| [ Summary ] |
In this study, we evaluated sho (evidence) (diagnosis based on Kampo medicine), symptoms, diagnosis (based on modern medicine) and their mutual relationships, and the characteristics of treatment based on information related to each aspect. Treatment approach through Kampo medicine involves the use of Kampo formulae based on the diagnosis. Currently, there are few evidence-based Kampo formulae available for usage according to the diagnosis. In the absence of suitable Kampo formulae or invalidity of the approach, attention is focused on the target symptom of the patient, and the most frequently used appropriate Kampo formula is selected. It is important to recognize maladaptive cases of the Kampo formula to prevent adverse events. For patients non-responsive to the above approach, selection from among the several Kampo formulae frequently used for the few symptoms and/or signs is required. When the desired treatment effect is not attained, Kampo formula is administered according to the sho. The feature of therapy based on sho is its applicability to patients without confirmed diagnosis or patients who are non-responsive to other treatments. Treatment using Kampo medicine is characterized by unexpected effects besides those on target symptoms. Therefore, use of Kampo medicines is recommended. |