Kampo medicine (Sino-Japanese traditional herbal medicine) is widely adopted in contemporary medicine, and there are increasing evaluations of its efficacy and safety. Toki-shakuyaku-san is composed of 6 varieties of medicinal plants: toki, senkyu, shakuyaku, sojutsu, takusha, and bukuryo, and because it is efficacious due to its smooth muscle relaxation, facilitating hemopoiesis and adequate water level control in the body, etc., 1) it has long been considered effective in improving symptoms in women under a hypofunctioning condition.2) In the gynecologic and obstetric area, Tokishakuyaku-san has been used because it improves infertility, dysmenorrhea, and toxemia of pregnancy, and has a fetusstabilizing action, in addition to improving anemia.3,4) Moreover, it is a safe drug, with no teratogenicity having been observed in animal studies.
5)We have been focusing on the anemia-ameliorating effect of the Kampo medicine Toki-shakuyaku-san for some time, and based on a retrospective study comparing this and an iron preparation in patients with iron-deficiency anemia we have reported favorable results in terms of efficacy, safety, and economy. 6) In addition, when we conducted a prospective comparative study of the therapeutic effect of Toki-shakuyakusan and an iron preparation in iron-deficiency anemia in a common gynecologic disease, uterine myoma, we reported that the drug caused no significant improvement in the laboratory parameters, but marked resolution was noted of the symptoms and signs of anemia, menorrhagia, dysmenorrhea and the climacteric symptoms. On the other hand, the iron preparation improved the laboratory parameters, however, gastrointestinal side effects (heartburn, nausea, vomiting, diarrhea, constipation and abdominal distention) were encountered in more than 80% of patients receiving the iron preparation.7) There has also been a clinical report of an ameliorating effect on iron-deficiency anemia during pregnancy.8) Nevertheless, the pharmacological actions of Toki-shakuyaku-san against iron-deficiency anemia patients remain unknown.To closely examine the drug's effect of on the laboratory parameters and gastrointestinal system of iron-deficiency anemia, we prepared anemic rats, divided them into 4 groups, an untreated group, a group treated with Toki-shakuyaku-san (Toki-shakuyaku-san group), a group treated with an iron preparation (iron-preparation group), and a group treated with Toki-shakuyaku-san plus an iron preparation (Tokishakuyaku-sanϩiron-preparation group); we than assessed the results of hematology, blood biochemistry, erythrocyte morphology, organ weight, and fecal number, wet weight, water content, and iron content.
MATERIALS AND METHODS
AnimalsMale Wistar rats, 7 weeks old, were purchased from Sankyo Lab Service, Co., Inc., and after a 1-week preliminary period, the experiment was begun. The animal care conditions were a room temperature of 23Ϯ1°C, humidity of 55Ϯ5%, and lights-on at 8 a.m. and lights-off at 8 p.m. All animals were treated in accordance with the Guidelines for A...