In order to forecast the state of acupuncture-moxibustion in the 80's, it is necessary to consider the question from the state of medical insurance in the 80's and again the national life and economy in the 80's which will also envelop this problem. It is difficult to believe that an increase in the national economic growth as has been seen in previous years is indicated. This will also probably reach its limit. Thus the debate on the logical allocation of medical resources shall be heightened.
The slow-starting scheme to increase the number of medical doctors is finally starting to produce results. Of course the number of prospective acupuncture-moxibustion therapists has also suddenly increased in recent years. In such circumstances, as medicine becomes controlled by economic considerations, with the increased tendency for medicine to be commercialized, medical treatment as we know it today shall cease to exist. This fact will probably be clearly realized in the 80's. From there a great conversion shall occur ni the philosophy of health sector. Acupuncture-moxibustion also, based on this shall most likely develop anew.

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At the 28th Japan Acupuncture and Moxibustion Society Congress I presented a research report on the above theme. With the cooperation of the prefectural presidents of the Japan Acupuncture and Moxibustion Association nationwide, 19 acupuncture needle manufacturing companies were listed and 50 stainless steel 1.6 TSUN, No. 3 needles were collected from each manufacturer and examined. The results of that study showed imperfect needle tips to average 37.7% and imperfect needle bodies to average 52%.
For this report, last Oct. the needle manufacturers were forewared that early this year a study of needle conditions would be repeated. In Mar. of this year, in the same manner stainless steel 1.6 TSUN, No. 3 needles, 50 each were collected and examined. These results showed imperfect needle tips to average 37.6% and imperfect bodies, 93.9%. From these results it can be said that quality control of the manufactured product is insufficient. I strongly feel that more consideration is necessary in the selection of needle materials.

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We previously reported on needle damage to needles sterilized 50 times. This time we increased the number of sterilizations to 100 times and investigated needle damage. damage.
Sterilization was performed using a small high pressure steam sterilizer at a temperature of 126°C for 25 minutes each time.
1. Non-gold or silver needles had a tendency to become finer but there was no remarkable weight change noted.
2. Resistance to bending tests showed that Chinese needles become more difficult to break.
3. Elasticity tests showed that non-gold needles become easier to restore to their original state.
4. Insertion tests showed that some needles, especially Chinese needles and stainless steel No. 3 needles, become more difficult to insert smoothly.
5. Hardness and sturdiness tests showed a general decrease in both factors with the exception of hard silver No. 3 needles and Chinese needles which become sturdier.

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Tissue injuries induced by electro-acupuncture and their restorations were studied using rats. Respectie stainless steel and silver acupuncture needles were inserted into the subcutaneous and muscle tissue of the ventral side of anterior or posterior limbs. Electrical stimulation of 70V at 2Hz was delivered through these needles for 20 minutes. The rats were sacrificed a week, four days and shortly atfer the stimulation, respectively. Special staining for metallic reactions as well as ordinary staining were performed to examine the histo-pathological changes.
In case of stainless steel needle stimulation, nearly complete restoration from the injuries was observed a week after the stimulation.
On the contrary, restoration seemed to be rather hindered and silver ions remained in the tissue a week after the stimulation in case of silver needle stimulation.

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Acupuncture needles were inserted and artificially broken in subcutaneous and muscle tissues in rats. Movement of the needles in the body and histo-pathological changes thus induced were studied in this experiment.
The needles moved in the body most often within 2 weeks of the beginning of experiments. The movement was observed more frequently in the needles buried in the foreleg than in other parts of the body. It was supposed that the movement was related to the motility of this part. The thin or short gold needles moved least of all. In contrast, stainless steel needles moved more actively, sometimes being found in the internal organs, such as the liver, testicles, heart and spermatic duct. Most of the needles remaining in the body were encapsulated in connective tissues after several weeks.
General implications of the buried needles for a organism were discussed from the histopathological point of view.

