日本温泉気候物理医学会雑誌

慢性閉塞性呼吸器疾患に対する温泉療法の作用機序について

谷崎勝朗, 貴谷光, 御舩尚志, 光延文裕

1994 年 57 巻 3 号 p. 183-190
発行日: 1994年
公開日: 2010/04/30

DOIhttps://doi.org/10.11390/onki1962.57.183

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慢性閉塞性呼吸器疾患に対して温泉療法は有効であるが, その有効性は疾患の病態によりかなりの差が見られる。本稿では, 慢性閉塞性呼吸器疾患の1つである気管支喘息を中心に, 温泉療法の作用機序について若干の検討を加えた。
気管支喘息に対して温泉療法は有効であるが, 患者年齢, 気道内炎症反応の程度および喘息の病態により, その有効率はかなり異なる。そして, 全般的には, 41歳以上の年齢, 明らかな気道炎症反応が見られる症例 (炎症細胞では, 気管支細胞洗浄 (BAL) 液中特に好中球や好酸球の増加が見られる症例), また気管支喘息の臨床分類では, 過分泌型 (Ib型: BAL液中好酸球増加が特徴) や細気管支閉塞型 (BAL液中好中球の増加が特微) などにおいて, 温泉療法の有効性が高い。これらの臨床的観察より, 温泉療法の作用機序としては, 以下のようなものがあげられる。
1. 温泉療法の直接作用
気道に対する温泉療法の直接作用として, 自覚症状の改善, 換気機能の改善, 過分泌の抑制, 気道過敏性の低下などが観察される。
2. 温泉療法の間接作用
気道以外の臓器に対する温泉療法の間接作用として, 血清IgGの低下, リンパ球サブセットへの影響 (CD4+リンパ球の増加, CD8+リンパ球の減少, CD4+/CD8+比の上昇, CD23+リンパ球の減少), 血中アドレナリン, ノルアドレナリンの減少, 低下した血清コーチゾール値の上昇, 全身状態の改善, などが観察される。

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事象関連電位からみた針刺激時に生じる特異な感覚 (得気) の特性について

渡邊一平, 矢野忠, 森和, 丹澤章八

1994 年 57 巻 3 号 p. 191-198
発行日: 1994年
公開日: 2010/04/30

DOIhttps://doi.org/10.11390/onki1962.57.191

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Although De-qi sensation induced by acupuncture stimulation has been considered one of the conditions for good acupuncture effects, its physiological significance has not been clarified. Therefore, we examined the influence of De-qi sensation on the central nervous system (CNS) by measuring the event-related potential (ERP) induced by acupuncture stimulation.
Tests were conducted on nine healthy adult males. Acupuncture stimulation was given to these subjects, and ERPs were collected from three locations of the head, Fz, Cz, and Pz, using both ear lobes as reference electrodes. For control data, surface electric stimulation was given to the same subjects and ERPs were collected from the same locations. Acupuncture stimuli or electric stimuli were given to the left-side LI10 32 times at random intervals of 4 to 7 sec. To analyze ERPs, ERPs in response to 32 trials were averaged using a DP 1100 system (a signal processor made by NEC SANEI, LTD.).
The latency of the ERP triggered by acupuncture stimulation was approximately P350msec, while that of the ERP triggered by electric stimulation was found to be approximately P250msec, resulting in a difference of P100msec. These results suggest that the De-qi sensation induced by acupuncture stimulation may strongly influence the CNS functions, especially the processing recognition of CNS. It is suggested that this acupuncture stimuli related potential may not be p-LPC.

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気管支喘息に対する温泉療法の遠隔成績, 気道細胞反応と換気機能との関連

谷崎勝朗, 貴谷光, 御舩尚志, 光延文裕, 梶本和宏, 越智浩二, 原田英雄, 木村郁郎

1994 年 57 巻 3 号 p. 199-208
発行日: 1994年
公開日: 2010/04/30

DOIhttps://doi.org/10.11390/onki1962.57.199

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気管支喘息84例を対象に, 気管支肺胞洗浄液 (BAL) 中の細胞成分および換気機能との関連のもとに, 温泉療法の遠隔成績について検討を加えた。
1. 気管支喘息84例中, 温泉療法の遠隔成績は維持療法を行った43例で観察された。これらの症例のBAL液中の細胞成分は, マクロファージ71.0%, リンパ球16.2%, 好中球5.9%, 好酸球7.1%であった。また, FEV1.0%は平均66.7%, %V₂₅は27.7%であった。
2. 温泉療法の遠隔成績は, 維持療法を行わなかった13例で観察されたが, これらの症例のBAL液中細胞成分では, 好中球1.4%, 好酸球1.6%でいずれもその値は低く, 一方, FEV1.0%は78.4%, %V₂₅は42.1%といずれも高い値を示した。
3. 温泉療法の遠隔成績は, 維持療法を行ったにもかかわらず, 12症例では観察されなかった。これらの症例におけるBAL液中の好中球頻度は18.5%, 好酸球は7.3%であり, いずれの細胞も明らかに高い頻度を示した。そして, 換気機能では, FEV1.0%は51.3%, %V₂₅は10.9%といずれも極めて低い値であった。
4. 温泉療法の遠隔成績は, 維持療法を行わなかった16症例では観察できなかった。これらの症例のBAL液中の細胞成分や換気機能は, 維持療法を行い, 温泉療法の遠隔成績が観察された症例とほぼ同様であった。

