The treatment for fungal sinusitis is general irrigation of the sinus or surgery. We report a case in which shin'iseihaito was used to treat fungal sinusitis. The patient was a 57-year-old man. On May 17, he underwent wisdom tooth extraction at the dentistry department of a hospital. Fungal sinusitis of the right maxilla was suspected on preoperative CT of paranasal sinuses. On June 19, he was introduced to the department of otolaryngology in the same hospital. The ostium of the right maxilla was widely open and there were fungal balls in the sinus. Saline irrigation was performed as an outpatient procedure and at home. On October 19, he was introduced to my clinic as he lives nearby. We prescribed him shin'iseihaito. On November 11, fungal balls were discharged when he was performing saline irrigation at home. The pathological diagnosis was Aspergillus. Although there is no previous report of shin'iseihaito for fungal sinusitis, it may be a useful treatment.

The treatment of tinnitus is difficult with modern medicine. We encountered three cases of tinnitus for which press tack needle was effective.
The first case was a 65-year-old woman. She suffered from sudden deafness, and bilateral tinnitus continued for 5 years, at which point she consulted us. Her Tinnitus Handicap Inventory (THI) score was 66 points. We administered press tack needle on the bilateral Yifeng (TE 17) points. Her THI score fell to 14 points after 1 month and zero points after 2 months, at which time treatment was completed. The second case was a 69-year-old man. Forty years before his initial visit, a gun was fired near his left ear, and tinnitus developed. The tinnitus repeatedly improved and aggravated. The tinnitus continued for 8 years before his initial visit. His THI score was 18. Press tack needle was administered to his Yifeng points. The THI score lowered to 2 points after 3 months. The third case was a 31-year-old woman. Her bilateral tinnitus started 15 days before her initial visit. Her THI score was 34 points. Press tack needle was administered to the bilateral Yifeng points. Her THI score dropped to 8 points after 4 months.
Press tack needle to the Yifeng points is simple and straightforward. This suggested that it is a valuable method to consider.

About half of Japanese women have feelings of coldness, but there is no drug for their treatment in modern medicine. Here, we report 3 cases of dizziness with feelings of coldness effectively treated with tokishigyakukagoshuyushokyoto. The first case was a 35-year-old female with benign paroxysmal positional vertigo,the second case was a 29-year-old female with dizziness of unknown cause, and the third case was an 80-year-old female with benign paroxysmal positional vertigo. All cases were physically thin and had feelings of coldness. On Kampo medical examination, their diagnosis was Rikan-kyosho and Kekkyo. To improve feelings of coldness, we administered tokishigyakukagoshuyushokyoto to all three cases, and it was very effective. Thus, being aware of patients' coldness and using tokoshigyakukagoshuyushokyoto may be advisable when doing Kampo examinations.

Chi-no-michi-sho involves neuropsychiatric and physical symptoms that appear with hormonal changes, such as those during pregnancy and menopause. Until now, there were many case reports, which were within 2 years from the start of treatment. We present a case of chi-no-michi-sho that was successfully treated with Kampo formulations for 7 years. A 43-­year-­old woman had complaints of candida eczema in the vulva, palpi­tations, and headache. Tokishakuyakusan and shakanzoto were then administered for kekkyo (blood defi­ciency), oketsu (blood stasis), and suidoku (fluid retention), and a topical antifungal agent was administered for candida eczema. The headache and palpitations were reduced. Subsequently, tokishigyakukagoshuyuto and keishibukuryogan were administered because of skin rash and deterioration of sensitivity to cold. However, various symptoms, such as weight loss amenorrhea due to self-­determination, eczema, feeling heavy in the head, and edema, remained. We prescribed tokishakuyakusan again in addition to Western medical treatment. Her menstruation then resumed ; her eczema, palpitations, and headache also improved. However, she developed hyperthyroidism. While paying attention to organic diseases such as thyroid dysfunction, prescription of tokishakuyakusan may be effective when chi-no-michi-sho is long­-lasting and there are blood deficiency and stasis with fluid retention.