臨牀消化器内科 Vol.12 No.8(1)


特集名 漢方医学 -- 消化管治療学の新しい展開
題名 消化器専門医のための漢方医学のイントロダクション
発刊年月 1997年 07月
著者 星野 恵津夫 帝京大学医学部第二内科
【 要旨 】 患者の治療方針が現代医学的に決定できない場合でも,漢方医学では決定できることがある.現代消化器病学に立脚しつつ漢方医学を駆使して行っている筆者の日常診療を紹介し,系統的に漢方医学を学んだ経験のない消化器専門医の先生方に,漢方医学のイントロダクションを行いたい.
現代医学的診断の結果は漢方薬の選択に大いに役立つ.漢方医学的な患者の状態の把握方法を知っていれば,さらに的確な処方の選択が可能となる.
どのような場合に漢方医学の適用を考慮すべきか,漢方医学における疾病観,漢方診療における患者の状態のとらえ方(問診・腹診・脈診),漢方薬の選択の論理,漢方処方の逐次修正,選択した治療薬が正しいか否かの判断,疾患・病態別のアプローチ,漢方薬の副作用とその対策,などについて解説する.
Theme Kampo Medicine : New Trends in GI Therapoitics
Title Introduction of the Kampo Medicine to the Gastroenterologist
Author Etsuo Hoshino 2nd Department of Medicine, Teikyo University School of Medicine
[ Summary ] We can occasionally use Kampo formulas for patients who are difficult to treat with modern medicine. The purposes of this article are to outline the daily medical practice of the author, in which Kampo medicine is utilized on the basis of the modern medicine, and to introduce Kampo medicine to the gastroenterologist who has not systematically studied Kampo medicine.Medical diagnosis in patients, based on modern medical technology, is very useful for selecting the most appropriate Kampo formula. The skill of the practitioner in ascertaining a patient's status from the Kampo point of view will further help to determine the best formula for that individual patient.
In this article, focuses on (1) when to decide to utilize Kampo medicine, (2) how to view diseases in terms of Kampo medicine, (3) how to diagnose patients in view of Kampo medicine, (4) reasons for selecting a Kampo formula, (5) methods of gradually altering Kampo medicine, (6) how to judge the appropriateness of the selected formula, (7) how to select the appropriate formula according to the medical diagnosis, and (8) the untoward events associated with Kampo formulas.
戻る