Headache is a common symptom frequently encountered by clinicians. According to epidemiological surveys at home and abroad, 60-70% of even healthy people have experienced some form of headache. It is remarkably diverse in nature, occurring singly in some cases and as a prodrome of a serious disease at its worst, and hard to grasp objectively.
We performed the oriental medical tests used by us in otorhinolaryngology (auscultation of vascular murmur, reaction elicited by the compression of carotid artery, puncture of stellate ganglion, measurement of facial skin temperature) on patients with headache, and obtained useful findings for diagnosis, selection of treatment and prognosis.
Vascular murmur and reaction to the compression of carotid artery were frequently detected in angiopathic headache or headaches associated in some way with vascular factors, and present on the side involved in headache in the majority of cases. The puncture of stellate ganglion can induce the alleviation of headache or its aggravation or recurrence. This change occurred most frequently in angiopathic headache, and next most frequently in post-traumatic headache. In patients who felt tenderness in the region of stellate ganglion on palpation of the neck, the puncture of stellate ganglion frequently induced a change, mostly to the worse, in headache. The facial skin temperature differed between the right and left side, and was frequently low on the affected side of the forehead or the cornea. It had a characteristic distribution in patients with headache who exhibited high temperature suggestive of inflammation. The skin temperature of the nose, moreover, tended to be higher in patients with headache as compared with normal subjects.
The results of tests performed by us on patients with headache are described above. They suggest that diagnosis from the standpoint of oriental medicine will be improved if the test results are suitably combined to grasp the pathologic process more accurately.

By using the relation between nasal-obstruction and nasal skin temperature, the subjective change of nasal obstruction and the change of temperature in nasal skin area by thermography, coursed by 10 minutes electric acupuncture (Gohkoku-Naikan), were mutually connected with posture. So, that two changes between sitting posture and supine position was reported here. The subjects were patients with hyperesthetic rhinitis chiefly omplaining nasal obstruction.
The results; The sitting position was effective in subjective change of nasal obstruction and also it kept the nasalskin temperature low. In case of the subjects of an electric acupuncture after stellate ganglion block in sitting posture, no change of nasal obstruction and nasalskin temperature was recorded.

The acupuncture and moxibustion have been the physical therapeutic method developed in the Orient last thousands years.
Oriental medicine is composed of four diagnosis, they are (Bo-inspection) (Bun-ausculation) (Mon-question) (Setu-palpation with pressure).
The four diagnostic methods can make up disease pattern by specifying the subjective symptoms and body surface finding (tenderness, induration, sence of cold and heat) of patient as evidence of changes in KEIRAKU relation to organ system.
Oriental medical diagnostic have been performed on the ear, nose and throat disease since last few years. And it is concluded that Oriental medical diagnoses are valuable in the treatment and prognosis of disease.
Stellate ganglion stimulation by acupuncture reduce or increase pain in a patient with migraine, in sonic cases. So that, diagnostic significance of the stellate ganglion stimulation was followed.
1) Stellate ganglion stimulation by acupuncture often increases or decreases subjective symptoms such as pain or tinnitus.
Patients who are stimulated their stellate ganglion by acupuncture have the feeling like burning or pressed, sometimes. But these phenomena are different from Horner's signs due to stellate ganglion block.
These reactions were founded in 60 cases out of 97 patients. who have tinnitus, sudden deafness, dizziness or headache.
2) After stellate ganglion stimulation by acupuncture, pulses and blood pressure don't show any change. But recovering times of the temperature with cold hands were shortened by this stimulation.
3) These reactions were found in 40 cases of 62 patients that were tested by this stimulation.
Among 40 cases with these reactions, 29 cases (72.5%) had good prognosis. But among 22 cases with no reactions, 13 cases (59%) had poor prognosis. Prognosis was supposed to be decided by acupuncture reaction. Relation between the reactions of such patients and their prognosis was found clearing in headache.
The reaction of the stellate ganglion stimulation by acupuncture is useful in suspecting the prognosis of each patients who have disfunction disease such as migraine.

