<b>Four Cases Successfully Treated with Saikokeishito Based on an Abdominal Painful Point, Shinkashiketsu</b> / 日本東洋医学雑誌

Previously, the authors reported that a painful point at the epigastrium may be closely related with the term “shinkashiketsu” for the Kampo formulation saikokeishito (SKT) which was described in the textbook, <i>shoukanron</i>. In order to find conclusive evidence for our hypothesis, we tried SKT in four patients, whose chief complaints were headache, epigastralgia with headache, irritable bowel syndrome, and anorexia due to Behcet's disease. In this trial, we obtained satisfactory clinical results, which strongly suggest that the symptom of a painful epigastral point correlates with the term shinkashiketsu in the <i>shoukanron </i>description.

<b>Thoughts on “shinkashiketsu”(epigastric lump) as an Indication for </b><b>Saikokeishito in the Textbook Shokanron </b> / 日本東洋医学雑誌

The abdominal sign “shinkashiketsu” (lump of the epigastrium) is an important sign for the choice saikokeishito. However, an understanding of this symptom has been not defined in concrete terms. The author has found that this symptom can be recognized as a small painful point lying median to the xiphiod process and navel. This specific painful point is described equally in the textbook <i>Shokanron </i>and others. And the senior physician Kenzo Okuda has interpreted the suitability of their prescriptions as being decided by clinical results. Thus, the author has confidence that this painful point is an important indicator for saikokeishito.