(kidney deficiency water syndrome and/or kidney yang deficiency) appropriately.  
 

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診察時間
9:00~12:30
8:00~12:00
15:30~18:00

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