When a patient complains of resistance and tenderness in the lower abdomen, including along the inguinal ligaments, the superior margin of the pubis, and beneath the umbilicus.

Commonly Used Kampo Formulas:
- keishibukuryogan
- daiobotanpito (right lower quadrant)
- choyoto (right lower quadrant)
- sesshoin
- unkeito
- tokishakuyakusan
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