ABSTRACT
Occasionally, standard painkillers or triptans tend to be ineffective for treating pediatric patients with recurrent headache, leading to unavoidable absence and early departure from school, or even resulting in them becoming targets of bullying. Thirty children (19 male, 11 female; mean age 10.7 years, range 4–15 years) examined at my clinic in 2018, who presented with a chief complaint of intractable headache and exhibited abnormal electroencephalogram (EEG), were retrospectively studied. Their diagnosis, treatment, and treatment efficacy were analyzed. Although all participants showed abnormal brain waves on EEG, they did not demonstrate any other symptoms beside headache. Antiepileptic drug therapy proved efficacious in 24 of the 30 cases (80%). In all successfully treated cases, a definitive improvement in headaches was confirmed within 1–2 weeks.
ABSTRACT
The number of elderly people with chronic heart failure is increasing ; they have acute exacerbations at a high rate due to mergers of infections and others. At that time, they received furosemide intravenous injection and tolvaptan oral medication as internal treatments. However, there are refractory patients (tolvaptan nonresponder) at a certain frequency. In these cases we experienced two cases in which goreisan were effective for untreatable congestive heart failure. Goreisan administration resulted in an increase in urine volume in both cases, marked improvements in symptoms, physiological findings and various laboratory findings. In addition, they continued taking these medicines after discharge. As a result, for about a year, they were never rehospitalized due to heart failure. It is conceivable that goreisan normalized the uneven distribution of water in organs and tissues, and reactivated the action of tolvaptan in the renal collecting duct. These results suggest that the combined use of goreisan will be useful for untreatable congestive heart failure.
ABSTRACT
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.
ABSTRACT
Number of chronic obstructive pulmonary disease (COPD) patients tend to increase in middle and older aged people. They have shown a certain degree of improvement with various Western medicine treatments including smoking cessation guidance, rehabilitation, home oxygen therapy, inhalation therapy and so on. However, it is a clinical problem that some elderly people have acute exacerbations frequently due to infectious diseases and have poor prognoses. This time, we experienced an elderly COPD patient with type II respiratory failure. He was repeatedly hospitalized and needed treatment with a ventilator temporarily. We conducted Kampo medical examination on him, and diagnosed that he had cold state in the lungs. So, we administered ryokankyomishingeninto to him. As a result, he recovered dramatically, and he was never hospitalized again due to respiratory failure for a long time. It is suggested that ryokankyomishingeninto may be effective for some COPD patients who have cold state in the lungs.
ABSTRACT
A 15-month retrospective study of 1,000 outpatients was conducted to determine the exact cause of general dizziness. The most common diagnosis in all analyzed cases was cervicogenic general dizziness (89%). The majority of the patients who underwent magnetic resonance imaging of the cervical spine had narrow spinal canals. Measuring the anteroposterior diameter of the spinal canal in each case was critical to obtain an accurate diagnosis in line with the diagnostic criteria used. General dizziness may develop because of inappropriate neck posture over long periods of time in individuals with some form of underlying cervical disease. The causes of general dizziness were different between male and female patients and between patients of different age groups. Triggers leading to general dizziness included engaging in farming, gardening, or weeding activities for long periods of time, particularly in elderly women. Selection of the appropriate muscle relaxant type and dosage is important in the treatment of patients with cervicogenic general dizziness who also experience a stiff neck and shoulders. Following treatment, 90% of patients no longer experienced general dizziness or exhibited clear improvements in their symptoms within 1 week. The results of this study emphasize the importance of cervicogenic general dizziness, which is due to cervical vertebral lesions and is exacerbated by excessive stress on the cervical spine.
ABSTRACT
To determine the exact cause of dizziness and/or vertigo, 1000 outpatients were retrospectively studied. The most common diagnosis in all of the analyzed cases was cervicogenic dizziness (89%). Among these cases, 600 (67%) underwent magnetic resonance imaging of the cervical spine, and 542 of these (90%) showed presence of a narrow spinal canal. It was important to measure the anteroposterior diameter of the spinal canal in each case and to have an accurate diagnosis based on diagnostic criteria. Dizziness and/or vertigo develop because of long-term, inappropriate neck posture in the presence of some kind of cervical disease. Triggers of dizziness and/or vertigo were different in men and women and in each generation. In elderly women, the characteristic trigger was long-term farming, gardening, weeding. About 79% of the cases were accompanied by stiff neck and shoulder; therefore, selection of appropriate muscle relaxants at appropriate doses as well as proper advice to patients regarding neck posture and lifestyle are very important in the treatment of cervicogenic dizziness. The results of this study emphasize the importance of cervicogenic dizziness as a cause of dizziness and/or vertigo that are difficult to cure.