Four Patients with Calf Cramps who did not Respond to Shakuyakukanzoto but Responded well to Sokeikakketsuto

Abstract

We encountered 4 cases of calf cramps in which the herbal mixture shakuyakukanzoto was ineffective but another herbal mixture sokeikakketsuto was effective. In case 1, the patient was a 73-year-old man. He had a history of calf cramps, and started experiencing calf cramps more frequently about 1 month before he made his first visit to our department. Shakuyakukanzoto (7.5 g/day) was initially prescribed, but the frequency of cramps did not change. Then, shakuyakukanzoto was replaced with sokeikakketsuto (7.5 g/day), and this resulted in rapid alleviation of the symptom. In case 2, the patient was a 67-year-old woman undergoing outpatient care for shoulder stiffness, low back pain, etc. She started experiencing calf cramps at night and underwent shakuyakukanzoto (7.5 g/day) treatment. The frequency of cramps did not change, and hence, shakuyakukanzoto was replaced with sokeikakketsuto (2.5 g at bedtime). The symptom was alleviated in response to this therapy. In case 3, the patient was a 66-year-old woman undergoing treatment for low back pain at our department. She experienced calf cramps and was treated with shakuyakukanzobushito (3.0 g/day). The response was poor, and the herbal mixture was replaced with sokeikakketsuto (7.5 g/day), which resulted in the disappearance of her cramps. In case 4, the patient was a 75-year-old man undergoing treatment for a cold sensation in the left leg. He experienced calf cramps and was treated with shakuyakukanzobushito (1.5 g/ day). This therapy resulted in only temporary relief from the symptom. After the herbal mixture was replaced with sokeikakketsuto (2.5 g/day), the cramps disappeared rapidly. Thus, sokeikakketsuto, which improves blood flow and is thought to manifest analgesic effects, may be used for treating patients with calf cramps who do not respond to shakuyakukanzoto.sokeikakketsuto, calf cramp, shakuyakukanzoto

Conventional Western Medicine and Complementary and Alternative Medicine on Leg Cramps: A Literature Review

“…문헌검색 및 선별결과 검색 결과, 총 382편의 문헌이 검색되었으며, 중 복된 문헌을 제외한 366편 중 논문의 제목과 초록 검토를 통해 하지 근경련과 관련이 없는 295편을 제 외하고 남은 71편의 문헌을 대상으로 전문검토를 실시하였다. 이후 리뷰연구 7편, 실험실 연구 또는 동물연구 2편, 질환의 대상군이 다른 23편, 조사연 구 1편, 독일어로 작성된 1편을 제외하여, 27편의 임상연구[14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][31][32][33][34][35][36][37][38][39][40][41][42] , 9편의 체계적 문헌고찰 및 메타분 하지 근경련에 대한 기존 양방적 치료와 보완대체요법: 문헌조사Fig. 1.…”