We all live in three different relations: "I and You", "I and self" and "I and the transcendent others". When one's life faces a crisis, one becomes more aware of the transcendent others and the ultimate self than in other times. The spiritual care is to help a patient to realize and empower these relations, which in turn will facilitate him/her to take a better look at the foundation, the meaning and the hope of life from the holistic standpoint. As a result, the patient will be led to experience a cure of self-restoration. The medical staff needs to have a sensitiveness to spiritual care and ability to interpret patients'words and behaviors.

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Dossey classified three types of medicine historically: the first stage of physical medicine, the second stage of mind-body medicine and the third stage of medicine intervened by spirituality. On the other hand, Ikemi proposed a bio-psycho-socio-eco-ethical medical model, and mentioned that the goal of mind-body medicine was "existential awake", and transcendency to spirit and integration between the East and the West mind-body approaches were needed. Authors are trying a new mind-body medicine intervened by spirituality, named "spiritual-somatics medicine", using the approach of many dimensions to "Mi", the rainbow medicine, and introducing process-oriented psychology as an integrated East and the West mind-body approach in psychosomatic treatment. The rainbow medicine seems to lead a paradigm shift from the mind-body model based on cause and effect to the model based on synchronicity by urging patients to be aware of the body in deep consciousness appeared in somatic symptoms, dream and so on, and lead patients to "existential awake" finally.

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Child rearing is an enterprise of grave importance whereby a parent can instill and cultivate invisible values in a child's mind. When we consider how we can cultivate such invisible values in a child's mind, which naturally is irrational and mysterious, it is apparent that visibly checkable processes and rational thinking alone are hardly capable of achieving this objective, and that we need to introduce something spiritual to the process. For this reason, an attempt was made to develop a child rearing theory combining spirituality with conventional childcare theory and psychology, and the first problem encountered was how to understand a child's mind. In this paper, the "Mental Triangle" invented by the author, will be introduced as a simple method allowing all parents to understand their children's mind, and we will discuss how one can develop an ideal child rearing process, in which both parents and child are growing together, by incorporating spirituality into this method to effect qualitative improvement.

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Traditional Chinese Medicine (TCM) is now called "Kampo Medicine" in Japan. Kampo Medicine is necessary for medicine of modern people due to such reasons as unexpected gap between physician's explanation regarding patient's pathological condition and patient's feeling of himself, and as less powerful treatment of Western medicine against numerous many stress-related diseases. These patients thus remain untreated and uneasy. What is really needed for the treatment of human sickness and what is really wanted by sick people is the medical care tailored to that particular patient, which pays special respect to the individual's characteristics and personality. In Kampo medicine, the therapeutic policy is determined on the basis of the physical constitution and condition of individual patients. For this reason, Kampo medicine is called "tailor-made medicine." A characteristic of Kampo medicine lies in that it is aimed at treating conditions preceding the disease. The diagnosis system of Kampo medicine therefore includes identification of the personality of each patient and correction of its distortion, if any. Medical care for human is a science. Kampo medicine is also a science. However, good medical care or high-quality medical care cannot be achieved, without laying emphasis on art. Kampo medicine is established as a science with art. Practicing Kampo medicine is equal to dealing with patients using a science with art, that is, equal to providing quite humane medical care to patients. Kampo medicine is a medical care system of which we can boast to the world.

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Introduction: Atopic dermatitis (AD) is closely related to health related quality of life (HRQOL). The present study examined how "anxiety to itch" affects HRQOL by examing adult AD patients and healthy undergraduate students by using path analysis. Method: The participants were 42 adult AD patients (AD group: 15 male, 27 female; Mean age=29.12; SD=9.27) and 164 healthy undergraduate students (student group: 63 male, 101 female; Mean age=20.83; SD=3.57). "Anxiety to itch" was measured by using the Itch Anxiety Scale for Atopic Dermatitis (IAS-AD) that the author had made (Himachi et al., 2005). The reliability and validity of IAS-AD are confirmed. Scratching was measured by using a scratching checklist in daily life, and HRQOL was measured by using the Mos 36-Items Short-Form Health Survey (SF-36). Results: Each score of the scales was compared between the AD group and the student group by t test. The result revealed that the AD group showed significantly higher scores than the student group in the IAS-AD (t[55]=-11.89, p<0.001) and the scratching checklist (t[45]=-6.14, p<0.001). In addition, the general health (GH) score of SF-36 also showed that the AD group had significantly lower scores than the student group (t[204]=2.34, p<0.05). Because validity of the hypothesized model was demonstrated, analysis was conducted to test a difference between clinical and non-clinical groups in the structural parameters of the model, using the multiple-group procedure. Result of the multiple-group procedure indicated that the model procedure was a good fit (GFI: 0.96, AGFI: 0.89, CFI: 0.98, RMSEA: 0.046). The result of the present study revealed that IAS-AD contributed more strongly to scratching (path coefficient: 0.74, p<0.001) in the AD group than the student group. The influence of scratching on the score of bodily pain (BP), social functioning (SF), and mental health (MH) in AD group (BP: -0.40, SF: -0.41, MH: -0.41, p<0.01) was greater than that of in the student group (BP: -0.27, SF: -0.23, MH: -0.23, p<0.01). Conclusion: It is concluded that the AD patients significantly showed higher scores than healthy undergraduate students in "anxiety to itch" and scratching. Furthermore, it became clear that adult AD patients' scratching has more negative effect on mental aspects, such as SF and MH, compared with healthy students. It is necessary to examine the effect of the treatment which includes intervention in "anxiety to itch" for adult AD patients.

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