An Alternative Approach to Atopic Dermatitis: Part II-Summary of Cases and Discussion |
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| Authors: | Kobayashi Hiromi Takahashi Kuniaki Mizuno Nobuyuki Kutsuna Haruo Ishii Masamitsu |
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| Affiliation: | Department of Dermatology, Osaka City University Graduate School of Medicine, Osaka, Japan. |
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| Abstract: | In the first part of this Review, we presented case-series whereKampo treatment was introduced for those atopic dermatitis (AD)patients who had failed with conventional therapy, in an attemptto prove that there exists a definite subgroup of AD patientsfor whom Kampo treatment is effective. In this second part,we will first provide the summary of the results for 140 ADpatients we treated in 2000. The results suggest that Kampotreatment is effective for more than half of AD patients whofail with conventional therapy. In the Discussion, we will examinethe evidential basis for conventional AD therapy and discusshow Kampo treatment should be integrated into the guidelinesfor AD therapy. We contend that Kampo treatment should be triedbefore systematic immunosuppressive agents are considered. Aseach Kampo treatment is highly individualized, it should beregarded more as art than technology, and specialcare should be taken to assess its efficacy in clinical trial. |
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| Keywords: | Kampo medicine - atopic dermatitis-eczema - diet - herbal medicine - herbal therapy |
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