A comparative study on spa bathing alone and bathing in combination with herbar medicine was carried out on 21 patients with vibration syndrome of grades III and IV. Eleven patients (group A) were treated with spa bathing alone; the other ten patients (group B) were treated with spa bathing in combination with herbar medicine (“Goshajin-kigan, ” “Bushi-powder” or “Touki shigyaku kago syuusyo syoukyoutou, ” “Bushi-powder”). All patients were male from 55 to 73 years old. Subjective symptoms, capillary blood flow volume, skin temperature, and velocity of peripheral nerve conduction were examined before and after each treatment. In subjective symptoms, the ratio of improvement in group B was significantly higher than that in group A, especially in “numbness, ” “coldness, ” and “discoloration.” Volume of capillary blood flow in group B was significantly larger than that in group A. Skin temperature in group B was significantly higher than that in group A. However, no significant difference was found in the velocity of peripheral nerve conduction before and after treatment or between group A and group B.
The effect of the artificial CO2-bathing on the blood pressure in patients with Parkinson's disease with autonomic disorder was investigated and the conclusions were obtained as follows; 1. Regardless of the extent of the autonomic disorder and the contents in the bath, the slight increase in the blood pressure was observed immediatly after the bathing. 2. Systolic blood pressure within 100-150mmHg before the bathing decreased gradually during the bathing and the degree of the decrease was proportional to the extent of the autonomic disorder. The variation of the blood pressere during the bathing was within 30mmHg. 3. Furthermore, when the artificial CO2-bathing liquid was used, the decrease in the blood pressure after the bathing was salient in proportion to the extent of the autonomic disorder and it was observed that the restoration of the blood pressure to the level before the bathing was remarkably delayed compared with the tap water bathing. This phenomenon was similar in patient with Shy-Drager syndrome characterized by severe autonomic disorder. 4. From the above results, it was suggested that the close management of the blood pressure and the attention to the change of position are necessary during and after the artificial CO2-bathing in patient with Parkinson's disease with severe autonomic disorders and patients with Shy-Drager syndrome.
The attack of Raynaud's phenomenon (RP) is characterized by finger blanching in response to cold or emotional stimuli. To clarify the relationship between the attack of RP and air temperature, certain inhabitants of mountain village “T” (N1=23) who had primary RP (PRP) were observed every day from August 20, 1990 to May 31, 1991 and those in town “K” (N2=20) were observed from November 1, 1990 to May 31, 1991. One hundred and sixty-seven attacks of RP among 6 subjects in T Village and 89 attacks among 8 subjects in K Town were observed. In T Village, the frequency of attacks was high in the morning, and the minimum and mean air temperatures in the days when some of the subjects had attacks (“attack days”) were significantly lower than those in the days when there was no attack on any subject (“non-attack days”). In K Town the frequency of attacks was high both in the morning and in the evening. In addition, the, mean and maximum air temperatures on the “attack days” were significantly lower than those on the “non-attack days.” The threshold temperature to cause RP attacks differed from one subject to another (5.2 to 17.6°C) in K Town during the period from November through February. The minimum air temperature which caused an attack of RP on any subject in T Village from August 20 to December 31 was 17.8°C. These results suggest that cooling of the whole body in daily life promotes the onset of attacks of RP. When the minimum air temperature becomes lower than 18°C from autumn to winter, the whole body must be protected against cold to prevent the onset of RP.