Purpose: Upon very specific diagnosis facial pain can be classified into idiopathic trigeminal neuralgia, secondary trigeminal neuralgia, neuralgia of the glossopharyngeal nerve, superior pharyngeal neuralgia, knee area neualgia and indeterminate facial pain.
In the future it will be necessary to determinate to what degree the acupuncture-moxibustion therapy is effective in treating these cases, and also when nerve block therapy is indicated and should be applied.
In the literature of the acupuncture-moxibustion trigeminal neuralgia is found among such diseases, for which A-M therapy is indicated, however the degree of effectiveness is unclear. Therefore we intend to clarify just how effective can be the acupuncture-moxibustion therapy in the pain clinic treatment of definitely diagnosed idiopathic trigeminal neuralgia.
Method: Among the facial pain patients, who visited the Pain Clinic, the Dep. of Anesthesiology, Osaka Medical University, we selected idiopathic trigeminal neuralgia patients, in whom the pain occured along the branch of the nerve, and indeterminate trigeminal neuralgia patients, in whom the pain occured diffusely and not necessarily along the path of the nerve, and we performed a comparison of effect of treatments with principally accupuncture and with principally nerve block.
The study was based on a questionnaire investigating long term results.
Results: Concerning facial pain, the results of the acupuncture-moxibustion therapy for idiopathic trigeminal neuralgia showed fewer cases of excellent or effective results than the nerve block therapy, but in fact most results of the former showed some effect. However, for indeterminate type trigeminal neuralgia more excellent results were observed with acupuncture therapy.
Of facial pain the acupuncture-moxibustion therapy is indicated for the treatment of indeterminate type of trigeminal neuralgia, however, it was learned that in general for the treatment of idiopathic trigeminal neuralgia the acupuncture-moxibustion therapy was less effective than the nerve block therapy.

We have treated 117 patients, who visited the Pain Clinic of our Department complaining some pain 1973-1975, applying “in situ” needle, electrical acupuncture and low frequency electrical acupuncture therapy. And we have examined the immediate effects during 3 days after the treatment through patients' subjective evaluation, at what degree the state of pain was improved as compared with the state before the treatment on a scale of 1-10.
As the results, we classified the appearing ways of effects in 4 types: continuous type (the effect lasts 3 days right after the treatment), decreasing type (the effect gradually disappears immediately after the treatment), increasing type (it slowly produces effect) and invariable type (during 3 days a slight effect or no effect is observed). And it became clear that for the duration of effect and the efficiency of the therapy the low frequency electrical acupuncture therapy is most execellent.
Discussion of Results:
Immediate good results from directly following therapy to the 2nd day after therapy were obtained in more than 70% of the cases and were especially remarkable with LFEA therapy as compared to EAP or LN therapies.

Purpose:
We believe there are very few therapists who in seeking therapeutic results use simply acupuncture or moxibustion. Most supplement therapy with physical therapy or some other form of therapy. We examined to see whether or not differences in results when acupuncture was used alone or accompanied by physical therapy were discernible.
Methods of Observation:
From among the charts of patients who visited our clinic during the year 1980 we selected periarthritis of the shoulder, lumbago and motor disturbance of the knee patients, divided them into 2 groups-acupuncture and moxibustion only group, and supplementary treatment (physical therapy techniques including infrared rays, UHF and low frequency therapy) and compared results. The evaluation was based on answers to questionairres circulated 2-3 months after the end of treatment or answers received during telephone interviews.
Results:
The rate of effectivity of therapeutic results was about the same however the number of treatment periods required was fewer in the supplementary treatment group.
Discussion of Results:
By supplementing acupuncture-moxibustion therapy with physical therapy techniques the range of diseases to which therapy is applicable is greatly, moreover it became empirically clear from this study that it is possible to quicken results.

In the previous paper, we reported on the pathways of PSC and also upon the coincedent rates of PSC and the classical meridians.
In this paper, some remarkable observations on the PSC of the same patient are reported on: the echo sensation of PSC on the posterior median extra meridian, the inn-ue extra meridian and the regular meridians, excepting the heart meridian, reached to the head where the patient had her chief complaint. The farthest traveled echo sensation of PSC was on the inn-ue extra meridian and the broadest on the kidney meridian, the bladder meridian and the yan-wei extra meridian. PSC displayed body symetry and reproducibility. Fingerpressure applied at a point along the path of echo sensation served to interrupt the sensation over an area immediately following that point. The spatial length of PSC was enlarged by heating the area in question.

We treated a patient (aged 57, a housewife, traumatic cervical syndrome), to be called a meridian sensitive patient, who displayed definite meridian phenomenon.
In the patient, a type of meridian phenomena, Phenomenon of Propagated Sensation along the Channels (PSC), was examined. Reffering the Nagahama and Maruyama's method and the method used in China, we employed a method whereby a pressure stimulus was applied with a press needle alternately to the terminal point on each of the 12 regular meridians as well as to a certain point on each of the extra meridians.
As a result, the following coincidence rates of PSC and the classical meridians were obtained:
20% (the small intestine meridian, the posterior median extra meridian, the impetuous pulse and the extra meridian around the waist) of all the 20 meridians were almost entirely coincident.
55% of all the meridians were partly coincident.
25% (the spleen pancreas meridian, the heart meridian, the pericardium meridian, the lung meridian and the anterior midline meridian) were not coincident.

In order to investigate the meridian phenomenon elicited by the stimulation on auricular acupuncture point, a patient, 58-year old, in whom marked meridian phenomena are observed on the body was selected as a subject.
The stimuli were ginen by means of a low frequency electrical stick method on the 210 auricular-points of the left ear.
The echo sensation to the remote district from the auriculo-points stimulated was observed in about 30% of the total points.
In 4.3%, the site to which echo sensation reached corresponded to the response organ that is expresed in the name of point. A point named “anesthetic point for tooth extraction” was one of the representatives.
The comfortable feeling over head, eyes, and whole body was also observed when stimulation was given to these points.

The direction of echo sensation of each acupoint was examined on the patients who showed obvious meridian phenomenon.
The heart meridian and large intestine meridian were chosen. Echo sensation propagating both directions, i. e. afferently and efferently, was seen most often, then afferently only and efferent only followed.
The direction of echo sensation did not neccesarilycoincide with that of meridian stream.

Acupuncture treatment was undertaken for 153 cases with dysurea after radical operation for carcinama of uterine cervix. Eighty-four percent of the patients were forties, fifties or sixties. Seventy percent of them underwent acupuncture treatment within two weeks after the operation. The treatment consisted of one or combination of the following methods: direct current acupuncture, in situ acupuncture, low-frequency electro-acupuncture and SSP. Acupoints considered to facilitate metabolism in the pelvic cavity and to be related to diurea were selected. The treatment group (fifty cases) had 19.7 days on which average residual urine was less than 50ml, whereas the control group 24.6 days. “Remarkable effect” and “effect” were obtained with SSP in seventy-seven percent of the cases, and with low-frequency electro-acupuncture in seventy-three percent. With the latter, “no effect” was obtained in only two percent of the cases. SSP therapy was effective and gained patients' favor because it gave no anxiety.