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Kampo medicine for women's health care “1st International Symposium on Kampo Medicine” “第一届国际汉布医学研讨会”
Pub Date : 2022-08-01 DOI: 10.1002/tkm2.1326
Yu Jing, Motoko Fukuzawa, Yasumasa Sato, Y. Kimura
To the Editor, Japanese herbal medicine, known as Kampo, is a part of East Asian Chinese medicine. In the Huangdineijing (Yellow Emperer’s Canon of internal medicine), women’s health is thought to change every seven years, with a physical peak at 28 years old. Women are naturally conscious of physical and mental changes associated with their menstrual cycle, and often notice physical deterioration from around 40 years old. In this symposium, we would like to discuss how Kampo medicine contributes to women’s health care in Japan. The first presentation is “Analysis of Mesenteric Phlebosclerosis-Related Adverse Events Caused by Gardenia-containing Kampo Medicines Using the JADER Database.” Gardenia fruit is widely used in traditional medicine. Recent clinical reports have shown that longterm (≧5 years) administration of Gardenia fruit (called sanshishi in Japan) was associated with the incidence of mesenteric phlebosclerosis (MP). In this study, we assessed age (<50 years, 50–70 years and > 70 years groups) and gender differences among cases of MP caused by Gardenia-containing Kampo medicines to investigate the risk factors and the underlying mechanism to target the activation of sex hormone receptors. In all, 215 cases of MP caused by Gardenia-containing Kampo medicines were registered in the Japanese Adverse Drug Event Report database (JADER) from April 2004 to September 2021. We found statistically significant differences in MP cases by age and gender with a greater number in females over 50 years of age. We also analyzed whether geniposide, the major component of Gardenia, and its metabolized substance genipin, can directly activate estrogen receptors (ERα, ERβ) or androgen receptor (AR) by simulations of the performance of molecular docking using Molecular Operating Environment. The results showed that both geniposide and genipin have favorable binding ability with those sex hormone receptors, and that the binding energy with ERs is stronger than with AR. In conclusion, the results demonstrated the potential risks of MP being caused by Gardenia-containing Kampo medicines together with differences in aging and gender, and that sex hormone receptors were involved in the development of MP. The second presentation is “Kampo Medicines Treatment for Women.” Among patients who visit Kampo clinics, 70%–80% are women, which suggests that Kampo treatment is important to support women’s health and manage female health concerns. The Kampo medicine which is used today has evolved in its own unique way based on several classic texts of traditional Chinese medicine. Regarding women’s diseases, “Kinkiyoryaku”, which was written in China around 200 A.D., is the basis for the current treatment of women’s health problems in Japan. In this way, the importance of a medical approach to women-specific disorders has been recognized by Kampo medicine since ancient times. In this symposium, using case studies, the usefulness of Kampo treatment for treating various wome
