At present numerous Kampo formulae are used in Japan, and how we classify Kampo formulae into groups has become an important issue. Nevertheless, in recent-year Kampo formularies or prescription manuals, there is almost no comprehensive classification of all Kampo formulae covered by the older Koho or Goseihou schools, or recent Chinese Medicine. Furthermore no research has been performed on Kampo formulae classifications. From a historical point of view, however, many classifications were made in formularies and prescription manuals of the Edo period then the early Showa period.Kenzo Okuda, who belonged to the Koho School, was a Kampo physician in the early Showa period who attempted to make classifications of Kampo formulae. In this review, we researched his classifications as based on Ruihou-classifications, in other words the systematic collecting Kampo formulae by points of similarity between herb formations. Then we also studied the history of Ruihou-classifications preceding Okuda's, and considered problems lying ahead for classifications of Kampo formulations in Japan.
The source of reitakutsukito, which has been described in only one case, is the text "Ranshitsu-hizo." We recently experienced a 65-year old male suffering from refractory chronic headache for forty years, and a 38-year old female suffering from bronchial asthma resistant to tokishigyakukagoshuyushokyoto, whose symptoms were successfully treated with reitakutsukito by adding shin'i which has the action of dispersing pathogenic wind factor and opening orifice. Although reduction of underlying disease was not obtained, we also experienced clear improvement of oxygen saturation peripherally, and the subjective symptoms of a 40-year old male suffering from bronchial amyloidosis with reitakutsukitokashin'i. We report these three cases including documented considerations.reitakutsukito, reitakutsukitokashin'i, chronic headache, bronchial asthma, bronchial amyloidosis
We experienced four cases of urticaria (two patients with cholinergic urticaria, one patient with chronic idiopathic urticaria and one patient with cold urticaria) successfully treated with Kampo therapy. The factors for outbreak or aggravation of urticaria were stress of looking after the father in law and hysterectomy in the first case, psychological stress due to familial trouble in the second case, panic disorder like episode in the third case, and solicitude and anxiety for family in the fourth case. The effective Kampo formulae that improved the dermatological symptom were keishibukuryogan, hangekobokuto, yokukansankachimpihange and kamishoyosan, respectively. It was helpful that to clarify the psychological background affecting the dermatological symptom in the determination of Kampo formulae. It would be useful that careful and repetitious question and answer about psychological background in the treatment of intractable urticaria. chronic urticaria, question and answer, psychological background
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