Acupuncture-moxibustion therapy is basically a supplemental medical technique which anticipates the natural curing power of the patient and attempts to create the most favorable conditions to bring this into play.
Under what conditions can the body's natural power to cure itself not automatically function? These can be described as the store of extreme imbalance in which the inner-outer, front-back, left-right, top-bottom, exterior-interior balance surmounts the power of the feedback system.
What has become imbalanced? What has been grasped as KI or energy by the ancient Chinese Ancient scholar SOSHI considered the distribution or giving and taking of KI as the existence or non-existence of life itself Perhaps we can get some sense of what is meant by KI by considering words in Japanese in which the term KI is one component such as vitality, spirited, menacing, proud, etc.
How can this energy imbalance be best explained to make it as simple as possible to conceptualize? Let us invoke the Yin-Yang method of comprehension In attempting to understand the conditions of KI that are represnted by Yin-Yang KI sensually, the only way they can be read is through changes which occur on the surface of the body. Color, pulse, shape, those things which atcively and directly change have been instilled as the basic diagnostic materials.
The concept of SHO, the type of KI imbalance which results from the pathological conditions manifested by these symptoms was born of the Yin-Yang method of understanding. It developed according to the 5 Elements theory as a method of grasping the scheme of changes over very precise areas.
At this time I'd like to try to answer the question as to how the SHO concept was formed through the gradual development of acupuncture-moxibustion therapy and for future development, what role it must play.

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The SHO (sydrome) in acpuncture-moxibustion therapy is not synonomous with that of herbal medicine therapy. This is a treatment method in which, obtaining clues from acupoints, unusual reaction points discovered on the surface of the body in the area of treatment through meridian palpation, a form of touch diagnosis, on of the 4 diagnostic techniques, and based on the Oriental medicine pathological evaluation obtained through the other diagnostic techniques, the unusual reaction acupoint group is dealt with using the appropriate technique.
The pathological phenomena indicated in the JUNIKEIMYAKU verse of the KEIMYAKY chapter of the REISU are insufficient in terms of modern knowledge; revision is necessary. It is also insufficient to depend on pulse diagnosis for evaluations of pathological conditions and practical instruction. Reconfirmation of the 4 diagnostic techniques and a plan for their utilization and expansion, especially forms of touch diagnosis other than pulse diagnosis such as points of tenderness, etc., is essential as is the absorption and assimilation of modern medical knowledge.
As an example I'd like to give my opinions on the most frequently encountered complaint in the acupuncture-moxibustion clinic, shoulder stiffness based on the shoulder stiffness based on the shoulder stiffness clinic. The causes of shoulder stiffness are: muscle, bone, structural disorders 2) related phenomena due to organic disturbances 3) cerebral, psychological psychosomatic factors. Speaking specifically of the first type resulting from some disorder in the neck area, as it is difficult to find any particular idiosyncracy or reach any conclusion through the 4 diagnostic techniques and also difficult to classify or determine from accompaanying symptoms or medical history, it is also also difficult to determine whether it is a meridian or muscular disorder, and if for example, it is determined to be a neck muscle disorder, therapeutic instructions are not clarified in classical writings. However in this case applying new knowledge, that is orthopedic testing techniques such as the Allen, Jackson or Spurling compression Tests, etc., and obtaining a positive diagnosis in pain upon hitting and an indication of acupuncture insertion on the cervical nerves, an indication for acupuncture insertion and selection of reaction acupoints on the forearm, in the nape and back area, and on the lower limbs in given.
I believe that for obtaining pathological patterns and establishing the corresponding groups of treatment points it is essential that this new knowledge be incorporated.

