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INTERNATIONAL INSTITUTE OF HEALTH AND HUMAN SERVICES,
BERKELEY
Volume 13, Number 2 ･ Summer 2018

Editorial

Yodo Odai and his Clinical Pearls
Hiromichi Yasui

Report from WFAS Tokyo/Tsukuba 2016

Ryodoraku Treatment of Dysautonomia (Japanese Society of Ryodoraku Medicine)
Toshiyuki Kuwahara, Japanese Society of Ryodoraku Medicine (JSRM)

Type 1 Case of Yasui Classification

Two Cases of Childhood Bronchial Asthma Successfully Treated with Shokenchuto and Ogikenchuto
Izumi Kimoto

Clinical Report (Acupuncture)

A Case of Acute Low Back Pain Associated with Walking Difficulties Improved by the Following Day
Shinji Washida

ISSN:1559-033X

College Logos
We believe it is necessary to create a new way of thinking
for the total understanding of "Life, Survival, and Health".
We decided to coin the world "Lifence" to express this.
Lifence means the combination of life sceince and medicine
as well as other disciplines such as health science, psychology,
ethics, etc.
Our college logos symbolizes the above.
The ripple effect represents the ocean and the birth of life.
The rainbow colored sphere represents a safe environment
and a barrier to protect us from negative influences.
The picture by Leonardo da Vinch represents a balanced
body and health.
Completing our logos is a ring which represents the unity ofspace fulfilling the total meanings of lifence.

―

The Journal of
Kampo, Acupuncture andIntegrative Medicine(KAIM)
Research on Theory, Practice and Integration

Volume 13, Number 2 ･ Summer 2018EXECUTIVE EDITOR

Shuji Goto
Chairman, GOTO College ofMedical Arts & Sciences

TA B L E O F C O N T E N T S

Tokyo, JapanEDITOR-IN-CHIEF

Donald Lauda, Ph.D.
Dean Emeritus, College of Health &Human Services
California State University-Long Beach

1 Editorial
Yodo Odai and his Clinical Pearls
Hiromichi Yasui

CA, U.S.A.

ASSOCIATE EDITORS
Shuichi Katai

2 Report from WFAS Tokyo/Tsukuba 2016
Ryodoraku Treatment of Dysautonomia (Japanese Society of Ryodoraku Medicine)

Ibaraki-ken, Japan

Hiromichi Yasui
Tokyo, JapanEDITORIAL STAFF

Akihiro Souma
Hiromi Sasaki
Hiroshi Tsukayama
Hitoshi Yamashita
Junko Okubo
Kazunari Ozaki
Kengo Nakata
Masayuki Kashima
Naoya Ono
Noboru Mitsuhata
Sayaka Toda
Takao Namiki
Toshiaki Makino
Toshihiro Togo

Toshiyuki Kuwahara,

Japanese Society of Ryodoraku Medicine (JSRM)

10 Type 1 Case of Yasui Classification
Two Cases of Childhood Bronchial Asthma Successfully Treated with Shokenchuto andOgikenchuto
Izumi Kimoto

12 Clinical Report (Acupuncture)
A Case of Acute Low Back Pain Associated with Walking Difficulties Improved by the
Following Day
Shinji Washida

PUBLISHER

Shuji Goto
International Institute of Health andHuman Services, Berkeley
2550 Shattuck Avenue, Berkeley
California 94704-2724, U.S.A.

MISSIONTo disseminate peer-reviewed information on the use of acupuncture and herbs, and integration with western
medicine, based on research from an international perspective; thereby stimulating further research, applicationof documented therapeutic measures; and facilitating dialogue among health care practitioners worldwide.

The Journal of Kampo, Acupuncture and Integrative Medicine (KAIM)KOTARO PHARMACEUTICAL introduced in 1957 the world's first Kampo extract
preparations on the market. Later, in 1967, six of our preparations could be covered in Japanfor the first time by the health insurance and after 1976 more than 100 of our preparations
were used in hospitals and clinics. Now it is half a century since we put our Kampo extract
preparations on the market and believe, we made a major contribution to this industry.
In the future we intend to continue working in accordance with our company motto: "Still better
Kampo for still more people" and provide pharmaceutical products of still higher quality.

Origin of the company's name
The company was named "KOTARO" by its
founder Taro Ueda with reference to his birthplace. Close to the ancient city of Nara. Kotaro
is the name of an enormous sheer cliff, 700 m
wide and about 200 m high. Mr. Ueda felt anaffection rising to the heavens for this cliff andthus made it the company's name.

KOTARO PHARMACEUTICAL CO., LTD.
5-23 Nakatsu 2-Chome, Kita-ku, Osaka 531-0071, JAPANURL: http://www.kotaro.co.jp

Volume 13, Number 2 | Summer 2018

Editorial
Yodo Odai and his Clinical Pearls
Yodo Odai (1799-1870) a Japanese Kampo doctor who was active in the middle of the 19th
century applied the formulas from Shokanron (Shang han lun) and Kinkiyōryaku (Jin gui yao lue)to his clinical practice at will. In his book "Hogizasshi", he wrote as follows; "Since I have been using
only prescriptions of Cho Chukei (Zhang Chong-jing) for 50 years, these have become like everyday
meals and tea. Then I can adopt these prescriptions to even any sick people without insufficiency ordeadlock". He was familiar with the effects of over 130 prescriptions for those two classics. That iswhat he learned using only these prescriptions for fifty years since he started his practice. It seems
that appropriate prescriptions would come up automatically in his head every time he saw thepatient using Kampo four examination methods.
Here, he was using mostly system1. Even if we investigate his case reports, it is unclear what
his system2 was like. However, among the books he wrote down we can see that he had been readinga huge number of medical books. In other words, it is certain that his decision-making reasoning was
not just "intuition". Discussion on this matter is important, so let's argue at another opportunity, notnow.
The good point of Odai was trying to verbalize the contents of his system1. He wrote down
carefully and finely his "Clinical Pearls" on how to use each prescription listed in "Ruijuho" compiled
by Todo Yoshimasu in actual clinical practice. These “Clinical Pearls” were applied in practice soonafter by subsequent physicians, they were also emphasized and used during the revival period of thistraditional medicine in the 1930's. The Japanese Kampo doctors who had already studied
contemporary medicine added Western medicine findings to Odai’s Clinical Pearls and establishedthe foundation of modern Kampo medicine. Though these “Clinical Pearls” were enormous, theyturned out to be extremely practical and easy to learn then widely spread among doctors. And now it
became a material of many doctor's system1. Kampo Medicine in Japan is different from TCM in
China in using the Clinical Pearls mentioned here as System1.

