KAIM
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Accuuppuunnccttuurree aanndd IInntteeggrraattiivvee M
Meeddiicciinnee
INTERNATIONAL INSTITUTE OF HEALTH AND HUMAN SERVICES,
BERKELEY
Volume 12, Number 3 ･ Fall 2017

Editorial

Kampo Medicine Seen from the Viewpoint of Clinical Reasoning – Part 1
Mitsuyuki Takamura

Report from WFAS Tokyo/Tsukuba 2016

Overview of the “Toyo Hari Medical Association” (2)Toyo Hari Medical Association

Type 1 Case of Yasui Classification

Nijutsuto with Added Aconite Root Ameliorated Severe Symptoms of the Shoulder, A Case Report
Mitsuyuki Takamura

Clinical Report (Acpuncture)

The Effect of Acupuncture and Moxibustion for Ossification of Posterior Longitudinal Ligament and Cervical Spondylotic Myelopathy
Kiyoi Hirano

Conference Report 1

The 66th Annual Congress of The Japan Society of Acupuncture and Moxibustion in Tokyo
Sayaka Toda

Conference Report 2

A Letter from the 68th General Assembly of the Japan Society for Oriental Medicine
Kazunari Ozaki

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 12, Number 3 ･ Fall 2017

EXECUTIVE 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
Kampo Medicine Seen from the Viewpoint of Clinical Reasoning – Part 1
Mitsuyuki Takamura

CA, U.S.A.

ASSOCIATE EDITORS

2 Report from WFAS Tokyo/Tsukuba 2016
Overview of the “Toyo Hari Medical Association” (2)Shuichi Katai

Toyo Hari Medical Association

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

PUBLISHER

5 Type 1 Case of Yasui Classification
Nijutsuto with Added Aconite Root Ameliorated Severe Symptoms of the Frozen Shoulder:
A Case Report
Mitsuyuki Takamura

8 Clinical Report (Acupuncture)
The Effect of Acupuncture and Moxibustion for Ossification of Posterior Longitudinal
Ligament and Cervical Spondylotic Myelopathy
Kiyoi Hirano

14 Conference Report 1
The 66th Annual Congress of The Japan Society of Acunpuncture and Moxibustionin Tokyo

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

Sayaka Toda

17 Conference Report 2
A Letter from the 68th General Assembly of the Japan Society for Oriental Medicine
Kazunari Ozaki

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 12, Number 3 | Fall 2017

Editorial
Kampo Medicine Seen from the Viewpoint of Clinical Reasoning – Part 1
Clinical Reasoning is a thinking process derived from a patient’s symptoms in order to make adiagnosis. In the case of Kampo medicine, the ultimate goal is to find out the optimum prescription foreach patient. This process is based on the dual processing theory, System 1 and System 2.
System 1 is an intuitive diagnosis, noticing a characteristic pattern of a patient and instantly
recognizing it as "inspiration". Normally, this process is done unconsciously, although it requires a hugeamount of organized knowledge to be performed effectively. It is based on intuitive mental simulations
performed under the subconscious mind and is called “heuristics” in cognitive psychology.
Actually, the method of System 1 in Kampo medicine is very similar to the method of “Hosho-sotai(方証相対) ” which was proposed by Todo Yoshimasu (1702-1773) about 250 years ago. In the case of Todo,
his clinical decisions were largely based on abdominal examination, but various verbalized “clinicalpearls(口訣)” were created subsequently by many Kampo practitioners. For example, Gensen Tsuda(1737-1809) postulated eight tips that are useful in applying hochuekkito and Yodo Odai (1799-1870)
described that keishikaryojutsubuto is available for inflammatory diseases such as rheumatoid arthritis.
The current Kampo medicine is on this extension line, making full use of abdominal examinations andverbalized clinical pearls for tracing the thinking processes of System 1 to select the final prescription. With
experience, a doctor may even apply a prescription just by Kampo inspection (望診). Keisetsu Otsuka, whodevoted himself to revive Kampo medicine, had stated that his master Kyushin Yumoto once told him “Herecomes Tokishakuyakusan” whilst watching a woman who was walking before them. Like this, theexperienced Yumoto could anticipate accurate prescription for her just by her figure.
In recent years, besides the clinical pearls based on such experiences, research results can be used asclinical pearls. For example, Hajime Haimoto reported that goreisan was effective for about 90% of theheadaches appearing on the day before rain falls by multivariate analysis in 1998. Since then, this has been
widely used as an important clinical pearl.
As described above, the thinking process of System 1 by Kampo medicine could be established bymaking full use of a variety of clinical pearls, evidence data and personal experiences. However, as it iscommonly said, it is impossible to deny errors due to bias, and if presented with a case which is outsideof one’s own knowledge, the diagnosis will prove to be difficult. Even those who can not fully utilize
System 1, if one applies System 2 at the same time, the results will be much more effective.

