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The role of traditional Japanese medicine (Kampo) in the practice of psychosomatic medicine: the usefulness of Kampo in the treatment of the stress-related symptoms of women, especially those with peri-menopausal disorder.

Ushiroyama T - Biopsychosoc Med (2013)

Bottom Line: The therapeutic approach in Kampo medicine is aimed at harmonizing the mind, body, and spirit; this practice involves the use of narrative and holistic medication that treats the entire being of the patient, resulting in an increased number of specialized treatment plans.There are many Kampo prescriptions tailored to treat women who exhibit various stress-related symptoms.Both Kampo and psychosomatic medicine are based on the principles of narrative-based medicine, and by integrating these two medical systems, an ideal system can be devised to better cope with the various needs of patients.This new medical system established by integrating and harmonizing Western and Eastern medicine can be used for the treatment of women with stress-related symptoms.

View Article: PubMed Central - HTML - PubMed

Affiliation: Endowment Department of Mibyou Science and Medicine of Salutogenesis, Health Science Clinic, Osaka Medical College, Osaka, Japan. hsc110@art.osaka-med.ac.jp.

ABSTRACT
A serious problem currently plaguing the medical field is the widening gap between academic medicine, which studies the features and causes of illness, and the medical care that patients desire. An example of this gap can be observed in the practice of psychotherapy, which is effective only for certain patients. Kampo medicine that combines the advantages of Western medicine with those of traditional Japanese medicine is currently undergoing a revival in the healthcare sector. The therapeutic policies underlying Kampo medicine are based on the physical constitution and current symptoms of each patient. For this reason, Kampo medicine is referred to as "tailor-made medicine" and has properties similar to "mind and body" or psychosomatic medicine. Some women exhibit multiple undefined stress-related symptoms during the peri-menopausal period. In order to accurately diagnose and provide patient-specific treatment, physicians should not only investigate the various stress factors in patients' lives but should also provide a Sho, or a Kampo diagnosis. The therapeutic approach in Kampo medicine is aimed at harmonizing the mind, body, and spirit; this practice involves the use of narrative and holistic medication that treats the entire being of the patient, resulting in an increased number of specialized treatment plans.There are many Kampo prescriptions tailored to treat women who exhibit various stress-related symptoms. Both Kampo and psychosomatic medicine are based on the principles of narrative-based medicine, and by integrating these two medical systems, an ideal system can be devised to better cope with the various needs of patients. This new medical system established by integrating and harmonizing Western and Eastern medicine can be used for the treatment of women with stress-related symptoms.

No MeSH data available.


Related in: MedlinePlus

Correlation of plasma FSH and cortisol levels with abdominal palpation findings.
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Figure 1: Correlation of plasma FSH and cortisol levels with abdominal palpation findings.

Mentions: Recently, we tried to identify normal abdominal patterns observed in patients with multiple stress-related symptoms using an AXIOM vibration sensation sensor to measure the consistency and resistance of the abdominal wall at a subcutaneous depth of 8–10 mm. This abdominal examination was performed in 289 middle-aged or elderly women with unidentifiable symptoms who visited our clinic. During the examination, blood levels of follicle stimulating hormone (FSH), luteinizing hormone, and estradiol were determined using enzyme immunoassays. The vibrator sensor values for consistency and resistance of the abdominal wall were found to be significantly higher in patients presenting with a marked degree of Kyokyo Kuman (fullness, tenderness, or discomfort of the hypochondrium), Fukuhi Kokyu (tense abdominal skin and rectus abdominis muscle contraction), and Shofuku Kyuketsu (distention and cramping of the lower abdomen), p < 0.01, p < 0.05, and p < 0.05, respectively. In addition, with increased Saika Fujin (subumbilical insensitivity) severity, the values for consistency and resistance of the abdominal wall tended to be significantly less (1+: p < 0.05; 2+: p < 0.0 l). In patients with Kyokyo Kuman complaints, the blood FSH levels were found to be significantly higher (66.3 ± 25.7 mIU/ml) than in those devoid of this symptom (59.8 ± 18.4 mIU/ml). A positive correlation between Kyokyo Kuman severity and plasma FSH concentration indicates qi stagnation, which is a manifestation of an anomaly in qi, blood, and water metabolism regulation according to Kampo medical pathology. This could also indicate a possible correlation with the aging of the reproductive system [24]. This condition often develops due to continuous mental distress or unresolved problems. In other words, Fukusho has a possible correlation with stress. A strong correlation was also observed between the degree of Shofuku Kyuketsu and cortisol concentration in the blood; cortisol blood concentration levels are significantly higher in symptomatic patients (13.5 ± 3.6 μg/dl) than in asymptomatic patients (8.8 ± 4.7 μg/dl) (p < 0.000 l and p = 0.0376, respectively) (Figure 1). Cortisol, an indicator of physical stress, also has a strong correlation with Fukuhi Kokyu (tense abdominal skin and rectus abdominis muscle contracture). These results suggest that abdominal palpation during Kampo medical examination may allow the detection of asymptomatic stress-related symptoms. This could also be stipulated as a criterion for prescribing preparations containing crude extracts, such as “Saiko” or “Ninjin”, which are considered to possess anti-stress properties, for the treatment of Fukuhi Kokyu. Moreover, administration of appropriate Kampo medicines can possibly prevent stress-induced diseases that might develop in the future. Normally, certain Kampo preparations for the treatment of qi stagnation and counterflow are considered suitable for the treatment of stress-related psychosomatic disorders.