Hiromichi Yasui
Japan Institute of TCM Research

The Journal of Kampo, Acupuncture and Integrative Medicine (KAIM)

1

Volume 13, Number 2 | Summer 2018

Report from WFAS Tokyo/Tsukuba 2016
“Ryodoraku Treatment of Dysautonomia”

back by your power, it is said to be the dysautonomia
state, it will be. A measured value chart ofToshiyuki Kuwahara
Japanese Society of Ryodoraku Medicine (JSRM)
The Japan Society of Acupuncture and Moxibustion(JSAM)

Ryodoraku is also the so-called test value of theautonomic nerve. Everything the body of humanbeing unidentified complaint is regarded as anincontinent a-like complaint of an autonomic nerve.
An author regards "the conscious position", "spirit

Abstract
Ryoduraku measurement is characteristic as a check
way of the autonomic nerve gathered by theory
based on electric physiology using the sympathetic
nerve reflective impedance of skin, and Ryodoraku
treatment is treated using this measurement
method. A remedy of dysautonomia (Autonomic
imbalance) using a flow of Ryodoraku treatment isintroduced.

(mind)" and "autonomic nerve reflex" as red snapper
as well as a vital sign newly. An acupuncture andRyodoraku treatment are because the stable effect of
the spirit makes a medical examination of a skinreflex of internal organs which are a very high thing
and an autonomic nerve reflex good at acupuncture
with

Ryodoraku

treatment.

Andamedicalexamination of a skin reflex of internal organs which
are an autonomic nerve reflex is because I make good

1. Introductionat acupuncture with Ryodoraku. I think it's the way

Discovery is contrived by Mr. Yoshio Nakatani whoof Ryodoraku study to get the sights on the axis

is a founder in 1950 (1950), and I introduce scientificwhich controls the whole vital sign and make them

EBM into the range of the needle moxibustion

develop. About a dermatome and a Ryodoraku

medicine and have made them develop. After that

autonomic nerve adjustment method of treatment1)

Japanese Society of Ryodoraku Medicine (JSRM) is

Capter 23

established by the family who studies Ryodoraku,

It's excerpted from “Foundation of a dermatome andand it comes today. Ryodoraku observes reactive

application.” written by Tatsushi Ito, chairperson ofpoint of the sympathetic nerve and the function of

JSRM, MD, PhD.

skin including a dermatome, finds the form related
to each organ, merges with a systematical theory
system of Ryodoraku and studies a remedy. It's
importanttodevelopreactive

point

on

the

dermatome.
A balance is kept by a network of an autonomic nerve
for our body. A parasympathetic nerve does areaction of the sympathetic nerve in the direction
where a body is prepared to the behavior, andoperates on the way which makes a body rest
reversely. When abnormality and a pathologicalchange occur to a living body, activity of autonomic
nerve

also

causesdisorder.

The

homeostasis

retention starts with an unidentified complaint,
causes a change in physical condition and evencauses a change in an emotion and memorization,and becomes fragile. The state that you can't get

2

2. Styles of autonomic imbalance
It's classified into four kinds of style(1) Essential: An unconfident person tends to lead toirregularity in an autonomic nerve, and the person
who tends to feel dizzy on standing up by the weak
wake-up

and

low

blood

pressurebythepredisposition that a regulating function of anautonomic nerve tends to be disordered naturally
also tends to complain to physical strength of thepain.
2) Neurosis: A psychological factor is a trigger and it
leads to malfunction and complain of autonomic
neurological

functioncomplaints.

The

of

person

many
who

is

unidentified
sensitivetoirregularity of a body and worries himself has. The
ambiguous but body-like symptom is strong, and aboundary with a neurosis shows.

The Journal of Kampo, Acupuncture and Integrative Medicine (KAIM)

Volume 13, Number 2 | Summer 20183) Psychosomatic disease: This type is half forautonomic imbalance. The symptom is various
because of a stressor of daily life. While standing
feeling of feelings and the state of stress of thefatigue, it leads to irregularity in an autonomic nerve.
(4) A depressive: A stress accumulates chronically, andwhen it starts to indicate a reaction of the depressive
state, a vegetative neurosis shows as the body
symptom a headache, a stomachache, sleeplessness
and in appetence. Depression feeling can be close inthese symptoms, so treatment to depression is behindschedule. Preciseness, perfectionism and an
attachment force often to become character-like in the
depressive state, and I often feel depressed, theimpatience attacked by anxiety and fear, in the grief
which worries about a trivial thing, it draws in. As aresult, it's depressed and there is no concentration it's
easy to get angry about which, I don't have a mind todo, it will be in the state. I also complain of a decline ofmemory and the attentiveness.

3. Ryodoraku treatment(1) Symptom grasp
At first, symptom grasp is performed by Ryodoraku
method of treatment about autonomic imbalance.
1. Interview sheet: A present complaint is entered in
an interview sheet and the time of the first medical
examination. They are often a patient's case recordand sharing.
2. Autonomic nerve Chart (Table 1).
I check how many are relevant out of the autonomic
nerve patient's case record: 100 items (*/100).
First 5 vital signs: The blood pressure, the pulse, thebreathing rate, the body temperature and the pain are
confirmed and it's entered in Autonomic nerve Chart.
The state of the patient's autonomic nerve is grasped
as of it by entering an autonomic nerve patient's caserecord.
(The symptom of the autonomic nerve malfunction isso strong that there are a lot of checked items.)
3. Autonomic imbalance judgment: Clinical judging:
When judging a strong vegetative neurosis
document clinically simply, an autonomic imbalance
check part (Figure 1) is used. How many items are
relevant out of the following 13 items, (*/13)

