We treated 600 patients with cardiovascular diseases in past 10 years (hypotension 192, hypotension 342, ischemical heart disease 39, cardiac arrhythmias 29 cases) by the Nakatani's Ryodoraku-acupuncture.
Among them, 65% of patie nts had improved clinical symptoms, namely in patients with hypotensions, the regulation of blood pressure associated with change in body position and clinical symptoms such as dizziness were improved, or their blood pressure was elevated, in hypertensive patients, they required less anti-hypertensive drugs to control blood pressure, in patients with ischemical heart diseases st depression on ECG and subjective symptoms became improved, and in patients with cardiac arrhythmias, the incidences of premature beats and paroxysmal auricular flimmern were decreased.

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Piercing acupuncture therapy is a method by which the needle is inserted at special acupoints or reaction points and inserted to a determined depth toward another acupoint or an opposite side such that the needle is inserted subcutaneously to the object area. For example, when the needle is inserted at GB- 53 passing through BL- 54 toward KI- 10 the needle passes through the connective tissue subcutaneously to the objective side, pecking techniques are administered and the needle withdrawn. By so doing the needle need not pierce the shin on the opposite side moreover the needle is inserted at an area at which there is no resistance to the needle point during insertion and no resistance to changes in insertion direction.
We obtained excellent effects not only with periarthritis of the shoulder, elbow arthralgia, knee arthralgia and other motor system diseases using piercing acupuncture methods, but also with reflexive pain in the thoracic abdominal and lumbar regions as well as numbness of the 4 limbs, paralysis, etc.. In 56% of the cases the pain completely disappeared with 1treatment and was alleviated in 35%, that is, in total, 91% pain relieving results were Dbtained. In 16 cases pain recurred however after 2 - 7 insertions the pain disappea red completely. In the remaining 9 % of the cases no change or impairment was reported thus therapeutic methods were changed after 1 treatment. In these experiments in addition to treatment in the area of pain we examined for tenderness between the spinous processes of the vertebrae and administered piercing acupuncture therapy. Tenderness was especially remarkable between c₃-c₄, and c₄-c₅, occuring in 70% of the cases. These were cases of periarthritis of the shoulder, inability to twist neck, epigastrium pain, thoracic pain, numbness of fingers and hand, elbow pain, etc..
Piercing acupuncture therapy is one of the special specific treatment acupuncture techniques. Frequently good results are obtained with only one insertion however used as a supplementary technique for heretofore used acupuncture therapy it will be found even more effective.

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