アブストラクト
Japanese
| Title | 痛みを伴う四肢のリンパ浮腫に対して柴苓湯が著効した3例 |
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| Subtitle | |
| Authors | 奥富由貴, 杉本真理子, 齋藤彩香, 早瀬千栄, 仲本博史, 長尾瞳, 柿沼玲史, 澤村成史, 關山裕詩 |
| Authors (kana) | |
| Organization | 帝京大学医学部附属病院麻酔科・ペインクリニック科 |
| Journal | 慢性疼痛 |
| Volume | 43 |
| Number | 1 |
| Page | 112-117 |
| Year/Month | 2024 / |
| Article | 報告 |
| Publisher | 日本慢性疼痛学会 |
| Abstract | 柴苓湯は小柴胡湯と五苓散の合方であり, 浮腫や下痢, 嘔吐などの水湿の証候がある亜急性・慢性炎症疾患に用いる. 今回, 痛みを伴う難治性の四肢の浮腫に対し柴苓湯が奏効した3症例を経験した. 【症例1】60代女性. 骨原発悪性リンパ腫に対し化学療法中. 両下肢痛と熱感を伴う両下腿難治性浮腫に対し, 柴苓湯を開始したところ, 浮腫は軽減し疼痛も改善した. 【症例2】80代女性. 全身性強皮症で加療中. 右示指潰瘍の疼痛と両下肢痛, および下腿浮腫に対し, 柴苓湯を併用したところ下腿浮腫は改善した. 【症例3】50代女性. 右乳房切除術・腋窩リンパ節廓清術後. 右上肢のリンパ浮腫と疼痛, 下腿浮腫を認め, 柴苓湯を開始したところ, 四肢の浮腫は改善し, 疼痛による不眠も軽減した. 柴苓湯の利水作用と抗炎症効果により, 疼痛を伴うリンパ浮腫が改善し, Quality Of Life(QOL)の改善を得られたと考えられる. |
| Practice | 臨床医学：外科系 |
| Keywords | lymphedema, Saireito, Anti-inflammatory effect |
English
| Title | Three cases of painful lymphedema with marked efficacy of Saireito |
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| Subtitle | |
| Authors | Yuki Okutomi, Mariko Sugimoto, Ayaka Saito, Chie Hayase, Hiroshi Nakamoto, Hitomi Nagao, Akihito Kakinuma, Shigehito Sawamura, Hiroshi Sekiyama |
| Authors (kana) | |
| Organization | Department of Anesthesiology, Teikyo University School of Medicine |
| Journal | The journal of Japanese Society for Study of Chronic Pain |
| Volume | 43 |
| Number | 1 |
| Page | 112-117 |
| Year/Month | 2024 / |
| Article | Report |
| Publisher | The Japanese Society for the Study of Chronic Pain |
| Abstract | Saireito, a combination of Syousaikoto and Goreisan, is used for subacute and chronic inflammatory diseases with signs of edema, diarrhea, vomiting, and other signs of water and dampness. In this report, we report three cases of refractory edema of the extremities with pain that responded to Saireito. Case 1 is a woman in her 60s who had chemotherapy for primary malignant lymphoma of bone. She had intractable edema in both of her lower legs. Administration of Saireito reduced her edema and pain. Case 2 is a woman in her 80s. She had systemic scleroderma, with painful ulcer in her right index finger, pain in both of her lower limbs, and edema in her lower legs. Administration of Saireito improved her edema and her quality of life (QOL). Case 3 is a woman in her 50s who had right mastectomy and axillary lymph node excision. She had lymphedema and pain in her right upper limb and edema in her lower legs. Administration of Saireito ameliorated her edema and pain-related-insomnia. The hydrating and anti-inflammatory effects of Saireito could have improved the patient's painful lymphedema and QOL. |
| Practice | Clinical surgery |
| Keywords | lymphedema, Saireito, Anti-inflammatory effect |
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