@article{oai:twinkle.repo.nii.ac.jp:00017869, author = {WADA, Emiko}, issue = {E1}, journal = {東京女子医科大学雑誌}, month = {Jun}, note = {小児科学教室大澤真木子教授開講5周年記念特集, 十全大補湯が奏効したanorexia nervosaの症例を報告する.症例は13歳女性で1998年9月頃より食事をほとんどしなくなった.その時の体重は47kgであったが,小児科を受診した翌年の4月27日には33.65kgで-28%の体重減少がみられた.身長は154.7cm,血圧は98/82.顔色不良,四肢冷感,皮膚の色は暗紫色で,大理石紋様を呈していた.腹診では腹直筋は固くはり,正中芯が突出してみられた.貧血,白血球減少がみられたため十全大補湯5.0g/dayで治療したところ,血液所見が改善し食欲も増し,体重も順調に回復した.今後も再発を繰り返す可能性もありfollow-upが必要である., We report a case of anorexia nervosa that responded remarkably well to a herbal treatment regimen consisting juzen-taiho-to. The patient was a 13-year-old girl who had become anorectic in September 1998. Although she weighed 47 kg around the onset of her disorder, her weight had fallen to 33.65 kg (28% less than ideal) by April 27, 1999, the date she was first examined by our pediatric department. The patient was 154.7 cm tall, and her blood pressure, 98/82 mmHg. She had poor complexion, chills in her lower extremities, and her skin in general exhibited a cyanotic marbled skin. Abdominal examination revealed a hardened rectus abdominis muscle and protuberant linea alba. Anemia and leukopenia were also observed. However, after therapy with juzen-taiho-to at a dose of 5.0 g/day, the hematologic data improved and the patient demonstrated an increased appetite with steady weight gain.}, pages = {E86--E90}, title = {The Successful Treatment of a Case of Anorexia Nervosa with Juzen-taiho-to(Papers for Cerebrating the Fifth Aniversary of the Directorship of Prof. M. Osawa at the Department of Pediatrics, Tokyo Women's Medical University)}, volume = {70}, year = {2000} }