The late Edo was in a germinal stage of the Western style hospitals with modern medical schools. The Japanese Government adopted Western medical science officially and founded a medical school and a hospital in Tokyo and devoted efforts to the training of physicians by inviting army surgeon and physician from Germany. Mr. Iwasa and Sagara, who were doctors of Western medical science and government officers in charge of medical school had a plan which Western medical science should be adopted to be rightly situated in the university. The Tokyo medical school developed into the Medical Department of Tokyo University and an affiliated hospital in 1877. The hospitals affiliated with medical schools was formed at that time. Prefectural organigations also established the medical schools with affiliated hospitals, inviting physicians from the Tokyo University. We studied the Layout and Floor Planning of the hospitals affiliated with medical schools in the early ages of the Meigi Era. The features of these hospitals were reconstructed by the existing buildings, for instance Daimyo mansions, or temples, ets. These hospitals were under influences of the Dutch medical science and the clinic systems were for general medical practices. The various functional spaces were not separated except dispensary and the size of hospitals were not so large.