Mitsuyuki Takamura, M.D., PhD.
Kampo Medicine Outpatient Clinic,
Mie University Hospital

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

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Volume 12, Number 3 | Fall 2017

Report from WFAS Tokyo/Tsukuba 2016
Overview of the “Toyo Hari Medical Association” (2)grown evenly long and the body has reached its mostcomplete state. At the age of 35 the yang ming

Toyo Hari Medical Association

channels of the hand and foot are weakening, facialcomplexion worsens and hair begins to fall out. At 42

2. Third joint special lecture by the foreign branches.

the three yang channels of the hand and foot above

Lectureand below weaken, facial complexion is getting worseon"Geriatricdiseases",by

MichioMurakami, honorary president:

and hair begins to grizzle.
In boys the kidney qi thrives by the age of 8, teeth
regrow and hair becomes longer. At the age of 16 thekidney qi becomes abundant and vitality is
overflowing reaching upon heavenly qi. In otherwords, it becomes possible to father children. At 24
the kidney qi becomes balanced the muscles andbones become stronger, the wisdom teeth are
growing and the body matures. At the age of 32
muscles and bones have become abundant andpowerful. At 40 kidney qi begins to weaken, hair tofall out and teeth to wither. At the age of 48 the yangqi declines, facial complexion worsens and hair

Growth and aging of people

begins to grizzle.

At the age of 56 the liver qi

Growth, development and aging is in oriental

declines, muscles begin to loose power and the

medicine governed by the kidney qi. According to theamount of seminal fluid decreases. At the age of 64

Yellow Emperor's Classic of Internal Medicine, in thethe hair and teeth fall out (translation from thesection "Treatise on the Natural Truth in Ancientclassical Chinese in the "Treatise on the Natural

Times" in the volume Suwen the text says: "When a

Truth in Ancient Times")

girl is seven years of age, the emanations of theIn other words, women grow, develop and age in 7-

kidneys become abundant, she begins to change heryear and men in 8-year cycles.

teeth and her hair grows longer. When she reaches

Oriental

medicine

understands

human

her fourteenth year (2x7) her heavenly qi becomesdevelopment thus as the rise and fall of kidney qi. If

abundant (gonadotropic hormones or sex hormone

this kidney qi is for some reason compromised, it will

resembling substances), her conception vessel opens,

lead to developmental anomalies and various

the movement in the Taichong (LR3) pulse is strong

diseases. The cause for geriatric diseases too is(fullconsidered to be a weakening of the kidney qi.

thoroughfare

pulse)

andshe

beginstomenstruate. At 49 (7x7) years the conception vessels
becomes empty, the thoroughfare pulse withers,
menstruation stops and she cannot have children
any more."
To describe this in greater detail, the text statesthat at the age of 14 it is possible to become pregnant,at 21 the kidney qi becomes balanced, the wisdom
teeth are growing and the body matures. At the age of
28 muscles and bones have fully developed, the hair

