<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

ABSTRACT

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.