Constipation and Herbal Medicine

Iizuka, Norio

doi:10.1007/978-1-4939-4002-8_5

Cited by 12 publications

(17 citation statements)

References 56 publications

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“…Second, some physical side effects caused by antipsychotics can be relieved by Kampo formulae. For example, Kampo formula containing rhubarb improves constipation [39]. A randomized, double-blind study indicated that Mashiningan improved bowel movement (Mashiningan, n = 60; placebo, n = 60) (p < 0.05) and re-…”

Section: Schizophrenia Spectrum Disordersmentioning

confidence: 99%

“…Hangekobokuto is considered to modulate cerebral levels of 5-hydroxytryptamine, noradrenaline, dopamine, and substance-P, the last of which could improve swallowing function [56,73]. Keishikashakuyakuto is the most frequently investigated Kampo formula for the treatment of irritable bowel syndrome (IBS) [39,[74][75][76].…”

Section: Anxiety Disorders Stress-related Disorders and Somatoform mentioning

confidence: 99%

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Kampo, A Japanese Traditional Medicinal System for Psychiatric Conditions: A Narrative Review

et al. 2018

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Section: Schizophrenia Spectrum Disordersmentioning

confidence: 99%

Section: Anxiety Disorders Stress-related Disorders and Somatoform mentioning

confidence: 99%

Kampo, A Japanese Traditional Medicinal System for Psychiatric Conditions: A Narrative Review

et al. 2018

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“…27,28 The pharmacologic effects of rhubarb are due to its active constituents of anthraquinone glycosidesspecifically, rheinanthrone, aloe-emodin, and physcion. 29 These compounds exert therapeutic effects that stimulate peristalsis of the GI tract 28,30 and may alleviate constipation. 30,31 Anthraquinones found in rhubarb are found in other stimulant laxatives.…”

Section: Rhubarb For Constipation and Gi Motilitymentioning

confidence: 99%

“…29 These compounds exert therapeutic effects that stimulate peristalsis of the GI tract 28,30 and may alleviate constipation. 30,31 Anthraquinones found in rhubarb are found in other stimulant laxatives. 32 As EN becomes an increasingly more integral component of patient care, improvements in the prevention of aspiration and constipation, via improved gastric motility, warrant close attention.…”

Section: Rhubarb For Constipation and Gi Motilitymentioning

confidence: 99%

Natural Bioactive Food Components for Improving Enteral Tube Feeding Tolerance in Adult Patient Populations

2017

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Tube feeding (TF) is the most common form of nutrition support. In recent years, TF administration has increased among patient populations within and outside hospital settings, in part due to greater insurance coverage, reduced use of parenteral nutrition, and improved formularies suitable for sole source nutrition. With increasing life expectancy and improved access to TFs, the number of adults dependent on enteral nutrition is expected to grow. However, enteral TF intolerance (ETFI) is the most common complication of TFs, typically presenting with at least 1 adverse gastrointestinal event, including nausea, diarrhea, and constipation. ETFI often leads to reductions in TF volume with associated energy and protein deficits. Potentially ensuing malnutrition is a major public health concern due its effects on increased risk of morbidity and mortality, infections, prolonged hospital length of stay, and higher healthcare costs. As such, there is a need for intervention strategies to prevent and reduce ETFI. Incorporating whole foods with bioactive properties is a promising strategy. Emerging research has elucidated bioactive properties of whole foods with specific benefits for the prevention and management of adverse gastrointestinal events commonly associated with TFs. However, lack of evidence-based recommendations and technological challenges have limited the use of such foods in commercial TF formulas. This review addresses research gaps by discussing 5 whole foods (rhubarb, banana, curcumin, peppermint oil, and ginger) with bioactive attributes identified through literature searches and clinical experience as having substantial scientific rationale to consider their application for ETFI in adult populations. (Nutr Clin Pract. 2018;33:107-120) Keywords enteral nutrition; enteral formulas; tube feeding; dietary supplements; digestive signs and symptoms SummaryTube feeding (TF) is the most common form of nutrition support. In recent years, TF administration has increased among patient populations within and outside hospital settings, in part due to greater insurance coverage, reduced use of parenteral nutrition (PN), and improved formularies suitable for sole source nutrition. With increasing life expectancy and improved access to TFs, the number of adults dependent on enteral nutrition (EN) is expected to grow. However, enteral TF intolerance (ETFI) is the most common complication of TFs, typically presenting with at least 1 adverse gastrointestinal (GI) event, including nausea, diarrhea, and constipation. ETFI often leads to reductions in TF volume with associated energy and protein deficits. Potentially ensuing malnutrition is a major public health concern due its effects on increased risk of morbidity and mortality, infections, prolonged hospital length of stay, and higher healthcare costs. As such, there is a need for intervention strategies to prevent and reduce ETFI. Incorporating whole foods with bioactive properties is a promising strategy. Emerging research has elucidated bioactive properties ...