2

* Prevention of dementia
It is common knowledge that dementia isclassified into 1) Alzheimer's dementia and 2)
vascular-type dementia. The first mentioned typehas first been reported in 1906 by the German
psychiatrist "Alzheimer" and is characterized by thedeposition of plaques of a characteristic protein
called "amyloid beta" on the surface of the brain andoften associated with atrophy of the memory

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

Volume 12, Number 3 | Fall 2017controlling hippocampus. The second type is caused

dementia. For example, you should not just readby sclerotic lesions, occlusion or damage to cerebral

characters and texts, but try to actually write

blood

medicine

whenever practicable. It is a good idea to deal withconsciousness and cerebral functioning as well as

figures – such as memorizing telephone numbers, ordecline of the kidney qi need to be paid attention.

various other figures (Moneylenders rarely become

Clinically, repeated stimulation of the kidney

mentally slow) - and then try to constantly repeat

channel in order to arouse both kidney qi and kidney

those memorized figures.

function can gradually promote the development of* Treatment of the chest and cardiac diseases

vessels.

However,inorientalsenility in patients and thus can lead to the

Many patients suffer constantly from a feeling ofdevelopment of dementia. Trying this on yourself

anxiety, palpitation, shortness of breath or a feeling ofwill help to understand it even better. For example,

constriction. From a meridian therapeutic point of view

when you continue daily treatment of your own

these conditions are often the spleen deficiency liverkidney channel (in particular points near its end),

excess patterns or the kidney deficiency spleen excess

your brain may gradually stop to work normally. In

pattern. An effective treatment of these conditions isother words, memory declines and you may

considered to be surprisingly easy.

experience difficulties remembering various figures,

For the branch treatment ‘shinshasempo’ istelephone numbers, or momentarily forget what you

applied on the left side of the interscapular region towanted to fetch, when you went upstairs. Your

improve the circulation of qi and blood within theability to think tends to decline. This is considered tothoracis cavity. Needling CV17 in the middle of thebe due to the principle of water restraining fire,chest, or else attaching intradermal or press-tackwhere the kidney water suppresses the function ofneedles there can also be done.

the heart fire.
This being said, frequently the kidney channelneeds to be treated. Those are precisely the occasions
calling for the kind of sokoku regulation promoted by
our association. In particular the heart channel(which controls consciousness and mental faculties)
and the pericardium channel have to be regulated
skillfully. Concretely, this requires treating HT7 or
PC7.
Branch treatment for the prevention of dementia
includes the selection of 2-3 points among GV15,
BL10, GB20, GB12, GV20 etc. in order to improvethe circulation of qi and blood towards the head,
where another of our Association’s special
techniques, ‘shinshasempo’ should be applied. Or
else stainless steel needles can also be retained atthese points. Anyway, a treatment should be devisedthat improves qi and blood flow to the head. Thiskind of treatment should also be effective for theprevention of dementia in yourself.

In case of acute onset of cardiac diseases
bloodletting the left well point of the small intestine
channel SI1 is effective and can be applied before theroot treatment. It can almost immediately provide
relief from the angina pectoris. Treat without
hesitation and with self-confidence. Speaking ofcardiac diseases, this treatment is effective angina
pectoris, some forms of myocardial infarction, atrial
fibrillation, right bundle branch block, left bundle
branch block and a variety of arrhythmias. In case ofdissection of the thoracic or abdominal aorta, thepatient should immediately be referred to a specialist
and

the

appropriate

differential

diagnosis

isnecessary. If bloodletting the jing-well points does notprovide any relief, the presence of a dissection of theaorta is highly suspect.
* Cerebrovascular disorders and meridian therapy
Regarding these conditions I do not have enough

The active rather than passive use of your mental

cases I could confidently present here, but starting

faculties also helps to prevent the development oftreatment immediately after an attack can be
expected to be quite effective. With the passage of

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

3

Volume 12, Number 3 | Fall 2017

time after the onset, it becomes increasingly more

Finallydifficult to achieve the desired results. Presenting

The above articles of two representative seniorpatterns are often spleen deficiency liver excess,teachers were used to introduce the Toyo Hari

kidney-spleen sokoku sho etc., so that for the branch

Medical Association, but I would like to add sometreatment shinshasempo or else needle retention in

supplemental information about the current state of

the posterior neck region at GV15, BL10, GB20 etc.