对编辑来说,日本草药,被称为汉布,是东亚中医的一部分。在《黄帝内经》中,女性的健康状况被认为每七年改变一次,在28岁时达到生理高峰。女性自然会意识到与月经周期相关的生理和心理变化,通常从40岁左右开始就会注意到身体状况的恶化。在这次研讨会上,我们想讨论一下汉布医学对日本妇女保健的贡献。第一个报告是“使用JADER数据库分析含栀子的汉布药引起的肠系膜静脉硬化相关不良事件”。栀子在传统医药中应用广泛。最近的临床报告显示,长期(≥5年)食用栀子(日本称为三十石)与肠系膜静脉硬化(MP)的发病率有关。在这项研究中,我们评估了年龄(70岁组)和性别差异,以探讨栀子花汉方药物引起的MP的危险因素和潜在的机制,以激活性激素受体。2004年4月至2021年9月,日本不良药物事件报告数据库(JADER)共登记了215例含栀子花的汉布药引起的MP病例。我们发现不同年龄和性别的MP病例有统计学上的显著差异,其中50岁以上的女性病例较多。通过模拟栀子花的分子对接性能,分析栀子花的主要成分京尼平苷及其代谢物质京尼平是否能直接激活雌激素受体(ERα、ERβ)或雄激素受体(AR)。结果表明,京尼平苷和吉尼平均与上述性激素受体具有良好的结合能力,且与er的结合能强于与AR的结合能。综上所述,含栀子汉方药物引起MP的潜在风险,且存在年龄和性别差异,性激素受体参与MP的发生。第二个演讲是“柬埔寨妇女的药物治疗”。在到坎普诊所就诊的病人中,70%-80%是妇女,这表明坎普治疗对于支持妇女健康和管理女性健康问题非常重要。今天使用的汉布医学在传统中医经典文献的基础上以自己独特的方式发展。在妇女病方面,公元200年左右在中国写成的《金清雅库》是目前日本妇女健康问题治疗的基础。这样,自古以来,汉布医学就认识到对妇女特有疾病采取医疗方法的重要性。在本次研讨会上,将通过案例研究,介绍堪布疗法在治疗各种妇女健康问题方面的作用,如月经紊乱、不孕症、习惯性流产、乳汁分泌不足、更年期综合症和女性常见的疾病,如头痛、头晕和疲劳。第三场演讲是“孕妇的汉布疗法”。从东方医学的观点来看,孕妇优先喂养胎儿。简而言之,银屑病可能会导致发热、头晕和贫血。头痛、感冒敏感和水肿是由怀孕的气、气、气各郁结引起的。对这些症状的治疗效果优于西药的情况并不罕见。汉布疗法可用于妊娠剧吐、威胁早产和分娩、妊娠疼痛和精神症状。第四个报告是“寒症女性患者的汉布疗法”。患者经常抱怨他们的身体、指尖和脚趾持续和无法忍受的“冷”(寒感)。这种不寻常的冷感在女性身上比在男性身上更常见,在日语中被称为“hi- sho”(感冒综合症)。然而,西医并没有主观感冒的定义,因此它甚至不被认为是一种症状或疾病来治疗。收到日期:2022年5月18日修订日期:2022年6月12日接受日期:2022年6月15日
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引用次数: 0
Kampo medicine in the field of dermatology: basic and clinical aspects “1st International Symposium on Kampo Medicine” 高棉医学在皮肤病学领域:基础和临床方面“第一届国际高棉医学研讨会”
Pub Date : 2022-08-01 DOI: 10.1002/tkm2.1322
T. Andoh, T. Shimizu, M. Toyoda, M. Maeda
the treatment of atopic dermatitis, we report an effective mechanism of medicine, from the aspect of molecular level and vascular inflammation. Orengedokuto has been shown to be effective in the treatment of atopic dermatitis in animal models ’ s regulation of EIF3F in with Sjögren
对于特应性皮炎的治疗,我们从分子水平和血管炎症方面报道了药物的有效机制。通过Sjögren调节EIF3F蛋白的动物模型,Orengedokuto已被证明对治疗特应性皮炎有效
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引用次数: 0
Kampo treatment for neurological diseases “1st International Symposium on Kampo Medicine” “第一届汉布医学国际研讨会”
Pub Date : 2022-08-01 DOI: 10.1002/tkm2.1335
S. Muramatsu, M. Tamada, Yoshinao Harada, M. Raimura, Seungwon Kwon
To The Editor Although novel modalities including various antibodies are at the forefront of clinical practice, most neurological diseases are still intractable. In this symposium, we will present representative examples in which Kampo medicine is effective in treating conditions for which western drugs are ineffective or cannot be used due to adverse effects. Dr Tamada will present the application of keishikaryukotsuboreito (KSTRB) as the effective treatment of parasomnia and adult nocturnal enuresis. As a prodromal symptom of neurodegeneration, the number of elderly people with rapid eye movement (REM) sleep behavior disorders is increasing. KSTRB can be used for the disorders. Dr Harada demonstrates that goreisan (GRS) was most effective in a homogenous type of chronic subdural hematoma for preventing recurrence after operation. It is well