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“…Keishi ka shakuyaku tō (KST) ist ein in Japan häufig bei Reizdarmsyndrom (RDS) verwendetes und hinsichtlich seiner wirksamen Bestandteile intensiv beforschtes Phytopharmakon [21,22]. Die Rezeptur setzt sich aus 5 Einzeldrogen zusammen: Paeoniae radix (6,0 g), Cinnamomi cortex (4,0 g), Zizyphi fructus (4,0 g), Glycyrrhizae radix (2,0 g) und Zingiberis rhizoma (1,0 g).…”

Section: Reizdarmsyndrom: Keishi Ka Shakuyaku Tōunclassified

Kampō in der Gastroenterologie

Ahrens¹

2017

Z Phytother

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Zusammenfassung Die Kampō-Medizin ist eine mehr als 1000 Jahre alte Form der japanischen Phytotherapie, die auf pragmatische Art die Erkenntnisse der wissenschaftlich fundierten Medizin mit traditionellen Konzepten wie der Bauchdeckendiagnostik verbindet. Kampō ist heute fest im japanischen Gesundheitssystem verankert und wird von ca. 83,5 % der praktizierenden Ärzte dort genutzt, wobei die meisten Anwender Kampō-Rezepturen ausgehend von wissenschaftlichen Wirksamkeitsbelegen bzw. ICD-Diagnosen verschreiben. Grundlage dafür ist eine überschaubare Anzahl standardisierter Rezepturen, die überwiegend als Trockenextrakt in Granulatform eingenommen werden. Anwendungsmöglichkeiten bestehen für eine Vielzahl von akuten und chronischen Beschwerden, wobei neben der Studienlage die Konstitution und das individuelle Beschwerdemuster des Patienten eine wichtige Rolle für die Auswahl der passenden Rezeptur spielen. Rikkunshi tō, hange shashin tō und keishi ka shakuyaku tō sind drei Kampō-Rezepturen, für deren Anwendung es bei dyspeptischen Beschwerden, der Reduktion Irinotecan-vermittelter Diarrhöen und dem Reizdarmsyndrom vom Diarrhö-Typ vielversprechende wissenschaftliche Wirksamkeitsbelege gibt. Nachdem Herr Kutcha bereits 2014 in der Zeitschrift für Phytotherapie sehr umfassend die Geschichte der Kampō-Medizin dargestellt hat, möchte ich nur kurz auf allgemeine Aspekte wie die historische Entwicklung eingehen und die spezifischen Anwendungsmodalitäten und therapeutischen Möglichkeiten bei gastrointestinalen Erkrankungen in den Vordergrund stellen.

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Constipation and Herbal Medicine

Cited by 12 publications

References 56 publications

Kampo, A Japanese Traditional Medicinal System for Psychiatric Conditions: A Narrative Review

Kampo, A Japanese Traditional Medicinal System for Psychiatric Conditions: A Narrative Review

Natural Bioactive Food Components for Improving Enteral Tube Feeding Tolerance in Adult Patient Populations

Kampō in der Gastroenterologie

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