PMC7516164_01
Case 1. Progress chart.
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F1
Considering that the patient was somewhat ectomorphic and tended to experience worsening of symptoms during menstruation, tokishakuyakusan extract granules (5.0 g/day), which are effective for treating cold sensitivity and headaches, were prescribed (Figure 1).
PMC7516164_02
Case 2. Progress chart 1.
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F2
Treatment with Kampo medicine had been considered for the improvement of her symptoms, and she visited the medical institution previously indicated, where she was prescribed and started treatment with 5.0 g/day keishibukuryogan extract granules and 5.0 g/day rokumigan extract granules (Figure 2).
Case 2. Progress chart 2.
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F3
HJG was expected to be effective considering that she had only a few subjective symptoms of lower back pain and swelling of the lower limbs. However, because her menstrual cycle was longer and she showed a benefit at the previous dose of the extract granules, treatment was initially started with HJG pills (40 pills/day) (Figure 3).