1) Our Hemorrhoidectomy can be simply performed by use of our crushing forceps.
2) Advaatages of our method is its simple procedure and rare hemorrhage during and post-operative procedure.
3) Attention to post-operative defecation is not considerable, and post-operatively there will be much less pain owing to no damage of the extemal sphincter.
4) Our new method was applied to about seventy cases clinically, and obtained satisfactory effects.

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There are many reports which implies that high levels of serum cholesterol are associated with manifestations of arteriosclerosis. However, on the other hand, it is also said that there are many pathogenesis of arteriosclerosis except levels of cholesterol. Then if hypercholesteraemia are seen in some patients, control of them may be useful for prevention of manifestation of arteriosclerosis. On such a view point I studied with the cholesterol-lowering agents. In this report effects of triparanol in level of serum cholesterol were reported.
It is said that hypocholesteremic effect of triparanol is due to inhibit the cholesterol biosynthesis.
Our results are as follow:
1) When triparanol were given 250mg daily for 2 weeks, cholesterol-lowering effects were seen in about 67% of cases and levels of serum cholesterol were reduced to about 80% of former levels.
2) When triparanol were given 250mg daily for 4 weeks, effects were seen in about 72% of cases and levels of serum cholesterol were reduced to about 78%.
3) When triparanol were given 250mg daily for 8 weeks, effects were seen in about 62% of cases and levels of serum cholesterol were reduced to about 70%.

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Bed rest was very important for the treatment of pulmonary tuberculosis before chemotherapy era.
Now it is apt to be considered negligible by many authors when chemotherapy is applied strong enough. But is this true? This was the problem of this symposium.
There was no author among the reporters of this symposium who insisted that bed rest was wholly unnecessary.
According to Dr. Uemura, the results of the initial chemotherapy of the far advanced cases were far superior with regard to X-ray improvement and cavity closure, when the patients were kept upder the strict bed rest, though there was no difference in sputum conversion. However, in Japan, as it is very difficult to make patients obey the doctor's order at present, Dr. Takagi decided to compare the difference between the patients who strictly adhered to this activity ordered by the doctor and the others who didn't. The former was bettert han the latter in some cases with fresh and extepsive infiltration.
Dr. Miyoshi and Dr. Mikami compared the results merely between inpatients and outpatients. Dr. Miyoshi concluded that there were no difference between them, using the matched pair method on the initial chemotherapy. Dr. Mikami's result was superior in the hospitalized cases.
For the long standing chronic severe cases, Dr. Matsushita and Dr. Miyagi believes that if they are not too ill, it maybe better to give them some movement than to keep them too strictly to bed rest.
Experimental work of Matsushita showed that the condition of tuberculous mice forced to swim excessively were worse than the mice without swimming, but if with strong chemotherapy the difference became less.
Dr. Yamamoto recomended the bed rest at the begining of chemotherapy, because he found the X-ray findings were very variable at that time.
Moreover the meaning of bed rest is very difficult to decide. For some patients, it may be enough to keep only 2 hours bed rest except sleeping time, but for the others, 24 hours may be necessary. Perhaps it may depend on many factors, that is, seriousness of the sickness, active or not, fresh or old, nature of the cavity, especially effectiveness of the chemotherapy including the drug resistance.
We must examine more precisely these factors to evaluate the importance of bed rest.

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1) Ten far advanced cases without previous treatment were treated with INH 600mg daily, SM 1g twice a week, plus PAS 10g daily understrict bed rest. For first six months, they were allowed to have an erect posture only during taking meals and for toilet. The regimen continued at least for one year. The results were compared with those of the matched-paired control cases which were treated with INH 300mg twice a week, SM 1g twice a week, plus PAS 10g daily under conventional rest.
2) All cases became culture-negative after 5 months, while in control cases after 6 months. After twelv emonths more than 90% of abnormal shadow resolved in five cases against one in control cases. Fifteen out of 18 recognized cavities were closed, while in control cases, 3 out of 16 cavities.
3) Although the number of the observed cases is small, the difference in roentgenographic improvement seems outstanding between the observed cases and the control cases. The presumable causes of this difference was discussed, and the present author believes that an ample blood supply to the upper part of the lung under strict bed rest have causal relation.

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The 1, 988 patients with pulmonary tuberculosis hospitalized to sanatorium, were studied on the relationship between the degree of bed rest and the chemotherapeutic effects. In the 623 patients, who were the initial cases for chemotherapy, there was recognized significant relationship between good bed rest and chemotherapeutic effects. In the 1, 365 patients, re-treatment cases, there was recognized the relationship among them in slight degree. In this observation, from the view point of individuar back ground factor among the patients with pulmonary tuberculosis, the following observations were recognized, there were significant relationship the cases of infiltrocaseous type, the moderately advanced, nonsclerotic cavitary wall, simple sclerotic cavitary wall and the patients with positive culture, and no significant relationship to the cases of far advanced, complicated sclerotic cavitary wall, none cavity, negative culture and positive smear. The good bed rest gave a more desirable effect to the patients of short duration of hospitalization than long one, and no significant relationship to the patients hospitalized for two years over.
From the. view point of clinical course for two years of the 512 patients, the cases of initial treatment, the patients with good bed rest were compared with the patients with poor bed rest. The rate of negative conversion of tuberculous bacilli in culture approached together to 90 percent in both cases. The obstructive rate of cavity was about 60 percent in the patients with good bed rest, and about 45 percent in the patients with poor bed rest. The significntly and moderately improved rate in findings of chest roentgenogram was about 66 percent in the good bed rest and about 23 percent in the poor bed rest. There was a significant difference of these rate in both groups.

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According to the animal experiments in mice, the combination treatment of strong chemotherapy and rest-cure are more effective in primary and acute stage of pulmonary tuberculosis.
In case the chemotherapy is interrupted, the rise up of physical motion quantity causes recrudescence. Therefore the more use of rest-cure is necessary in this case.
Rest-cure of long date for patients of the moderately and far advanced cuases invite function-fall of physical strength, and this phenomenon to be thought to check chemotherapetic effect secondarily.
For this reason, these patients should have the treatment for low nutrition and cardiopulmonary functions, etc.
The rest-cure above for long term is sometimes unnecessary and harmful.

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