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一側の掌側振動部の局所冷却と鍼による同側VFR, 対側VFRの抑制

尾崎昭弘, 仲西宏元, 廣正基

1994 年 57 巻 3 号 p. 209-216
発行日: 1994年
公開日: 2010/04/30

DOIhttps://doi.org/10.11390/onki1962.57.209

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Topical cooling effects at the site of vibratory stimulation were studied using vibration-induced flexion reflex (VFR), which was induced simultaneously in both hands, as an indicator for assessment.
As a result, it was found that the inhibition of ipsilateral and contralateral VFR related to topical cooling of the palmar vibratory site on one side was caused by cooling within a limited area of the palm where the vibratory element contacted. Application of acupunctural electrical stimulation of disrupting nature in place of topical cooling to the vibratory stimulation site on one side also effectively inhibited VFR on both sides.
Although the skin temperature did not decrease on the side contralateral to the side that had been cooled, VFR was completely inhibited on both the cooled and uncooled sides.
These results suggest that the peripheral impulses which arise from cooling the vibratory site on one side act on spinal interneurons and alpha-motor neurons, which contribute bilaterally to the VFR expression, thus inducing a neurogenic inhibitory effect on VFR.

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医療系学生の東洋医学, 温泉医学に対する意識調査

井奈波良一, 杉浦春雄, 藤田節也, 岩田弘敏

1994 年 57 巻 3 号 p. 217-223
発行日: 1994年
公開日: 2010/04/30

DOIhttps://doi.org/10.11390/onki1962.57.217

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To explore the possibility of incorporating oriental medicine and medical hydrology in the educational programs of medical, nursing and pharmaceutical schools, a questionnaire on the attitude of medical students (group A, N=70; group B, N=77), nursing students (group C, N=64; group D, N=61) and pharmaceutical students (group E, N=172) who had not yet received any practical medical education was circulated. The results showed that about 50% of the students did not recognize the term “medical hydrology, ” and about 10% of them did not recognize the term “oriental medicine.” Seventy-five percent of the group A medical students and 93% of the group B medical students were interested in oriental medicine, and these rates were higher than those who were interested in medical hydrology (49% (67%)). About 50% of the nursing and pharmaceutical students were interested both in oriental medicine and medical hydrology. Eighty-two percent of group A and 86% of group B medical students hoped to attend lectures on oriental medicine, and these rates were higher than those among nursing and pharmaceutical students. Between 49% and 60% of the students of all three groups hoped to attend lectures on medical hydrology. This rate was lower than that of those who hoped to attend lectures on oriental medicine. In general, the rate of those who had a positive image of oriental medicine was higher among medical and pharmaceutical students. However, there were no significant differences in the rates of those who had a positive image of medical hydrology among different groups of students. In all student groups, the rate of those who answered that both oriental medicine and medical hydrology are “relatively effective” was the highest.

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アルコール依存症者の入浴に関する実態調査

木村武登

1994 年 57 巻 3 号 p. 224-228
発行日: 1994年
公開日: 2010/04/30

DOIhttps://doi.org/10.11390/onki1962.57.224

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A survey was made on the bathing habits of 36 male alcoholics who were outpatients of my clinic.
The following results were obtained.
1) Eighty-three percent of these patients had a habit of bathing while drunk.
2) Although most of patients (94.4%) were aware of the risk of bathing after taking alcohol, they thought it was safe for themselves.
3) Thirty-three percent of the patients had circulatory diseases such as hypertension and arrythmia and 16.7% had liver cirrhosis.
4) When bathing after taking alcohol, 30.0% of the patients (9) felt subjective symptoms (palpitation in 5 patients, dizziness in 3, and fast breathing in 1). Six of these patients had experienced hypertension.
Alcoholism often recurs, and patients with alcoholism become heavy drinkers easily. To prevent complications in connection with alcoholism and to improve their quality of life, I believe an education program is necessary to teach them the dangers of bathing while drunk.

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Possibilities to Use Bulgarian Peloids in Rheumatology

D. Krasteva, L. Vladeva, Y. Yordanova

1994 年 57 巻 3 号 p. 229-232
発行日: 1994年
公開日: 2010/04/30

DOIhttps://doi.org/10.11390/onki1962.57.229

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