1981 年 30 巻 3 号 p. 173-176
The SHO (sydrome) in acpuncture-moxibustion therapy is not synonomous with that of herbal medicine therapy. This is a treatment method in which, obtaining clues from acupoints, unusual reaction points discovered on the surface of the body in the area of treatment through meridian palpation, a form of touch diagnosis, on of the 4 diagnostic techniques, and based on the Oriental medicine pathological evaluation obtained through the other diagnostic techniques, the unusual reaction acupoint group is dealt with using the appropriate technique.
The pathological phenomena indicated in the JUNIKEIMYAKU verse of the KEIMYAKY chapter of the REISU are insufficient in terms of modern knowledge; revision is necessary. It is also insufficient to depend on pulse diagnosis for evaluations of pathological conditions and practical instruction. Reconfirmation of the 4 diagnostic techniques and a plan for their utilization and expansion, especially forms of touch diagnosis other than pulse diagnosis such as points of tenderness, etc., is essential as is the absorption and assimilation of modern medical knowledge.
As an example I'd like to give my opinions on the most frequently encountered complaint in the acupuncture-moxibustion clinic, shoulder stiffness based on the shoulder stiffness based on the shoulder stiffness clinic. The causes of shoulder stiffness are: muscle, bone, structural disorders 2) related phenomena due to organic disturbances 3) cerebral, psychological psychosomatic factors. Speaking specifically of the first type resulting from some disorder in the neck area, as it is difficult to find any particular idiosyncracy or reach any conclusion through the 4 diagnostic techniques and also difficult to classify or determine from accompaanying symptoms or medical history, it is also also difficult to determine whether it is a meridian or muscular disorder, and if for example, it is determined to be a neck muscle disorder, therapeutic instructions are not clarified in classical writings. However in this case applying new knowledge, that is orthopedic testing techniques such as the Allen, Jackson or Spurling compression Tests, etc., and obtaining a positive diagnosis in pain upon hitting and an indication of acupuncture insertion on the cervical nerves, an indication for acupuncture insertion and selection of reaction acupoints on the forearm, in the nape and back area, and on the lower limbs in given.
I believe that for obtaining pathological patterns and establishing the corresponding groups of treatment points it is essential that this new knowledge be incorporated.