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)

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