Cases Report of Seishitsuketanto

Abstract

The literary source of seishitsuketanto, which has been used for intercostal neuralgia, and similar pain in the chest and back, is the text Shou shi bao yuan. We prescribed seishitsuketanto to 5 patients suffering from coldness and/or pain of the thorax. As a result, seishitsuketanto was effective for 4 patients, and not effective for 1 patient. An investigation of the effective cases, an invalid case and references suggest that findings indicating seishitsuketanto have the following features; migratory coldness of the thorax, significant symptoms of disorder in body fluid metabolism, sphygmopalpation without floating pulse, and thoracic pain due to inflammation based on pulmonary insufficiency.