A comparison of simple true-false questions (STFQ) and multiple choice questions (MCQ) plus multiple true-false questions (MTFQ), in the same contents was done at the graduation examination of our department (on 1987. 12. 7.). The mean score of STFQ was 83.7 mark and its standerd deviation was 4.6 mark, and in MCQ plus MTFQ the value was 77.1, 9.0, respectively. At the same student, the mark of STFQ and MCQ plus MTFQ was correlated. We concluded that the handling of the question with high percent of correct answer was induction of the individual total item check method. Then, evaluation got more validity.

We prospectively studied the effectiveness of byakkokaninjinto added gypsum powder for the treatment of atopic dermatitis (AD) by using the skin disease severity score, visual analogue scale (VAS) score for assessing itch severity, and Skindex-16 for assessing the quality of life (QOL) in 12 patients who were refractory to conventional treatments including steroid repellents. In addition, we retrospectively investigated for what types of “sho” (Kampo diagnosis) and eruptions this treatment was more effective. The results showed that the skin disease severity score and Skindex-16 significantly improved in 4 weeks. There was no significant improvement in eosinophil counts, IgE antibody levels, thymus and activation-regulated chemokine levels. Byakkokaninjinto added gypsum powder was found to be effective for the “sho” of “sensitive to heat” and “excessive sweating.” Thus, it can be one of the options in oral medicine for treating patients with intractable AD including steroid repellents because the rash improved in a short period of 4 weeks in our patients.