3.The Concomitant Use with Acupuncture Therapy in a Case of Atopic Dermatitis
Shunji SAKAGUCHI ; Haruna YAMADA
Kampo Medicine 2006;57(4):459-464
Atopic dermatitis is influenced by numerous environmental factors, as well as various hereditary factors. This variety of factors makes therapy difficult, and necessitates treatment on an individual, case-by-case basis.
We report the case of a 21-year old woman with atopic dermatitis. The patient underwent acupuncture 11 times, in accordance with traditional Chinese medicine theory, in addition to her medicaments. This treatment resulted in improvement of her skin eruptions, QOL, IgE-RIST and eosinophils. This may demonstrate that concomitant use of acupuncture therapy is effective in the improvement of atopic dermatitis.
4.Treating Excessive Cold Sensitivity ("Hiesho") with Acupuncture Therapy.
Shunji SAKAGUCHI ; Osamu FUJIKAWA
Journal of the Japan Society of Acupuncture and Moxibustion 1998;48(4):381-394
A 29 year-old female patient with excessive cold sensitivity (“hiesho”) was regularly treated with acupuncture therapy. She complained of symptoms from autumn to winter, and her symptoms were also susceptible to changes in temperature. From the oriental medical diagnosis, we found that she exhibited “oketsu” and “suitai”. The effects of acupuncture therapy were comprehensively assessed by the Oketsu score, Visual Analogue Scale (VAS) thermograms, etc. We also examined the influence of temperature and menstrual periods on cold sensitivity.
After five months of this therapy (eight times), the Oketsu score and VAS showed a decrease. In addition, this therapy held to elevate the skin temperatures of extremities. It was noted that the temperarure, rather than the menstrual periods, had a stronger influence on VAS. These results were that the acupuncture therapy was effective against the cold sensitivity.
5.Acupuncture treatment in a case of atopic dermatitis in combination with medicinal therapy
Shunji SAKAGUCHI ; Natsuko IHARA
Journal of the Japan Society of Acupuncture and Moxibustion 2007;57(1):16-24
Atopic dermatitis is influenced by both environmental and hereditary factors. Many contributing factors make therapy difficult, and patients must be treated individually. We report herein the clinical effects of acupuncture treatment in combination with medicinal therapy in a patient with atopic dermatitis.
A 20-year-old male was diagnosed with atopic dermatitis in early elementary school. Topical corticosteroids improved symptoms, but these recurred at 18 years old, and treatment had since been continuous. Acupuncture treatment was mainly performed on ST36 (Zusanli, Ashi Sanli), LR3 (Taichong, Taisho), GB34 (Yanglingquan, Yoryosen), PC6 (Neiguan, Naikan) and BL20 (Pishu, Hiyu) according to traditional Chinese medical theory, once a week, for 8 sessions.
To examine the effects of treatment, an itching diary devised by Kawashima was adopted for outcome measures; visual analogue scale (VAS), state-trait anxiety inventory (STAI), counts of eosinophils (Eo) and white blood cells (WBC) in peripheral blood and serum IgE. Itching improved after 8 acupuncture treatments. In particular, finger VAS (mm) improved from 34 to 24, popliteal VAS from 22 to 9, and dorsal VAS from 67 to 31. STAI score from 49 to 33 in anxiety content. Eo (%) changed from 4.6 to 1.9, WBC (/μl) from 6,100 to 4,300 and serum IgE (IU/ml) from 72 to 70. Either blood test was a change in a standard value.
These results suggest that acupuncture treatment in combination with medicinal therapy is effective for improving atopic dermatitis.
6.The Effects of Silver Spike Point Therapy on Peripheral Circulatory Function in Workers Exposed to Hand-Arm Vibration.
Shunji SAKAGUCHI ; Kazuhisa MIYASHITA
The Journal of The Japanese Society of Balneology, Climatology and Physical Medicine 2001;64(2):76-86
The purpose of this study was to examine the effects of silver spike point (SSP) therapy on peripheral circulatory function in workers exposed to hand-arm vibration by analyzing the second derivative of photoplethysmogram (SDPTG). Seventy-seven male subjects including public service workers and forestry workers volunteered for the present study. After the SSP therapy on LI4 (Hege) and LI10 (Shousanli) at 1Hz for 10 minutes, the SDPTG-index was significantly increased among the subjects whose SDPTG-index was below the 50th percentile curve of the normal aging curve. The result suggests that the SSP therapy is useful in the improvement of peripheral circulatory function in workers exposed to hand-arm vibration.
8.The Effect of Exercise with Deep Breathing on the Pulse, Blood Pressure and Peripheral Circulation.
Eiichi MIKUNI ; Shunji SAKAGUCHI ; Yoshiyuki MORITA ; Kyoichi KUROIWA ; Michio KIMURA
Kampo Medicine 1995;46(1):1-7
The effects of Qi Gong health maintenance exercises were compared with a control group of walkers considered to have an equivalent amount of exercise, by measuring the changes in the pulse, systolic blood pressure, diastolic blood pressure and peripheral circulation.
