At present, some 70% of physicians prescribe Kampo medicines in our country, and most medical departments and medical universities hold courses in Kampo. This was quite unthinkable just a half century ago. Be that as it may, Kampo now stands at a crossroads. EBM, RCT and scientification are being required of Kampo, while moreover it is being threatened by the tempest of globalization. Then there is the problem of crude drug resources. Without a proper response to these threats, Kampo will be swallowed up by modern medicine, left behind, and fade away. I, a simple private practitioner, do not hold the key to any solutions. Just from having been long involved with Kampo, however, I have my own thoughts and feelings, and I have shared them. And one thing I can saw with certainly is that Kampo should not lose sight of its origins, and should hold them dear. I have stated that “Kampo medicines essential treat the diseased, not diseases”. I have also touched on the word-of-mouth esotericism of Kampo, commented on the role of private practitioners, and, would very much like The Japan Society for Oriental Medicine to continue to be a place where we local practitioners too can speak out openly and with confidence.