日本温泉気候物理医学会雑誌

  The Oyamada General Complex of Medicine and Welfare located in the suburbs about 10 km from the center of Yokkaichi City, Mie Prefecture, consists of a hospital, two health service facilities for the elderly, two special nursing homes for the elderly, a care house, two day service center, a group home, and other facilities. There is also an Oyamada Spa Community Home, a spa facility available from morning until night.
  We conducted a questionnaire survey for users of the Oyamada Spa Community Home, day service, and day care. The results of the survey revealed the effects of the spa including pain relief, increased appetite, and good sleep in the daily users of this spa.
  To the patients with dementia who stays in the facilities and took a bath with assistance during the day twice a week, bathing assistance was given during the night twice a week for 9-12 weeks. As a result, their behavioral and psychological symptoms of dementia (BPSD) and sleeping conditions showed improvement.
  In 2012, a path of about 500 m around the hospital was prepared, and forest bathing has also been provided. The path has been used for the rehabilitation and care prevention of both inpatients and outpatients. The hospital staff members (40-65 of age) were instructed to walk the path for 8-9 weeks, and the effects including decreased weight were then observed in those who walked more than three days a week.
  We present an overview of the research results on spa resort therapy including spa, exercise therapy, diet therapy, and climatotherapy, especially during the period of 2-3 months.

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  Advanced Medicine such as IPS cell, STAP cell, Medical Megabank, BioBank, Robot Surgery, Remote Medical Care, and Future Medicine, has been emerging. China set Chinese medi-cine centered on herbal medicine as a part of national strategy, into which they put big money and many hands.
  How healthcare should be? How advanced technology should be utilized? Where the Med-icine should go? What are the difference between health promotion and healthcare? And how do the both exist together?　How balneology should go with Genomic researches which has been actively conducted?
  Current genomic researches mainly focus on resolving the genomic design and cause-effect relationship between the design and substantial expressions. Considering that these ex-pressions come under the influence of internal and external environments spatially and temporally, the researches on interaction with environment have got to be important. Due to the rise in health care costs, keeping good health and avoiding diseases have been well recognized worldwide. Although both evidence based health promotion and evidence based medicine become standard practice already, can we say that EBM (Evidence Based Medi-cine) is scientific indeed?
  Balneology keeps and promotes good health reasonably using hot springs and natural environment surrounding the human body. It aims to avoid diseases or recover from dis-eases. In that sense, we can say that balneology is ahead of genomic researches. We, however, need more scientific support to prove that. In order to deal with a complex system interacting with external and internal environments, variables for analysis increase enormously.
  In response to this current situation, I would like to think once again with you about the essence of balneology: What is insufficient? What is needed? In which direction should we be heading?

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