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The Oriental Medicine observation of phenomena is performed using the 4 diafinostic techniques: observing, listening, questioning and touching.
The diagnostic information sources can be divided into two processes the first, diagnosis through questioning which draws upon the patient's own memory, and the second, diagnosis through the five senses of the therapist (sight, hearing touch). The segmented bits of information obtained are strongly related with each other and as a result are dealt with as a whole, the organic meridian diagnostic catgories are established and are directly related to theotablished and are directly related to therapy.
The patient's symptoms are diagnosed using the previously mentioned diagnostic methods, the appropriate therapeutic method for the condition that is, the SHO is determined and thearpy administered. At the same time, dynamically observing the process of treatment, correcting the differences in the original treatment methods and the patients actual state of cure, the pathological disorder reaction is corrected. In this manner, from the standpoint of being able to concretel yunderstand the patient's condition, the SHO also becomes a direct tie to the treatment method. From the structure of diagnostic categories then, it it can be said that the SHO is a diagnostic-therapeutic system.
How to arrange the biological information obtained through observation of phenomena met in the clinic to reach the proper diagnostic categories is a problem of dealing with information in a multidimensional information space. For the structural analysis of SHO, including meridians, acupoints, etc. and the various concepts of Orienental medicine, to numeralize the groups which filtered through the filter of multidimensional information, it is desirable to adopt the analytical methods of the large scale computer.
Thus focusing mainly on diagnostic theories such as the practical role of SHO in acupuncture-moxibustion medicine and how to establish SHO by collecting and dealing with a density of physical information, interesting clinical results were obtained.

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Effects of electroacupuncture on the jaw opening reflex were investigated in rats under pentobarbital anesthesia.
The reflex response was elicited by electrical stimulation of the tooth pulp. The EMG's were recorded from the digastric muscles through the cathode ray oscilloscope. Single electroacupuncture stimulation was given to the abdominal area, back and limbs, respectively. The electroacupuncture showed inhibitory effects on the jaw opening reflex, which lasted from about 30msec to 200msec after the stimulation, having the maximum effect from 50msec to 100msec. The inhibitory effects were the most remarkable in foreleg stimulation.

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By measuring skin temperatures using infrared thermography and thermistor thermometer we have found that local skin temperature may be lowered in non-inflammatory pain disease due to circulatory disturbances. Thus far however there have been little reports concerning blood circulation in the deep tissue areas or in remote areas in such cases.
We selected two patients with complaints of neck and shoulder pain on one side and of muscle contracture, (sprain while sleeping and cervico-brachial syndrome) and measured the deep tissue temperature, of 1cm. depth of the patients' palms and the skin temperature of the backs of the patients' hands. The difference between the right and left tempeartures was observed. The affected (unhealthy) side of the body showed lower temperature, 0.5°C in deep tissue temperature and 1.5-2°C in skin temperature. This fact indicates the presence of a circulatory disturbance in the hand on the affected side of the body however after acupuncture to the near point of the cervical vertebra in the lateral neck area (scalenus muscle) and on the shoulders (GB-21, TH-15, SI-14, SI-13, SI-12, etc.). the difference of the temperature disappeared and in some cases the temperature became higher on th affected side.

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1. Introduction: With the increased use of external spinal dura mater injections re suiting disturbances are not uncommon.
2. Case Study: H. S. 45 years farm woman
3. Current History: In March 1977 while engaged in light work the patient underwent daily traction and received injections in the hips daily wiht external spinal dura mater injections once a week. In the 4th week directly after the block, paralysis of the lower half of her body occurred. After 10 consecutive weeks of external spianl dura mater injections the patient was completely paralyzed from the neck down. After 82 days in the hospital during which her condition continued only to worsen the patient lost faith in her doctor and requested discharge from the hospital.
4. Diagnostic Observations: 1st examination June 1, 1978 Sensory paralysis from L 1-2 down. Motor insufficiency paralysis, complete inability to bend forward with the lumber vertebra, inability to put on own pants or trousers, trouble walikng.
5. Acupuncture-moxibustion therapy:
Acunpuncture: Stationary insertion and electrical stimulation between SP-12 and KI-3, and GB-30 and BL-49.
Moxibustion: 5 half rice grain sized cones of moxa administered daily at acupuncture points and CV-6, BL-25, BL-32 and ST-36.
Objects: 55 patients suffering from variouus complaints of the nose, ear and throat.
Method: Every patient was given not only local and general acunpuncture treatment, but also treatment for stiffness in the shoulders an dthe nape.
Results: It was very effective in such cases as auricle obstruction otalgia and facial palsy. On the contrary, it was not effective for nasal discharge and hyposmia.
Conclusion: Without exception, all of patients complained of a sensation of stiffness in the shoulders and the nape. These observations suggest that stiffness in the shoulders and the nape leads to auricle obstruction and otalgia. Therefore, it may be very important to remove stiffness in the shoulders and the nape. From these studies, it is clear that acupuncture is very effective against auricle obstruction and otalgia.

