Numata Takehiro, Miura Kazuki, Akaishi Tetsuya, Arita Ryutaro, Ishizawa Kota, Saito Natsumi, Sasaki Hiroyo, Kikuchi Akiko, Takayama Shin, Tobita Muneshige, Ishii Tadashi
Department of Kampo Medicine, National Hospital Organization Yonezawa National Hospital, Japan.
Department of Education and Support for Regional Medicine, Department of Kampo Medicine, Tohoku University Hospital, Japan.
Intern Med. 2020 Jan 15;59(2):297-300. doi: 10.2169/internalmedicine.3218-19. Epub 2019 Sep 18.
We herein report the case of a 14-year-old girl who had been experiencing chronic fatigue, febricula, and social withdrawal for 20 months. No notable abnormalities were identified during routine checkups at a general pediatric hospital; symptomatic treatments did not affect her condition. She was diagnosed with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). Based on the concepts of Japanese traditional medicine, she was administered shosaikoto-based treatment. After several weeks of treatment, all of the symptoms had been dramatically alleviated, consequently resolving the issue of non-attendance at school. Shosaikoto-based medication may be a therapeutic option for treating ME/CFS in patients presenting with chronic febricula.
我们在此报告一名14岁女孩的病例，她经历了20个月的慢性疲劳、低热和社交退缩。在一家普通儿科医院的常规检查中未发现明显异常；对症治疗对她的病情没有影响。她被诊断为肌痛性脑脊髓炎/慢性疲劳综合征（ME/CFS）。基于日本传统医学的理念，对她进行了小柴胡汤为主的治疗。经过几周的治疗，所有症状都得到了显著缓解，从而解决了她无法上学的问题。对于伴有慢性低热的ME/CFS患者，以小柴胡汤为主的药物治疗可能是一种治疗选择。
