A Case Report on Pustulosis Palmaris et Plantaris Well Treated with Decoctions of “Keishi-ka-Ogi-To”

A 31-year old woman with pustulosis palmaris et plantaris was treated by Kampo-medicine. At our outpatient clinic, her skin lesions were especially prominent on her calcaneal and plantal regions of both feet, although noticed also on her palmar regions of both hands.Decoctions of Keishi-ka-Ogi-To was prescribed according to her Sho (signs and symptoms on whole body). Pustules apparently increased in 2 weeks after this therapy, but afterwards decreased. After 4 months, the skin regions almost disappeared. Although a slight, transient recurrence was noticed at the 10 months of this therapy, the disease was almost completely healed after 12 months.The therapeutic mechanism of the skin lesions was briefly discussed from both the stand point of “Cell pathology” and that of “Whole body pathology”.