ABSTRACT
Persistent or intractable hiccups worsen the activity of daily life and the quality of life of patients, but are sometimes difficult to treat. There are no recommended therapies in Western medicine for hiccups, and Kampo medicine can often be used. However, there have been no case reports on keishininjinto for hiccups. We experienced two cases of hiccups successfully treated with keishininjinto. Case 1 was a 68-year-old man who continued intractable hiccups for 3 years. Case 2 was an 81-year-old man who developed persistent hiccups during mechanical ventilation. Both cases had spontaneous sweat, tendency of diarrhea, epigastric discomfort and resistance, and cold of epigastrium, so we diagnosed them as keishininjinto-sho. It took 6 months to improve hiccups after administration of keishininjinto in case 1 and 1 week in case 2. Keishininjinto can be effective for hiccups with interior and cold pattern.
ABSTRACT
Keishininjinto has been used for those who have both interior cold pattern of ninjinto and exterior pattern, but there were no reports on improvement of hypertension. We experienced two cases that treatment with keishininjinto was effective for hypertension. The complaint of one case was dizziness, and the other was diarrhea. Both cases had epigastric discomfort and resistance, cold of epigastrium, and upper heat and lower cold. Treatment with keishininjinto was effective not only for the complaints but also for improvement of hypertension. Hypertension can be managed by Kampo therapy with keishininjinto in accordance with traditional sho indications. We consider that there were interesting clinical cases treated with Kampo medicine based on the theory whereby sho correlates with a formulation.
ABSTRACT
Keishininjin-to (Formula Ginseng and Cinnamomi) can be used to treat colds where internal digestive system symptoms such as diarrhea and abdominal pain accompany the symptoms of the exterior or superficies. This use of Keishininjin-to is probably based on the concept that there is external heat complicating the typical internal cold indicating use of Ninjin-to (Formula Ginseng), or it may be induced from the crude herbs comprising Keishininjin-to.<br>In Kampo medicine, the concept of complications is one of the pathophysiological theories governing treatment principles. The treatment principles regarding complications are: 1. Sengo (a system of priorities consisting of Senhyokori (treating exterior symptoms before interior), Senkyu kokan (acute before chronic) and Sengai konai (external before internal); 2. Goho (combining formulas according to stage, i. e., Dobyoinai (in the same stage) or Ibyoikan (between stage); 3. Creation of a special formula. Keishininjin-to follows the third principle; it is a special formula created by slightly increasing the Glycyrrhizae Radix in Ninjin-to and adding Cinnamomi Cortex. It is intended to treat both exterior and interior symptoms in complications of Taiyo-keishi-to-sho and Taiin-ninjin-to-sho. Of the four patients involved in this study, cases one, two and three were treated according to this principle. Case four was treated with Keikyososooshinbu-to, as the symptoms were thought to indicate a combination of Taiyo-keishi-kyoshakuyaku-to-sho and Shoin-maosaishinbushi-to-sho. In all cases, improvement in the patients' condition was seen shortly after commencement of the Kampo formula administration.