日本鍼灸治療学会誌
Online ISSN : 2185-9434
Print ISSN : 0546-1367
ISSN-L : 0546-1367
26 巻, 2 号
選択された号の論文の18件中1~18を表示しています
  • 1. 鍼灸師の行う研究の意義 2. 学校教育と臨床検査の立場から 3. 経絡治療の立場から 4. 臨床研究の方向 5. 臨床医学の立場から
    木下 滋, 高橋 征司, 高橋 秀行, 田中 正治, 森川 和宥
    1977 年 26 巻 2 号 p. 1-6
    発行日: 1977/07/15
    公開日: 2011/05/30
    ジャーナル フリー
  • 高橋 征司
    1977 年 26 巻 2 号 p. 7-9
    発行日: 1977/07/15
    公開日: 2011/05/30
    ジャーナル フリー
  • 高橋 秀行
    1977 年 26 巻 2 号 p. 9-11
    発行日: 1977/07/15
    公開日: 2011/05/30
    ジャーナル フリー
  • 田中 正治
    1977 年 26 巻 2 号 p. 12-14
    発行日: 1977/07/15
    公開日: 2011/05/30
    ジャーナル フリー
  • 森川 和宥
    1977 年 26 巻 2 号 p. 14-15
    発行日: 1977/07/15
    公開日: 2011/05/30
    ジャーナル フリー
  • 臨床家の針の実態
    松元 丈明
    1977 年 26 巻 2 号 p. 16-22,72
    発行日: 1977/07/15
    公開日: 2011/05/30
    ジャーナル フリー
    How many acupuncturists could confidently give an affirmative answer to the question, “Are the needles which you are using safe?”
    The technique which we work hard to refine in the clinic daily is the foundation upon which tomorrow's clinical results rest. The first condition for the realization of these results is that we be sufficiently provided with safe (including needle handle, body and tip) satisfactory needles.
    I have been interested and not a little uneasy about the condition of needle tips and bodies of the needles provided us by the manufacturers. This is because I cannot accept the fact that broken needles and other such accidents occur only as a result of unskillful use of the needles, especially when we encounter such cases as needles broken upon first use. Such dangerous accidents as these occur as a result of insufficient study on the part of the manufacturers concerning the proper conditions of needle tips and bodies, as well as a shirking of responsibilities in instructing the manufacturers as to requisites on the part of the practitioner.
    I collected 5 needles each from 10 presently practicing acupuncturists and using a newly purchased microscope examined the bodies and tips of these needles. Results revealed that the condition of the needle tips in 60% of the cases was poor and that in 50% of the cases the needle bodies were marred by cuts or scratches.
    With the knowlege of these facts we practitioner should demand improvement of the needle bodies from the manufacturers and at the same time take it upon ourselves to examine needle tips using microscopes or other equipment, and correct deficiencies.
  • 鍼の太さから見た弾性検査, 曲げ検査, 穿刺検査の成績
    小田原 良誠, 北出 利勝, 豊田 住江, 南川 正純, 兵頭 正義
    1977 年 26 巻 2 号 p. 23-27,72
    発行日: 1977/07/15
    公開日: 2011/05/30
    ジャーナル フリー
    There are many reports on the clinical effect of acupuncture. We considered the quality of the needle is an important factor to improve the clinical effect and researches.
    We did the following test on stainless steel needles.
    1. Elasticity test. Bend the needle up to 90 degree position from original place and keep 90 degree position for a second, then release and check the restoration ability. (indicate in angle.)
    2. Bending durability test.
    Repeat the bending 30 degree angle to the both right anb left (total 60 degrees), until the needle fractured. (indicating the times of bending).
    3. Sharpness of needle tip and smoothness of needle body. Penetrate the polyethylene film (thickness of film is 0.1mm), and measure the pressure required to penetration and resistance force at the time of insertion.
    Summary of the results:
    1. Elasticity test
    The thinner needle indicates a bigger restorability which shows as follows;
    0.152mm (thin)-78.1°, 0.179mm-69.5°, 0.215mm-67.4°, and 0.327mm (thick)-54.2° 2. Thin needle (0.152mm) was fractured at 491st bending, 0.179mm-440th bend, 0.215mm at 314th and the thick needle (0.327mm) at 98th bend. This test indicates fact that a thinner needle is stronger against bending.
    3. The burden of penetraion of the thinnest needle (0.152mm) was 6.90g, the insertion resistance was 3.70g, 0.179mm needle-8.13g and 3.50g, 0.215mm needle-9.20g and 4.00g; the thick needle (0.327mm)-11.45g and 5.70g respectively.
