<b>Clinical Characteristics of Cases Treated with </b><i><b>Kinkiyoryaku</b></i><b>-Described Hontonto, Including Two Case R</b><b>eports </b> / 日本東洋医学雑誌

ABSTRACT

Case 1 was a 24-year-old female suffered from the feeling that her throat was obstructed ; this occurred after she had to talk loudly in front of many people. Case 2 was a 51-year-old female who complained of a palpitation attack ; this occurred after she underwent a hysterectomy. We diagnosed these symptoms as “<i>hontonki</i>.” <i>Hontonki </i>is a case of symptoms rising from the lower abdomen into the chest and throat with feelings of anxiety. When these symptoms appeared, the patients felt as if death were upon them, but when they disappeared, the patients soon felt healthy. There are certain medicines that can be used to treat <i>hontonki</i>. We administered <i>Kinkiyoryaku </i>hontonto (i.e. hontonto as described in <i>Kinkiyoryaku</i>) to them, and it was very effective.<br>We undertook a retrospective analysis of these two cases, along with 8 other cases successfully treated with <i>Kinkiyoryaku </i>hontonto at our hospital over the last 11 years. We found the common clinical characteristics of <i>hontonki </i>events were paroxysmal symptoms with feelings of anxiety. There are some differences between the clinical characteristics of <i>Kinkiyoryaku </i>hontonto from those of <i>Chugobikyuho </i>hontonto (hontonto as described in <i>Chugobikyuho</i>). The cases of <i>Kinkiyoryaku </i>hontonto are not <i>kyosho </i>(hypofunction) as those of <i>Chugobikyuho </i>hontonto are. Either they have heat symptoms or they do not have coldness, and they have shoulder stiffness or headache as some of the other <i>oketsu </i>symptoms.