There are three basic columns of procedure in Oriental medicine.
1) To reveal the meridian phenomenon clearly, 2) To ev aluate the results of Oriental medicine objectively, 3) To find the most suitable methods to treate difficult cases by Oriental medicine.
In Japan, the Welfare Ministry selects some difficult cases (over 50 diseases) as Specified Diseases and national funds are provided by the Welfare Ministry for the study and research of these diseases. Also patients who suffer from these difficult diseases will be helped economically for their treatment.
In 1974, our hospital changed its name from the First National Hospital in Tokyo to the National Medical Center Hospital mainly because it has its own institute to study clinical problems from the view points of basic science and also it can study the mechanism and pathoohysiology treatment methods of these difficult cases.
According to this plan, we started to study the treatment of these difficult cases by Oriental medicine 5 years ago and nearly 120 cases were treated already in my clinic. The general rules for treatment are as follows:
1) The diagnosis and results of the treatment a r e confirmed by specialists,
2) The patients may be treated basically as in-patients and the r esults will be studied after one course of treatment which is usually three months, and
3) The treatment consists of general treatment, local treatme nt and specific treatment according to the rules of Oriental medicine and also Western medicine is used together with Oriental methods, if necessary.
We examined the results of the treatment in my clinic by questionaire and 587 answers were received from 1314 patients. Among them 38 belonged to the difficult cases. Among these-difficult cases at the end of one course of our treatment, no one indicated very good results; that is to say nearly cured (A group). However 8% answered 'A' after some treatment in other hospitals.
The remarkably improve d group (B group) was 11% when they left my hospital, and 18% after further treatment. The kinds of treatment after leaving my hospital were acupuncture, 28%; medicament therapy, 28% (including 2 % by herb medicine); and no treatment, 38%.63% of the patients hoped to continue acupuncture treatment even after leaving my hospital. From these facts, it can be said that acupuncture and Orie ntal medicine is useful for the treatment of difficult cases especially to decrease the complaints caused by the disturbances of the autonomic nerves.

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As a new method of scalp acupuncture therapy, the author gave treatments for headache, sleeplessness, and neurosis on Ryodo-points in the region of occipital nape.
Kan-Kotsu (_??__??_ ), Fu-Chi (_??__??_ ), An-Min 1, 2 (_??__??_ 1, 2), A-Mon (_??__??_ ) Fu-Fu (_??__??_ ), Ten-Chu (_??__??_ ) are regarded as important reactive electric permiable points in this region.
In addition to the above these points, the author gave D. C. acupuncture treatment with a sparrow pecking needling technique and low frequency electric acupuncture treatment to stomach area, throat area in the frontal hairline part and motor area in the frontal part.
Acupuncture treatment to the both of hemispheres in the lower part of motor area with changing the anode and the cathode on alternate days showed good effects on sleeplessness, neurosis and headache. These were in premotor area (Area 6) and called psychomotor area autonomic system. Regarding Ryodo-points in occipital nape part, we have Magoun's theory, but it seems to the author that there is a close connection with “Locus Coeruleus” of pons and medulla oblongata and it is significant to regulate the function of “Locus Coeruleus”.

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The acupuncture treatment does not work enough when the diagnosis criteria of Meniere disease are mistaken.
When acupuncture treatment does not show any effect on vertigo for a month, the patient should be needed the examination of equilibrium function at a nose and ear specialist to seize the acurate diagnosis of vertigo.
The relation between vertigo and blood pressure should be taken a serious view in researching on clinical transition.
To give treatments without understanding the adaptation and the treatment limit may happen to be in danger of falling into a clinical trap which is seriously related with lives. To avoid this clinical trap, cautious diagnosis and treatments of planning quality should be required.

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The bleeding of 20-30 drops was made by inserting an infector needle at Seiketsu located in the tip of limbs. And it was found that the bleeding has an inhibitory action to abnormal exasperation of autonomic nerves (sympathetic and parasympathetic nerves)and motor nerves and sensory nerves.
(It was found that H5 had an inhibitory action to the abnormal strain of parasympathetic nerves in Apr.22, 1973) Seiketsu-Shiraku treatment is applied with this inhibitory action.
In Seiketsu-Shiraku treatment, many of the nature of diseases are regarded as the symptoms came from the abnormal exasperation of autonomic nerves or motor nerves and sensory nerves. In case of giving treatments, the organ showing the nature of disease and the properties of a nerve controlling the organ should be considered.
It is important to choose the exact Seiketsu which can control the nature of disease and give the treatment on it.

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Germa.32 is a new 10×10×2mm, 400mg germanium cone. The influence of germa.32 application upon the aged people of half healthy and half diseased conditions was studied by checking the index from the measured values by a Neurometer. Germa.32apPlication on 2-5
Hanno-Ryodo points (reactive electro permeable points-REPP) to 15 cases for three hours except one resulted in observing tendencies to restore autonomic nerve unbalance.
Restoraton to physiological range of only one case was unsatisfactory. Germa.32 seems to be effective for the improvement and restoration of the disease or half healthy and half diseased conditions, but the confirmation of clinical effects with Germa.32 by investigating the date of clinical tests with those accumulation is a subject being left for further investigation in the future.

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The author had the opportunity to give Ryodoraku treatment to the Japanese longestlived person, Mr. Shigechiyo Izumi, 114 years old, was born in 1865. He lives in a small island in Kagoshima prefecture, called Tokuno-shima. Through a whole year, this island has warm temperature and has neither snowing, frosting nor polution.
He has hardly had a day's illness, but he is recently complaining abdominal distention and constipation. By the General Ryodoraku measurement, the excitation of H₂, H₃ and the inhibition of H₄, H₅, F₄ are slightly recognized. So the author gave Ryodoraku regulation on these points. Ryodoraku treatment on REPP (Reactive Electro Permeable Point) in the region of lower limbs and abdomen has brought excellent results. The values of General Ryodoraku measurement almost settled between 10 and 30, which was admirable result. Besides, the result of blood test and clinic pathological tests of the heart, the kidney and the liver showed good conditions.
By the way, Mr. Shigechiyo Izumi has been taking the Dr. Nakamura's method of brush needle treatment since two years ago.

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