    According to these tests, the thinner needle has higher restorability, durability and sharpness than the thick one. Through the tests, we showed the needle standard by numbers, and we feel the necessity of consistency of needle quality for the research of acupuncture effect.
  • 針通電刺激時における脈波・心拍数および電位の変化
    野々井 康治
    1977 年 26 巻 2 号 p. 27-30,73
    発行日: 1977/07/15
    公開日: 2011/05/30
    ジャーナル フリー
    Recently through electrical acupuncture stimulation methods at specific points on the body, with fewer points than ever before and more certainty, research has been conducted revealing the possibility of raising and maintaining a raised pain threshold of a specific area. Using the electrical acupuncture stimulation methods I have begun experiments to collect objective data concerning the properties of the meridians and points. I would like at this time to present my first report in this area.
    The method of experimentation was as follows. Two points on the stomach meridian (Left ST-36 and ST-44) were selected. After ascertaining that the special acupuncture sensation, TOKKI, had occured electrical stimulation was administered. Observing these conditions, progressive changes in pulse waves, electrocardiograph and heartbeat before, during and after electrical stimulation as well as alterations in static potential in the abdominal area (especially around the circumference of the naval) and on the tips of the fingers were observed using a polygraph during 25 minutes of stimulation and for 20 minutes following stimulation.
    Results revealed that electrical acupuncture stimulation administered after the confirmation of the occurrence of TOKKI effected upon comparison with conditions before stimulation are striction of pulse wave and increase in the number of heartbeats as well as significant changes in the static potential of the Stomach, Large Intestine, Lung, Spleen-Pancreas and Liver Meridians on the stimulated side of the body. Reports concerning individual elements will be presented.
  • 井上 豊彦, 佐小田 学, 藤井 和彦, 田川 善啓, 吉田 隆一, 松井 啓郎
    1977 年 26 巻 2 号 p. 31-35,74
    発行日: 1977/07/15
    公開日: 2011/05/30
    ジャーナル フリー
    The clinical use of insertion at the so-called GOSHIKAN points or the points between the fingers, has increased. This technique's success in the treatment of local circulatory problems and hypertension has already been reported. At this time we'd like to report results of observation of circulatory conditions using a plethysmometer recorded after insertion between the fingers.
    Using healthy persons as models and applying treatment for experimental sake only, we divided the subjects into two groups, a control and a test group. After the subjects had rested for a short while cold stimulation effected by placing the fingers in cold (10-12°C) water for 3 minutes, was administered to one of the hands of the subjects so as to cause a circulatory disturbance. The meter was attached at the base of the fingernail on the index finger of the other hand. Stationary insertion using Nara-type short needles to a depth of 1cm. at GOSHIKAN points for approximately 3 minutes was administered to the test group after the cold stimulation and changes after withdrawal of the needles were observed and compared with results in the control group to which no stimulation had been administered. Measurements were recorded continuously from the rest period until 12 minutes after cold stimulation, and variations in wave heights were observed. Results showed that after 1 minute of cold stimulation the wave height was lowest. The control group showed that after discontinuation of cold stimulation recovery was slow and that even after 10 minutes the readings had not reached the same as those observed under normal rest conditions. On the other hand in the test group recovery of normal conditions was observed within the 3 minutes of insertion and wave heights higher than those observed under normal conditions were observed after needle withdrawal. In other words, the circulatory disturbance induced through cold stimulation was quickly adjusted and cured through acupuncture insertion.
    It can be stated that the points between the fingers are in an area in which capillary branches are present and that through the autonomous nervous system insertion serves to influence the peripheral circulatory activity as is evident in the pulse wave.
  • CMIとMASから見て
    田中 昭三
    1977 年 26 巻 2 号 p. 36-37,74
    発行日: 1977/07/15
    公開日: 2011/05/30
    ジャーナル フリー
    In last year's report it was shown in general that psychological tests are valuable in indicating therapeutic results and the applicability of therapy. At this time I'd like to report from this general theme specifically on tendencies observed from test results of the CMI and MAS tests.
    The testees were new patients over the age of 15 who came to the clinic between Jul. 1 and Aug. 30, 1976. A total of 82 patients, 22 male and 60 female, were tested. Of both sexes most patients were in their 40's.
    CMI neurosis classifications for the 82 patients were as follows:
    I Class (Normal) 8
    II Class (Slightly Abnormal) 30
    III Class (Slightly Neurotic) 34
    IV Class (Neurotic) 10
    As there was no method of checking the truthfulness of answers obtained in this test, the MAS Test reliability check was used. It was discovered that falsehood was highest among female patients in the 30's age group.
