An effective case of shichimotsukokato treatment for postherpetic neuralgia in a patient with chronic kidney disease

Abstract

Case: A 78-year-old female who had chronic kidney disease developed postherpetic neuralgia. She was prescribed several analgesics, but the pain was severe. Outcome: Shichimotsukokato was prescribed to this patient, and her pain was gradually relieved. During the course of treatment, the pain worsened when tramadol hydrochloride acetaminophen tablets were interrupted and improved upon their resuming their administration, suggesting an effect for the combination with shichimotsukokato. Her renal function did not worsen, but rather seemed to have improved. Conclusion: Analgesics can be inappropriately used in patients with chronic kidney disease. For chronic kidney disease patients with postherpetic neuralgia, shichimotsukokato may have an effect on both pain and renal function and seems to be beneficial.

Senso-Immunologic Prospects for Complex Regional Pain Syndrome Treatment

“…In Japan, Kampo formulae are used in general clinical practice in addition to Western medicines, and some Kampo formulae have been used for patients with CRPS (127)(128)(129). Kampo formulae are extracts used in traditional Japanese medicine (Kampo medicine) that are officially approved as ethical pharmaceuticals by the Japanese Ministry of Health, Labour and Welfare.…”