our association.

can be effective. Additionally, bloodletting of the jing-

Current president: Shuho Taniuchi

well points of the hand is highly effective in reducing

Office: 1453−21 Narahara-machi Hachioji-shi

any unnatural intracerebral pressure, so that one

Tokyoshould look for the presence of blood stagnation at

Hiroshi Nakazawa

LI1 of the large intestine channel, TB1 of the triple

Members: domestic = 1,000 persons (37 branches)burner channel and SI1 of the small intestineforeign = over 300 persons (14 branches)channel. And the effect of relief of blood stagnation

Main activities: regular lectures in the main office,from vascular spiders in the region of the posterior

basically the first Sunday of the month, except inneck and behind the ears is better, the earlier it isJanuary and August (location: Tokyo, Japan

performed.

Education Center)
Branch meetings: basically every third Sunday in* Locomotive syndrome in the elderly
The locomotive syndrome including conditions
like osteoarthritis of the knee or spinal canalstenosis

can

cause

therapists

Japan

much

distress,requiring some ingenious adjustments of this root
treatment and any local treatment administered tothe affected regions. For example, when the usual

Japan
Every other year a meridian therapy academic
conference and a course of technical lectures isheld (location: Tokyo, Asakusa View Hotel)
For more information, please refer to theJapanese website https://www.toyohari.net/.

isThe central Toyohari branches in the United

insufficient, slightly deeper needling into articularStates of America, Europe, Australia-New Zealandcavity or shinshasempo in the gluteal region of theare each running courses to train acupuncturists inaffected side is often effective. In cases of long-

Toyohari. The 14 regional branches across these fourstanding low back pain and the like too somecountries each have their own scheduled study

ingeniously adjusted treatment of the affected region

meetings that include monthly meetings of members,

often leads to a cure. Mistakes made during root

specialtreatment, however, may hinder the healing process

workshops with teachers from Japan. Members are

and thus cannot be easily dismissed.

found* As opposed to young people the clinical practice of

Switzerland,

geriatric diseases cannot neglect the combined study

Zealand,of both root and symptomatic treatments. That is

Denmark, Sweden, Norway, Italy, Austria, Croatia,

because the number of diseases based on changes of

Hungary, Greece, Israel and Malaysia.

treatment

forosteoarthritis

of

the

knee

the blood increases. Aging is associated with a

For

study
in

the

events
US,

more

UK,

Spain,

Canada,formembers,
Holland,

Portugal,
France,information

regularGermany,

Australia,

Ireland,pleaseNew

Belgium,

refer

to

decline in the functioning of qi and blood, so that it

https://www.toyohari.org/ for the North Americanis desirable to take sufficient time for the treatment

branches, https://www.toyohari.eu/ for the European

and not being overly concerned with the therapeutic

branches and http://www.toyohari.org.au/ for theeffects.

Australasian branches.

4

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

Volume 12, Number 3 | Fall 2017

Type 1 Case of Yasui Classification
Nijutsuto with Added Aconite Root Ameliorated
Severe Symptoms of the Frozen Shoulder:
A Case Report

Case presentation
A 56-year-old office clerk woman visited ourdepartment in June for complaints of her right

Mitsuyuki Takamura

Kampo Medicine Outpatient Clinic
Mie University Hospitalshoulder pain deteriorating due to frozen shoulder.
Around seven months before the visit, she had felt anagging pain in her right shoulder and wasdiagnosed as frozen shoulder at the orthopedic clinic
after X-ray exam and physical exam. Administration

