The authors undertook acupuncture-moxibustion therapy for 34 patients with vertigo. In order to objectify the patients' condition and the efficacy of the treatment, we ranked the severity of symptoms and standardized the treatment procedure, and also we set up the criterion for evaluation of efficaciousness.
The severity of symptoms was determined according to the result of some tests (for nystagmus and balance) as well as patient's chief complaints: the incidence and the intensity of feelings of rotation, giddiness, etc.
Treatment was undertaken once a week. One course was consist of ten treatments. Scarless moxibustion was applied to the Second Dadun point in the first course, and body-acupuncture was added to the moxibustion in the second course. In the third course, the scarless moxibustion, the body-acupuncture, auricular-acupuncture and scalp skin acupuncture were undertaken.
The efficaciousness of the treatment was rated as “remarkably efficacious”, “very efficacious”, “efficacious” or “no change” according to the changes in patients' complaints and the results of the tests performed after each course.
Twelve of the patients showed improvement after the first course (remarkably efficacious) and other twelve after the second course (very efficacious), and five of them after the third course (effecacious). The other five patients underwent more than four courses (no change).
In conclusion, improvement was seen in 85% of the patients after 30 sessions of acupuncture-moxibustion treatment including scarless moxibustion to the Second Dadun, body and auricular-acupuncture.

Acupuncture-moxibustion treatment was undertaken on two patients (a 34-year-old man and a 67-year-old woman) who were diagnosed as allergic rhinitis in an otorhinological department. The patients underwent the treatment once a week, in which direct-or scarless-moxibustion (15 pieces) was applied to Tachui (GV14) and acupuncture for whole body adjustment. The subjective symptoms, eosinophil in pituita and the results of other blood examinations were compared with those of their first visits. The eosinophiles in the pituita disappeared and those in the blood fell to the average level. Although there are individual differences, a certain prolonging effect was seen in the follow-up data.

A 41-year-old woman with neurofibromatosis (NF) was admitted to our hospital for severe pain and right leg swelling of 5 days duration. Paralysis of the right leg due to compartment syndrome was also recognized. She had been diagnosed as von Recklinghausen's neurofibromatosis, previously. 3 D-computed tomography showed a ruptured anterior tibial artery aneurysm. There was a normal patent posterior tibial artery. Since her complaint of pain was severe, we performed an emergency operation. Under the pneumatic tourniquet technique, the aneurysm was resected, and both the proximal and distal sides of the anterior tibial artery were ligated. A massive hematoma was completely removed. Postoperatively, the dorsalis pedis and posterior tibial pulses remained palpable. The paralysis improved considerably and she was given an ambulatory discharge from our hospital 21 days after the operation. Histological examination revealed proliferating wavy spindle cells infiltrating between the adventitia and mesothelium of the aneurysmal wall and staining positively for S 100 immunoperoxidase.

Since MR angiography (MR) can demonstrate the whole brain arterial system without introduction of contrast medium, it is very useful in screening for aneurysm, AVM and vascular occlusion in outpatients.
There are two methods in MRA-subtraction and non-subtraction methods (time of flight, TOF).
The magnetization transfer contrast (MTC) technique can demonstrate smaller vessels and slower blood flow than any conventional TOF-MRA.
Compared with the subtraction MRA, the MTC-TOF-MRA demonstrates smaller vessels clearly in a shorter time. By Gd-enhancement, the image of the arterial system can be also improved on the MTC method.

We report two cases of irritable bowel syndrome (IBS) with predominant constipation successfully treated with daijokito and then diagnosed as Alzheimer's dementia. [Case 1] An 82-year-old man. He had been treated for IBS with probiotic and purgative. However, the symptom of IBS did not get cured and he had suffered from digestive symptom with iracund mental condition. [Case 2] A 74-year-old man. He suffered from abdominal pain and constipation so he needed enema and stool extraction frequently. He sometimes angered if he could not get treatment without delay. In both cases, their bowel and mental condition improved after treatment with daijokito. After their conditions improved, we checked their cognitive function, and found the levels of their cognitive function were low. We diagnosed them as Alzheimer's dementia. The patients probably had felt the difficulty and gotten mental stress on usual days because of dementia, so the mental stress could complicate the symptoms of IBS. Daijokito probably improved the digestive symptom due to IBS and the mental stress from dementia of these patients, and after the treatment we could diagnose the dementia. Elderly patients with constipation and iracund mental condition might have dementia.