1.A new attempt for objective description of pulse diagnosis.
Shohhachi TANZAWA ; Kouzou NEMOTO ; Hidekatsu KITAMURA
Journal of the Japan Society of Acupuncture and Moxibustion 1987;37(1):1-5
Pulses were taken by using three sensors, one of whitch was put on top of the index finger, another on the middle finger and the last on the ring finger.
Pulses were taken from patients and normal subjects and were described as pressure pulse waves.
The pressure of the tips of fingers when doing a pulse diagnosis was measure for seven chinese doctors. Consequently, we confirmed that the pressure was distributed widely and the technique of pulse diagnosis included a lot of individual factors.
On the other hand, we found several pressure pulse waves were significant in relation to findings of pulse diagnosis.
2.Skin temperature of hemiplegic patients and Effects of stellate ganglion stimulation by acupuncture on skin temperfture
Shohhachi Tanzawa ; Hidekatsu Kitamura ; Mamoru Mizukami ; Kaoru Satoh
Journal of the Japan Society of Acupuncture and Moxibustion 1981;31(1):17-26
At the 30th general meeting of this association we reported the value of conducting a fundamental, methodological study of stellate ganglion insertion on the basis of clinical indications obtained from clinical results indicating that stellate ganglion insertion (hereafter referred to as SG insertion) on the affected side is appropriate for the treatment of the central sensory dis-turbances, especially numbness of the arms on the afflicted side, accompanying post cerebral apoplexy syndromes.
At this time we'd like to report, using cutaneous surface temperature as an index, the results of examinations of the inflnences exerted on circulatory fluctuation by SG insertion, from among our fundamental study of the functional mechanism of SG insertion.
The cutaneous surface temperature was measured using a Fujitsu made Infra-eye 150 thermograph. After the clothing from the upper half of the body was removed and the patient had rested in a sitting position for 20 minutes in a temperature-humieity controlled room, the body was monitored and from the picture obtained the cutaneous surface temperature at the 5 points used in this study, GB-14, LI-20, SI-18, _??__??_, and LI-14, measured.
There was no significant difference in the cutaneous surface temperatures at the facial points on healthy subjects and hemiplegia patients, however it was discovered that on points on the upper extremities the readings on the affected side were significantly lower than those of healthy subjects or those on the healthy side, moreover readings on affected sides in which numbness was reported were significantly lower than on the affected sides in cases in which no numbness was reported.
Results upon administering SG insertion to above cases in which there was reported numbness and measuring sutaneous surface temperatures periodically revealed that the difference in temperature 15 minutes after operations decreased slightly with a tendency to become greater than before operations 2 hours afterward. Also the interesting observation that the correlation of reciprocity of the 6 points varied acording to SG insertion, was made.
3.Adult granulosa cell tumors of the ovary: a retrospective study of 30 cases with respect to the expression of steroid synthesis enzymes.
Sachiko KITAMURA ; Kaoru ABIKO ; Noriomi MATSUMURA ; Hidekatsu NAKAI ; Yumiko AKIMOTO ; Hirotoshi TANIMOTO ; Ikuo KONISHI
Journal of Gynecologic Oncology 2017;28(4):e31-
OBJECTIVE: Some, but not all, granulosa cell tumors are characterized by estrogen production. This study was designed to determine whether there are clinical or pathological variations in granulosa cell tumors in relation to the expression of sex steroid synthesis enzymes. METHODS: Clinical symptoms, serum hormonal values, and histology of 30 granulosa cell tumor patients who underwent surgery between 2002 and 2014 were retrospectively reviewed. RESULTS: Most patients presented with abnormal genital bleeding including abnormal menstrual cycles. Eight of 16 patients older than 50 years had endometrial hyperplasia and one had endometrial cancer. Serum 17β-estradiol (E2) levels tended to be higher in patients over 50 years of age (p=0.081). Serum follicle-stimulating hormone (FSH) levels were low in all patients irrespective of serum E2 levels. Magnetic resonance imaging revealed a thicker endometrium in older as compared to younger patients (p<0.05). Tumor cells in the majority of cases were positive for inhibin α and P450 aromatase, irrespective of age and serum E2 levels. P450 17α-hydroxylase (P450c17) expression varied among cases. P450c17 was strongly positive in luteinized tumor cells and weakly positive in theca cells and fibroblasts. High E2 levels were associated with P450c17-positive cells in the tumor (p<0.05). CONCLUSION: The expression of hormone-synthesizing enzymes divides granulosa cell tumors into 2 distinct types; tumors with P450c17-positive cells show elevated serum E2 and related clinical symptoms, while tumors without these cells show symptoms related to FSH suppression by inhibin.
Adult*
;
Aromatase
;
Endometrial Hyperplasia
;
Endometrial Neoplasms
;
Endometrium
;
Estrogens
;
Female
;
Fibroblasts
;
Follicle Stimulating Hormone
;
Granulosa Cell Tumor*
;
Granulosa Cells*
;
Hemorrhage
;
Humans
;
Inhibins
;
Lutein
;
Magnetic Resonance Imaging
;
Menstrual Cycle
;
Ovary*
;
Retrospective Studies*
;
Steroid Hydroxylases
;
Theca Cells