Clinical Characteristics of Cases Treated with Kinkiyoryaku-Described Hontonto, Including Two Case Reports
10.3937/kampomed.65.302
- VernacularTitle:『金匱要略』奔豚湯が有効だった2例と臨床的特徴の検討
- Author:
Yukiko MORI
;
Hiroshi ODAGUCHI
;
Tetsuro OIKAWA
;
Toshihiko HANAWA
- Publication Type:Journal Article
- Keywords:
hontonki hontonto;
Kinkiyoryaku clinical characteristics
- From:Kampo Medicine
2014;65(4):302-308
- CountryJapan
- Language:Japanese
-
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 “hontonki.” Hontonki 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 hontonki. We administered Kinkiyoryaku hontonto (i.e. hontonto as described in Kinkiyoryaku) to them, and it was very effective.
We undertook a retrospective analysis of these two cases, along with 8 other cases successfully treated with Kinkiyoryaku hontonto at our hospital over the last 11 years. We found the common clinical characteristics of hontonki events were paroxysmal symptoms with feelings of anxiety. There are some differences between the clinical characteristics of Kinkiyoryaku hontonto from those of Chugobikyuho hontonto (hontonto as described in Chugobikyuho). The cases of Kinkiyoryaku hontonto are not kyosho (hypofunction) as those of Chugobikyuho 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 oketsu symptoms.