known that GRS can regulate water balance. Dr Raimura shows keishibukuryogan (KBG) is effective for patients who have both menstruation-associated migraine and scintillating scotoma. He will also show a video that blood stasis of the conjunctiva was improved after treatment. Finally, Dr Kwon introduces the effective treatment of cerebrovascular diseases with traditional herb medicine in Korea. The first presentation, by Dr Tamada, is “KSTRB for the Treatment of Parasomnia and Adult Enuresis”. In Jin Gui Yao Lue, an ancient text of Chinese medicine, KSTRB was initially described as effective in treating decreased sexual desire, sexual malaise, rectus abdominis muscle hypertonia, genital coldness, diarrhea, anemia, dizziness, alopecia, and very weak pulse. KSTRB had been used for nocturnal emissions in men and sexually aroused dreams in women in traditional Japanese medicine. In this way, abnormal sexual nocturnal behaviors had been treated with KSTRB for many years. We expanded the application of KSTRB to more general symptoms of parasomnia, which is defined as undesirable behaviors or experiences during sleep. Seven elderly patients including four patients with Parkinson’s disease had parasomnias in non-REM or REM sleep. After they started to take KSTRB, symptoms such as dream-enacting behavior and nightmares disappeared within a few days. In one patient, the frequency and magnitude of spike–wave complexes induced by 3-Hz photic stimulation were reduced on electroencephalography, suggesting inhibitory effects of KSTRB on brain irritability. We also successfully treated a woman with nocturnal enuresis that persisted into adulthood by KSTRB. Adult cases of nocturnal enuresis are refractory and rarely heal spontaneously. We suggest that KSTRB is a safe treatment option for parasomnia and nocturnal enuresis. The second presentation, by Dr Harada, is “The Effect of GRS for Chronic Subdural Hematoma.” Chronic subdural hematoma (CSDH) has a reported postoperative recurrence rate of 3%–20% and the optimal therapeutic strategy remains controversial. Several pharmacological treatments have been used to treat patients
尽管包括各种抗体在内的新型治疗方式处于临床实践的前沿,但大多数神经系统疾病仍然难以治疗。在这次研讨会上,我们将介绍一些有代表性的例子,说明汉布药在治疗西药无效或因副作用而不能使用的疾病方面是有效的。Tamada博士将介绍keishikaryukotsuboreito (KSTRB)作为睡眠异常和成人夜间遗尿的有效治疗的应用。快速眼动(REM)睡眠行为障碍作为神经退行性疾病的前驱症状,越来越多的老年人出现。KSTRB可以用于治疗这些疾病。Harada博士证明,goreisan (GRS)对同质型慢性硬膜下血肿预防术后复发最有效。众所周知,GRS可以调节水分平衡。Raimura博士表示,keishibukuryogan (KBG)对同时患有月经相关偏头痛和闪烁性暗瘤的患者有效。他还将展示一段视频,显示结膜血瘀在治疗后得到改善。最后,权医生介绍了韩国传统中草药治疗脑血管疾病的有效方法。Tamada博士的第一个报告是“KSTRB治疗睡眠异常和成人遗尿症”。在中医古籍《金贵要略》中,KSTRB最初被描述为有效治疗性欲减退、性不适、腹直肌肥厚、生殖器冷、腹泻、贫血、头晕、脱发和脉搏微弱。在传统的日本医学中,KSTRB被用于男性的夜间排放物和女性的性唤起梦。通过这种方式,KSTRB多年来一直在治疗夜间性行为异常。我们将KSTRB的应用扩展到更一般的睡眠异常症状,它被定义为睡眠期间的不良行为或经历。包括4名帕金森病患者在内的7名老年患者在非快速眼动或快速眼动睡眠中出现睡眠异常。服用KSTRB后,在几天内就消失了做梦行为和噩梦等症状。在1例患者中,脑电图显示3hz光刺激诱导的尖波复合体的频率和强度降低,提示KSTRB对脑激惹有抑制作用。我们也成功地用KSTRB治疗了一位持续到成年的夜间遗尿症妇女。成人夜遗尿难治,很少自愈。我们认为KSTRB是睡眠异常和夜间遗尿的安全治疗选择。Harada博士的第二个报告是“GRS治疗慢性硬膜下血肿的效果”。据报道,慢性硬膜下血肿(CSDH)术后复发率为3%-20%,最佳治疗策略仍存在争议。已有几种药物治疗方法用于治疗CSDH患者(如氨甲环酸、阿托伐他汀和地塞米松)。1995年首次报道GRS能有效减少CSDH血肿体积。从那时起,日本报道了几项研究,包括预防术后复发。近年来,GRS成为日本神经外科医生减少血肿体积和预防术后CSDH复发最常用的汉方药之一。我们将介绍GRS治疗CSDH的临床研究。我们发现,均匀型CSDH对GRS预防复发的反应最有效。Raimura博士的第三个报告是“KBG治疗闪烁性暗斑和月经相关偏头痛的疗效”。近年来,曲坦类、地坦类、抗降钙素基因相关肽(CGRP)抗体、抗CGRP受体抗体等新药相继获批,偏头痛的治疗取得了显著进展。但对闪烁性暗斑和经期相关偏头痛的预防药物还不够有效。已知KBG可以调节月经周期,改善痛经。枕叶视觉皮层血流量减少是引起闪烁性暗斑的主要原因。一些报道称抗血小板药物对闪烁性暗斑有效,另一些报道表明KBG具有抗血小板作用。因此,我们对同时患有月经相关偏头痛和闪烁性暗斑的患者给予KBG,并通过HIT(头痛影响试验)评估其效果-6。患者背景为6名女性。接收时间:2022年5月22日。修订时间:2022年6月23日。接收时间:2022年6月29日