Introduction
Frozen shoulder, also referred to as adhesive
capsulitis, painful stiff shoulder, and periarthritis isa condition of uncertain origin characterized byspontaneous pain and stiffness of the shoulder. The
condition is thought to be usually self-limiting
although some patients have symptoms such as pain
and/or functional loss for several years, moreover,complete resolution does not occur in many patients1), 2). Effective standard pharmacological treatmentoffrozenshoulderacetaminophen

is

not

and/orestablishedyet,nonsteroidal

antiinflammatory drugs (NSAIDs) may be used forpain control. However, there are no randomized
controlled trials that confirm the effectiveness of
NSAIDs in treatment of this pain. Sometimes evenopioid analgesics may be required3). On the otherof a few NSAIDs, and several times of intra-articular
injections by the previous doctor did not relieve her
symptom. She could not continue to take pregabalin
and duloxetine for their side effects. Her pain was
getting severe enough to interfere with her daily
activity (such as sleep disturbance, having trouble tohold a computer mouse at the job). She had a history
of inactive old intracerebral hemorrhage and Rathke
cleft

cyst

detected

incidentallyonmagnetic

resonance imaging at age 54 and appendicectomy at
16. Her height was 159cm, body weight was 45kg,
blood pressure was 122/76mmHg and pulse rate was
88. Visual Analogue Scale (VAS) of shoulder pain
was 30mm. Complexion and skin color was normal.
Physicalexamination

revealed

significant

restriction of both active and passive range ofhand, in Japanese traditional Kampo medicine,

movement of her right shoulder, the other shoulder

nijutsuto has been used for treatment of frozen
shoulder. Many anecdotes about nijutsuto have been

abdominal palpation revealed no abnormal mass ordescribed in some Kampo textbooks and frozen
shoulder is only one disease which is applicable for

nijutsuto extract by medical insurance in Japan,
however, there is no published peer-reviewed reportabout efficacy of nijutsuto. Besides, processed
aconite root is one of the most important crude drugin Kampo treatment, it is used because of its
analgesic action and ability to generate heat in the
body. Aconite root is usually included in Kampo
formula already or be added to some other formulas
for modification. We report a case of woman who
suffered from frozen shoulder and was successfully
treated with nijutsuto with added processed aconiteroot.

was intact. Auscultation of chest was normal,
signs but operation scar of appendicectomy. No
abnormal findings on blood analysis. In Kampo
manners, abdominal strength was intermediate;
brisk pulsation in the supra-umbilical region, rightlower abdominal tenderness, weakness of lower
abdominal region and fluid retention in stomach
were detected. Tongue was moist, pink and covered
with thin white coating by tongue inspection. Pulse
inspection revealed sunken, smooth and slightly
string-like pulse. Sensitivity to cold, malaise andoccasional headache were listed as her subjective
symptoms. We diagnosed her as phlegm-fluid
retention with spleen qi deficiency and prescribed
7.5g of nijutsuto (TSUMURA Co., Tokyo, Japan)
added 6 tablets of aconinsan tablet (made fromThe Journal of Kampo, Acupuncture and Integrative Medicine (KAIM)

5

Volume 12, Number 3 | Fall 2017

Processa,

a source book “Manbyou-Kaishun ( 万 病 回 春 wan

Kakenshoyaku Co., Tokyo, Japan) per day. Herbing hui chun, Restoration of Health from thesymptoms

medication,

myriad Diseases)” which is written in 1587 at Ming

especially sleep disturbance was improved. After

dynasty by Ting Xian Gong of China4). “Manbyou-

increasing dose of aconite root to 1.5g per day at

kaishun” has been widely read in Japan, Japanese

second visit, VAS decreased to 4mm on her next visit.

