A comparative study on spa bathing alone and bathing in combination with herbar medicine was carried out on 21 patients with vibration syndrome of grades III and IV.
Eleven patients (group A) were treated with spa bathing alone; the other ten patients (group B) were treated with spa bathing in combination with herbar medicine (“Goshajin-kigan, ” “Bushi-powder” or “Touki shigyaku kago syuusyo syoukyoutou, ” “Bushi-powder”). All patients were male from 55 to 73 years old.
Subjective symptoms, capillary blood flow volume, skin temperature, and velocity of peripheral nerve conduction were examined before and after each treatment.
In subjective symptoms, the ratio of improvement in group B was significantly higher than that in group A, especially in “numbness, ” “coldness, ” and “discoloration.”
Volume of capillary blood flow in group B was significantly larger than that in group A. Skin temperature in group B was significantly higher than that in group A. However, no significant difference was found in the velocity of peripheral nerve conduction before and after treatment or between group A and group B.

This article reports a first case of calcinosis circumscripta in a captive African cheetah (Acinonyx jubatus). Histopathology demonstrated well defined multiple cystic structures containing granular, dark basophilic materials with peripheral granulomatous reaction, characterized by presence of multinucleated giant cells surrounded by a varying amounts of fibrous connective tissues. Special staining with von Kossa revealed black stained deposits confirming the presence of calcium salts.