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引用次数: 1
Role of Kampo medicine and integrative medicine in general internal medicine “1st International Symposium on Kampo Medicine” “第一届汉布医学国际研讨会”
Pub Date : 2022-08-01 DOI: 10.1002/tkm2.1325
R. Yoshinaga, Kiyoshi Minamizawa, S. Nabeshima, Sagar Kamprath
Japan faces multifaceted challenges including a rapidly aging population, escalating healthcare costs, and economic decline. These situations require physicians who can adapt as well as provide comprehensive medical care. Therefore, primary care which includes general internal medicine (GIM) and family medicine, has become a vital component of a well-functioning health system. Both GIM doctors in Japan and family medicine physicians in the US offer medical services in the clinic and hospital settings; however, family medicine doctors see patient of all ages. The Japanese healthcare system also supports Kampo, hence doctors in Japan are allowed to prescribe Kampo medicine as well as modern medicine. Kampo has been integrated into the Japanese national health care system since 1967. Research shows that about 90%of doctors prescribe Kampo formulas on a daily basis. Evidence to show the effectiveness of Kampo therapies has been reported in both outpatient and inpatient settings (1). Here, we aim to introduce the role of Kampo therapies in GIM, in addition discussing research involving Kampo therapies against infectious diseases and its potential for incorporation into the field of integrativemedicine in theUS. In Japan, the first GIM department was established in 1976. Since then, the number of GIM departments has increased and the role of GIM has become important due to Japan’s aging population. GIM received official recognition from the JapanMedical Specialty Board as the 19th area in the new medical specialty training system in 2018. In outpatient care, physicians treat a wide variety of patients who have chronic and degenerative diseases, functional and psychosomatic disorders, medically unexplained symptoms, and elderly comorbidities. Application of Kampo therapies can have a positive effect on these conditions and offer additional treatment options for these complex patients (2). Kampo therapies are also useful for inpatient care. As Japan ages, more elderly will need inpatient care, placing increased demands on limited resources. Even the best modern therapy cannot stand without primary preventive care for sustainability. Kampo does not directly affect the illness itself but helps stimulate patients to heal alongside modern medical therapies. As modern medicine mostly focuses on symptom suppression or killing infective pathogens and sometimes leads to