証に基づく方剤の選択 4.耳鼻科医による口内,鼻内所見からの証,漢方薬の選択性についての提案

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It is necessary to obtain pharyngeal and nasal specimens in daily otorhinological practice. In addition, doctors proficient in this field can take and assess these findings in more detail as compared to practictioners in other fields. In contrast, systemic findings such as those from an abdominal examination may often result in failure due to limited time or poor compliance from the patient. It is very important to check the patient's overall general condition for ascertaining adequate levels of medication, especially for Japanese Kampo medicine. Thus, findings from Japanese Kampo medicine obtained from pharyngeal and nasal specimens seem to be very useful to the otorhinologist.<BR>Patients who had complained of an affected pharynx or allergic rhinitis, and who had visited the Otorhinolaryngology Department at the Showa University Hospital were used in this study. With respect to the methods, the patient's pharyngeal and nasal findings were recorded simultaneously with a questionnaire concerning their physique, KYOJITSU, and the possible contribution of KIKETSUSUI.<BR>Tongue diagnosis has thus far been of importance in Chinese medicine. In this study, a possible relationship between congestion in the oral cavity, especially in the palate, and the sublingual region or 'OTEN' with 'OKETSU' drug administration and the diseased state were suggested to be of help in arriving at a diagnosis. In addition, the coloration such as pallor in the nasal mucosa as well as changes in the general condition and selectivity of Japanese Kampo medicine were taken into consideration. A weak correlation was observed between pallor and false-affecting trends. In conclusion, some positive tendency seems to exist, however, individual treatments are required, which may be of value in future treatments with Japanese Kampo medicine and its qualifications.
耳鼻咽喉科臨床学会の論文

証に基づく方剤の選択 4.耳鼻科医による口内,鼻内所見からの証,漢方薬の選択性についての提案

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