A Case of Paroxysmal Vomiting with Diarrhea Treated by Ryoukeijutsukanto

Abstract

The patient was an 80-year-old woman who had been suffering from paroxysmal vomiting with diarrhea about twice a month for 3 years. She had these symptoms at around 11:00 am every time and got over them after a rest for about 20 minutes. Though no abnormality was detected by the inspections in the gastroenterology and the cardiology, the interval of her attacks became short. These symptoms were treated with ryokeijutsukanto. We conclude that the pathogeneses of this case were excessive accumulation of fluids in epigastrium caused by the lack of stomach qi, and that these were ameliorated by the effect of ryokeijutsukanto mainly in nourishing stomach qi and cleaning away excessive accumulation of water. There is a report that the stuffiness and rigidity below the heart shows the presence of excessive accumulation of fluids in epigastrium, and this case suggests the possibility that this symptom of abdominal diagnosis by palpation is seen only during an attack.