1. Ryodoraku chart ((1) normal (2) Ryodoraku isdispersive (3) HF reverse pattern)
2. Calvarial edema and feeling hot
3. Nystagmus.
4. A tongue trembles
5. Acupoint LI10 Pressure pain
6. Pain rise aside of the chest
7. Heartbeat and tachycardia.
8. The cold of a foot.
9. Perspiration
10. Sleeplessness
11. The willpower (I feel languid.)
12. The thoracic vertebra curved posture
13. The digestive organ symptom (Anorexia)(2) Ryodoraku measurement
Next an electric current in a representative
measuring point of 24 hands and feet (Figure 3) aremeasured using Neurometer (Figure 2) and it'sentered in an exclusive Ryodoraku chart. Figure 4 isan example of the chart which made by PC
measurement system using PC.
(3) Decipherment of Ryodoraku chart
A measurement electric current of each Ryodoraku
makes the plot Ryodoraku chart, and the current value
makes the sense as excitement and the restraint
situation in each Ryodoraku left and right hand or foot.
<How to purchase a mean and a physiological range>
A line situate center in fig. 4 is a mean (Mean of 24
measurement current value), and this price shows
the sensitivity of the autonomic nerve and the degreeof vigor, and a normal value is 40-60 μA. The inside
area of these two lines (Green line in Fig.4) which
located 7 mm away from the mean in the top and thebottom is defined as a Physiological Range.
Measurement current values of each Ryodoraku
plotted inside the mean side of physiological range isjudged as normal. Something from which I deviate isdifferent. It’s judged as abnormal Ryodoraku. The
current value excess over upper the PhysiologicalRange line is called excitement; the current value
which has not reached a line under the physiologicalRange ea is called restraint.

The Journal of Kampo, Acupuncture and Integrative Medicine (KAIM)

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Volume 13, Number 2 | Summer 2018

Table 1:
1. The body which feels tired (foot,hand, the waist summer)
2. Body is fatigable is changeable
3. A body is changeable
4. Physical condition depends on
weather, weather, the noise
5. We feel stress
6. It is easy to fall into a panic
7. Is irritated
8. It is easy to be angry
9. Depressed
10. Wehavelostmind
11. Werakenightsweats
12. Fallingasleepispoor
13. Asleepislight
14. Morninglyingdownandgettingupispoor
15. Wefeelsleepinessinthedaytime
16. Itiseasytocatchcold
17. Itishardtorecoverfromacold
18. Itiseasytogetsickfromavehicle
19. Wehavepoorcirculation(hand,foot)20. Handsandfeetmaybecomepurple
21. Abodybecomeshotandbecomescold
22. Itiseasytosufferfromachap
23. Itiseasytohavechilblains
24. Itisaheavysweater(wholebody,hand,thewinterseason)25. Asweatdoesnotflow
26. Headache
27. Headachedull
28. Wemaygetpuffedup
29. Feelhot(face,hand,foot)30. Athoughtisnotunified
31. Feeldizzy
32. Whenwestandup,wefeeldizzy
33.Wehaveapaininface
34. Afacemaybecomeawfullyred
35. Eyesbecomedim

Autonomic nerves clinical record

36. Eyesaretired

71. Gaseousregurgitationsellswell

37. Decreasedvisualacuity
38. Eyesareitchy
39. Eyesdry

72. Astomachswells
73. Alotofgasappears
74. Lumbago

40. Wehaveabuzzinginourears
41. Anearishardtobeheard
42. Wehaveapaininthroat
43. Wehaveaburinthroat
44. Thirsty
45. Thereiseasytobestomatitis
46. Werepeattonsillitis
47. Wehaveapainintongue
48. Tasteisnotunderstood
49. Thereismuchsneezing
50. Mucussellswell
51. Stuffynosesoccurwell
52. Thereisnotasmell
53. Welackinsnoring
54. Wegrindourteeth
55. Aneck,ashoulderarestiff

75. Wehaveapaininknee
76. Wehavelegcramped
77. Wehavealegnumb
78. Alegisswelled
79. Cornsgrowwell
80. Skinisitchy
81. Apainoftheskincontinues
82. Skinisvulnerable
83. Thereismuchalopecia
84. Urticariagrowswell
85. Thereiseasytobeeczema
86 Anailisbroken,comeoff
87. Thereisathlete'sfoot
88. Chroniccoprostasis
89. Itiseasytohaveloosebowels
90. Diarrheaandconstipationcomeinturn、Irritablebowelsyndrome
91. Urinaryfrequency
92. Thereissometimesurinaryincontinence

56.Abackisstiff
57. Thereisbodyodor、Thereisbodyodorundertheside
58. Wehaveahandnumb
59. Ahandshakes
60. Bloodpressureishigh
61. Bloodpressureislow
62. Wefeelapaininourchest
63. Haveapalpitation
64. Isoutofbreath,ischoking
65. Havenoappetite
66. Wehavepoordigestion
67. Epigastricdistress
68. Adigestionispoor
69. Heartburn
70. Nausea

After the first Ryodoraku measurement, the state of
the patient is explained by using the reading methodof Ryodoraku chart. And also treatment policy ismade by the Ryodoraku chart. State of the patientchanged by treatment at the after 2nd time, that
could be explained.

4

93. Thereismuchnocturia
94. Thereisfeelingofresidualurine
95. Debilitysexualis
96. Impotence
97. Menstrualirregularity
98. Menstrualpainishard
99. Wearetroubledwithinfertility
100. Wearetroubledwithhemorrhoids(2) The shape of the whole of Ryodoraku chart (Thestate of the whole body and the state of the mental
and the heart.)
When it's normal that an average of H system of thehand is higher than F system of the foot, but the caseof an average of F course is higher than H course
system, spirit unstableness is indicated. Some of
Ryodoraku patterns and the mental condition(Figure 5) are made a reference.