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We examined the therapeutic results obtained in the pain clinic for 251 cases of shoulder periarthritis among the patients who visited our clinic during the 10 years from 1969 to 1979 and for whom distinct remote effects were confirmed.
Results
1. According to the type of treatment, the patients were divided into 3 groups. Results indicated good or excellent effects in 46% of the cases in which acupuncture therapy alone was used in 63% of the cases in which only nerve block therapy was used and in 61% of the cases in which a combination of the two types of therapy was used.
2. Examining results based upon differences in duration of the disease, we found that best results, an 80% rate of effectiveness (good or excellent effects), were obtained in cases in which the patient came to the clinic within a month of the onset of the symptoms.
3. Examining results based on the difference in the number of treatments, we found that 11-20 treatments proved to be the most effective with a 73% rate of effectivity.
4. Result differences according to sex showed treatment effective in 56% of male cases and 66% of female cases.
From the above results we learned that even acupunctre-moxibustion treatment alone is fairly effective gor shoulder periarthritis.

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Introduction: Previously an experiment using 4 hypotensive points was performed. This time 6 points were selected and an experiment with the continuing effects of effects of pressure reduction was conducted. Our ultimate purpose is to develop a system of treatment for blood pressure.
Research Materials: 30, No. 32 Chinese needles, PE 300 sphygmomanometer, 40 rats (SHR) 6 months or older, average weight 253g.
Methods: Stationary insertion for a period of 2 hours (with pecking techniques administered at 15 minutes intervals) was administered at each of the following points: ST-25, GB-21, ST-40, BL-23, BL-17, BL-18. The continuing effects was checked after 8 hours, 2 days and 6 days.
Results:: The ST-40 group showed the best hypotensive effects at the 8 hour check. The average reduction in pressure in the ST-40 group after 8 hours was 52.6mmHg. The readings in the other 5 groups after 8 hours showed average reductions of 30mmHg in the BL-18 group, 27.55mmHg in the BL-23 group, 32.3mmHg in the ST?25 group, 9mmHg in the BL-17 group and 39.7mmHg in the GB-21 group.

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At the 29th Japan Acupuncture and Moxibustion Association Congress we reported as one aspect of our research concerning acupuncture therapy for diabetes mellitus on the influences of acupuncture stimulus on serum insulin during OGTT in normal subjects. It was shown that stimulation at 8 acupoints, CV-12, ST-25, BL-18, LI-11, ST-36, SP-8, and LV-3 significantly increased the supplemental secretion of insulin due to glucose loading.
Using the same methods, acupuncture stimulus was administered twice weekly following 4 week period of diet therapy, to diabetic patient for whom the major problem was an insulin secretion disorder. Tests revealed similar improvements in blood sugar and serum insulin values as were observed during OGTT, that is a decrease in fasting blood sugar and a general increase in insulin secretion, thus we'd like to report these facts at this time.

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Purpose: As there has been a sudden increase in the number of cases of tic disease among children the purpose of this report is to take a look at the occurrence tendencies according to age at the time of onset, and symptom classification, and neurometrically the characteristic pattern appearance tendencies as well as to examine statistically whether, clinically, infantile acupuncture therapy is effective in improving symptoms.
Observation Methods: 100 patients were selected randomly from among the patients who came to our clinic with a medical diagnosis of tic disease and other patients with similar symptoms. The patients were divided into 3 groups according to the area in which the tic symptoms occurred: facial tic disease, neck and shoulder tic disease and general (entire body) tic disease. Basic infantile acupuncture treatment was administered. 3 consecutive days of treatment were considered 1 cycle. The effectivity was examined 3 months later through follow-up examinations.
Results: The disease occurred most often among male children. The most prevalent age range was 5-6 years old. The most prevalent type was facial tic disease. The ryodoraku pattern was H1 line depletion, H3·F2 line excitation a rate of 7-9 times more than other patterns. Treatment proved effective in 70% of the cases.

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