The relationship between the subjective changes in tinnitus and recovery of the hearing loss was studied by applying SG (Stellate Ganglion) stimulation or SGB for the same patient. The results obtained are as follows.
1. Subjective tinnitus either decreased or increased in many cases after SG stimulation and SGB.
2. Application of SG stimulation or SGB for the same patient resulted in similar changes in many cases.
3. Tinnitus associated with sudden deafness increased in many cases after SG stimulation or SGB.
4. Tinnitus showed no change after SG stimulation or SGB in cases of fresh sudden deafness in which the hearing was not restored.
5. SG stimulation and SGB are supposed to be contrary to each other in the effect on the sympathetic nerve, but the two showed similar effects so far as tinnitus is concerned.
By effects SG stimulation and SGB therefore, one can estimate the individual difference, pathological phenomenon and the ability to response of the patients.

A 55-year old man was admitted to our hospital owing to endograft collapse after TEVAR. He had undergone total arch replacement for acute aortic type A dissection at age 39, and undergone thoracic endovascular aortic repair (TEVAR) for chronic aortic type B dissection at age 54. TEVAR was successfully performed and the false lumen was shrunk. However, one year after TEVAR, computed tomography showed endograft collapse. Technical success was not achieved by the balloon technique to treat endograft collapse, so we performed additional TEVAR. After this procedure, endograft collapse was repaired. The postoperative course was uneventful.

Aim: AS stated in the past reports that approx, 75% of hralthy adulte have experienced it, headache is a symptom often experienced in the crinical peactice of acupuncture.
Effects of acupunctural therapy against headache hace already been reported in many cases, but few reports hace been published so far on the use of acupunctural stimulation for the purpose of diagnosis. In the past 15 years, we used the acupunctural stimulation dor diagnosis of tinnitus and headache and ecaluated the meanings of uts use.
In the present study, we examind the cases whose pains could be reproduced by the acupunctula stimulation in the patients with pain who were introduced to us for diagnosis from the Department of otorhinolaryngology of our hospital.
Ptients and method: Of the patients with pain as the chige complaints whise diagmoses were requested to the Oriental Medicine clinic from the Department of Otorhinolaryngology of Showa University since April 1982 up until October 1990, thise whi complained of facial pain were subjected to our diagnosis, previding that they had no abnormalities in the otorhinolaryngological and ophthalmological checks.
A stainless steel needle (50mm Mo. 20) was usedfor theusting into block points of greater occiptal nerce and the possible relationship between the pain and the sense of reacting sense was examind at the time of thrusting.
Results: 1) It could be reconfirmed that the reacting sensation was produced deep in the inner part and in the epicanthal area of eyes by the neadle thrusting to block points of the greater occipital berce. 2) Ammong the patients who had been teated nefor against trigeminal neuralgia or what were claimed to be pains of eyes of buknown causes, there were cases withe pains coincidental with pathological symptoms such a manner that the reacting sensation by the neadle thrusting (1) resembled the nature of the pain and (2) wads coincidental with that of the affected regions, and (3) the pain could be reproduced by the acupunctural stimulatiom in synchronization with the acupuncturalhandling of the neadle. 3) The efficary of the acupunctueal treatments was higher in those whose pains could be reproducedby the acupunctueal stimulation.
Summaary: The stimulations to the block points of the greater occipital berve caused reacting sessation deep in the inner part of eyes. By utilizing this sensation for diagnostic purposes, sone cases could be properly diagnosed. On the ground of these fundungs it can be claimed that the acupunctueal stimulation according to the method in our present study would be one of the useful methods for cheeck of the pain and also for therapeutic treatment in view of the therapeutic meanings of the findings described in the subparagraphe of (1) through (3) in the paragraph 2) and in the paragraph 3) of the above-mentioned “Results”.

