The results obtained from a survey of balneal treatment and medical researches made mainly by means of the CMI card method at Tamagawa Spa in Akita Prefecture are summarized as follows; 1) The spa visitors were about 540 in number, women being twice as many as men. Classified into age group, the number of visitors was almost equal in each group, and classified into occupations, farmers were the largest in number. 2) The visitors came from nearly all parts of Japan, but the majority of them were from Akita Prefecture: 61.7%. Of all the visitors, 52.1% came either for treatment or for recuperation and 31.9% for recreation. 3) This survey revealed that visitors without diseases were 47.9%. Of those who visited the consulting room, the patients with the circulatory diseases were the largest in number. 4) The occurrence of bathing reaction was observed in 37.9%, and those with dermatitis were 21.2%. 5) Those who drank hot-spring waters were 28.4%. 6) The majority of visitors stayed for one or two weeks, bathing three to four times a day. 7) Only 5.5% of visitors came there under doctor's directions, and 6.8%, of them came having information from newspaper or magazine articles. Most of the visitors came there based on their own experience or on others' recommendation. 8) In the CMI, of 236 visitors, 67 were classified into the 1st group (28.4%), 88 into the 2nd group (37.3%), 56 into the 3rd group (23.7%), and 25 into the 4th group (10.6%). Of 108 controls, 45 were classified into 1st group (41.7%), 43 into the 2nd group (39.8%), 17 into the 3rd group (15.7%) and 3 into the 4th group (2.8%). Thus the 3rd and 4th group were quite large in number among the spa visitors. Very few of the visitors over 60 years of age belonged to the 3rd and 4th group. The number of men and women was almost equal in each group. 9) Those who belonged to the 3rd and 4th group were found in the patients with circulatory diseases more than in those with other diseases. 10) No relation seemed to exsist between the ratio of the body length to weight and CMI classification. 11) Of the visitors, 62.4% had the systolic hypertension and 48.9% diastolic hypertension. No definite relation was observable between blood pressure and CMI classification. 12) Of the visitors, studied by means of the CMI card method, 112 visitors were chosen at random for electrocardiograms, of whom 10 were classified into the abnormal group (8.9%), 38 into the semi-abnormal group (33.9%), and 64 into the normal group (57.2%). Incidence of the 3rd and 4th group was high in the abnormal electrocardiogram group. The incidence of the 3rd and 4th group is higher in the cases with sinus tachycardia, arrhythmia, abnormal p wave, bundle branch block and severe ST-T change than in the subjects with sinus bradycardia, prolonged P-Q interval, premature beat, left ventricular hypertrophy and slight ST-T change. 13) CMI card method was useful for screening neurosis out of the mass.
At Imagami Spa in Yamagta Prefecture, consultations on balneal treatments and some medical researches were carried out side by side with a general survey of balneal treatments (August, 1965). Imagami Spa is located in a remote mountain and has been known as “the Spring of God”. There is only one hotel in Imagami Spa, which is open to the genenal public as soon as the snow melts away. Primitive log houses are set up when visitors come not for pleasure but only for balneal therapy. Most of the visitors are from Yamagata Prefecture of whom the aged are large in number. Of the female visitors, those who are engaged in farm work are the largest in number. The largest number of visitors come to this Spa for therapeutic treatment and convalescence, which shows clealy the nature of this Spa. The classification of diseases shows that the visitors are mostly suffering from gastro-enteropathy, neuralgia and cardiovascular diseases. Very few visitors come to this Spa under a doctor's prescription. About 90% of the visitors stay there for more than two weeks; visitors are characterized by long-term balneal tneatment. In general, the visitors tend to bathe excessively and for a long time. About 89.1% of the visitors drink hot spring, water which frequency is greater here than in any other hot spring resorts and which is a rare case in Japan. About 48.9% reported that the balneal treatment was effective and 47.8% replied that it was not clear. Bathing reaction was observed in 29.3% and comparatively large numbers of visitors complained of constipation, fatigue and dermatitis. It was found from Cornel Medical Index (CMI) that 31.3% of the total number of visitors showed characteristic of complaints of the neurotics or neurotic patients, which shows that this Spa is favored by this kind of patients. This Spa proves to be of interest when we take into account the fact that the visitor has a sort of religious faith in this Spa.
447 patients with Bell's palsy who visited our clinic from Apr. 1962 to Mar. 1964 have been studied clinically and electromyographically. The conclusions are as follows: (1) The measurement of the intensity-duration curve of the stimulating electric current is highly valuable in assessing prognosis and is convenient for pursuing the clinical course. (2) But the electrical reaction of degeneration (the so-called “Entartungsreaktion”) should not be discarded in case of Bell's palsy, as the test is very easy to carry out and yet gives useful informations. (3) In the early stage of Bell's palsy, the electromyography cannot have a prognostic value. (4) As to the electrotherapy for the patients without degeneration of the facial nerve, application of a low-frequency rectangular pulse wave with amplitude modulation proved not so effective, compared with sufficiently good result by voluntary exercise therapy as well as massage combined with steroid administration in the initial stage. (5) In case of the patients with degeneration, a complete cure cannot be expected. Sequelae of the degeneration were inevitably observed. Therefore, further effort of the doctors should be given to find a preventive measure against degeneration. (6) Though the efferent impulses are blocked in neurapraxia, many hyperexcitable fibres are mixed in the distal portion of the involved facial nerve. (7) Not infrequently, complex NMU voltage is observed in patients without demonstrable degeneration in the early course of the disease. (8) In the convalescence of patients with degeneraton, the strange “coupled spike” is frequently observed in the electromyogram.
L'auteur a présenté ici huit bains du rhumatisme français et ses établissements thermaux—Aix-les-Bains, Vichy, Amélie-les-Bains, Dax, Morsbronn-les-Bains, Enghien-les-Bains et Bourbon-l'Archambault. Il a eu chance de visiter les premiers sept stations thermales pendant son séjour en France comme boursier de Coopération Technique 1965-1966. Vichy n'est généralement pas pris pour le bain du rhumatisme essentiel. Mais le Grand Etablissement Thermal est très connu au monde entier pour la variété de traitement que Vichy pent présenter. C'est pour cela que l'auteur l'a mis dans son reportage. Il a ajouté Bourbon-l'Archambault pour répondre la gentillesse de Monsieur le Directeur de l'Etablissement Thermal de ce bain, qui l'avait donné documents de Bourbon-l'Archambault oú l'auteur ne l'a pu visiter. L'auteur est surtout reconnaissant à Monsieur le Professeur Delbarre qui lui a assuré des facilités de visites aux stations thermales principales en France.