The Journal of Kampo, Acupuncture and Integrative Medicine (KAIM)

Volume 13, Number 2 | Summer 2018

自律神経失調症診断部位• 1.良導絡ﾁｬ-ﾄ (HF逆転・H456抑制・錯乱ﾊﾟﾀ-ﾝ・企業戦士健康ﾁｪｯｸ)2.頭頂部浮腫熱感• 3.眼振• 4.舌振• 5.手三里圧痛• 6.胸脇苦満• 7.動悸・頻脈• 8.足冷え症
0
1
2
判定• 9.発汗1 良導絡ﾁｬｰﾄ 正常 F2F3興 ﾊﾞﾗﾊﾞﾗ
2 足の冷え正常弱い• 10.不眠
3 胸脇苦満
正常
弱い
4 発汗
正常
弱い
• 11.気力(身体がだるい )
5 舌振戦
正常
弱い振戦
6 眼振戦
正常
弱い振戦
• 12.姿勢(胸椎後湾)
7 手三里圧痛 正常
弱い
8 頭頂浮腫熱感 正常
弱い• 13.消化器症状• (食欲不振)
9 不眠
正常
軽度
良導絡ﾁｬｰﾄ
4

消化器

足の冷え

3.5

3

2.5

動悸・頻脈

胸脇苦満

2

1.5

1

姿勢

発汗

0.5

0

気力

不眠

頭頂浮熱

**
13

正常
正常
正常
正常

(1) Spirit unstableness type I

眼振戦

手三里圧痛

系列1

10 気力
11 動悸・頻脈
12 姿勢
13 食欲不振

舌振戦

系列2

3

4

平均値高 HF逆転

軽度
軽度
軽度
軽度

強い
強い
強い
強い振戦
強い振戦
強い
強い
強い
まったく
強い
強い
強い

Goto clinic(Figure 1) An autonomic imbalance check part4)(2) Spirit unstableness type II(3) Spirit unstableness type III
Fig. 2 Neurometer

Fig. 3 Ryodoraku Representative Points

Fig. 4 PC-system Ryodoraku Chart(3) The state of the patient is confirmed from thestate of different abnormal Ryodoraku (the Noquestioning-diagnosis).
Patient's cause of the state: disease and complain,disease part and psychological condition are
presumed and explained from a space of excitement(When there are a lot of electric currents.) and
restraint (When there are few electric currents.)
related to each Ryodoraku using Ryodo raku
symptom syndrome chart table. A syndrome tabletotaled the symptom of 1000 examples of patient who
went to a founder Nakatani's clinic statistically.
4) Ryodoraku adjustment
1) Ryodoraku adjustment: A needle stimulus of
direct current electricity treat for 7 seconds or a gold
grain and a silver grain are used for moxibustion isadded to a restraint point in excited Ryodoraku anda excite point in suppressing Ryodoraku(Cf.Fig.2 excited point and restraint point) a
treatment point gets thing 3 or 4 away from the mean
respectively. Using the exclusive acupuncture pipe
called an ER acupuncture pipe (Fig. 6) in Ryodoraku,

The Journal of Kampo, Acupuncture and Integrative Medicine (KAIM)

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Volume 13, Number 2 | Summer 2018

the direct current electric acupuncture which pours afeeble direct-current electricity into a needle is often
performed. This way is the stimulation method which
Dr. Yoshio Nakatani chose from many experiments
and is a safe stimulation method with a good recordof performance in more than 70 years. Dispersal ER
needle (Figure 7) is also used present. Because of
Ryodoraku acupuncture does not feel ER needle-pipe
body with a finger when we insert ER Ryodoraku
needle, it is hygienic. Direct current electricalacupuncture needle is the characteristic of Ryodoraku
treatment. We make the metal part neurometer’gasping electrical terminal to patient and makes
searching electrical terminal on patient’s dermatitis.
And by which its ER needle in search electricalterminal have an electrical contact with a patient,and a feeble electric current is poured into
acupuncture to patient’s body.
(7 seconds DC
electrical stimulation on100-150 μA at acupuncture
point is stuck.)
We treat skin of reactive site (An acupuncture point
also reacts.) and even muscle layer with biting
acupuncture mainly.
2) Basic adjustment: I-V type is chosen from apresent
complaintandasymptom(cf.Chart1.Fundamental point adjustment point)(Fundamental treatment).

Fig. 6 ER acupuncture needle pipe

The patient whose mean value of current is high andthe quantity of stimulus are weak. The patient
whose mean value of current is low and the quantityof stimulus are strong in whole way.
3) Partial treatment and reaction Ryodoraku point
treatment (Branch treatment): The current value
must be searched an expensive peak point extremely
more than the neighborhood in Neurometer as
treatment point retrieval method of a chiefcomplaint part. This point is just the Reactive
Electro Conductive Point and an absorbed, and it
reacts to an acupuncture point and reactive site, etc.
and is effective as a treatment point. More retaining
needle, operation by low frequency electric needle
stimulation, intradermal needle, a gold grain,
moxibustion and a hand skill, far infrared radiatorand Negative-ion electronic therapeutic equipment,
etc. are used.
4) Scalp acupuncture A treatment point of a scalp
acupuncture way is used for the neurologic
symptoms including the dysautonomia and thetreatment. We search for a treatment point in metal
searching electrode (Figure 9)of Neurometer (Figure10), and intermittent continuation low frequency
electric needle stimulation 10-20 minutes including
30Hz such as MIX waves are effective for scalp
acupuncture. (Figure 11).

Fig. 7 Disposal ER acupuncture needle

Fig. 8 DC electric acupuncture2) Ryodoraku autonomic nerve adjustment method of treatment (basic course)

The quantity of stimulus->, locating the point (It'schosen from the inside of a basic adjustment point.)
and biting acupuncture stimulus (the turning onelectric current amount, welding time and hand skill(sparrow pecking method etc.))

6

The Journal of Kampo, Acupuncture and Integrative Medicine (KAIM)

Volume 13, Number 2 | Summer 2018

Fig. 9 Searching electrodeFig. 10 Searching effective point

Fig. 11 Scalp acupuncture

Tonification
Sedation

Table 2 Tonification and Sedation Points
H1LU H2PC H3HT H4SI
H5TE
LU9
PC9
HT9
SI3
TE3
LU5
PC7
HT7
SI8
TE10

H6LI
LI11
LI2

Tonification
Sedation

FIGB
GB2
GB5

F6ST
ST41
ST45

F2LR
LR9
LR2

Table 3

F3KI
KI7
KI12

F4BL
BL67
BL65

F5GB
GB43
GB38

Basic regulating points

Group I:

BL18, BL20, BL23: Liver, Stomach, Pancreas, Kidney and Adrenal are strengthened and it’sused by the detoxication function and the purpose of improving the defense function. These
acupoints have strong action to abnormal Ryodoraku which is adjusted, so it’s used for the
General Regulation Therapy (GRT) certainly.

