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Akihito Iino

Akihito Iino

Shimada ryoiku center, Japan

Title: Our experience to use Kampo ①in the child psychiatric outpatient, ②for long stay disabled inpatients.

Biography

Biography: Akihito Iino

Abstract

Shimada ryoiku center is the child rehabilitation hospital, established in 1963, 1st private hospital for child rehabilitation in Japan. We daily use Kampo for lots of inpatients and outpatients.

At outpatient department, we have 190 patients every day, 46000 patient every year. 49% patients receive drugs, 63% execute rehabilitation of PT,ST,OT,counseling. 36% go to pediatrician, 47% go to child psychiatrist. Child psychiatrists in our hospital use no.1 Yokukansan, 2 Yokukansan-Katinpihange, 3 Syokentyutou. Target symptoms are 1 irritation, 2 insomnia, 3 child infirmity. Kampo 1 and 2 contains Uncaria Thorn(釣藤鈎,Tyoutoukou), this component shows anti-anxiety effect through 5-HT2A. All contains licorice (Kanzou), which reduce tension. Japanese Kampo combinations almost warm up the body of clients. The biggest barrier to use Kampo for children is 1 bitter taste, 2 poor drug management by parents, 3 taking time for beneficial effect. But they are cheap, their price is about 10% from nerve-stimulants, Kampo doesn’t give a financial burden for the family and the government. Under Japanese national healthcare insurance system, outpatient children need 2USD for medical exam and drug.

Next, 232 inpatients stay in our hospital now. They are disabled, have a number of congenital disease, they are accommodated for average of 33 years, because of family problem, abandoned, financial problem etc. 20% inpatients received Kampo, but there are very few side effect.

Dr.Obitu surgical and homeopathy doctor said {CAM is a gentle, moderate medicine}. Few medical evidence (DBRPC), very few side effect, very few money (cheap) , Kampo is of great use for children.

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