gms | German Medical Science

Objectives/Interrogation: There are macrocystic pattern and microcystic pattern in lymphatic malformations, and sclerotherapy using various curing agents is very effective in the former case, but in the latter case, treatment is often difficult.

We were able to control by using the traditional Chinese medicine Eppikajutsuto for the case of recurrence after extirpation of the lesion and the diffuse case difficult to treat.

We will examine its use experience and report on the usefulness of Eppikajutsuto for this disease.

Methods: From 2016 to March 2018, image findings and clinical course were examined for recurrent cases and pervasive cases after surgical operation.

Results and Conclusions: In all cases, side effects of Eppikajutsuto were not recognized, and oral administration continued. Although no significant reduction was observed, certain effects such as suppressing increase and decreasing the frequency of infection were observed. It is a disadvantage that the amount of internal use of the day is large and the taste is bitter, but it was possible to cope with children by devising such as enclosing it in chocolate.

Eppikajutsuto is a traditional Chinese herbal medicine used for nephritis, nephrosis, rheumatoid arthritis, dermatitis, etc. In 2011, Ogawa et al reported on the usefulness of lymphatic malformations, and gradually the use cases have gradually increased since then.

Our case administered Eppikajutsuto acted effectively in all cases and it seemed to be very useful for lymphatic malformations which had been difficult to treat until now.

However, it is sometimes necessary to carefully use such as a person with a weak constitution, a person with a bad gastrointestinal condition, a person with a lot of perspiration, etc. Therefore, it is necessary to grasp the state of the patient in detail and use it.