issues such as resistance, conditioning patients with Kampo medicine in combination with modern therapy will help stimulate patients’ own immune systems for symptom improvement and possible increased resilience to future disease processes. For example, maoto has been effective against influenzawith further uses for COVID-19 described below. Recently, many GIM physicians participate in the teams caring for patients with COVID-19. In addition, some studies reveal the effectiveness of Kampo medicines against infectious diseases. Maoto exerts anti-viral effects on influenza and respiratory syncytial
日本面临着多方面的挑战,包括人口迅速老龄化、医疗成本不断上升和经济衰退。这些情况需要能够适应并提供全面医疗护理的医生。因此,包括普通内科和家庭医学在内的初级保健已成为运转良好的卫生系统的重要组成部分。日本的GIM医生和美国的家庭医学医生都在诊所和医院提供医疗服务;然而,家庭医学医生看的是所有年龄段的病人。日本医疗保健系统也支持汉方医术,因此日本的医生可以开汉方医术和现代医术。自1967年以来,汉方语已被纳入日本国民保健体系。研究表明,大约90%的医生每天都会给病人开Kampo配方。有证据表明,在门诊和住院环境中都有汉布疗法的有效性(1)。在这里,我们的目标是介绍汉布疗法在GIM中的作用,此外还讨论了涉及汉布疗法治疗传染病的研究及其在美国整合医学领域的潜力。在日本,第一个GIM部门成立于1976年。此后,由于日本的人口老龄化,GIM部门的数量不断增加,GIM的作用变得越来越重要。2018年,GIM获得了日本医学专业委员会的正式认可,成为新医学专业培训体系的第19个领域。在门诊护理中,医生治疗各种各样患有慢性和退行性疾病、功能和心身疾病、医学上无法解释的症状和老年合并症的患者。汉布疗法的应用可以对这些疾病产生积极影响,并为这些复杂的患者提供额外的治疗选择(2)。汉布疗法对住院治疗也很有用。随着日本老龄化,越来越多的老年人需要住院治疗,对有限的资源提出了越来越大的需求。如果没有初级预防保健,即使是最好的现代疗法也无法维持其可持续性。坎布并不直接影响疾病本身,但有助于刺激患者在现代医学治疗的同时痊愈。由于现代医学主要侧重于症状抑制或杀死感染性病原体,有时会导致耐药性等问题,因此将汉布药与现代疗法相结合,将有助于刺激患者自身的免疫系统,以改善症状,并可能增加对未来疾病进程的恢复能力。例如,毛托对流感有效,对COVID-19的进一步用途如下所述。最近,许多GIM医生参加了照顾COVID-19患者的团队。此外,一些研究揭示了汉布药物治疗传染病的有效性。毛托对流感和呼吸道合胞病毒(RSV)均有抗病毒作用(3),但作用机制不同。在流感中,maoto将病毒困在核内体中,而在RSV中,麻黄和肉桂皮质成分与病毒表面G蛋白的结合抑制了其传染性。毛托在住院患者中也有积极的作用,可以预防COVID-19的暴露后预防(4)。在美国,随着患者寻求医疗护理,从根源上解决问题,并结合东方医学原则从源头上治愈疾病,中西医结合正变得越来越流行。西方医生在诊断病症和治疗由此产生的症状方面已经变得越来越熟练。通常情况下,治疗倾向于症状抑制。不幸的是,患者可能会在他们的余生中继续服用逐渐增加剂量的药物。美国家庭医生学会提倡基于证据的综合医学评估,以促进对患者的教育、治疗和咨询。一些证据支持几种补充或综合治疗方法对常见初级保健问题的有效性和安全性,如腰痛、失眠和焦虑症状(5)。综合医学旨在将患者作为一个整体进行治疗,并旨在与传统医学合作,为身体提供恢复所需的工具,并最终减少药物的使用。在美国,医生可以学习综合医学,并在住院医师后获得奖学金,获得委员会认证,专注于阿育吠陀或针灸等领域,未来甚至可以学习柬埔寨方布。美国的一些家庭医学住院医师项目包括中西医结合和针灸培训,这可以减少阿片类药物的处方。收稿日期:2022年5月19日修稿日期:2022年6月10日收稿日期:2022年6月12日
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引用次数: 0
Significance of Kampo medicine in the urological field “1st International Symposium on Kampo Medicine” “第一届国际汉布医学研讨会”
Pub Date : 2022-08-01 DOI: 10.1002/tkm2.1331
H. Oh‐oka, K. Torimoto, Miyabi Inoue, H. Ide, Y. Sekiguchi
To The Editor Urology treats many diseases around urogenital organs in men and women, that is, the kidneys, adrenal glands, ureters, urethra, prostate, testis and pelvic floor. Thus, the world of urology is wider than expected. In addition, urology is advancing in the research field of quality-oflife (QOL) diseases. The important targets of Kampo are the treatment of symptoms of QOL diseases that are not sufficiently covered by modern medicine. There are many results of Kampo treatments for urological QOL diseases. This urology session introduces Kampo treatments for various complaints in urological diseases. The first presentation is about basic research on choreito for overactive bladder. The second presentation covers clinical research of hachimijiogan and goshajinkigan for benign prostate hyperplasia and interstitial