The role of traditional Japanese medicine (Kampo) in the practice of psychosomatic medicine: the usefulness of Kampo in the treatment of the stress-related symptoms of women, especially those with peri-menopausal disorder.

Ushiroyama T - Biopsychosoc Med (2013)

Correlation of plasma FSH and cortisol levels with abdominal palpation findings.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4016593&req=5

Figure 1: Correlation of plasma FSH and cortisol levels with abdominal palpation findings.
Mentions: Recently, we tried to identify normal abdominal patterns observed in patients with multiple stress-related symptoms using an AXIOM vibration sensation sensor to measure the consistency and resistance of the abdominal wall at a subcutaneous depth of 8–10 mm. This abdominal examination was performed in 289 middle-aged or elderly women with unidentifiable symptoms who visited our clinic. During the examination, blood levels of follicle stimulating hormone (FSH), luteinizing hormone, and estradiol were determined using enzyme immunoassays. The vibrator sensor values for consistency and resistance of the abdominal wall were found to be significantly higher in patients presenting with a marked degree of Kyokyo Kuman (fullness, tenderness, or discomfort of the hypochondrium), Fukuhi Kokyu (tense abdominal skin and rectus abdominis muscle contraction), and Shofuku Kyuketsu (distention and cramping of the lower abdomen), p < 0.01, p < 0.05, and p < 0.05, respectively. In addition, with increased Saika Fujin (subumbilical insensitivity) severity, the values for consistency and resistance of the abdominal wall tended to be significantly less (1+: p < 0.05; 2+: p < 0.0 l). In patients with Kyokyo Kuman complaints, the blood FSH levels were found to be significantly higher (66.3 ± 25.7 mIU/ml) than in those devoid of this symptom (59.8 ± 18.4 mIU/ml). A positive correlation between Kyokyo Kuman severity and plasma FSH concentration indicates qi stagnation, which is a manifestation of an anomaly in qi, blood, and water metabolism regulation according to Kampo medical pathology. This could also indicate a possible correlation with the aging of the reproductive system [24]. This condition often develops due to continuous mental distress or unresolved problems. In other words, Fukusho has a possible correlation with stress. A strong correlation was also observed between the degree of Shofuku Kyuketsu and cortisol concentration in the blood; cortisol blood concentration levels are significantly higher in symptomatic patients (13.5 ± 3.6 μg/dl) than in asymptomatic patients (8.8 ± 4.7 μg/dl) (p < 0.000 l and p = 0.0376, respectively) (Figure 1). Cortisol, an indicator of physical stress, also has a strong correlation with Fukuhi Kokyu (tense abdominal skin and rectus abdominis muscle contracture). These results suggest that abdominal palpation during Kampo medical examination may allow the detection of asymptomatic stress-related symptoms. This could also be stipulated as a criterion for prescribing preparations containing crude extracts, such as “Saiko” or “Ninjin”, which are considered to possess anti-stress properties, for the treatment of Fukuhi Kokyu. Moreover, administration of appropriate Kampo medicines can possibly prevent stress-induced diseases that might develop in the future. Normally, certain Kampo preparations for the treatment of qi stagnation and counterflow are considered suitable for the treatment of stress-related psychosomatic disorders.

Bottom Line: The therapeutic approach in Kampo medicine is aimed at harmonizing the mind, body, and spirit; this practice involves the use of narrative and holistic medication that treats the entire being of the patient, resulting in an increased number of specialized treatment plans.There are many Kampo prescriptions tailored to treat women who exhibit various stress-related symptoms.Both Kampo and psychosomatic medicine are based on the principles of narrative-based medicine, and by integrating these two medical systems, an ideal system can be devised to better cope with the various needs of patients.This new medical system established by integrating and harmonizing Western and Eastern medicine can be used for the treatment of women with stress-related symptoms.

View Article: PubMed Central - HTML - PubMed

Affiliation: Endowment Department of Mibyou Science and Medicine of Salutogenesis, Health Science Clinic, Osaka Medical College, Osaka, Japan. hsc110@art.osaka-med.ac.jp.

ABSTRACT
A serious problem currently plaguing the medical field is the widening gap between academic medicine, which studies the features and causes of illness, and the medical care that patients desire. An example of this gap can be observed in the practice of psychotherapy, which is effective only for certain patients. Kampo medicine that combines the advantages of Western medicine with those of traditional Japanese medicine is currently undergoing a revival in the healthcare sector. The therapeutic policies underlying Kampo medicine are based on the physical constitution and current symptoms of each patient. For this reason, Kampo medicine is referred to as "tailor-made medicine" and has properties similar to "mind and body" or psychosomatic medicine. Some women exhibit multiple undefined stress-related symptoms during the peri-menopausal period. In order to accurately diagnose and provide patient-specific treatment, physicians should not only investigate the various stress factors in patients' lives but should also provide a Sho, or a Kampo diagnosis. The therapeutic approach in Kampo medicine is aimed at harmonizing the mind, body, and spirit; this practice involves the use of narrative and holistic medication that treats the entire being of the patient, resulting in an increased number of specialized treatment plans.There are many Kampo prescriptions tailored to treat women who exhibit various stress-related symptoms. Both Kampo and psychosomatic medicine are based on the principles of narrative-based medicine, and by integrating these two medical systems, an ideal system can be devised to better cope with the various needs of patients. This new medical system established by integrating and harmonizing Western and Eastern medicine can be used for the treatment of women with stress-related symptoms.

No MeSH data available.


Related in: MedlinePlus