Improvement in Frailty in a Patient With Severe Chronic Obstructive Pulmonary Disease After Ninjin'yoeito Therapy: A Case Report
Frailty is a poor prognostic factor in patients with chronic obstructive pulmonary disease (COPD). Although various studies have assessed the effects of conventional treatment with bronchodilators, nutritional support, and pulmonary rehabilitation for frailty in patients with COPD, none have address...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2018-09-01
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| Series: | Frontiers in Nutrition |
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| Online Access: | https://www.frontiersin.org/article/10.3389/fnut.2018.00071/full |
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| author | Hirai Kuniaki Tanaka Akihiko Homma Tetsuya Mikuni Hatsuko Kawahara Tomoko Ohta Shin Kusumoto Sojiro Yamamoto Mayumi Yamaguchi Fumihiro Suzuki Shintaro Ohnishi Tsukasa Sagara Hironori |
| author_facet | Hirai Kuniaki Tanaka Akihiko Homma Tetsuya Mikuni Hatsuko Kawahara Tomoko Ohta Shin Kusumoto Sojiro Yamamoto Mayumi Yamaguchi Fumihiro Suzuki Shintaro Ohnishi Tsukasa Sagara Hironori |
| author_sort | Hirai Kuniaki |
| collection | DOAJ |
| description | Frailty is a poor prognostic factor in patients with chronic obstructive pulmonary disease (COPD). Although various studies have assessed the effects of conventional treatment with bronchodilators, nutritional support, and pulmonary rehabilitation for frailty in patients with COPD, none have addressed the effects of traditional Japanese medicine (Kampo medicine). Herein, we report the successful management of frailty using Ninjin'yoeito therapy in a 76-year-old patient with COPD. Despite being prescribed multiple bronchodilators, nutritional supplement therapy, patient education, and pulmonary rehabilitation, the patient exhibited unintentional weight loss, low energy, and low physical activity. Ninjin'yoeito was prescribed and these subjective symptoms began to improve 1 month after treatment initiation. In 6 months, the patient reported no frailty, had increased muscle mass, and had achieved an almost normal healthy state. Ninjin'yoeito has been associated with both physical effects, such as improvement in overall physical strength and appetite, and reduction in fatigue, and psychological effects, such as greater motivation and reduction of depression and anxiety symptoms. Physicians have usually treated COPD primarily with organ-specific treatments, such as bronchodilators; however, addressing both the physiological and psychological vulnerability has been difficult. This case report illustrates the potential usefulness of Ninjin'yoeito treatment for frailty in patients with COPD. |
| first_indexed | 2024-04-13T06:56:39Z |
| format | Article |
| id | doaj.art-17c09c28d7d24ea69eeb1b9d2d33a505 |
| institution | Directory Open Access Journal |
| issn | 2296-861X |
| language | English |
| last_indexed | 2024-04-13T06:56:39Z |
| publishDate | 2018-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Nutrition |
| spelling | doaj.art-17c09c28d7d24ea69eeb1b9d2d33a5052022-12-22T02:57:14ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2018-09-01510.3389/fnut.2018.00071404604Improvement in Frailty in a Patient With Severe Chronic Obstructive Pulmonary Disease After Ninjin'yoeito Therapy: A Case ReportHirai KuniakiTanaka AkihikoHomma TetsuyaMikuni HatsukoKawahara TomokoOhta ShinKusumoto SojiroYamamoto MayumiYamaguchi FumihiroSuzuki ShintaroOhnishi TsukasaSagara HironoriFrailty is a poor prognostic factor in patients with chronic obstructive pulmonary disease (COPD). Although various studies have assessed the effects of conventional treatment with bronchodilators, nutritional support, and pulmonary rehabilitation for frailty in patients with COPD, none have addressed the effects of traditional Japanese medicine (Kampo medicine). Herein, we report the successful management of frailty using Ninjin'yoeito therapy in a 76-year-old patient with COPD. Despite being prescribed multiple bronchodilators, nutritional supplement therapy, patient education, and pulmonary rehabilitation, the patient exhibited unintentional weight loss, low energy, and low physical activity. Ninjin'yoeito was prescribed and these subjective symptoms began to improve 1 month after treatment initiation. In 6 months, the patient reported no frailty, had increased muscle mass, and had achieved an almost normal healthy state. Ninjin'yoeito has been associated with both physical effects, such as improvement in overall physical strength and appetite, and reduction in fatigue, and psychological effects, such as greater motivation and reduction of depression and anxiety symptoms. Physicians have usually treated COPD primarily with organ-specific treatments, such as bronchodilators; however, addressing both the physiological and psychological vulnerability has been difficult. This case report illustrates the potential usefulness of Ninjin'yoeito treatment for frailty in patients with COPD.https://www.frontiersin.org/article/10.3389/fnut.2018.00071/fullfrailtychronic obstructive pulmonary diseaseNinjin'yoeito therapyKampo medicineanorexia |
| spellingShingle | Hirai Kuniaki Tanaka Akihiko Homma Tetsuya Mikuni Hatsuko Kawahara Tomoko Ohta Shin Kusumoto Sojiro Yamamoto Mayumi Yamaguchi Fumihiro Suzuki Shintaro Ohnishi Tsukasa Sagara Hironori Improvement in Frailty in a Patient With Severe Chronic Obstructive Pulmonary Disease After Ninjin'yoeito Therapy: A Case Report Frontiers in Nutrition frailty chronic obstructive pulmonary disease Ninjin'yoeito therapy Kampo medicine anorexia |
| title | Improvement in Frailty in a Patient With Severe Chronic Obstructive Pulmonary Disease After Ninjin'yoeito Therapy: A Case Report |
| title_full | Improvement in Frailty in a Patient With Severe Chronic Obstructive Pulmonary Disease After Ninjin'yoeito Therapy: A Case Report |
| title_fullStr | Improvement in Frailty in a Patient With Severe Chronic Obstructive Pulmonary Disease After Ninjin'yoeito Therapy: A Case Report |
| title_full_unstemmed | Improvement in Frailty in a Patient With Severe Chronic Obstructive Pulmonary Disease After Ninjin'yoeito Therapy: A Case Report |
| title_short | Improvement in Frailty in a Patient With Severe Chronic Obstructive Pulmonary Disease After Ninjin'yoeito Therapy: A Case Report |
| title_sort | improvement in frailty in a patient with severe chronic obstructive pulmonary disease after ninjin yoeito therapy a case report |
| topic | frailty chronic obstructive pulmonary disease Ninjin'yoeito therapy Kampo medicine anorexia |
| url | https://www.frontiersin.org/article/10.3389/fnut.2018.00071/full |
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