Attention has been focussed more in recent years on health control for the middle/advance-aged, in the midst of so-called aged society or complicated society. As one of the measures, sports with the purpose of health promotion/stress removal have been more vigorously made, contrary to which, sporting disturbances, accompanied by abrupt sports, are on the increase. Many cases, however, with muscular pain and light joint sprain etc. are treated personally with poultices/adhesives of a chilling type, while various warming adhesives with its warming therapy happen to demonstrate an effect or another against chronic stiff shoulder and lumbago, due to long-lasting stress. Nowadays, adhesives of both such chilling and warming types are available on market; muscular pains and stiffness being practically treated casually with warming therapy (warming sensation).
The warming effect of PCP-S was investigated by using thermography, the result of which runs as follows.
1. Application of PCP-S adhesives caused a clear dermal temperature increase, with a significant difference from the un-treated control and the side opposite to the applied.
2. The comparison between PCP-S and O-S, removed of its active extract, proved a skin temperature increase due to capsicum extract and not due to a change in dressing the dermal surface of the skin.
3. Result of the comparison in temperature increase between the application for 60 minutes and 120 minutes recognized the peak to occur at 60-70 minutes.
4. A more significant dermal warming effect was seen on main body than on upper limbs.
5. Sensation of warming, prickling and light pain sensation occurd in that order, with no suspension of its application due to pain.

Effects of electric acupunctural stimulation though one hand against reactions in the vascular system in nasal mucosa due to changes in physical position were examined in the present study. The results are as followed;
1) That the reactions in the vascular system in nasal mucosa by changes in physical position indicated a rise in the resistance in the nostril which was made the lower side and a drop in the resistance in the nostril which was made the upper side and that this finding had reproducibility.
2) That no rise in the resistance in the nostril was found out even when the nostril treated in advance with adrenalinon its mucosa was made the lower side in the lateral decubitus, but that the resistance in the untreated nostril (with adrenalin) rose up when it was made the lower side.
3) That the electric acupunctural stimulation through one hand caused no adverse effect upon the rise in the resistance in the nostril on the lower sidle in the lateral decubitus, thought it was the side given the stimulation.

Enterovaginal fistula, which causes uncontrollable symptoms such as gas release, vaginal defecation, perineal erosion, and vaginitis, markedly reduces patients' quality of life. In this report, we present a case of successful treatment for enterovaginal fistula with Kampo medicine.
A 62 year-old female who had ileoanal canal anastomosis for ulcerative colitis developed symptoms of gas release and defecation from the vagina. Although these symptoms had disappeared with conventional medicine previously, they recurred 7 years later. There was no medical indication for surgery because the fistula could not be located by barium enema or endoscopic examination. She, therefore, visited our outpatient clinic 1 and a half years after all conventional management had ended in vain.
Her symptoms were slightly improved by the administration of ifutokaogi, a Kampo formula, although they persisted. Three months after switching her prescription to another Kampo formula, goreisan, her symptoms completely disappeared.
In recent years, there has been no report on goreisan for the successful treatment of enterovaginal fistulae. Our case suggests that Kampo medicine can be an option for the treatment of enterovaginal fistula refractory to conventional treatments.

The purpose of this study was to determine the effects of supine floating on rectal temperature and cardiac autonomic nervous system activity after exercise. Seven healthy males volunteered for this study. Subjects performed supine position for 30 minutes in both control condition (C-condition) and water condition (W-condition) after exercise with a cycle ergometer for 15 minutes. Exercise intensity was high (80%VO₂max) and moderate (60%VO₂max). Water temperature was 30 degrees Celsius. Rectal temperature of post exercise showed no significant differences under the W-condition, as compared to the C-condition. Delta rectal temperature (point 0-0 was end of exercise) was significantly reduced (p<0.05) under the W-condition, as compared to the C-condition. Log HF was significantly increased (p<0.05) under the W-condition, as compared to the C-condition. These data suggested that supine floating after high and moderate intensity exercise could promote recovery of rectal temperature and increased in cardiac parasympathetic nervous system activity.