Takayama Shin, Akaishi Tetsuya, Nozaki Hiroyuki, Suzuki Satoko, Arita Ryutaro, Saito Natsumi, Tanaka Junichi, Numata Takehiro, Kikuchi Akiko, Ohsawa Minoru, Abe Michiaki, Ishii Tadashi
Department of Kampo Medicine Tohoku University Hospital Sendai Japan.
Department of Education and Support for Regional Medicine Tohoku University Hospital Sendai Japan.
J Gen Fam Med. 2020 Feb 21;21(3):48-55. doi: 10.1002/jgf2.294. eCollection 2020 May.
A recent investigation reported that 92.7% Japanese family physicians have prescribed Kampo medicine (KM). KM can treat a wide variety of conditions from mental disorders to physical weaknesses. However, the characteristics and course of patients treated with KM at the Department of General Medicine remain unclear.
To investigate the characteristics and course of patients treated with KM in our hospital.
Data on medical history, complaints, course after Kampo treatment, and Hamilton Depression Rating Scale (HAM-D) scores were retrogradely collected. The background of patients who received Kampo treatment was compared to that of patients who did not.
Of 362 patients, 51 were treated with KM. Symptoms for which KM was prescribed included pain, general malaise, or sensory disturbance of extremities. All patients treated with KM were screened and initially diagnosed with a functional disorder or noncritical condition. KM including a crude drug of such as hochuekkito, shigyakusan, shosaikoto, and yokukansan, was frequently prescribed for patients. Subjective symptoms showed improvement (53%) and no change (47%), while worsening was not observed in any patient. HAM-D scores showed that patients treated with KM had higher anxiety levels and related symptoms as well as a higher frequency of mental disorders prior to presenting at the hospital.
Most complaints of the patients treated with KM were pain, general malaise, and sensory disturbance. KM is more likely to be prescribed in patients with health-related anxiety or a history of mental disorders.
最近一项调查显示，92.7%的日本家庭医生曾开过汉方药物（KM）。KM可治疗从精神障碍到身体虚弱等各种各样的病症。然而，普通内科接受KM治疗的患者的特征和病程仍不清楚。
调查我院接受KM治疗的患者的特征和病程。
回顾性收集病史、主诉、汉方治疗后的病程以及汉密尔顿抑郁量表（HAM-D）评分等数据。将接受汉方治疗的患者背景与未接受治疗的患者进行比较。
在362例患者中，51例接受了KM治疗。开具KM所针对的症状包括疼痛、全身不适或肢体感觉障碍。所有接受KM治疗的患者均经过筛查，最初被诊断为功能障碍或非严重疾病。含有诸如补中益气汤、四物汤、小柴胡汤和逍遥散等生药的KM经常被开给患者。主观症状有改善（53%）和无变化（47%），但未观察到任何患者症状恶化。HAM-D评分显示，接受KM治疗的患者在入院前焦虑水平及相关症状更高，精神障碍的发生率也更高。
接受KM治疗的患者的大多数主诉为疼痛、全身不适和感觉障碍。KM更有可能被开给有健康相关焦虑或精神障碍病史的患者。
