慢性疼痛に対する薬物治療(心身症の薬物療法-理論と実践(臨床面))

概要

論文の詳細を見る
Allmost all patients with chronic pains except for those repeating the relapse of pain are psychosomatic. As the psychosomatic treatment is not widely practiced, these patients often become trouble-makers in the clinical setting. At first, the kind of chronic pains has to be classified by using medicine which is suitable for relieving the pain. For example carbamazepine can be used in case of trigeminal neuralgia. A nerve block is often applied to it as well as medicine. An anodyne should not be used for more than three weeks because no effect is expected any longer.The placebo has to be applied with skillful methods for a psychosomatic pain and any side effect should be avoided. Continuous medication will result in a damage of stomach, liver or kidney and giving up of the therapy for psychosomatic pain, although, today, careless medication is being practiced on the long term basis.Of course, the treatment by minor-tranquilizers has to be attended and it is better for the psysician to get consultation with a specialist in psychosomatic medicine.
日本心身医学会の論文
1979-02-01