Group II:In the basic I type are added BL10, GB21, CV13, CV12, CV10 and ST21 (It’s used for a weakperson of the stomach and intestines, something to complain of stiffness of a cervical posterior
and a shoulder.)Group III: In the basic II type are added GV20, CV16, BL32, ST36 and CV6.
The blood circulation which makes the head refreshed and makes feeling calm down, and is in
the pelvic cavity is improved. And makes the function of stomach is improved.
Group IV:

In the basic III type are added CV14, BL15, SP14 and KI7.
I get stiffness in the back, adjest the function of the heart and improve the function of the gut.

Group V:In the basic III type are added GB6, LU1, ST25, CV3 and ST11.
Combination of points would be effective to the whole body In case of the name of disease isn’t
certain; a treatment policy is a making trouble. It’s effective.

The Journal of Kampo, Acupuncture and Integrative Medicine (KAIM)

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Volume 13, Number 2 | Summer 2018

Ⅳ. Case of autonomic nerve symptom

medical examination, and I read with the state of theAutonomic imbalance

mental condition unstableness. The numerical value

View and a symptom] 28 year old maleof the second medical examination, F system is

A medical history: He had developed shingles in the

expensive and is the reverse of hand and foot, showsback before about 2 years of the first medical

the spirit unstable pattern. It's expected thatexamination and cured it completely by about 2

treatment time is needed.

months. He worked IT company and worked so busy,

Treatment passage

and a feeling obstacle would be hard. He went up to

1. Once a week is treated. He received the Ryodoraku

his office becomes hard, so he consulted by a healthmeasurement each time and the whole bodycare room in a company and visited the department

stimulation of Tonification and Sedation Points.

of psychosomatic medicine, and you prescribed

And the Basic regulating points type Ⅴ

medicine, but the symptom isn't improved after half

performed by direct current electric acupuncture

year, and the like vegetative neurosis which is the(stainless needle 0.2mm φ-40mm length which ispain of the skin in the time when medicine was

loaded on a ER acupuncture pipe Figure 6).

stopped begins to go out. Work can't commute and do

2. Ryodoraku Reactive Electro Conductive Point

business, and is absent from work. After then he(RECP) therapy treated in the part to which

examined Chinese medicine bureau to prescribe

patients’

Chinese medicine, but it wasn’t efficient. And soon

examination

after then he check-up, the effect also judges

3. Low frequency needle turning on treatment scalp

Ryodoraku which found from a web came to our

acupuncture 3/20Hz was added, but he felt strong

acupuncture clinic.

pain of the needle stimulation. It’s canceled after a

Symptom grasp and treatment policy

fact he claimed the effect isn't felt.

1. Interview sheet (symptom written by the patient):

4. He claimed

When being not working well about the depressive

more than several minutes, it changes a prone

state, pulse feeling strong in (spiritlessness), theposition the basic adjustment to I type .

belch and the occiput temple medial malleolus .He

5. After the fourth medical examination, treatment

didn't have a mind to do, the feeling by which a stuffy

are performed Tonification and Sedation Points

tooth is on edge and the belch which feels the pain in

adjustment and the basic adjustment of I types.

skin (When skin touches towel, he felt pain.), theReactive conducting point is treated at the pulse

result belch catches its breath unconsciously, andpart on back of the head. And treated acupressure

goes out.

in the back and the sole are added.

2.

Autonomic

nerve

Chart

count

(Table1complainofthesecondismedicalback pain at a supine position of

6. After the tenth medical examination the patientreferring) ............ 23/100

himself insists that there is no improvement of the

3. Autonomic imbalance check part count (Figure 1

symptom

referring) ....... 6/13.

referring), but when questioning before treatment,

The effect for "the (3) psychosomatic disease type" toa relaxation sense (laugh) goes out.

be also considered by "the (2) neurosis type", which

7 .At the twenty fourth medical examinations, heis autonomic imbalance; I chose Ryodoraku General

was restored to work by (Ryodoraku chart (Figure

Regulation Therapy (GRT) was performed.

12(4)) referring). It's left, but the work is continued.

Ryodoraku

chart(Figure

12(1)

and

(2))

the

numerical value disperses in the top and the bottom(Ryodoraku(Figure12(3))

Autonomic nerve chart………………..15/100
Autonomic imbalance check part: ………………..

on the Ryodoraku chart at the time of the first

8

chart

The Journal of Kampo, Acupuncture and Integrative Medicine (KAIM)

It's improved in 4/13.

Volume 13, Number 2 | Summer 2018

Ryodoraku Chart
The

acupuncture

includingGeneral Ryodoraku treatment
does not have a side effect, andthere is resistance while wecontinueit.

Furthermore,diathesis is improved, and asymptom and disease go to the① 1st medical examination②

2nd

medical examination

healing, and there are manycases that become hard tohave a disease. In this sense,
the effect to a dysautonomia
symptom is expected. The
effect to the like dysautonomia(autonomic

imbalance)isexpected by this meaning.

③ 10th medical examination
Figure 12 Ryodoraku chart of a case

④ 24th medical examination
3) Ryodoraku treatment to autonomic imbalance

Consideration

Reference

The therapeutic effect isn't felt by words of the patient1)by this treatment, but it's treatment. That a laugh cango out and do a long-distance cycling by bicycle as

Basics and application of the new dermatome
Tatsushi Ito, Taniguchi bookstore, January, 2019.

2)

Ryodoraku

autonomic

nerve

adjustment

advanced. The self-controlled autonomic symptoms

therapy (basic course) 7th edition Japanese

were improved and it could be restored to company

Society of Ryodoraku Medicine academic part.

duties. Ryodoraku treatment had the effect of this case.

April, 20123)

Conclusion.

