[Purpose] We investigated the effects of fireless moxibustion using the Medical Outcome Study 36-Item Short-Form Health Survey (SF-36^®).
[Methods] The subjects were 27 elderly people living at home, from whom informed consent was obtained (age: 66 to 94 years). They were randomly divided into two groups using the envelope method. Eleven were in the fireless moxibustion group (FMG), and 16 were in the sham fireless moxibustion group (SFMG). For measurement, no treatment was performed for seven days (Cont.), home fireless moxibustion was performed for seven days (St.), and no treatment was performed for seven days after fireless moxibustion (Af.). During the study period, we conducted a survey using SF-36^®. Stimulation was performed every two days during the St. period (total: 4 times). The left/right BL23 and ST36 areas were stimulated. We used fireless moxibustion (Sennenkyu Taiyo(r), Senefa Co., Ltd.). Generalized linear two-way variance analysis and Fisher's (LSD) multiple comparison test were carried out. P<0.05 was regarded as significant.
[Results] There was alternative action in the bodily pain item. In a comparison of the two groups, FMG tended to show improved “bodily pain” (p<0.10) and at the Af. period “bodily pain” was reduced as compared with the Cont. period (p<0.05). FMG indicated the tendency to improve “bodily pain” in the Af. period (82.9 (3.7 points) than in the Cont. period (78.4 (4.4 points) (p<0.09). In SFMG, there was no significant change.
In Question 8, as a bodily pain factor, routine working pain, which had persisted over the past week, mitigated after 1 week of fireless moxibustion (Af.).
[Conclusion] Fireless moxibustion reduced “bodily pain”, and scores of “general health perceptions” increased, while in sham fireless moxibustion at home scores of “Role physical” decreased significantly. From the results, fireless moxibustion at home raised the health related QOL. Fireless moxibustion may be useful for “bodily pain”.

We examined effect of acupuncture anethesia for urological cancer pain.
Subjects were 32 patients (30 men and 2 women) aged from 21 to 84 (mean 59.9 years old).
The method used in the treatment of these patients was 1Hz low frequency stimulation for 20 to 30 minutes.
The following results were obtained:
1) The treatment had not an effect on neuroparalytic patients with bone metastasis who were observed cancerous cachexia.
2) The treatment often had an effect on non-neuroparalytic patients with bone metastasis. The patients had a slight symptom.
3) The treatment rarely had an effect on a numbness of lower extremities that was caused by peripheral nerve's injury.
The numbness was sometimes aggravated by some electric treatments using TNS.

Techniques for acupuncture and moxibustion can be expressed by three factors: when, and how to stimulate. This paper offers a clear scientific explanation “how” or the Acupuncture techniques of tonification and sedation that have been passed down.
Primary nervous responses to acupuncture can be classified into two specific types: restraining of the functions of the sympathetic nervous system's β-receptor system and accelerating the functions of the parasympathetic nervous system.
Respiratory rhythm is closely related to the functions of the parasympathetic nervous system. Changes in the functions of the autonomic nervous system due to changes in posture are related to the sympathetic nervous system.
Stimuli to the skin or subcutaneous tissue can induce responses using the parasympathetic nervous system as a centrifugal path, while stimuli to the fascia or muscles can induce responses using the sympathetic nervous system in the same way. It was discovered that to effectively obtain such responses, the parasympathetic nervous system should be stimulated shallowly while the patient is sitting and expiring, whereas the sympathetic nervous system should be stimulated deeply while the patient is supine.

Therapeutic effects of two methods (1) an acupuncture technique using superficial needling applied during exhalation in the sitting position and (2) a low output laser irradiation technique applied during exhalation in the sitting position, were studied using an indicator represented by the distance between the finger tip and floor obtained when a subject bends forward from the standing position.
1. The acupuncture technique using superficial needling applied during exhalation in the sitting position significantly improved the distance between the finger tip and floor as compared with that before application (p<0.05).
2. The low output laser irradiation technique applied during exhalation in the sitting position improved the distance between the finger tip and floor as compared with that before application (p<0.01). No significant difference in the distance between the finger tip and floor were observed in the non-irradiated group.
3. Considering the therapeutic effects from application at various regions of the body, the acupuncture technique improved the distance between the finer tip and floor when it was applied to Waiguan (TE5) (p<0.05) and Zusanli (S36) (p<0.02)

To clarify the effects of Silver Spike Point (SSP) therapy on the autonomic nervous function, we evaluated changes in the peripheral circulatory function by second derivative photoplethysmogram (SDPTG) on 22 workers exposed to hand-arm vibration. We also examined the responses of the autonomic nervous function using the coefficient of variation of R-R interval (CV_R-R), total number of white blood cells (WBC), and the ratio of granulocyte (GC) and lymphocyte (LC) as indexes.
As a result, we observed improved peripheral circulation due to the SSP therapy, in which the average pulse rare (PR) tended to decrease, CV_R-R was not significantly changed by the therapy, and WBC and LC were significantly decreased by the therapy.
The 22 subjects were divided into two groups (low-value group, 8 subjects; high-value group, 14 subjects) according to the data of CV_R-R revised using Fujimoto's method. In the low-value group, PR tended to decrease, and SDPTG-index and c/a tended to increase. In the high-value group, on the other hand, CVR-R and LC tended to decrease and WBC significantly increased.
In conclusion, SSP therapy enhanced the parasympathetic nervous function and improved the peripheral circulatory function in the parasympathetic-nervous-function-impaired the group (low-value group). Furthermore, it suppressed the parasympathetic nervous function without affecting the peripheral circulatory function in the parasympathetic-nervous-function-enhanced group (high-value group).

[Purpose]To investigate the present use of medical expenses for acupuncture and moxibustion, and judo and massage therapies under the health insurance system in contracted nursing care plans prepared by nursing care managers.
[Methods]The subjects were 75 nursing care service providers who were registered in a certain municipally (B City) with an aging index of 27.7%. We investigated the experience and use of medical expenses for acupuncture and moxibustion therapy through a mail survey. The survey period was from July 10 to July 31 in 2006. The collection rate was 57.3%(43out of 75 nursing care service providers). We used simple adding, the Kruskal-Wallis test, factor analysis (principal factor method) and path analysis.
[Results]In simple adding, there were 3,535 total care receivers, 11.5%of the total aged population in B City. Users who took acupuncture and moxibustion therapy were 2.5%of the total care receivers in nursing care plans. However, 10 people could not take acupuncture and moxibustion therapy due to their economic conditions. Nine out of 41 nursing care service providers (22.0%) had users who could not take acupuncture and moxibustion therapy because their healthcare facilities would not sign the written informed consent. In factor analysis (principal factor analysis), "experience and recognition of acupuncture and moxibustion therapy using medical expenses"was extracted as the first principal component. In pass analysis, it can be explained that nursing care managers who planned acupuncture and moxibustion therapy using medical expenses had recognized that the therapy would maintain the capabilities for activities of daily living (ADL) and quality of life (QOL) of the users.
[Conclusion]When nursing care managers planned acupuncture and moxibustion therapy for maintenance of ADL and QOL in their care services using medical expenses, they were considered to have recognized that the therapy would keep the users'ADL and QOL.