Kampo medicine case , extracted from above article: Hence, a bukuryoshigyakuto (Panax ginseng 1g, Aconiti tuber 1g, Glycyrrhizae radix 2g, Poria cocos 5g and Zingiber siccatum 2g) decoction (to infuse a total of 11 g of each herb with 400 ml of water for 30–40 min to make 200 ml, and to take in two divided doses) was started after a medical examination based on Kampo principles, while discontinuing the current treatment with clarithromycin, rifampicin and ethambutol. Within a few months, her eyesight improved, her gait disturbance also improved, and she no longer needed to use a wheelchair. Her appetite returned, and her hemoptysis and sputum gradually decreased. During the course of her treatment, she stopped taking bukuryoshigyakuto for a while due to the complexity of the decoction. She again recognized an increase in the hemoptysis and restarted the medication, and since then has never stopped it. Her HRCT image findings also improved. Although the middle lobe and lingular segment bronchiectasis showed no changes, bilateral centrilobular lesions and dorsal predominant bronchiolitis improved significantly (Figure 1B). Her body weight increased from 30 to 42 kg within 3 years after starting bukuryoshigyakuto. Her laboratory data also improved, to a neutrophil count of 2,880 /μl, lymphocytes of 1,063 /μl, albumin level of 3.9 g/dl and hemoglobin level of 11.4 g/dl (Table 1). Her shortness of breath, hemoptysis and sputum also finally improved, although she had some residual cough and slight numbness in her legs. Currently, continuing outpatient visits and bukuryoshigyakuto therapy have maintained her AFB smear and culture negative status