臨牀消化器内科 Vol.33 No.4(5-4)


特集名 慢性便秘―新たな分類と病態・診断・治療
題名 治療（4）漢方治療
発刊年月 2018年 04月
著者 眞部 紀明 川崎医科大学検査診断学（内視鏡・超音波）
著者 鎌田 智有 川崎医科大学健康管理学
著者 春間 賢 川崎医科大学総合医療センター総合内科学2
【 要旨 】 慢性便秘の治療目標は排便のコントロールだけではなく，腹部膨満感や腹痛などの排便周辺症状のコントロールも重要である．この治療目標を考慮すると，薬理作用点の多い漢方治療の適応となる慢性便秘症例も決して少なくない．本稿では，慢性便秘治療として漢方治療に焦点を絞り，その使い方および注意点を中心に概説した．今後，ますます進む超高齢社会に伴い慢性便秘患者数はさらに増加することが予測され，同時に漢方治療の需要も高まっていくものと思われる．
Theme Chronic Constipation : A New Classification, Pathophysiology, Diagnosis, Treatment
Title Japanese Herbal Medicine in the Treatment of Chronic Constipation
Author Noriaki Manabe Division of Endoscopy and Ultrasonography, Department of Clinical Pathology and Laboratory Medicine, Kawasaki Medical School
Author Tomoari Kamada Department of Health Care Medicine, Kawasaki Medical School General Medical Center
Author Ken Haruma Department of General Internal Medicine 2, Kawasaki Medical School General Medical Center
[ Summary ] The aim of the treatment for chronic constipation is not only the control of defecation but also improvement of the associated symptoms such as abdominal bloating and/or pain. Considering the above matters, there are many patients with chronic constipation who are indicated for the therapy using Japanese herbal medicine with its points of action. In this article, we focused on Japanese herbal medicine as a treatment for chronic constipation and reviewed mainly how to use it while considering several points to be noted. We can speculate that the number of patients with chronic constipation will increase more due to the aging society, and accordingly the demand for Japanese herbal medicine will also increase more in the future.
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