The Study of Trigeminal Neuralgia, that Responded well to Kampo

For many patients with trigeminal neuralgia, oral administration of carbamazepine is highly effective. Micro decompression surgery (Jannetta's operation) is also considered a fundamental treatment. However, there are patients who do not respond to carbamazepine and who hesitate to have surgery....

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Bibliographic Details
Published inKampo Medicine Vol. 54; no. 2; pp. 383 - 386
Main Authors HORIGUCHI, Isamu, OTAKE, Tetsuya, OKADA, Takayoshi, TOMITA, Yukinari, SHIGA, Tatsuya
Format Journal Article
LanguageEnglish
Published The Japan Society for Oriental Medicine 20.03.2003
Subjects
hyokansho
Kampo medicine
suidoku
trigeminal neuralgia
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Summary:For many patients with trigeminal neuralgia, oral administration of carbamazepine is highly effective. Micro decompression surgery (Jannetta's operation) is also considered a fundamental treatment. However, there are patients who do not respond to carbamazepine and who hesitate to have surgery. Here, we report 14 cases whose pain was relieved solely by Kampo (7 cases) or by a combination of Kampo and carbamazepine (7 cases). The Kampo formulations used were Goshuyu-to (2 cases), Gorei-san (9 cases), Saiko-keishi-to (1 case), Toki-shigyaku-ka-goshuyu-shokyo-to (1 case) or Mao-bushi-saishin-to (1 case), depending on the “Zheng” of each patient. In trigeminal neuralgia, the nerve root is compressed or adhered to surrounding vessels, such as the superior cerebellar artery. It is highly possible that localized edema at the point of compression is responsible for the pain. The diuretic action of the Kampo may diminish the localized edema around the trigeminal nerve root.
ISSN:0287-4857
1882-756X
DOI:10.3937/kampomed.54.383