PROBLEM: The Ishinomaki Red Cross Hospital is the only designated disaster hospital in the Ishinomaki Medical Zone, Japan that was undamaged from the Great East Japan Earthquake in March 2011. The tsunami completely destroyed a large part of the Ishinomaki Medical Zone.

CONTEXT: The Ishinomaki Red Cross Hospital was designed with the capability to respond to disasters. An instruction manual for responding to disasters had been developed and was exercised through drills.

ACTION: In accordance with the manual, the hospital disaster task force was established. The Ishinomaki Zone Joint Relief Team coordinated medical support from organizations such as physicians associations, dental associations, self-defence forces medical teams, pharmacists associations, the Japanese Red Cross and relief teams from hospitals all over the country. In three days, the joint relief team directly visited all emergency shelters to make an initial assessment and to collect information about the number and state of health of evacuees, provision of food and drinking water and the availability of electricity, water and sewerage.

OUTCOME: Initial assessment revealed that 35 emergency shelters lacked a sufficient food supply and that 100 shelters had unsanitary conditions. The joint relief team provided the Miyagi Prefecture government and the Ishinomaki municipal government with information about emergency shelters that did not have sufficient food supply. As of 30 September, the activities of the joint relief team were completed, and there was no outbreak of communicable diseases in the Ishinomaki Medical Zone. A total of 328 shelters with 46 480 evacuees were managed by the Ishinomaki Zone Joint Relief Team.

DISCUSSION: Advanced preparation to quickly establish an initial response system, expertise, and decision-making ability and the ability to get things done are required for disaster response management.

When I think pollinosis from a viewpoint of the Oriental medicine, I judged it is an abnormal symptom of the lungs system and the large intestine system.
So I burnt moxa on an effective spot, “Tsubo” of above mentioned systems of the pollinosis patients.
On this report, I want to report two other things. One of them is about the change of the symptoms of the patients against increase or decrease of flying pollens.
I examined ten Japan cedar pollinosis patients, whom I burnt moxa on each one spot selected from “Daitsui”, the lungs system and the large intestine system……on three spots. As a result, the symptoms of the patients have been steadied regardless of number of flying pollens. So I thought moxa cautery can control the symptom of pollinosis.
The other examination is about nasal congestion of the patients.
Nasal congestion of pollinosis patients is caused by expansion of a blood vessel. If the patient keeps the skin heat of the root of a nose lower, he can prevent expansion of a blood vessel.
This time I took this skin heat of the patients, and made an index from it. And the index I made showed that moxa cautery is effective for the cure of nasal congestion of the pollinosis patients, too.

From a viewpoint of the Oriental Medicine, I judged that pollinosis is an abnormal symptom of the lungs system and the large intestine system. So I burnt moxa on some effective spots “Tsubo” of above mentioned systems of the pollinosis patients. About the remedial value, I reported on my first report “MOXIBUSTION THERAPY FOR POLLINOSIS I”.
This time I compared and examined the symptoms of two patient-groups. One group consists of 9 moxibustion therapy patients, and the other consists of 5 medicinal therapy patients who took antiallergic.
A term of treatment was from February to March in 1990.
The effective spots “Tsubo” of moxibustion therapy patients on which I burnt moxa are three spots selected from “Daitsui” and the lungs system the large intestine system of right and left arms. Quantity of moxa is a half grain of rice size, and I burnt the quantity of moxa three times without a break on the same spot. I tried this treatment four times a week.
As the remedial value, the symptoms of moxibustion therapy patients as well as medicinal therapy patients didn't get worse and were steadied on the days when a large number of pollens flew.
When I continued to burn moxa, each symptom of the patient got better in the latter half of the term of treatment.
So I think moxa cautery for pollinosis patients was effective on controling the symptoms.

The limitations of science based on a mechanistic paradigm has been noted in various fields such as politics, economy, science and so on. A paradigm based on organicism is worth considering instead of the mechanistic paradigm.
In the field of medicine, as in other fields, the quality of medicine has required perspective based on organicism.
The organicism of oriental medicine was origenally based on a paradigm of organicism. Especially acupuncture and moxibustion are unique therapies in which the therapy is based on the concept that mind and body unite a single entity, and the principle of therapy is the activation of the natutal healing power using acupuncture needles and moxa. In acupuncture and moxibustion medicine based on organicism, holistic medicine is performed from the perspective of treating the whole patient.
Practicing acupuncture and moxibustion with these considerations is a fascinating medicine for human being and it is a hopeful new medicine for the next generation.

The physical fitness and motor ability of 17, 000 school children in Kyoto City, age 10-17, was studied in 1966-1968. A sports test from the Japanese Ministry of Education, 1963 was used.
The sports test consists of seven items-physical fitness diagnostic test and of five items-motor ability test.
At first, the mean, standard deviation, coefficient of variation and g₁-statistics were calculate using the data of each item of the sports test for boys and girls of every age.
In the paper the results obtained by these preliminary analysis of the data are reported The results which are most worth mentioning are as follows.
1. The age when muscular strength is most remarkably developed coincides with the age when the increase of height is the most remarkably developed. However, according to the results obtained from the Modified Harverd Step Test and Endurance Running, improvement of respiratory and circulatory function seems to occur at a slightly older age.
2. In every item of the sports test records clearly show individual differences. The individual differences related to physical fitness and motor ability seem to be greater than the individual differences related to body type. The greatest individual differences are generally found during the age when the children are most rapidly developing-girls, 10-11 years; boys, 12-14.
3. In most of the items, the distribution is found to be asymmetric which is especially noticable in chinning (modified), step test and trunk extention. In these items the evaluation of individual relative ability among the group by the use of mean and standard deviation is not necessarily suitable.
The use of median or mean as the standard value is recommended Records of our subject were compared with the standards records reported by the Japanese Ministry of Education and with several reports done 30-40 years ago.

Using the data on physical fitness and motor ability measured on 17, 000 school children aged 10-17, in Kyoto City, the relationship between body build and physical fitness and the relationship between body build and motor ability have been examined.
When children were classified into five groups according to their height, it was found that the tallest group had generally the most excellent physical fitness and motor ability in both of boys and girls of every age group. The items of sport test in which the tallest group did not show the best record were only chinning (modified) and continuous belly grinds.
When children were classified into five groups according to their Rohrer Index, it was found that the group of the largest Rohrer Index had the strongest muscle strength, but the group of the largest Rohrer Index and the group of the smallest Rohrer Index were generally inferior to the group of average or middle Rohrer Index in the other facets of physical fitness and motor ability. This trend was found in both of boys and girls of every age group, although the detail of the relationships between Rohrer Index and Physical fitness or motor ability were a little different by age and sex.