日本温泉気候物理医学会雑誌

慢性関節リウマチに対する冷泉浴の効果

温泉浴との比較

吉田史郎

1989 年 52 巻 4 号 p. 171-180
発行日: 1989年
公開日: 2010/04/30

DOIhttps://doi.org/10.11390/onki1962.52.171

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慢性関節リウマチ (RA) に対する温泉浴の効果はよく知られているが、冷泉浴については研究がない。そこで九重、寒の地獄泉 (単純硫化水素泉、泉温13℃) 入浴のRAに対する影響を別府堀田泉浴 (単純硫化水素泉、泉温40℃) 入浴の場合と比較観察した。
握力、ランスバリー活動指数、日常生活動作点数はいずれも3週間の連浴 (1日2回入浴) によって、両泉とも改善をみたが、有意差は冷泉浴の場合にのみ認められた. したがってRAに対する効果はむしろ冷泉浴の方が勝っていると思われた。
血中コルチゾール、尿中17-OHCS、尿中17-KS値は3週間の連浴中、両泉とも有意の変動を示さなかった。したがって作用機序として副腎皮質刺激作用は考え難かった。一方血中ノルアドレナリンは入浴直後一過性に有意に増加したが、特に冷泉浴で著明であった。しかも増加の程度は冷泉浴の時間と相関し、それが長くなるほど大となった。尿中ノルアドレナリン排泄量も冷泉浴連浴によって次第に増加し、3週後には有意差となったが、なお正常範囲内であった。アドレナリンに関しては血中、尿中とも有意の変動を示さなかった。
以上よりノルアドレナリン増加によって示唆される交感神経刺激がRAに対する冷泉浴効果の機序の一つである可能性が考えられた。

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温泉旅行客の内科緊急入院の実態

大平敏樹, 宮下剛彦, 今井龍幸, 藤岡均, 琴尾泰典, 加藤正夫

1989 年 52 巻 4 号 p. 181-186
発行日: 1989年
公開日: 2010/04/30

DOIhttps://doi.org/10.11390/onki1962.52.181

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Currently 1.5 million people a year visit the Gero hot spring. A total of 44 patients who suffered from disease while staying there and required treatment were admitted to our hospital during 1987. This paper presents a statistical analysis these 44 cases.
There was no large numerical difference between male and female patients, and about 60% of them were 60 to 70 years old. While some came from Aichi Prefecture, a notable number of patients came from remote places. Most of the patients were admitted to the hospital from the end of summer through winter and often at night. About 50% of patients suffered from heart diseases and cerebrovascular disturbances. The next largest percentage had gastrointestinal diseases. Fifty percent of the patients recovered within a couple of days of hospitalization and all other patients, except two patients who died, left the hospital within 20 days. About 70% of these patients were carried to the hospital by ambulance. About 30% of the patients were considered to have contracted the disease while they were drinking, and the majority of them had heart disease, cerebrovascular disturbance, or acute alcoholism. About 40% of the patients contracted the disease while bathing, and the majority of them had cerebrovascular diseases and respiratory disturbance. Although no correlation with weather was found in 21 cases of heart diseases and cerebrovascular disturbance, onset of the disease in other than optimum temperature and humidity was observed in many cases.
The following five factors were considered to have aggravated the diseases:
1) Advanced age.
2) Overwork.
3) Chronic disease or insufficient health checks.
4) Drinking heavily, bathing after drinking, or bathing for too long.
5) Seasonal factors (summer through winter) and improper temperature or humidity for those patients with circulatory diseases.
Results of the statistical analysis indicated the necessity for guidance in relaxation and at hot springs as well as improvement of spa facilities.

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硫酸ナトリウム・炭酸水素ナトリウム浴の効果第2報

無機塩類浴剤浴における皮膚ヒスタミン量による考察

古元嘉昭, 曽田益弘, 平井俊一, 森末真八, 鈴鹿伊智雄, 藤原敏雄, 川崎義巳

1989 年 52 巻 4 号 p. 187-190
発行日: 1989年
公開日: 2010/04/30

DOIhttps://doi.org/10.11390/onki1962.52.187

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The warming effect of alkaline saline springs is thought to be caused by the presence of Na₂SO₄·NaHCO₃. To clarify the warming effect of alkaline saline springs, an experimental study was carried out using 5 adult rabbits for each 36-37°C bath every day for 20 minutes without anesthesia, on the assumption that cells in the skin tissue were activated to produce histamine by chemical stimulation. The chemical composition of each artificial salt bath was 4 times higher than normal. Skin histamine was measured by fluorescence analysis.
Single bathing in each artificial salt bath had no significant effect on the skin histamine contents. However, the skin histamine contents after a serial bathing in Na₂SO₄·NaHCO₃ (p<0.01) and CO₂ baths (p<0.05) for 3 weeks were significantly increased compared with that of tap water.
The small amount of histamine released as a chemical mediator may have caused the warming effect, as observed in type 1 allergic reaction.

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炎症に対する刺針作用の研究第2報

刺針の Superoxide dismutase 様作用検討

戸田静男

1989 年 52 巻 4 号 p. 191-193
発行日: 1989年
公開日: 2010/04/30

DOIhttps://doi.org/10.11390/onki1962.52.191

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It was suggested that the effects of applying acupuncture at Kyoku-sen (Chuchuan) mimicked point of human to reduce footpad edema on the serotonin-dosed leg, which has been induced by dosing of serotonin, were due to the activation of superoxide dismutase in subcutaneous tissues of the point at Kyoku-sen mimicked point of human and footpad edema area on the serotonin-dosed leg. These data indicate that the antiinflammatory effect of acupuncture has a superoxide dismutase-like action.

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SPA THERAPY IN UROLOGICAL DISEASES

Christoph GUTENBRUNNER

1989 年 52 巻 4 号 p. 194-203
発行日: 1989年
公開日: 2010/04/30

DOIhttps://doi.org/10.11390/onki1962.52.194

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