神經循環衰弱症及び類似神經症に對する治療經驗

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The authors described here our experiences of treating 130 patients with neurocirculatory asthenia or allied neuroses admitted to Maekawa Clinic of Kyoto University from 1954 to 1957. Namely, we investigated the effect of the rest, tranquilizer, Mephenesin, Bellergal and adrenal steroid hormones upon various somatic symptoms of these patients, for example, general lassitude, insomnia, headache, dizziness, tinnitus, stiff neck, stiffness of the shoulder, palpitation, dyspnea, discomfort of the chest, chest pain, nausea & vomiting, abdominal discomfort, abdominal pain, constipation, and diarrhea etc.1)In two third of the patients, their various complaints in their numbers and severity have subsided after about one week bed rest following the admission. Complaints subsided or improved by the rest were as follows : i. e. chest pain, discomfort of the chest, palpitation, dizziness, dyspnea, constipation, and general lassitude. But abdominal pain, stiff neck, stiffness of the shoulder and tinnitus were not much improved.For the obstinated complaints which still existed even after the bed rest;2) Tranquilizer was effective upon insomnia, nausea & vomiting, and was slightly effective for palpitation which is one of the four cardinal symptoms of neurocirculatory asthenia-palpitation, dyspnea, chest pain and general lassitude.3) Mephenesin was specially effective upon headache, dizziness, dyspnea, stiffness of the shoulder and the neck, and slightly effective upon insomnia, and palpitation.4) Bellergal was effective upon headache, dizziness, palpitation, dyspnea, stiffness of the shoulder and the neck.5) Adrenal steroid hormones were effective upon stiffness of the shoulder and the neck, palpitation, dyspnea, chest pain and discomfort of the chest.6) Intrathecal injection of hydrocortisone was effective upon sciatica, but concerning this injection, further research for the technic will be necessary.
1959-08-20

神經循環衰弱症及び類似神經症に對する治療經驗

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