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eCAM Advance Access originally published online on July 21, 2004
eCAM 2004 1(2):145-155; doi:10.1093/ecam/neh026
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© 2004, the authors Evidenced-based Complementary and Alternative Medicine, Vol. 1, Issue 2 © Oxford University Press 2004; all rights reserved. The online version of this article has been published under an open access model. Users are entitled to use, reproduce, disseminate, or display the open access version of this article provided that: the original authorship is properly and fully attributed; the Journal and Oxford University Press are attributed as the original place of publication with the correct citation details given; if an article is subsequently reproduced or disseminated not in its entirety but only in part or as a derivative work this must be clearly indicated.

Review

An Alternative Approach to Atopic Dermatitis: Part II—Summary of Cases and Discussion

Hiromi Kobayashi1,*, Kuniaki Takahashi2, Nobuyuki Mizuno1, Haruo Kutsuna1 and Masamitsu Ishii1

1Department of Dermatology, Osaka City University Graduate School of Medicine Osaka, Japan, and 2Takahashi Dermatology Clinic Daito City, Osaka, Japan

In the first part of this Review, we presented case-series where Kampo treatment was introduced for those atopic dermatitis (AD) patients who had failed with conventional therapy, in an attempt to prove that there exists a definite subgroup of AD patients for whom Kampo treatment is effective. In this second part, we will first provide the summary of the results for 140 AD patients we treated in 2000. The results suggest that Kampo treatment is effective for more than half of AD patients who fail with conventional therapy. In the Discussion, we will examine the evidential basis for conventional AD therapy and discuss how Kampo treatment should be integrated into the guidelines for AD therapy. We contend that Kampo treatment should be tried before systematic immunosuppressive agents are considered. As each Kampo treatment is highly individualized, it should be regarded more as ‘art’ than technology, and special care should be taken to assess its efficacy in clinical trial.

Keywords: Kampo medicine – atopic dermatitis-eczema – diet – herbal medicine – herbal therapy

*For reprints and all correspondence: Hiromi Kobayashi, Osaka City University Graduate School of Medicine, Asahi-machi 1-4-3, Abeno-ku, Osaka 545-8585, Japan. E-mail: hiromik{at}med.osaka-cu.ac.jp


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