We reported the case of a 9-year-old girl who complained of irritability with sounds, headache, nausea and ease of fatigability, who was successfully treated with the Kampo formulation, ryokito. Her irritability with sound occurred following bilateral ear pain. Her headache, nausea and antipathy towards smells appeared in conjunction with aggravation of this pain symptom. We recognized this patient as having a Ki-distribution imbalance, and so prescribed ryokito as a decoction. Following her use of this formulation, her complaints improved remarkably within about 8 weeks.

A 67 year-old women who suffered from painful palms and soles with burning sensation for 2 years was treated. At first, she visited the department of dermatology and then consulted our department. The authors considered these symptoms as already being described in the great classic Kinkiyoryaku (Chin Keiu Yao Lueh). We then prescribed shokenchuto, which resulted immediate clinical improvement. The authors have again realized that the classical textbook is based on proper clinical observations that are useful today.

In order to evaluate the diagnostic values of sprash sound of the abdomen and plain X-ray findings of the stomach for “INAI-TEISUI” (the water-imbalance syndrome), correlation between these two factors and the symptoms associated with the “INAI-TEISUI” were surveyed statistically.
The study revealed that sprash sound of the abdomen was closely related with the abdominal symptoms of the water-imbalance syndrome, and that the type A of the stomach characterized by blowted, atonic wall with prominent longitudinal folds in the plain X-ray findings was related with systemic symptoms of the water-imbalance syndrome such as dizziness, tinnitus, rhinorrhea and sneezing.
These results suggest that both sprash sound of the abdomen and plain X-ray findings of the stomach are useful for the diagnosis of the “INAI-TEISUI”, though they give a slight different information.