Improvement of C-reactive protein levels and body temperature of an elderly patient infected with Pseudomonas aeruginosa on treatment with Mao-Bushi-Saishin-To

Objective: To examine the effectiveness of Mao-bushi-saishin-to (Ma-Huang-F u-Zi-Xi-Xin-Tang in Chinese medicine) (Tochimototenkaido Co, Ltd., Osaka, J apan), one of the traditional herbal medicines, against resistant bacterial infection. Setting: The Nursing Center Himawari, Izumo, Japan Design, patient, and preparation: Half of the standard dose of Mao-bushi-sa ishin-to was prescribed for 7 days to one elderly patient with fever and po sitive C-reactive protein (CRP) levels suffering from drug resistant Pseudo monas aeruginosa. The daily standard dose of Mao-bushisaishin-to is prepare d from 1200 mg of dried extract obtained from three crude drugs, Ephedrae H erba (4 g), Asiasari Radix (3 g), and Aconiti Tuber (1 g). It is certified by the Japanese Ministry of Health and Welfare. Results: The patient's fever and CRP level returned to normal levels. Conclusions: In cases in which the fever does not fall in response to antib iotics for at least 3 days, half of the standard dose of Mao-bushi-saishin- to for 7 days might be worth trying to induce remission, especially for eld er patients.