1.A clinical study of acupuncture and moxibustion for the hypersinsitivity to cold. (Part 2).
Kouzou NEMOTO ; Shohhachi TANZAWA
Journal of the Japan Society of Acupuncture and Moxibustion 1990;40(2):198-205
We conducted a comparative study on acupuncture and moxibustion treatment to 23 patients with cold sensitiveness and some sort of basal disorder, seperating them into two groups of 13 patients with hemiplegia and 10 non-cerebral apoplexy patients.
As a result, there was 60.9% improvement with cold sensitiveness patients with basal disorder from acupuncture and moxibustion treatment. When comparing them by the types of their basal disorder. there was a 53.8% improvement for hemiplegia patients and 70.0% improvement for the non-cerebral apoplexy patients. with the former having considerably low rate of improvement against the latter. The fact that the improvement rate of the hemiplegia patients were much lower than the average rate, can be presumed that the factors of local circulation failure due to functional disorder of the autonomic of the central nervrous system, in addition to the motor nerve palsy from organic disorder of the brain has some effect. Therefore, a central nervous system factor can be considered to have some impact on the mechanism of acupuncture and moxibution treatment to take effect.
2.The meridian phenomenon by thermographic research. (Part 1).
Kouzou NEMOTO ; Shohhachi TANZAWA
Journal of the Japan Society of Acupuncture and Moxibustion 1990;40(2):206-212
We have conducted a comparative study on the tip of the tongue temperature change when acupuncture stimulus was applied to Shinmon using thermography of healthy and hemiplegia to gain an objective understanding of the so-called Meridian Phenomena.
The result of the study revealed that the tip of the tongue temperature, when acupuncture stimulus to Shinmon was applied, rose compared to the non-treated in the case of healthy, and the hemiplegia showed a different response against the healthy. We have earlier reported that there was a unique abdominal region skin temperature change phenomena when tsubo stimulant was applied to the upper limb. Since this was a phenomena which could not been seen with a non-tsubo stimulant, we concluded that this suggests the existence of a Meridian Phenomenon. Our current report enhances the credibility of our previous report and suggest that the function of the central nervous system acts as an underlying factor.
3.The presentation of autonomic nerve diagnostic criteria measured by mean of heart (pulse) rate and coefficient of variation of heartbeat (pulse) interval. Age-compensated formulae and method of MCV graph.
Kanae SHINOHARA ; Shohhachi TANZAWA
The Journal of The Japanese Society of Balneology, Climatology and Physical Medicine 1991;54(2):124-136
In this paper, I present age-compensated formulae for finding MR-R and CVR-R of healthy subjects resting in a supine position, CVR-R of healthy subjects breathing deeply, and CVR-R of healthy subjects standing upright.
1) Age-compensated formula for finding MR-R of healthy subjects resting in supine position:
Y=126.153-16.187*LogeX (X: age)
2) Age-compensated formula for finding CVR-R of healthy subjects resting in supine position:
Y=10.818-1.993*LogeX (X: age)
3) Age-compensated formula for finding CVR-R of healthy subjects breathing deeply:
Y=24.293-4.738*LogeX (X: age)
4) Age-compensated formula for finding CVR-R of healthy subjects standing upright:
Y=7.389-1.277*LogeX (X: age)
How the autonomic nerve activities in the heart of subjects resting in supine position, breathing deeply, and standing upright are evaluated using the MCV Graph Method is described here. (MCV Graph Method stands for Mean and Coefficient Variation Graph Method.) Plotting of M and CV data measured by an ECG R-R Checker or a Plethysmograph P-P Checker on an MCV Graph, which is a quite new and easy-to-observe method, enables synthetic evaluation of both sympathetic and parasympathetic nerve functions. The MCV Graph Method can be used for measurement under various loads.
4.A new attempt for objective description of pulse diagnosis.
Shohhachi TANZAWA ; Kouzou NEMOTO ; Hidekatsu KITAMURA
Journal of the Japan Society of Acupuncture and Moxibustion 1987;37(1):1-5
Pulses were taken by using three sensors, one of whitch was put on top of the index finger, another on the middle finger and the last on the ring finger.
Pulses were taken from patients and normal subjects and were described as pressure pulse waves.
The pressure of the tips of fingers when doing a pulse diagnosis was measure for seven chinese doctors. Consequently, we confirmed that the pressure was distributed widely and the technique of pulse diagnosis included a lot of individual factors.
On the other hand, we found several pressure pulse waves were significant in relation to findings of pulse diagnosis.
5.Some effects of therapeutic diagnosis during acupuncture therapy.
Kouzou NEMOTO ; Katsuhiko OHSHIMA ; Shohhachi TANZAWA
Journal of the Japan Society of Acupuncture and Moxibustion 1987;37(1):6-10
At the acupuncture clinic, we sometimes eneounted some out patients who complained that their symptoms did not improve in spite of treatment and medication.
Two patients that we had treated several times complained they were not any better. They had chronic obstinate pain.
We examined them carefully, and found one of them had cancer of the sacrum, the other had a braintumor.
It is necessary to suspect the existence of organic disease when examining a patient who has chronic obstinate pain.
From this case report, we emphasize some effects of therapeufic diagnosis during acupuncture therapy.
