Now in Japan, we have considerable excitant in pollinosis on hand: the pollen of Japanese cedar, Japanese birch, Japanese alder, Japanese oak, grasses (timothy, orchard, june, rye grass and so on which were introduced, rice, eulalia, chikarashiba-Pennisetum japonica etc), native sagebrushes, Japanese hop and Ragweed.
The most important plant is the cedar which distributes allmost of all in Japan. Its pollen has a antigenically cross reactivity to that of hinoki (Chamaecyparis obusta), sawara (Chamaecyparis pisifera) and mountain cedar. Hinoki and sawara are commonly found as well as sugi (Japanese ceder) in Japan.
The next harmfull plant is sagebrushes. There are so many species among the Artemisiae, but yomogi (Artemisia princeps) and Yamayomogi (Artemisia montana) are of the most importance. Ragweed is not always important, though it is found in some districts except for the northern part of Japan. Ragweed-sensitive patient, however, is increasingly observed for the past several years.
Grass pollinosis patient is not so freqently seen at the middle and southern Japan except for the northern. The early summer grass pollinosis is mainly due to the introduced grasses. The native grasses which contribute their pollen sometimes to the cause of pollinosis in the late summer are rice, eulalia, chikarashiba and so on.
Japanese oak, birch, alder and hop contribute, to a certain extent, to the production of pollinosis. Oak and alder are found on the hills and the small mountains throughout most of Japan. Birch is commonly found at the northern district. Hop grows on a damp ground in the late summer season.

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Pain clinic of the face and head were discussed on 30 patients, whom I have experienced recently in our anesthesia department.
Pain in the head was 6 cases, in which occipital neuralgia were 3 cases. They were treated by major and minor occipital nerve block. Pain in the face was 12 cases, in which trigeminal neuralgia was 7 and the other type of neuralgic pain in the face was 5. They were treated by alcohol block.
Facial spasm was 7 cases, in which Tics were 6 cases. They were treated by facial nerve block in stylomastoid foramen. Facial palsy was 5 cases, in which Bell's palsy were 4 cases. They were treated by repeated stellate ganglion block.
Generally, patients of the face and head occupied about a half of all patients in Pain clinic, and nerve block therapy was very effective for them.

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Seven cases of gastric diverticulum found during last three years were presented. Two cases were female and five were male. The age ranged from 39 to 81. There were five patients with diverticulum located at the cardiac region and two at the corpus ventriculi. A case of 81-years-old male was complicated with gastric ulcer, duodenal diverticulum and hypertension. A case with gastric cancer, 66-years-old male, received gastric resection. The other two cases had thyroid diseass.
Because of comparative rarity, 413 cases of gastric diverticulum reported since 1918 in Japan, were reviewed and discussed.

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The effects of combined therapy of antituberculous drugs and oral preparation of adrenocorticosteroid (ACS) were investigated on 146 patients with tuberculous pleurisy who were hospitalized in National sanatoria in the Tohoku District.
Among 74 cases with primary pleurisy, the combined therapy was somewhat satisfactory in reduction of pleural effusion, normalization of ESR and prevention against pleural adhesion in 34 cases, compared with the cases treated with antituberculous agent only. However, the secondary pleurisy was unaffected by the combined therapy.

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The effects of combined therapy of antituberculous drugs and oral preparation of adrenocorticosteroid (ACS) were investigated on 146 patients with tuberculous pleurisy who were hospitalized in National sanatoria in the Tohoku District.
Among 74 cases with primary pleurisy, the combined therapy was somewhat satisfactory in reduction of pleural effusion, normalization of ESR and prevention against pleural adhesion in 34 cases, compared with the cases treated with antituberculous agent only. However, the secondary pleurisy was unaffected by the combined therapy.

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A case of successfully treated congenital choledochal cyst by Roux-en-Y choledocho-jejunostomy was reported.
Review of the literature showed the best over-all results among the group which was treated by Roux-en-Y choledocho-jejunostomy. For unknown reason, choledocho-duodenostomy was not rewarding by complication of anastomosis site stenosis. Occasionally resection of the choledochal cyst was done, but this procedure is not considered as a standard operation.
The procedure was difficult, because previous drainage procedure was done about 20 years prior to this operation. The diagnosis is easy to establish, if the patient presented typical triads, i, e, intermittent pain, jaundice and persistent hypochondralgia from their childhood.

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A case of successfully treated congenital choledochal cyst by Roux-en-Y choledocho-jejunostomy was reported.
Review of the literature showed the best over-all results among the group which was treated by Roux-en-Y choledocho-jejunostomy. For unknown reason, choledocho-duodenostomy was not rewarding by complication of anastomosis site stenosis. Occasionally resection of the choledochal cyst was done, but this procedure is not considered as a standard operation.
The procedure was difficult, because previous drainage procedure was done about 20 years prior to this operation. The diagnosis is easy to establish, if the patient presented typical triads, i, e, intermittent pain, jaundice and persistent hypochondralgia from their childhood.

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