Japanese magazine of the Ido-no-nihon: medical

It is useful for symptom improvement to make theethics issue, Toshiyuki Kuwahara. January

patients recognize autonomic nerves symptom byusing the evaluation judgments such as Ryodoraku
measurement using Neurometer, autonomic nerves

2015
4)

bowels, the lesion of the site or a feeling half-healthy
state, function disorder including a more autonomic
imbalance, and there is a thing. We perform General

Autonomic imbalance check part Material in
Goto in clinic of acupuncture and moxibustion.

check list, the dysautonomia judgment site check list.
From Ryodoraku measurement, we read associated

Ryodoraku treatment to autonomic imbalance

Kimiya Goto, May, 2012
5)

A basis of an autonomic nerve and, clinical
Tatsushi Ito, Japanese Society of Ryodoraku
Medicine, February .2017

Ryodoraku treatment based on this. Furthermore,weaddtreatment

such

as

low

frequency

acupuncture electricity therapy, the thermotherapy.
The Journal of Kampo, Acupuncture and Integrative Medicine (KAIM)

9Volume 13, Number 2 | Summer 2018

Type 1 Case of Yasui Classification
Two Cases of Childhood Bronchial Asthma Successfully
Treated with Shokenchuto and Ogikenchuto

Izumi Kimoto
Hirose Clinic

In recent years, inhaled steroids or leukotriene
receptor antagonists have been used as a basis firstline therapy for the treatment of mild bronchialasthma in children. On the other hand, most cases ofbronchial asthma attack or asthmatic bronchitis inchildren occur on the occasion of respiratory tract
infection, including common colds. Thus, in our
experience, the asthma attacks of children improved
without

inhaledsteroids

orleukotriene

antagonist therapy, when the frequency of common
colds or respiratory tract infection is reduced.
On this occasion I would like to present a case ofasthmatic child who was effectively treated with
Kampo medicines (shokenchuto and ogikenchuto)
alone.

theconditionofhisasthmaandconstitutional infirmity before the initiation of firstline therapy according the guidelines. At two months
after the initiation of shokenchuto treatment, hiswhile his asthma attacks or mild wheezing that werepreviously triggered by respiratory tract infection or
fatigue decreased. Six months later, his asthma
attacks apparently disappeared. At one year aftertheinitiationof

shokenchuto

treatment,

hisinfirmity and digestive function improved, and his
asthma cured and shokenchuto was withdrawn. The
patient did not experience a recurrence of asthma
attacks.
[Case 2: A 1 year old boy]
Past history: Nothing particular, normal vaginal
delivery, birth weight, 3076 g.
Current clinical history: From age 0, the patient had
frequent wheezing when he developed a cold and wasdiagnosed with infantile asthma at age 1 year and 7
months of age. When he caught a cold, he wheezed,[Case 1: A 6 year old boy]
Past history: Nothing particular
Current clinical history: The patient was diagnosed
with bronchial asthma at 3 years of age. He oftencaught colds and presented mild wheezing several
times per month. Sometimes exercise triggered anasthma attack. The patient had a poor appetite andbecame tired easily. He had a so-called weak
constitution. This did not improve even when taking

saibokuto or shoseiryuto extract.
Present condition: Height, 115 cm; Body weight, 18 kg.
Pulse: Both slightly floating and thin, rapid.
Tongue: Slightly red, and white coated. Abdomen:
Tightened rectus abdominis, and ticklish.
Clinical course:
The severity of his asthma was classified as the mild
persistent type according to the Japanese pediatricguidelines for the treatment and management ofasthma. Shokenchuto extract (Tsumura & Co., Tokyo,

10

improveappetite increased and he stopped catching colds,

Introduction

evenJapan) was administered at a dose of 7.5g/day totook asthma medication, and frequently went to thehospital for inhalation. He did not go to a nurseryschool. He easily caught colds and developed fever.
Present condition: Height, 89 cm; Body weight, 12.3 kg.
Pulse: Both slightly floating and rapid Tongue:
Slightly red, and white coated.
Abdomen: Weak abdominal strength.
Clinical course:
The severity of his asthma was classified as the mild
persistent type according to the Japanese pediatricguidelines for the treatment and management of
infantile asthma. Ogikenchuto extract (Tsumura &Co., Tokyo, Japan) was administered at a dose of 3.0
g/day, and when he caught a cold, shinpito extract(Tsumura & Co., Tokyo, Japan) was added at a doseof 2.5 g/day. One month later, he developed a cold andmild wheezing. Two months later, he also had a cold,
but wheezing did not develop. Since then, thepatient`s bronchial asthma attacks disappeared. The

The Journal of Kampo, Acupuncture and Integrative Medicine (KAIM)

Volume 13, Number 2 | Summer 2018

administration of ogikenchuto was continued until

When reviewing this case from the viewpoint of theits withdrawal at 3 years of age.

“Yasui Classification of the Indications for Kampo
Treatment,”

thesuccessful

administrationof

shokenchuto and ogikenchuto satisfies the definition

Discussion

Shokenchuto

ogikenchuto

theof “Type 1”; Treatment is effective by Kampo

constitutional infirmity and digestive function of thetreatment alone and better than standard western

patients and reduced the onset of common colds andmedical treatment.

respiratory tract infections. As a result, these

The administration of shokenchuto or ogikenchuto to

Kampo medicines cured bronchial asthma in the twochildren with bronchial asthma in children is notchildren. It is important for us to treat patients ineffective in all cases. However, for children who areaccordance with the Japanese pediatric asthma

prone to catching colds and whose respiratory andguidelines with inhaled steroids or leukotriene

gastrointestinal function are immature and fragile,

receptor antagonists, as well as focus on infirmity of

it is well worth considering this medication, which

the respiratory and digestive function, known as

may cure or ameliorate asthma in children.

andimproved“Hai”, and “Hi” in Kampo medicine, which cause
bronchial asthma attacks and transient wheezing inchildren.
In recent years, there have been developments forbronchial asthma therapy in both children andadults; thus, the indication of a bronchodilator
consists of ephedra herb which was traditionally
used

in

Kampo

medicine(e.g.,

maotoormakyokansekito extract), has clearly decreased. We
usually treat moderate or severe asthma attacks inchildren with a bronchodilator or steroids, even if we
use Kampo medicine for preventing asthma attacks.
In case 2, the patient took inhaled both inhaledbronchodilator and shinpito extract (containing
ephedra herb) only when he caught a cold or wheezed.
On the other hand, shokenchuto or ogikenchuto has
the potential to be adapted for the treatment ofchildhood diseases, including bronchial asthma andallergic disease, by improving the digestive function
and constitutional infirmity of the respiratory tract,
and by preventing children from catching thecommon cold. In addition, shokenchuto can beappliedinemotionallythetreatment

instability

due

of

childrentoillnesswithordevelopmental disability. Ogikenchuto is a Kampo
prescription in which Ogi (Astragali Radix) is added
to shokenchuto. It is generally suitable for children
who are more fragile and tend to sweat.