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Objects: 55 patients suffering from various complaints of the nose, ear and throat.
Method: Every patient was given not only local and general acupuncture treatment, but also treatment for stiffness in the shoulders and the nape.
Results: It was very effective in such case as auricle obstruction, otalgia and facial palsy. On the contrary, it was not effective for nasal discharge and hyposmia.
Conclusion: Without exception, all of patients complained of a sensation of stiffness in the shoulders and the nape. These observations suggest that stiffness in the shoulders and the nape leads to auricle obstruction and otalgia. Theerfore, it may be very important to remove stiffness in the shoulders and the nape. From these studies, it is clear that acupuncture is very effective against auricle obstruction and otalgia.

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I would like to report on piercing acupuncture methods and therapeutic results obtained therewith in the treatment of tendovaginitis and tendonitis of the wrists, fingers and feet which arise from trauma, overwork, etc.
The treatment method involved the use of No. 32, 1.5-2.0 TSUN Chinese needles. Insertion was performed, piercing from the inferior ridge of the affected tendon. Needles were left stationary for a period of 10-15 minutes.
Sample Cases: Tendovaginitis of the abductor longus and abductor brevis
muscles 14 cases
Tendonitis of Achilles tendon 18 cases
The average number of treatments necessary in the cases in which cure was obtained was 2 to 5. In especially effective cases (13) 1 to 2 treatments were required; in chronic cases (2) to 15 treatments were necessary.
I will discuss the fact that with this treatment method as compared to previous methods, the circulation improvement in the affected area was increased, inflammation disappeared, and at the same time pain with movement was effectively relieved.

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I would like to report on piercing acupuncture methods and therapeutic results obtained therewith in the treatment of tendonitis of the wrists, fingers and feet which arise from trauma, overwork, etc.
The treatment method involved the use of No. 32, 1.5-2.0 TSUN Chinese needles. Insertion was performed, piercing from the inferior ridge of the affected tendon. Needles were left stationary for a period of 10-15 minutes.
Sample Cases: Tendovaginitis of the abductor longus and abductor brevis
muscles 14 cases
Tendonitis of Achilles tendon 18 cases
The average number of treatments necessary in the cases in which cure was obtained was 2 to 5. In especially effective cases (13) 1 to 2 treatments were required; in chronic cases (2) 10 to 15 treatments were necessary.
I will discuss the fact that with this treatment method as compared to previous methods, the circulation improvement in the affected area was increased, inflammation disappeared, and at the same time pain with movement was effectively relieved.
A 10 question 28 answer questionnaire concerning acupuncture-moxibustion therapy was distributed randomly to 1100 adults in Ibaragi Prefecture and 958 replies were collected. The total compiled results showed that persons having experienced acupuncture therapy were 31.5%, persons having experienced moxibustion therapy were 25.4%, persons believing acupuncture therapy to be effective were 94.3%, persons be-living that it is better to receive acupuncture-moxibustion therapy at an acupuncture-moxibustion clinic than at a regular hospital 52.2%, persons believing acupuncture-moxibustion should require 6 years training the same as a medical doctor 33.4%, persons believing acupuncture-moxibustion therapy should be covered by national health insurance 88.3%, persons believing in the choice of a therapist if his technique is good it doesn't matter whether or not he is blind 76.8%, persons preferring the therapist who can see 20%, and persons preferring the blind therapist 3.2%.
A further classification and comparison of answers to each question according to age and sex gives further suggestion of good results.

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