cystitis/ bladder pain syndrome. The third presentation concerns clinical research of choreito and seishinrenshiin for chronic urinary tract infection. Finally, basic and clinical research on Kampo medicine for testosterone and cognitive function with urological cancer is presented. Please enjoy the varied world of Kampo medicine for urological diseases. The first presentation is entitled “Therapeutic Effects of Choreito on Urological Diseases.” Choreito (CRT) is one of the most commonly prescribed Kampo medicines in urology and has a “water utilization effect,” a combination of the diuretic effect and an improvement in water imbalance. Therefore, CRT is administered to relieve lower urinary tract symptoms associated with inflammation by promoting the excretion of urinary stones and alleviating edema of the lower body. Kampo medicines work well when administered according to the appropriate body patterns; however, their mechanisms of action remain largely unclear. Although CRT is typically administered to and works best in patients exhibiting decreased urine excretion and thirst, therapeutic effects are observed regardless of whether these symptoms are present. Attempts have been made to elucidate the mechanisms of action of CRT through basic research on rats and cats. These studies suggested the possibility of a water restriction effect in the nocturnal polyuria model, an effect of suppressing detrusor overactivity in the overactive bladder model, and an improvement effect in the urinary component. We hope that these reports will provide an opportunity to further expand the use of CRT. The second presentation is “Lower Urinary Tract Symptoms and Kampo Medicine.” Lower Urinary Tract Symptoms (LUTS) are classified into (1) storage symptoms, (2) voiding symptoms, and (3) postmicturition symptoms. BPH (benign prostatic hyperplasia) is a typical disease that presents all three symptoms, and OAB (overactive bladder) and IC/BPS (interstitial cystitis/bladder pain syndrome) are typical diseases that present storage symptoms. There are kidney supplements (hachimijiogan, goshajinkigan [GJG]) employed for BPH, but there are no randomized c
泌尿外科治疗男性和女性泌尿生殖器官周围的许多疾病,即肾脏、肾上腺、输尿管、尿道、前列腺、睾丸和盆底。因此,泌尿外科的世界比预期的要广阔。此外,泌尿外科在生活质量疾病(QOL)的研究领域也在不断发展。康布的重要目标是治疗现代医学没有充分涵盖的生活质量疾病的症状。汉布治疗泌尿科生活质量疾病有许多效果。本泌尿科课程介绍了各种泌尿系统疾病的汉布治疗方法。第一个报告是关于膀胱过动症编舞的基础研究。二是介绍八齿健肝和goshajinkkagan治疗良性前列腺增生和间质性膀胱炎/膀胱痛综合征的临床研究。第三个报告是关于慢性尿路感染的临床研究。最后,介绍了汉布药治疗泌尿系统肿瘤患者睾酮和认知功能的基础和临床研究。请欣赏各种各样的汉布医学泌尿系统疾病。第一个报告的题目是“舞蹈病对泌尿系统疾病的治疗效果”。Choreito (CRT)是泌尿科最常用的贡布药之一,具有“水利用效应”,是利尿作用和改善水失衡的结合。因此,CRT通过促进尿路结石的排泄和减轻下体水肿来缓解与炎症相关的下尿路症状。当根据适当的身体模式服用时,汉布药效果良好;然而,它们的作用机制在很大程度上仍不清楚。虽然CRT通常用于表现出尿排泄减少和口渴的患者,并且效果最好,但无论这些症状是否存在,都可以观察到治疗效果。通过对大鼠和猫的基础研究,试图阐明CRT的作用机制。这些研究表明,在夜间多尿模型中可能存在限水作用,在膀胱过度活动模型中可能存在抑制逼尿肌过度活动的作用,在尿成分中可能存在改善作用。我们希望这些报告将为进一步扩大CRT的使用提供机会。第二个报告是“下尿路症状和汉布医学”。下尿路症状(LUTS)分为(1)储尿症状,(2)排尿症状,(3)排尿后症状。BPH(良性前列腺增生)是一种典型的疾病,具有这三种症状,OAB(膀胱过度活动)和IC/BPS(间质性膀胱炎/膀胱疼痛综合征)是典型的疾病,具有积存症状。有肾补品(hachimijiogan, goshajinkigan [GJG])用于治疗BPH,但没有关于其有效性的随机对照临床试验。只有少数几篇关于前列腺增生的论文:(a)一份报告称,即使在服用坦索罗辛后,仍有OAB症状的前列腺增生患者通过额外服用GJG改善了生活质量;(b) 25例BPH患者的国际前列腺症状评分(IPSS)、生活质量评分和尿流指标的改善报告,这些患者的尿频没有得到α1阻滞剂的充分改善;(c)报告30例与BPH相关的OAB患者服用GJG 6周后OAB症状评分、IPSS和QOL评分改善情况。GJG对OAB患者有效的报道很少,而汉布药联合治疗IC/BPS患者的报道也很少。对于上述疾病,应考虑将汉布医学作为补充疗法。我们报告了在我科治疗IC/BPS患者腹水膨胀后应用凝血球蛋白的疗效。第三个报告是“尿路感染(临床研究)”。使用抗生素治疗细菌性尿路感染基本上是。单纯用草药治疗细菌性尿路感染是很困难的。然而,膀胱炎症状可能持续存在,即使泌尿检查结果已改善抗生素。收稿日期:2022年5月18日修回日期:2022年6月23日收稿日期:2022年6月27日