The Journal of Kampo, Acupuncture and Integrative Medicine (KAIM)

11

Volume 13, Number 2 | Summer 2018

Clinical Report (Acupuncture)
A Case of Acute Low Back Pain Assciated with Walking
Difficulties Improved by the Following Day[Subjective symptoms] When the patient visited my

Shunji Washidabecause of the pain, but did not complain any

Washida Acupuncture Clinic

clinic, he supported his body on the wall. He wasbarely able to move one step at the time forward
numbness of the legs.
[X-Ray] It did not show abnormalities a month before

I. Introduction

his visit.

The number of patients with low back pain is[Oriental Physical Examination]

extremely high and among the complaining ratio,

Inspection: appeared to be very uncomfortable, but

low back pain occupies first place in men and second

had a healthy look; facial complexion was somewhat

in women in Japan. (2010: Comprehensive Survey ofdark and lacked luster.

Living Conditions). Low back pain is classified into

Audio-olfactory examination: weak voice.

acute, subacute and chronic based on the period ofInquiry:time since onset. Low back pain of duration less thanoccupation and did not do anything possibly causing

four weeks is defined as acute phase1). As treatment

particular strain on the low back. The only occasionof acute low back pain, pharmacotherapy is highly

to leave home is visiting the horse race track onrecommended (Grade A) and NSAIDs are frequently

weekends. Otherwise he contrived to join a Mahjong

used. Thermotherapy is considered to be of short-club in order to have a reason to leave home eventerm benefit (Grade B)1). However, currently there isduring the week, but because of his poor skills at

littleto

Mahjong this on the contrary tended to irritating

As for acupunctureand stopped him from continued attendance. He had

and moxibustion treatment, According to a Cochrane

the habit of drinking about 5-6 cans of beer every

review of 35 RCTs studies published in 2005, among

evening. He drank a lot of alcohol over a period ofthem only three studies dealt with for acute low backseveral weeks prior to the onset and often also

pain, it was concluded that the effectiveness of thestarted drinking during the day. When drinking

treatment remain uncertain,1). Here I report a caseduring the day he rarely went out, became drowsyof acute low back pain successfully treated withand slept, so that he recently spent much time lying

acupuncture and moxibustion treatment..

down. He did realize that excessive drinking andreliable

pharmacotherapy inevidence
general2).

regardingThepatient

wascurrently

withoutlack of exercise is not good. The pain manifested in a
II. Case reportway, that he could not put any weight on his spine.

[Case] 66 years, male

The difficulty to fall asleep caused the drinking habit[First visit] July 15, year X

for many years. His insomnia started when his[Chief complaint] Low back pain

younger brother died of cancer approximately 30[Past Medical history] At the age of 55 partial

years ago. He felt responsible for the death of his

gastrectomy because of gastric cancer

younger brother and this guilt has caused him much

[History of Present illness]suffering.

He has repeated acute low back pain about once a

Palpation: rough, floating pulse, rapid, empty andyear over the last few years. On the morning of hisslightly

first visit to my clinic, he had acute low back pain,

showed liver and kidney deficiency. Abdominal

which unable him to walk to my clinic.

diagnosis showed weakness of the lower abdomen.

[Life history] Single, lives alone

Meridian palpation revealed tenderness from GV3 ~choppy.

Comparative[Current condition] Height 165 cm, weight 50 kg

12

The Journal of Kampo, Acupuncture and Integrative Medicine (KAIM)

pulse

diagnosis

Volume 13, Number 2 | Summer 2018

GV4. The tenderness was also experienced as

he did experience discomfort, but the activities of

discomfort.

daily life had significantly improved so much as to[Medical diagnosis]

cause no major problems). The pain along the

One month ago an x-ray had been taken, but did notgoverning vessel (GV3~GV4) had slightly decreased.

show any anomalies.

Inspection: Calm expression; facial complexion had[Oriental medical diagnosis]

become lighter.

The cause of the condition was considered to be

Audio-olfactory examination: Voice had gained inexcessive eating and drinking (excessive alcohol

strength and he was rather talkative.

consume), leading accumulation of damp heat and qi

Palpation: rough pulse, slightly floating, slightly

stagnation. The pattern was identified as a liver-

rapid, empty, slightly choppy. Comparative pulse

kidney deficiency. Due to the excessive drinking anddiagnosis showed liver-kidney deficiency. Abdominal

resulting decreasing frequency of leaving the house

diagnosis still showed lower abdominal deficiency.

in conjunction with a lack of exercise led to qi

Rootstagnation in the lumbar area. In addition to thatTechnique at LR8 and KI7.

damp heat accumulated in the lumbar region,

FRANC treatment: Zheng Qi Tonifying Technique atconceivably causing the pain.

CV4. Qi Splashing Technique on the governing[Treatment policy] Disperse damp heat and improve

vessel (from the vicinity of GV3~to the vicinity ofthe qi stagnation directly responsible for the pain;

GV4) near the tender regions. Zheng Qi Tonifying

reinforce the deficient liver and kidney qi, thus

Technique at BL23 and BL18. Yin Qi Tonifying

aiming at a recovery of low back function.

Technique and Qi Splashing Technique near BL23

[Treatment] Root and branch treatment (sitting

and BL25 as lumbar regions of increased muscle

position): 1 cone of heat-sensing moxibustion each at

tension. Qi Transfer Technique at BL60. Yin Qi

the 3 locations of the tender GV3, in the

Tonifying Technique, Qi Splashing Technique and Qi

intervertebral 3rd and 4th spaces and at GV4.

Smoothing Technique in a sitting position for regions

Root treatment (supine position): Transmeridian Qiof strong muscle tension at the sides of the neck,

Tonifying Technique at LR8 and KI7.

along the top of the shoulders and the upper back.