    Crude test analyses following the above procedure showed that in the area which presented most problems, the validity or effectiveness of therapy in III and IV classes, it became evident that in cases in which physical factors were stronger than psychological factors and the MAS Test revealed anxiety levels below 30, acupuncture-moxibustion therapy proved effective. In other words, therapy was fairly effective in cases of simple neurosis. There was a tendency toward applicability and effective therapeutic results in cases of neurosis uncomplicated by the addition of character factors.
  • 遠隔成績114例の分析的検討
    北出 利勝, 豊田 住江, 森川 和宥, 小田原 良誠, 兵頭 正義
    1977 年 26 巻 2 号 p. 38-41,76
    発行日: 1977/07/15
    公開日: 2011/05/30
    ジャーナル フリー
    In the past 10 years we have analysed the results of treatment on the 114 cases of Cerviobrachial syndrome, mainly osteoarthritis of cericodorsal spine disease, of which the follow-up results were extinguished by acupuncture treatments and nerve block treatments in our pain clinic. These cases could not be cured by the physiotherapic treatment such as medication, traction and ultra-short wave.
    The combined results of both acupuncture and nerve block treatments are as follows;
    46 cases out of 114 (40%) obtained excellent or good effect and 68 cases out of 114 (60%) obtained fair or poor effect.
    In the acupuncture treatments, electrical stimulation and low frequency electrical stimulation were employed. The results of acupuncture-moxibustion treatments and nerve block treatments were almost the same.
    The efficacy of nerve block treatment could be found after several treatments. When the nerve block treatment is not effective, many cases can obtain some effect by combining with acupuncture treatment. And when the nerve block is not applicable only acupuncture treatment is effective in many cases.
    Comparing the results with the number of treatments, many cases under 10 treatments obtained no effect. But above 11 times, the number of none effective cases became decreased.
    Therefore it is better to give acupuncture treatment for many times. As a standard more than 10 or 20 times are necessary to obtain an effect. So I would like to emphasize the fact that you can most probably obtain some effect with more than 11 times treatments.
  • 田中 法一
    1977 年 26 巻 2 号 p. 42-45,76
    発行日: 1977/07/15
    公開日: 2011/05/30
    ジャーナル フリー
    Scalp Needle Therapy which became popular in Japan 4-5 years ago has recently undergone great changes. From the Chinese scalp needle therapy, in Japan, the Ryodoraku therapy, Wadastyle, the Miyazaki doctor's Yamamoto-style, and the Tokyo doctor's Yoshida-style have been developed. These therapeutic methods are especially applicable in treatment of disturbances of the nervous system. This is especially true in cases which do not respond to Western medical methods or in which results are very slow.
    In addition to the various scalp needle therapy styles, I thought of one more method. This method pays special attention to the measurement of brain waves. This involved graphing the electrical response of the brain cells as shown in the brain waves when electricity was directed through electrical poles placed in direct contact with the scalp. Oppositely, I believed variations would be observed upon the administration of treatment at these points. I'd like to report on the methods and results observed using scalp needle methods (cranial insertion) at electroencephalogram points.
    A. Methods
    1. Observation of basic electroencephalogram points.
    2. Comparison of electroencephalogram points and various scalp point charts.
    3. Study of anatomy and physiology of nerves and blood vessels in area of electroencephalogram points.
    4. Experiments with human body-acupuncture sensation-physical changes.
    5. Study of relationship between electroencephalogram points and disease.
    6. Types of needles used and method and angle of insertion.
    7. Determination of stationary insertion points and electrical current.
    8. Division of patient's postures.
    9. Additional points and warnings.
    B. Results
    1. The overall rate of effectiveness was about 75%.
    2. Effectiveness for neurosis was 100%, nerve disorder, 75%, others, 60%.
    3. Resulting effectiveness differed greatly according to the psychological state of the patient.
    C. Conclusion
    There are several physiological problems which remain unsolved and which perhaps cannot be solved by an individual acupuncturist like myself, thus I'd like to ask the assistance of medical research groups and medical university research laboratories in solving such problems.
  • 倉本 素宏
    1977 年 26 巻 2 号 p. 45-48,77
    発行日: 1977/07/15
    公開日: 2011/05/30
    ジャーナル フリー
    Since the advent of Chinese Acupuncture Analgesia, Oriental medicine, especially acupuncture, has become more highly regarded throughout the world and the number of patients seeking acupuncture therapy has increased rapidly. I have been especially interested in the pain relief obtained through the use of acupuncture Analgesia recently in China and tried to examine its clinical uses.