6.A clinical study of acupuncture and moxibustion for the hypersensitivity to cold.
Kouzou NEMOTO ; Mamoru MIZUKAMI ; Shohhachi TANZAWA
Journal of the Japan Society of Acupuncture and Moxibustion 1988;38(4):423-428
We conducted acupuncture and moxibustion treatment to 21 patients with cold sensitivenees. They also had some sort of basal disorder and mainly claimed of coldness in the hands and feet. We compared the subjective and objective findings of the first visit and the tenth treatment.
Following were the results: 1) Along with 55.9% effectiveness of improvement in hand and feet coldness on a subjective basis, concomitant symptoms were also reduced. 2) Generally, those with cold sensitiveness have a lower skin temperature from the crus to the podalgia compared to the healthy, and we have also found that the parts of the body where the patient claimed had coldness indicated lower temperature. 3) Acupuncture and moxibustion stimulus has a strong impact on the peripheral circulation flow.
Thus the acupuncture and moxibustion treatment can be considered as one of the effective methods in relieving the subjective symptoms of cold sensitiveness.
7.Discriminant analysis based on the digital pulse wave graphs of hemiplegic and healthy subjects.
Kanae SHINOHARA ; Kouzou NEMOTO ; Shohhachi TANZAWA
Journal of the Japan Society of Acupuncture and Moxibustion 1989;39(3):290-299
As a result of multiple regression analysis of the left and right hands of healthy subjects, almost no correlation was found between risk rates of 1% or 5% and either the simple or partial correlative lines. It was determined that the four variables of both the right and left hands were virtually independent variables.
In order to make a comparison with the normal side of hemiplegics, it was necessary to select either the right or left hand of healthy subjects. After examining the coefficients of correlation both hands, the left hand was chosen. From the results of discriminant analysis of the left hand of healthy subjects and the normal side of hemiplegics, it was determined that the discriminant function equation can be expressed as follows as a function of the S-S interval, S-P period, S-C period and the Dh/Ch%.
Z=(2.330 E-05)*S-St+(-5.329 E-02)*S-Pt+(-5.151 E-03)*S-Ct+(1.339 E-02)*Dh/Ch%+6.947
The discriminant boundary value between healthy and hemiplegic patients was 0.391.
8.Skin temperature of hemiplegic patients and Effects of stellate ganglion stimulation by acupuncture on skin temperfture
Shohhachi Tanzawa ; Hidekatsu Kitamura ; Mamoru Mizukami ; Kaoru Satoh
Journal of the Japan Society of Acupuncture and Moxibustion 1981;31(1):17-26
At the 30th general meeting of this association we reported the value of conducting a fundamental, methodological study of stellate ganglion insertion on the basis of clinical indications obtained from clinical results indicating that stellate ganglion insertion (hereafter referred to as SG insertion) on the affected side is appropriate for the treatment of the central sensory dis-turbances, especially numbness of the arms on the afflicted side, accompanying post cerebral apoplexy syndromes.
At this time we'd like to report, using cutaneous surface temperature as an index, the results of examinations of the inflnences exerted on circulatory fluctuation by SG insertion, from among our fundamental study of the functional mechanism of SG insertion.
The cutaneous surface temperature was measured using a Fujitsu made Infra-eye 150 thermograph. After the clothing from the upper half of the body was removed and the patient had rested in a sitting position for 20 minutes in a temperature-humieity controlled room, the body was monitored and from the picture obtained the cutaneous surface temperature at the 5 points used in this study, GB-14, LI-20, SI-18, _??__??_, and LI-14, measured.
There was no significant difference in the cutaneous surface temperatures at the facial points on healthy subjects and hemiplegia patients, however it was discovered that on points on the upper extremities the readings on the affected side were significantly lower than those of healthy subjects or those on the healthy side, moreover readings on affected sides in which numbness was reported were significantly lower than on the affected sides in cases in which no numbness was reported.
Results upon administering SG insertion to above cases in which there was reported numbness and measuring sutaneous surface temperatures periodically revealed that the difference in temperature 15 minutes after operations decreased slightly with a tendency to become greater than before operations 2 hours afterward. Also the interesting observation that the correlation of reciprocity of the 6 points varied acording to SG insertion, was made.
9.Survey for scientification on acupuncture medicine and clinical application of acupuncture therapy on rehabilitation medicine.
Shohhachi TANZAWA ; Eiichi RYO ; Junichi OBATA ; Yoshiyuki HAYASHI
Journal of the Japan Society of Acupuncture and Moxibustion 1985;35(3-4):173-181
Effects on endocrine system were examined to analyse a mode of action of acupuncture therapy and it was demonstrated that it's stimulation caused an increase in synthetic activity of adrenocortical and ovarial steroids through it's activation of hypothalamo hypophyseal axis. From an aspect of changes in glucose metabolism of the liver and urine cathecholamines, acupuncture was helpful to keep the homeostasis. In addition, the sensory area EEG potential evoked by the stimulation of acupuncture was recorded to clarity the relationship with effects of the therapy and was useful to evaluate the clinical effects preliminarily.
The author insisted that the acupuncture was a useful complimentary therapy in the Rehabilitation Medicine, when an appropriate case was carefully chosen.