A case of 62 years old male presenting chronic hepatitis with accidental finding of carcinoma of gall bladder was reported. The traditional Chinese medical treatment has an excellent effect in improving the subjective and objective symptoms associated with chronic hepatitis, but because of this case revealed, in the case of early stage of carcinoma there is a steady growth of tumor even though the symptoms were improved. This indicates the need of thorough investigation with the standed westerm medical parameters while treating case with traditional Chinese medicine.

The relationship between tongue coating and Pancreas exocrine function was investigated in 45 cases by pancreatic function diagnostant. These cases were classified into three groups, “slight, ” “moderate” and “marked” according to the degree of thickness of tongue coating. Among the three groups, the mean rate of PABA excretion in urine tended to decrease as the degree of thickness of the tongue coating increased. That in the marked group was lower than in the slight group with statistical significance. The results suggest that thickness of tongue coating is partially related to pancreas exocrine function.

Two cases of bedridden patients effectively treated with the Kampo formula Ogikenchu-to are reported. The first case was a 76-year-old female. She had been admitted to a hospital for about five months due to subarachnoid hemorrhage and had been bedridden because of a lack of volition. She was transferred to Riverside Hospital for rehabilitation. At the time of her admittance, her legs were paralyzed with disuse atrophy and her activity of daily living was very restricted. The authors prescribed Ogikenchu-to for her. Her activity of daily living (ADL) showed improvement day by day, and she was finally able to walk with the help of a walking supporter.
The second case involved an 86-year-old female who was hospitalized in a clinic with a compression fracture of the lumbar spine. She had been bedridden for about two years. After being transferred to Riverside Hospital for rehabilitation. Ogikenchu-to was administered. Her willingness to participate in rehabilitation gradually improved. She regained the ability to sit up straight, and could walk with a cane. She now enjoys her life with her family.
These clinical case studies suggest that Ogikenchu-to may be useful in the treatment of aged bedridden patients.

It has been thought that the term “shukuben” does not mean a simple constipation but rather that a substance is stagnating in the digestive tract despite ordinary defecation. However, there has been no concrete evidence for this shukuben definition.
The authors have obtained evidence for what may be one type of shukuben, by means of X-ray photography after an upper digestive tract examination using a barium sulfate contrast medium, in a patient with irritable bowel syndrome. The X-rays showed the contrast medium adhering to the colon wall three days post-examination despite subsequent diarrhea, suggesting one type of shukuben. In this paper, the authors also reported the result of a historical search for the term shukuben in the past medical textbooks, which revealed that the first description of this term is found in hougizashi and was described by Yodo Odai. We also considered that this term is a derivation of shukushoku meaning a stagnation of digestive tract contents.

Since ancient times, acupuncture and moxibustion have been widely administrated for any emergency case. In this country, they have been endeavored at establishing the harmony between Kampo and Modern medicine. Based on such background, we report two cases of colic pain attack of lithiasis successfully treated with contact needle therapy established by Bunkei Ono.In case one, ureterolithiasis brought colic back pain. Symptoms were improved with satisfaction for one session and the stone discharged via following Kampo-medication.In case two, the patient suffered from colic epigastralgia of choledocholithiasis complicated by severe appetite loss. Although one session successfully extinguished the symptoms, blood chemistry revealed implying signs of cholangitis. A laparotomy with T-tube drainage was performed eventually.These cases pronounced the efficacy of contact needle therapy in the treatment of colic pain and invited deliberate estimation with Modern medicine. The harmony between Kampo and Modern medicine was considered as a prerequisite for clinical practice.

In order to evaluate the diagnostic values of sprash sound of the abdomen and plain X-ray findings of the stomach for “INAI-TEISUI” (the water-imbalance syndrome), correlation between these two factors and the symptoms associated with the “INAI-TEISUI” were surveyed statistically.
The study revealed that sprash sound of the abdomen was closely related with the abdominal symptoms of the water-imbalance syndrome, and that the type A of the stomach characterized by blowted, atonic wall with prominent longitudinal folds in the plain X-ray findings was related with systemic symptoms of the water-imbalance syndrome such as dizziness, tinnitus, rhinorrhea and sneezing.
These results suggest that both sprash sound of the abdomen and plain X-ray findings of the stomach are useful for the diagnosis of the “INAI-TEISUI”, though they give a slight different information.