Volume 4, Number 2 | Summer 2009

Clinical Report 5 (Japan)

Prescriptions and clinical course: In the initial

One Case having Effects of Senkyuchachosan on Headache

examination, it was considered the headache wasMitsuyuki Takamura

Mie University Occupational Health Research Project

Hiromichi Yasui
Japan Institute of TCM Researchcausedbyryokeijutsukantophlegm-dampness

andwasTheadministered.

headache seemed slightly relieved, but a great
improvement was not observed. On October 25,Case: Female of 43 years oldtheInitial visit: October 4 of year X

hengebyakujutsutemmato,

Chief complaints: Headache and dizzinessremained unchanged. On November 8, headache,

History of present illness: The patient had been

which was like the one occurring in a menstrual

suffering

initialperiod appeared, which, the author considered,development when the patient was at about 10

was due to the existence of stagnation of Qi andyears old. She had been using various medicines

blood stasis and two formulae were used:

but they became gradually less effective andkamishoyosan

eventually Selestamine was the only medicine

combination was effective and headache rarelythat worked. On August 16 of the year, she had aoccurred. The prescriptions were used till July of

total hysterectomy due to uterine fibroids. When

next year (year X+1). In August, headacheshe had an analgesics injection after the surgery,relapsed without dizziness but with squeezing

she had the attack of disabling dizziness.

pulsatile pain. So, It was considered that the sho

Subsequently, dizziness continued. The type of(pattern) of the patient changed and the formula

headache changed after the surgery: When pain

was changed to senkyuchachosan. Since then, nooccurred, dizziness developed. At the same time,headache has occurred till now (year X+4).

any medicine did not work. So she desired Kampo

However, the patient, who is afraid of relapse,treatment.

continues this formula.

from

Appetite:migraine

since

its

formulawas＋changed
butthetocondition

ryokeijutsukanto.

This

Consideration: In the case of the patient, formula

Ordinary

Sleep: Good

was changed one after another according to theDefecation: Once/day (use Arozen® sometimes)

conditions, and eventually the headache wasUrine: 9 times/day, nocturnal urine: oncerelieved with senkyuchachosan. Some of theMenstruation:

formulas used, before the foregoing medicine,

None

after

theuterine

hysterectomy

were effective enough in their own way. In other

Neck stiffness (+), shoulder stiffness (+), lowwords, the headache in the patient was linked

back pain (+)

with phlegm-dampness and Qi stagnation andPresent conditions: 158cm, 64kg

blood

stasisandryokeijutsukanto

andPulse: Deep and smoothkamishoyosan

Tongue: Slightly dark colored, tongue moss (-),

exposing, as a result, the presence of the othermoist

underlying clinical condition. Generally, theAbdomen: Slightly distended and full, soft,senkyuchachosan is a formula for treating thesplashing sound (+)

factors that cause pathogenic wind to attack theimproved

these

conditions,

Diagnosis: Headache due to phlegm-dampness,exterior and harass the head, inducing headache.

stagnation of Qi and blood stasis and head windIf pathogenic wind does not go away and stay in

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

23

Volume 4, Number 2 | Summer 2009

the liver, headache will not be cured and relapse.
This windt is referred to as “head wind” inChinesemedicine.

The

condition

remained

ultimately was “wind is in hiding in the liver” andsenkyuchachosan resolved this state. The patient
was finally freed from 30 years suffering by thisformula.

24

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