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引用次数: 0
Elucidation of improving effects of a traditional Japanese herbal formula, hochuekkito, comprising Atractylodis rhizoma, on T‐cell‐mediated intestinal mucositis in mice 中药白术对小鼠T细胞介导的肠道黏膜炎的改善作用
Pub Date : 2022-07-15 DOI: 10.1002/tkm2.1332
M. Endo, Shiori Utagawa, T. Nagai, T. Hanawa, H. Odaguchi, Hiroaki Kiyohara
Hochuekkito has been used for gastrointestinal immune depression. Among its 10 herbal components, Atractylodis rhizoma (AtR) and Atractylodis lanceae rhizoma (ALR), and also Hedysari radix (HR) and Astragali radix (AR), can be interchanged based on the patient's symptoms. However, the difference between these formulas for improving gastrointestinal immune depression is not clear. The aim of this study was to compare the effect of AtR‐ and ALR‐hochuekkkito on a T‐cell‐mediated systemic and small intestinal mucosal inflammation model. We also analyzed the active ingredients and mechanism of action of AtR‐hochuekkito on the antiapoptotic effect in the Fas/FasL‐mediated signaling cascade on intestinal epithelial cells.
藿香已被用于胃肠道免疫抑制。在其10种草药成分中,苍术(AtR)和苍术(ALR)以及赤芪(HR)和黄芪(AR)可根据患者症状互换。然而,这些改善胃肠道免疫抑制的配方之间的差异尚不清楚。本研究的目的是比较AtR‐和ALR‐hochuekkkito对T细胞介导的全身和小肠粘膜炎症模型的影响。我们还分析了AtR‐hochuekkito在Fas/FasL介导的肠上皮细胞信号级联中抗凋亡的活性成分和作用机制。
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引用次数: 0
Ninjinyoeito reduces β‐amyloid25–35‐induced axon damage via nerve growth factor ninninyoeito通过神经生长因子减少β -淀粉样蛋白25 - 35诱导的轴突损伤
Pub Date : 2022-06-21 DOI: 10.1002/tkm2.1320
Kaori Kubota, Takuya Watanabe, S. Katsurabayashi, K. Iwasaki
Ninjinyoeito (NYT), a Japanese herbal medicine, is widely used to treat patients with insomnia, anemia, amnesia, and neurosis. Recently, NYT was reported to be clinically effective in Alzheimer's disease (AD). We investigated the effects of NYT in a neurodegeneration model comprising cultured autaptic neurons exposed to β‐amyloid (Aβ)25–35.
日本的草药“NYT”被广泛用于治疗失眠、贫血、健忘症、神经症等疾病。最近,NYT被报道对阿尔茨海默病(AD)有临床疗效。我们研究了NYT在神经变性模型中的作用,该模型包括暴露于β -淀粉样蛋白(a β) 25-35的培养自噬神经元。
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引用次数: 1
Efficacy of medical expulsive therapy using the traditional Japanese medicine (kampo) choreito for the spontaneous passage of proximal ureteric stones: A retrospective analysis 中药“甘婆舞”医学排出治疗输尿管近端结石自发通过的疗效回顾性分析
Pub Date : 2022-05-20 DOI: 10.1002/tkm2.1315
D. Gotoh, K. Torimoto, Takashi Iwamoto, Y. Morizawa, S. Hori, Y. Itami, M. Miyake, S. Anai, Shuya Hirao, N. Tanaka, K. Fujimoto
Urolithiasis is a common disorder of the urinary tract. Medical expulsive therapy is recommended for calculi with diameters <10 mm. This study was conducted to determine the effect of choreito, an herbal medication with discharging effects, on the spontaneous passage of urinary calculi.
