During the past several years, the author has repeitedly reported concerning this subject in this congress.
1) He reports this time firstly the clinical and clinical-experimental results he obtained on some “pressation” points. The diagnostic value of pressation does not consist in the diagnosis of what the disease is, but in that of the prognosis. In the case of gastric and duodenal ulcers, for instance, pressation is the most valuable method for diagnosing the prognosis, second only to X-rays.
2) Secondly, the author discusses the mechanism of the appearance and the substance of pressation points, and attempts to complete the schema of the appearance of three, out of many, pressation points, i.e., PUGLISI-ALLEGRA's paravertebral and gluteal points.
3) To clarify the so-called “Paradox Phenomenon”, which was found while studying PUGLISI-ALLEGR A's points and reported in 1947 by MATUNAGA and SUZUKI, the new hypothesis, “Negative Axon Reflex”, is advocated.
4) While investigating the relation between the pressation points and the automatic nervous system, the author and his co-workers have found clinically and pharmacologicoexperimentally that, in the case of positive gluteal points, there are more patients with so-called sympathicotonia than those with so-called vagotonia. The author presumes that the disharmonia of the automatic nervous system may occur as a result of some visceral disorders, which v. BERGMANN attributed, in the name of “vegetative stigmata”, to the former.
5) It has been found by the author that the measurement of the skin temperature at the paravertebral parts is the pure objective method which is in some cases more effective and reliable than pressation. When examined with a thermoelectric thermometer, it will be found that there is a local hypothermia, which is ca 1°C, sometimes up to 2°C, lower han the temperatare of the neighbourhood.
6) This hypAhermia, which the author likes to call “Air Pocket Phenomenon”, is due to the “Segmental or Partial Sympathicotonia”, the fact which the author wants to advocate. This clinical fact, the author believes, will be of use not only in the diagnostics and perhaps the therapeutics in near future, but also in the animal experiment on the problem of visceral pain.
7) Lastly, the auther advocates something about the definition of pressation and about the nomenclature of pressation points.

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I made researches on several kinds of side chain fatty acids and their alcohol, and examined their Ketogenic action in vivo.
An improved method of the salicylaldehyde-stepphotometer, one of Neuweiler was used for the quantity measurement of acetone bodies in the blood of rabbits.
capric acid (+)
decanol (-)
α-ethylcaproic acid (-)
2-ethyl hexanol (-)
dihydrocitronell acid (+)
When tetracarbonchloride was given
capric acid (+), dihydrocitronell acid (+)
The results led me to conclude that the oxidation process of alcohol to carboxyl and the co-oxidation process in fatty acid chain within livimg bodies are not very fast and that the fact satisfies the β-oxidation-condensation theory of McKay and Wick which ω-β-side chain fatty acid was Ketogenic.

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A fairly close relationship was observed between Bickenbach standing test on onehand and the extent of blood pressure decrease in the retinal capillaries at the macula lutea and hypotension during laparotomy on the other.
In other words, there is a definite correlation between the occurrence of shock symptoms during laparotomy and the regulating capacities of the peripheral circulatory system. Therefore, I believe that a test of this nature should be tried before nonemergency operations of the digestive tract.

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The purpose was to determine which kind of hexoses might be most effectively absorbed and utilized in human individuals.
Blood, drawn from the portal vein and the ear lobe after injecting hexose solutions into the jejunum of patients in the course of operation, was analysed and compared.
On the other hand, arterial-venous diffdrences in blood sugar level were determined after injection of concentrated hexose solutions into the portal vein during laparotomia.
1) Generally speaking, both the reduction of liver glycogen and the increment of peripheral blood sugar caused by mere operative procedure were observed. Further, the degree of such reduction and increment ran parallel to the extensiveness of the surgical procedure concerned.
2) Not only levulose, but also galactose, was absorbed well and rapidly from the mucous membrane of the small intestines and reserved in the liver for utilization.
3) Levulose seems to be easier to be utilized in the peripheral tissues after passage of the liver in higher concentration than when it is directly given intravenously. This fact seems to be more evident when compared with glucose.

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