    I selected from among the lumbago and sciatica patients who visited my clinic from 1974 to 1975 20 patients who had been diagnosed by the plastic surgeons as intervertebral disc hernia patients, administered electrical acupuncture and stationary insertion methods and compared results.
    I randomly divided the 20 patients into 2 groups, a test group, to which electrical acupuncture was administered and a control group, to which simple stationary insertion methods were administered.
    Therapy for both groups involved perpendicular insertion with No. 8 stainless steel needles for a period of 20 minutes at BL-23, BL-25 and BL-54. For patients also plagued by leg pain and numbness insertion using the same methods at GB-30, ST-36 and GB-34 was administered. Electrical stimulation was administered using the Chinese-made BT701 Model Electrical Analgesia Apparatus. The negative pole was at BL-25, the positive at BL-54. Success of therapy was determined based on the following standard: CURE, ALLEVIATION, and WITHDRAWAL. CURE indicates cases in which symptoms were completely relieved and the patient was able to resume his normal activities. ALLEVIATION refers to an adjustment of symptoms to a degree however less operational ability than prior to the onset of the problem. WITHDRAWAL refers to cases in which therapy was discontinued before results were obtained.
    Comparing success in the two groups we find that in the CURE category were 7 out of 10 in the test group, 5 out of 10 in the control group. In the ALLEVIATION category were 2 in the test group and 3 in the control group. In other words adding the CURES and ALLEVIATIONS to find results we arrive at a rate of success of 90% in the test group and 80% in the control group. From a mathematical point of view there is not a significant difference between these figures, however if results are examined from the point of view of the average number of treatments necessary, that is 28.7 in the test group and 36.8 in the control group, slightly promising tendencies can be observed in the test group. Thus we can conclude that electrical acupuncture serves to relieve symptoms more rapidly than simple stationary insertion.
  • 千葉 脩子
    1977 年 26 巻 2 号 p. 49-50,78
    発行日: 1977/07/15
    公開日: 2011/05/30
    ジャーナル フリー
    I shall report at this time treatment methods for periarthritis of the shoulder I have employed for several years which involve treatment of the opposite or healthy side.
    When a disorder occurs in the body usually a reaction also occurs at the same point on the opposite side of the body as determined if the navel is defined as the central point of the body. By treating these points of secondary reaction then it is possible to relieve the original disorder. Moreover, this treatment method has proven more effective than treatment of the original disorder itself. For example, for periarthritis of the left shoulder treatment is administered at points on the right shoulder as well as points of secondary reaction which occur in the right gluteal area and along the anterior lateral aspect of the right thigh.
    As the period of research was short I shall report at this time on only 20 cases. This small number of cases is perhaps not sufficient to draw definite conclusions about all cases however in respect to these 20 cases the following can be stated. Severe pain was relieved after 2-3 treatments and complete cure after 5-6 treatments. Results of 28 other cases not included in this report showed the average number of required treatments as 6.5. The required treatment period was half that formerly required and treatment proved effective in relieving severe pain of both chronic and acute cases.
    I would now like to give a detailed report of one case which I treated in Nov., 5 years ago. The patient, a former military man was at the time president of an architecture company. He was of strong body and mind and was suffering from symptoms of typical periarthritis of the shoulder. The patient whom I shall call “S” was 50 years of age. The condition had begun 5 months previously but believing it could not be helped by doctors or medicines he had let it progress to a terrible state. He had come to my clinic on the recommendation of his wife. I asked the patient to rotate and move his head up and down and as these actions proved no trouble to the patient I realized good results could be obtained using treatment of the opposite side and thus selected this method. The first three treatments seemed to indicate progress toward relief of symptoms. On the 4th treatment I treated the afflicted side and the patient left the clinic with no pain but pain again returned the following day and I realized it had been a mistake to treat the afflicted side.
    Finally after 7 treatments complete cure was obtained and the problem did not recur.
    These results caused my confidence to grow in this opposite side treatment method the effects of which are not limited to periarthritis of the shoulders but can be obtained in a large range of therapy.