尿石症是一种常见的泌尿系统疾病。对于结石直径小于10毫米的患者,建议采用药物排出疗法。本研究旨在确定具有排尿作用的草药“choreito”对尿路结石自然排出的影响。
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引用次数: 0
Remission inductive efficacy of the combination of ARB, MRA, and saireito for nephrotic syndrome of membranous nephropathy ARB、MRA、saireito联合治疗膜性肾病肾病综合征的缓解诱导疗效
Pub Date : 2022-04-29 DOI: 10.1002/tkm2.1314
T. Ono, H. Nagai, Noriyuki Suzuki, F. Nogaki
Angiotensin II receptor blockers (ARBs) effectively reduce urinary protein. An increase in aldosterone after ARB is termed aldosterone breakthrough and mineralocorticoid receptor antagonists (MRAs) are useful against this phenomenon. The Japanese traditional medicine saireito has the potential to reduce proteinuria. MRAs may suppress licorice‐induced pseudoaldosteronism.
血管紧张素受体阻滞剂(ARBs)可有效降低尿蛋白。ARB后醛固酮升高被称为醛固酮突破,而矿皮质激素受体拮抗剂(MRAs)对这种现象有用。日本的传统药物“海藤”具有减少蛋白尿的潜力。mra可以抑制甘草诱导的假醛固酮增多症。
{"title":"Remission inductive efficacy of the combination of ARB, MRA, and saireito for nephrotic syndrome of membranous nephropathy","authors":"T. Ono, H. Nagai, Noriyuki Suzuki, F. Nogaki","doi":"10.1002/tkm2.1314","DOIUrl":"https://doi.org/10.1002/tkm2.1314","url":null,"abstract":"Angiotensin II receptor blockers (ARBs) effectively reduce urinary protein. An increase in aldosterone after ARB is termed aldosterone breakthrough and mineralocorticoid receptor antagonists (MRAs) are useful against this phenomenon. The Japanese traditional medicine saireito has the potential to reduce proteinuria. MRAs may suppress licorice‐induced pseudoaldosteronism.","PeriodicalId":23213,"journal":{"name":"Traditional & Kampo Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77729125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Effect of the Japanese herbal drug rikkunshito for the treatment of malnutrition in patients with chronic heart failure 日本中草药利昆士藤治疗慢性心力衰竭患者营养不良的疗效
Pub Date : 2022-04-15 DOI: 10.1002/tkm2.1313
M. Seo, Tetsuya Watanabe, Takahisa Yamada, T. Morita, M. Kawasaki, A. Kikuchi, T. Kawai, J. Nakamura, K. Kayama, Kunpei Ueda, Daisuke Sakamoto, Takehiro Kogame, Yuto Tamura, Takeshi Fujita, Keisuke Nishigaki, Yuki Kokubu, Yuto Fukuda, M. Fukunami
Although malnutrition is an important prognostic factor in patients with chronic heart failure (CHF), no effective treatment for malnutrition has been established. Rikkunshito (RKT) is a Japanese herbal drug that has been used in daily practice for patients with loss of appetite. However, no data have demonstrated whether or not RKT can improve the body composition in patients with CHF. The aim of this study was to elucidate the effect of RKT on the nutritional status of patients with CHF.
尽管营养不良是影响慢性心力衰竭(CHF)患者预后的重要因素,但目前尚无针对营养不良的有效治疗方法。Rikkunshito (RKT)是一种日本草药,在日常实践中用于治疗食欲不振的患者。然而,没有数据表明RKT是否可以改善CHF患者的体成分。本研究的目的是阐明RKT对CHF患者营养状况的影响。
{"title":"Effect of the Japanese herbal drug rikkunshito for the treatment of malnutrition in patients with chronic heart failure","authors":"M. Seo, Tetsuya Watanabe, Takahisa Yamada, T. Morita, M. Kawasaki, A. Kikuchi, T. Kawai, J. Nakamura, K. Kayama, Kunpei Ueda, Daisuke Sakamoto, Takehiro Kogame, Yuto Tamura, Takeshi Fujita, Keisuke Nishigaki, Yuki Kokubu, Yuto Fukuda, M. Fukunami","doi":"10.1002/tkm2.1313","DOIUrl":"https://doi.org/10.1002/tkm2.1313","url":null,"abstract":"Although malnutrition is an important prognostic factor in patients with chronic heart failure (CHF), no effective treatment for malnutrition has been established. Rikkunshito (RKT) is a Japanese herbal drug that has been used in daily practice for patients with loss of appetite. However, no data have demonstrated whether or not RKT can improve the body composition in patients with CHF. The aim of this study was to elucidate the effect of RKT on the nutritional status of patients with CHF.","PeriodicalId":23213,"journal":{"name":"Traditional & Kampo Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89972436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Traditional & Kampo Medicine
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