Volume 5, Number 4 | Winter 2010

Clinical Report 3 (Japan)
Kamishoyosanwas Effective fora Patient having Vomit

painful.
Menstruation tended to be delayed withmenstrual cramps.

Mihoh Koga, M.D., Kampo Specialist

Palms were sweaty.

Research Assistant of Division of Clinical Pharmacology
and Therapeutics and Division of General Medicine
Jikei University School of Medicine[Case]Good sleep.
Did not get irritated.
Palpation; Pulse – floating, string-like, and fast.

Female of 16 years old

Abdomen – the entire abdominal region[Chief complaint] Epigastric abdominal pain andwas hard, abdominal rectus muscles onnausea[Pastmedicalhistory/familyhistory]

both sides were tense with stuffiness andNo

rigidity below the heart, and tenderness

particular mention

in the right para-umbilical region.

[Current medical history]
Two days ago, she had a discomfort itchingsensation in the epigastric region and then nausea
appeared. Vomiting started at the night. On thefollowing day, vomiting did not stop and she madea visit to the psychosomatic medicine of a nearby
hospital, where she received psychotropic agentsand anti-anxiety drugs. At nightfall, vomiting
stopped. However, epigastric abdominal pain andvomit were not relieved and she visited ourdepartment.
Similar symptoms had appeared sometimes
since she was 12 years old. The symptoms tended

Prescription: kamishoyosan（Tsumura & Co., Ltd.,Tokyo, Japan）5.0g/2 x

Inspection: Moderate body frame. Tongue: with

Kamishoyosan (modified merry life powder)
Bupleuri Radix 9.0 (3.0), Atractylodis Ovatae
Rhizoma 9.0 (3.0), Menthae Herba 1.0 (1.0),
Glycyrrhizae Radix 4.5 (1.5), Angelicae Acutilobae
Radix 9.0 (3.0), Poria 9.0 (3.0), Gardeniae Fructus
3.0 (2.0), Atractylodis Rhizoma 9.0 (3.0), Zingiberis
Rhizoma 3.0 (1.0), Moutan Cortex 3.0 (2.0)

white furs.

Efficacy: Activation of the flow of liver-qi andto develop when she was tired or the abdominal
area became cold. Once developed, the symptoms
persisted for two days to one week. Examinationsat other hospital revealed no abnormalities.
[Present condition]

Inquiry:26

She claimed that usually she had

elimination of its depression, harmonization of theappetite

blood, and purge of fire.

andthegastrointestinal

condition was good.

Major indication: Liver-qi depression with blood

Defecation was regular /once a day.

deficiency and transformation into fire.

Urine amount was a lot.

Course:Limbs became cold and easily frostbitten.

Two weeks later, she could take the medicine. The

Easily caught a cold. Although a high

day after the start of the internal use of the medicine,fever did not develop, the condition wasabdominal symptoms disappeared. The patient

The Journal of Kampo, Acupuncture and Integrative Medicine (KAIM)

Volume 5, Number 4 | Winter 2010

became able to sleep well. She was aware that theprescription was appropriate for her.

Four months later, she was well. Menstrual
cramps were becoming eased. Hands were still cold.

String-like pulse. There were fullness in the chest

Fullness in the chest and hypochondrium resolved.

and hypochondrium on both sides, tension in theShe was instructed to adjust the dose amount toabdominal rectus muscles on both sides, tenderness

2.5-5.0g/day based on the extent of coldness.

in both para-umbilical regions, and lower abdominal

Seven months later, she was in good shape withnumbness. The same prescription was maintained.

the use of 25g of the medicine before sleep. If she

Two months later, stomachache developed before
the menstruation cycle began. Although nausea
occurred resulting in vomiting, the condition
recovered quickly. The tongue was dark red. There
were fullness in the chest and hypochondrium on
both sides, tenderness in both para-umbilical regions,andlower

abdominal

numbness.

Thesameprescription was maintained.

forgot to take it, a sense of discomfort appeared.
The diagnosis of the abdomen revealed only mild
tenderness in the para-umbilical regions.
Nine months later, she was feeling well andstopped the use of the medicine. Then she vomited ata night, so she took the medicine. In the following
morning, nausea and vomiting resolved. Recovery
became fast.
One year and ten months now, with no symptoms,
she is in good condition.

At the first visit

After 2 weeks

After 2 months

After 4 months

After 7 months

The Journal of Kampo, Acupuncture and Integrative Medicine (KAIM)

After 9 months

27