FRANC treatment (supine position): Zheng Qi

Third session (July 19): "Activities of daily life do not

Tonifying Technique at CV4. Branch treatment

cause problems and I take walks depending on my(prone position): Qi retention Technique at GV3, incondition." The tenderness at GV3 still remains.

the intervertebral 3rd and 4th spaces, GV4, BL23 andPalpation: rough pulse, slightly floating, slightly

BL28. Zheng Qi Tonifying Technique at BL18. Qi

rapid, empty, slightly choppy. Comparative pulse

Splashing Technique at BL60. That is the Toho-kai

diagnosis showed liver-kidney deficiency pattern.

style treatment (Meridian therapy) I performed. The

Treatment: same as during the last session.

floating pulse was alleviated, liver-kidney deficiency

Fourth session (July 23): "I spent the whole day

improved and I finished treatment after the pulse

sitting at the horse race track, but was fine. The

had calmed down. Immediately after the treatment

other day I drank alcohol. Four cans of beer. I had

the patient did not report any subjective changes inintended to stop at two, but the excitement after thethe pain. Objectively the walking speed appeared tohorse race kept me going to drink 4 cans."

have slightly increased.

Tenderness at GV3 remains.

[Clinical course]

Palpation: rough, slightly floating pulse, slightly

Second session (July 16): On the day after the first

rapid, empty, slightly choppy. Comparative pulse

visit the patient came by train (walked to the station;

diagnosis showed liver-kidney deficiency pattern.

treatment:

Transmeridian

The Journal of Kampo, Acupuncture and Integrative Medicine (KAIM)

Qi

Tonifying

13

Volume 13, Number 2 | Summer 2018

Treatment: same as during the last session.

Due to the improvements in his daily life I ended theFifth session (July 30): "Three days ago I felt sometreatment according to the patient's wish.

discomfort, but that went away in 1 day. Because mysleeping rhythm has fallen into disorder I do sleep
during the day, but then cannot fall asleep at night.
That is why my alcohol consume is increasing andseems also to lead to the development of my low backpain. But unless I drink some alcohol, I cannot fallasleep. That is a habit of mine continuing already formany years. The trouble with falling asleep started
about 30 years ago, when my younger brother died."
There is some tenderness at GV3.
Palpation: rough, slightly floating pulse, slightly
rapid, empty, slightly choppy. Comparative pulse
diagnosis showed lung deficiency pattern.
Treatment: The pattern was identified as lungdeficiency

andtreatedbyTransmeridian

Qi

Tonifying Technique at LU9. Local and symptomatic
treatment same as during the last session.
Sixth session (August 6): "Because my life rhythms
is disorderly, alcohol consume has increased. There
has been some low back pain, but it is not as severeas the other day." There is some tenderness at GV3.
Palpation: rough, slightly floating pulse, slightly
rapid, empty, slightly choppy. Comparative pulse
diagnosis showed liver-kidney deficiency pattern.
Treatment: The pattern was identified as liverkidney

deficiency

patternandtreatedbyTransmeridian Qi Tonifying Technique at LR8 andKI7. Local and symptomatic treatment same as
during the last session.
Seventh session (August 9): "Recently I am fine. I
adjusted my life rhythm and started taking walks."
There is almost no tenderness at GV3.
Palpation: rough, slightly floating pulse, slightly
rapid, empty, slightly choppy. Comparative pulse
diagnosis showed lung deficiency pattern.
Treatment: The pattern was identified as lungdeficiency pattern and treated by Transmeridian Qi
Tonifying Technique at LU9. Local and symptomatic
treatment same as during the last session.

14

III. Discussion
The increasing number of people suffering from low
back pain, especially those with acute low back pain,
are looking for immediate effect and prevention ofchronic pain. While pharmacotherapy is highly
recommended for acute low back pain, its effects areoften

limited.

Acupunctureandmoxibustion

treatment for chronic low back pain is recommended
next to exercise therapy, but many acupuncturists
have also experienced quick efficacy when treating
patients with acute low back pain.
The history of this patient suggests that local heatsensing moxibustion and Qi Retention Techniqueseemed to have been particularly effective for low
back pain caused by damp heat and qi stagnation.
Yet, in conjunction with the adjustment of changes
in the Meridians using remote sites the treatment
overall succeeded without being overly occupied by
local treatment and thus is considered to have led toa favorable outcome. Conceivably the reason for the
improvement on the day following the session wasthat because of the marked deficiency sleep wasneeded for the recovery.
On the other hand, this type of acute low back pain
recurred because of lifestyle habits including adrinking habit, indicative of the suffering of thepatient up to the present. It is difficult for an
acupuncturist to directly help solve the problems
related to the patient's suffering forming thebackground for his complaint. Yet, it is possible to
ask

the

patient

about

the

details,

show

understanding and at least one can endeavorbuilding a relationship allowing communication.
Based on this relationship I was able to encourage
the patient during casual conversation to express his
sufferings. And through improvements of the flow ofqi and blood via adjustments of the changes in thechannels acupuncture and moxibustion directly
contributed to improvements related to the chief

The Journal of Kampo, Acupuncture and Integrative Medicine (KAIM)

Volume 13, Number 2 | Summer 2018

complaint and conceivably motivated the patient toReferences

improve his lifestyle.

1) The Japanese Orthopedic Association, Clinical
Practice Guideline Commission, Low Back Pain

IV. Conclusions
This patient with acute low back pain received only
acupuncture and moxibustion treatment. Although
this is only a case report, it suggest some way tovalidate the effects. In the future I would like to use
a pain evaluation scale, investigate more cases andverifytheusefulnessofacupuncture

moxibustion treatment for acute low back pain.

andClinical Practice Guideline Drafting Commission.
Low Back Pain Clinical Practice Guideline 2012;
Nankodo ISBN: 978-4-524-26942-6
2) Tetsuhiro

Iguchi,

KoichiKasahara,

Aritetsu

Kanemura: EBM of Pharmacotherapy for theTreatment of Low Back Pain. Journal of theJapanese Low Back Pain Society. 11(1): 85-91, 2005

The Journal of Kampo, Acupuncture and Integrative Medicine (KAIM)

15

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Foundation: 1905
A century of tradition ――――We are a manufacturer consistently controlling the entire process fromthe import of crude herbs to the manufacture of Kampo extracts and assuch have contributed to the development of Japanese Kampo.
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