Although no significant differences were seen in either the pulse or blood pressure of the control group of walkers when the before and after exercise values were compared, in the Qi Gong group, a decrease in these values was seen over time, with significant decreases from the pre-exercise values indicated in all values 30 minutes after exercise. This is consistent with the findings in a previous report that there was a significant reduction in catecholamine in the Qi Gong group 30 minutes after performing Qi Gong exercises.
When the flow rate of the peripheral circulation was measured using Doppler ultrasound equipment, in comparison with the lack of notable change over time seen in the control group, a significant improvement in the peripheral circulation was suggested for the Qi Gong group when the pre- and post- exercise values were compared. It has also been suggested that Qi Gong health maintenance exercises lower stress hormones and act to improve the peripheral blood circulation; a discussion of which is also included in this paper.
9.Effect of acupuncture treatment on menstrual disorders
Mari NAKAMURA ; Emi NAGASAKI ; Kanade YONEYAMA ; Shunji SAKAGUCHI
Journal of the Japan Society of Acupuncture and Moxibustion 2013;63(4):252-259
[Objective]Menstrual disorders are generic symptoms that appear during a menstrual cycle. In this study we examined three years of medical records retrospectively in order to investigate the effects of acupuncture treatment on menstrual disorders. We compared a group of women with diseases 'D'with to no diseases 'N'with respect to the effects of short-term acupuncture treatment.
[Methodology]Subjects for this research were 203women with menstrual disorders who came to our office during the period January 2009 -March 2012. The only treatment they were given was traditional Chinese medicine. We used BL 32, BL 35, GV 2, GV 4, and SP 6 as acupuncture points. We inserted stainless steel acupuncture needles (40 mm long, 1.8 mm in diameter) to a depth of 20 mm at BL 32 and 10 mm at SP 6. Other points were treated three times with kyubu-moxibution (burnt 90%). Treatment was provided once every 1-2 weeks. A Menstrual Distress Questionnaire (MDQ) was used to judge treatment effectiveness. We classified the 203women into two groups;one was 'D'group (n = 46) and the other was 'N'group (n = 157). Concerning the eight items from the MDQ we compared each woman's condition before the first treatment after one menstrual cycle. This time we paid attention to premenstrual and menstrual periods. 'D'group was observed through three menstrual cycles.
[Results]The average number of treatments during one menstrual cycle was 2.2. Both groups had reduced scores for 6 prementstrual symptoms (p < 0.05). During menstrual period, 'D'had reduced scores for 3items, 'N'had reduced scores for 5 items;(p < 0.05). 'D'confirmed continuous effects of treatment. The effects on premenstrual symptoms were confirmed, "Pain"during all three menstrual cycles, "Water retention"during the second and third menstrual cycles, and "Concentration"during the third menstrual cycle. The effects during the menstrual period were also confirmed, "Pain"for all three menstrual cycles, and "Water retention"and "Behavioral change"during the third menstrual period (p < 0.05).
[Discussion]Concerning the effects of acupuncture treatment for menstrual disorders, 'D'had higher MDQ scores than 'N'. After one menstrual cycle, 'D'showed less improvement of MDQ items than 'N'. But continuous acupuncture treatments reduced menstrual disorder symptoms for 'D'.
[Conclusion]We have confirmed the effects of acupuncture treatment on menstrual cycle symptoms. In one menstrual cycle, 'N'showed more improvement than 'D'. But during three menstrual cycles 'N'experienced continuous effects of treatment.
10.Effect of acupuncture treatment in a schoolgirl with Asperger's disorder
Kazuyo SAWADA ; Yoshiyasu KITAGAWA ; Shunji SAKAGUCHI ; Tetsuji KAKU
Journal of the Japan Society of Acupuncture and Moxibustion 2010;60(4):737-743
[Objective]Asperger's disorder, one of autism, is characterized by a limited radius of interest and activities and also difficulty in mutual social relationships. We treated a girl who developed school refusal due to general fatigue by directing our attention to the background of forming a symbiotic relationship with her mother, who had symptoms of depression. The symptoms of the both patients were improved by acupuncture treatment.
[Case]A 12-year-old girl complained of general fatigue. Since May X (year), the patient had complained of general fatigue and had started refusing to attend school. In August, she consulted the psychiatry department and was diagnosed with Asperger's disorder. While receiving educational counseling by the city, she started undergoing acupuncture treatment from May X+1 (year). Prior to that treatment, her mother, who had complaints of joint pain due to pustulosis palmaris and depression, had started acupuncture treatment in September X (year). We applied acupuncture treatment once in 1-2 weeks with the aim of tonifying the heart and spleen, and unblocking yang, the governor vessel. We conducted fact-finding on the spot in minute detail for both patients. We asked them to use a categorical scale and provide scores for symptoms, particularly body (general) fatigue, feeling of sound sleep, glow of hands and feet, headache and dejection.
[Result]We performed acupuncture treatment 28 times over 11 months and symptoms were a 30-50%improvement. The girl became able to go to classes for school-refusing children, which is managed autonomously, and also attended school events. Her mother's symptoms also scored similarly and stabilized.
[Conclusion]The symptoms of the patient were related to the condition of her mother and also physical and mental imbalances due to adolescence. We concluded that acupuncture treatment for both the mother and girl improved the symbiotic relationship between mother and child, providing success in both acupuncture effects and countenancing acceptance.