女性特有の症状・疾患への初期対応を支援-産婦人科医への全国調査で「必須漢方8処方」を明らかに-

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2026-06-12 岐阜大学

近畿大学、岐阜大学などの研究グループは、女性特有の症状や疾患に対する漢方診療について、全国の産婦人科医255人を対象に調査を実施し、一般臨床医が優先的に学ぶべき「必須漢方8処方」を初めて体系的に明らかにした。近年、更年期症状やPMS(月経前症候群)など女性特有の健康課題への関心が高まる一方、産婦人科専門医以外が漢方を適切に活用するための標準的な教育指針は十分整備されていなかった。本研究では、産婦人科医が女性診療で重要と考える処方を分析した結果、加味逍遙散、桂枝茯苓丸、当帰芍薬散などを中心とする8処方に高い共通認識があることを確認した。これらの処方は更年期障害、月経不順、月経痛、冷え、むくみ、不安感など幅広い症状に対応する。本成果は、一般診療医や産業医が女性特有の症状へ初期対応する際の実践的な教育基盤となるものであり、今後は選定された8処方を基にした教育資材の開発や女性医療支援への応用が期待される。

<関連情報>

女性特有の症状を診療する一般臨床医に必要な漢方処方―日本の産婦人科医を対象とした全国調査 Essential Kampo Formulas for General Clinicians Managing Female-Specific Conditions: A Nationwide Survey of Obstetricians and Gynecologists in Japan

Takashi Takeda, Masanori Isobe, Takeshi Nagamatsu, Akitoshi Nakashma, Masatoshi Saito, Fusanori Yotsumoto
Journal of Obstetrics and Gynaecology Research  Published: 24 May 2026
DOI:https://doi.org/10.1111/jog.70340

女性特有の症状・疾患への初期対応を支援-産婦人科医への全国調査で「必須漢方8処方」を明らかに-
FIGURE 1 Distribution of recommended Kampo formulas. The bars represent the number of respondents recommending each Kampo formula. Recommendation frequencies demonstrated a nonuniform distribution, with endorsements concentrated among a limited number of prescriptions. The eight most frequently recommended formulas were subsequently defined as essential Kampo formulas for further analysis.

ABSTRACT

Background

Although female-specific conditions are frequently encountered in general clinical practice, nonspecialist physicians may have limited preparedness to manage these conditions. Therefore, Kampo medicine may be a practical therapeutic option in these settings.

Aim

To identify Kampo formulas that are considered essential for general clinicians managing female-specific conditions through a nationwide survey of obstetricians and gynecologists (OB/GYNs) in Japan.

Methods

An anonymous web-based questionnaire was administered among members of the Obstetrics and Gynecology Kampo Research Group between May and September 2025. The respondents selected up to eight Kampo formulas that were considered essential. Recommendation frequencies were analyzed, and the eight most frequently recommended formulas were defined as essential Kampo formulas. Associations with physician characteristics were examined using logistic regression and correspondence analyses.

Results

Thirty Kampo formulas were used. The recommendation frequencies showed a nonuniform distribution, with endorsements concentrated among a limited number of formulas. Eight formulas, Kamishoyosan, Keishibukuryogan, Tokishakuyakusan, Goreisan, Yokukansan, Hangekobokuto, Hochuekkito, and Kamikihito, were identified as essential. Recommendation patterns were consistent across physicians’ backgrounds, although minor differences were observed according to sex and clinical experience.

Conclusions

A core set of Kampo formulas commonly recommended by OB/GYNs was identified, providing a practical foundation for clinical education and the implementation of Kampo medicine by general clinicians managing female-specific conditions.

医療・健康
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