  • 金子 佳平
    1977 年 26 巻 2 号 p. 51-52
    発行日: 1977/07/15
    公開日: 2011/05/30
    ジャーナル フリー
  • 太田 恵三, 花篭 良一
    1977 年 26 巻 2 号 p. 52-56
    発行日: 1977/07/15
    公開日: 2011/05/30
    ジャーナル フリー
  • 竹之内 三志, 竹之内 診佐夫, 浜添 圀弘, 妹尾 開正
    1977 年 26 巻 2 号 p. 57-61,80
    発行日: 1977/07/15
    公開日: 2011/05/30
    ジャーナル フリー
    Acupuncture and moxibustion with its several thousand year history beginning with the Yellow Emperor has taken Chapter 14, KOTSUDO of the ancient classic REISU as a bass for the location of specific meridian points. All of the ancient writings were in accordance with the KOTSUDO method of locating points, however, if the lengths quoted in the various texts are compared, differences in locations and lengths will become obvious.
    The length of the area from the navel to the superior ridge of the pubis is described in the REISU as 6 TSUN, 5 BU, and in the Ko-Otsu-Kyo as 5 TSUN, however, examining the Stomach Meridian according to the same Ko-Otsu-Kyo method of measurement totaling the distance from ST-25 at the level of the navel to ST-30 on the superior ridge of the pubis results in a measurement of 8 TSUN. In other words using three different methods of measuring results in 3 different measures of length for exactly the same area of the hypogastrium.
    If these differences in lengths are examined and compared according to literary consultation, the use of measuring instruments, and actual physical observation a solution can be drawn.
    Collecting the various descriptions of lengths from manuscripts such as Ruikyo-Fuyoku, Wakan-Sansai-Zue, Keiketsu-Ikai, Chugoku-Doryoko-Shi, etc. We discover the KISHO, the SHOSHAKU, the SHUSHAKU, etc. Designating 1m. equal to 3 SHAKU 3 TSUN and using this metric system as a basis lengths were converted to metric terms. Then to ascertain the accuracy of conversions measurements were made using Chinese measuring instruments and actual physical measurements. As for the instruments of measure, conversions were evaluated according to comparisons especially concerning literary descriptions of ancient coin diameters. As for actual physical measurement, allowing for a slight margin of error it was proven that literary measurements were fairly accurate.
    In the past the “measuring stick” used in China varied with the ages and the country. Starting with the reign of the Yellow Emperor it was called KISHO, during the SHO era, SHOSHAKU, during the SHU era, SHUSHAKU. These were the three different lengths previously mentioned said to describe the hypogastric area.
    The 6 TSUN 5 BU of the KISHO are the same as the 5 TSUN of the SHOSHAKU and equal to the 8 TSUN of the SHUSHAKU. It can be concluded that the aforementioned 6 TSUN 5 BU are KISHO, the 5 TSUN of the Ko-Otsu-Kyo are SHOSHAKU and the 8 TSUN of the Stomach Meridian correspond to what is called SHUSHAKU.
  • 部位に関する考察
    小椋 道益
    1977 年 26 巻 2 号 p. 62-65,80
    発行日: 1977/07/15
    公開日: 2011/05/30
    ジャーナル フリー
    The SANSHO includes three parts, the JOSHO, the CHUSHO, and the GESHO. The locations of these three parts are interpreted as JOSHO, above CV-15, CHUSHO, from the navel to CV-15 and GESHO, from the navel to the pubic bone. This method of representation, like the method of representing locations of the acupoints, is very superficial.
    The actual source of the SANSHORON is in the chapter of the REISU concerning the digestion and absorption of nutrients, the EIESEIKAI chapter. In these writings the positions of the SANSHO are described as within the digestive organs. Thus we find a major discrepancy between the former and latter interpretations. I believe that the REISU, EIESEIKAI chapter negates the former explanations. First of all for your reference I'd like to explain just when this incorrect interpretation of the EIESEIKAI chapter came about, and who was responsible for it. The source of the information concerning the SANSHO is as was previously explained, in the above mentioned chapter of REISU, however, due to quotations of two Chinese scholars, Yojozen and Bagendai, of the 31st chapter of the NANGYO, these misinterpretations arose, and the practice of associating the SANSHO with treatment points, for example calling CV-17, JOSHO, arose. Through the ages, scholars have, by quoting the mistakes of these two early Chinese scholars, repeated the misinterpretation. The correct location of the SANSHO can be found by using the REISU, EIESEIKAI chapters as a base, and supporting it with the information found in the CHOI chapter and the HEIJIN ZEKKOKU chapters. Studying these writings we find that the JOSHO refers to the area from the mouth of the stomach to the lips, the CHUSHO, to the area from the mouth of the stomach to the inferior tip of the small intestine and the GESHO from the inferior tip of the small intestine to the anus.
    I have above explained the correct locations of the SANSHO. I look forward to my colleagues' impartial evaluation of these reports.
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