Functional improvement of deglutitionafter hangekobokuto treatment
in two cases: Endoscopy and fluoroscopyevaluation
Yoshinobu Nakada,1* Makoto Arai,2 Masaharu Kokawa,3 Hirohisa Takayanagi,4 Kaori Mochiduki,5Naoki Yamabe6 & Tetsuo Akiba7
1 Department of Internal Medicine, Shonan Hospital, Yokosuka, Kanagawa, Japan
2 Department of Oriental Medicine, Tokai University School of Medicine, Isehara, Kanagawa, Japan 3 Department of Rehabilitation, Shin-totsuka Hospital, Yokohama, Kanagawa, Japan 4 Department of Otorhinolaryngology, Shonan Hospital, Yokosuka, Kanagawa, Japan
5 Department of Pharmacy, Shonan Hospital, Yokosuka, Kanagawa, Japan
6 Department of Rehabilitation, Shonan Hospital, Yokosuka, Kanagawa, Japan
7 Akiba Clinic of Traditional Medicine, Sammu, Chiba, Japan
Case: Patients with dysphagia frequently suffer from aspiration pneumonia, are frequently hospitalized, and are often deprived ofthe joys of eating. Although dysphagia is life-threatening, treatment for dysphagia is still limited. Recently, the effectiveness of hang-ekobokuto (Banxia-houpo-tang in Chinese; HKT) for dysphagia has attracted attention. We treated two dysphagic patients with HKTand evaluated deglutition before and after HKT treatment on imaging.
Outcome: The first patient was a 69-year-old alcoholic liver-cirrhosis patient who was diagnosed with dysphagia after hospitaladmission, and the second patient was a 92-year-old aspiration pneumonia patient. After treating the chief complaint, HKT (TJ-16) extract (7.5 g/day) was given and continued indefinitely. Deglutition before and after HKT commencement was evaluatedon video endoscopy and video fluoroscopy, respectively. Deglutition after the treatment was monitored visually.
Conclusion: Deglutition improved after HKT treatment, as judged on endoscopy and fluoroscopy.