児童期心身症に対する人工炭酸浴の試み

人工炭酸浴剤浴（パブ浴）は，末梢循環改善作用を有して組織に賦活力を与え，皮膚創傷治癒を促進させる。全身に引き掻き傷を有する心身症の少女2症例に対して，母親とともにパブ浴を常用させた。何れの症例においても，皮膚創傷治癒をみて，患児，および母親に治療者を頼ってみようという，いわば治療への動機づけが促がされ，入浴という手段で児童の最大のストレスである母子関係の阻害に対し脱ストレス的に働き患児とのラポールがえられるようになった。パブ浴には副作用は全くなく，児童期の様々な心身症に応用されてよいであろう。

The artificial CO(2)-bathing was prescribed for two girls with psychosomatic disorders. Case 1 was diagnosed as anorexia nervosa with self-injured wounds in the face and extremlties. Case 2 was diagnosed as trichotillomania with　self-injured wounds in the whole body. A tablet of 50g, made from sodium bicarbonate and succinic acid, was put in a bathtub of 150-200 litres at 40℃. Each patient was recommended to take a bath with her mother longer than at least 10 minutes. Both two cases became free from selfinjured wounds in about one week after the initiation of the artificial CO(2)-bathing, and gradually began to show positive 'Rapport' to the therapist. Underlying psychopathology and family dynamics were worked through the therapeutic sessions following the artificial CO(2)-bathing. It was suspected that the healing effect for wounds together with the relaxing effect for difficulty in interpersonal relationship with CO(2)-bathing, as a playful bubble bathing, resulted in successful outcome or both two cases．