Kampo specialists also described about effectiveness

Until sixteen weeks later since first visit, sheof nijutsuto in their books5). Gyuzan Katsuki wrote

sometimes forgot to take Kampo medicine because ofthat many pains in shoulders and arms belong toobtaining almost remission of her symptoms, wephlegm then nijutsuto is adaptive for it in “Gyuzan

prescribed no more medication from that time. We

Katto”. Teian Azai described that nijutsuto is

could ascertain that her symptoms completely

effective for treatment of pain in hands and arms due

improved 4 weeks later then we finished theto phlegm in his book6). Koyama wrote that he would

treatment. No side effect was observed during

add aconite root to nijutsuto if the condition of frozen

treatment.

shoulder was at chronic phase7). He explains that

powdered

1.0g

Aconitiameliorated

Radix

soon

after

adding Aconiti Radix Processa meaning of activation
Discussion

and resolving old blood stasis. We added it for the

The prevalence of frozen shoulder is estimated topurpose of enhancing analgesic effect and relievingbe 2 to 5 percent of the general population; thecold in this case, it can also be thought that bloodcondition is with the peak age in the mid-50s. Frozen

stasis existed.

shoulder occurs predominantly unilaterally and isusually

self-limiting,althoughevidenceabout

Conclusion

prognosis is limited1), 2). According to UPTODATE3),
frozenshoulderiscommonlydescribedas

We report about a case in which refractory frozen
shoulderwasameliorated

immediately

after

progressing through three phases; initial painfuladministration of nijutsuto adding aconite root.

phase with development of shoulder pain that is

Nijutsuto with added aconite root can be one therapy

worse at night, increasing stiffness that lasts for 2 tofor the treatment of frozen shoulder.

9 months. Followed by an intermediate phase withstiffness and severe loss of shoulder motion, but with

References

pain becoming gradually less severe, that lasts for 4

1)

C.K. Wonga,, W.N. Levineb, K. Deoc, et al.

to 12 months Lastly, a recovery phase with a gradual

Natural history of frozen shoulder: fact orreturn of range of motion that takes from 5 to 24

fiction? A systematic review. Physiotherapy 103

months to complete. In the present case, the patient(2017) 40–47.

was a woman in her 50s, the symptoms

occurred2)

S. Russell, A. Jariwala, R. Conlon, et al. A

unilaterally and remained at least 7months instead

blinded, randomized, controlled trial assessingof taking common treatment. It can be said that theconservative management strategies for frozen

typical case, however, her symptom immediately

shoulder. J Shoulder Elbow Surg 23(2014), 500-

ameliorated after administration of Kampo and507.

disappeared in next 5months. Even though taking
intoconsideration

thenaturalcourse,3)Tore AP. Frozen shoulder (adhesive capsulitis).

weJonathan G, ed. UpToDate. Waltham, MA:

contemplate this treatment was effective. Nijutsuto

UpToDate Inc. http://www.uptodate.com (Accessed

has been used for pain in the arm or arms due toon April 16, 2018.)

phlegm-dampness, that adaptation is mentioned in

6

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

Volume 12, Number 3 | Fall 2017

4)

Ting Xian Gong, Manbyou kaishun. Kyoto
University Rare Materials Digital Archive,
https://rmda.kulib.kyoto-u.ac.jp/ (Accessed on
April 20, 2018.)

5)

K. Matsuda. Manbyou kaishun kaisetsu (inJapanese). Sogensha Co., Osaka. 2009. 29-43.

6)

Teian Azai, Houi kuketsu. Kyoto University
Rare

Materials

DigitalArchive,https://rmda.kulib.kyoto-u.ac.jp/ (Accessed on
April 20, 2018.)
7)

S. Koyama. Ekisu Kampo houzaigaku (inJapanese). Medical Yukon Co., Kyoto. 2014. 883890.

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

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Volume 12, Number 3 | Fall 2017

Clinical Report (Acupuncture)
The Effect of Acupuncture and Moxibustion for
Ossification of Posterior Longitudinal Ligament andCervical Spondylotic Myelopathy

acupuncture treatment with minimal stimulation.
During treatment in prone position, the pain
worsened, so Zhu’s scalp acupuncture was appliedsitting down, and the pain subsided somewhat. Scalp

Kiyoi Hirano

acupuncture was applied to the front 2/3 of the zone

Fukuoka School of Health Sciencefrom the top of the right side of the head to thetemple, corresponding to the upper left limb, and to

1. Introduction

the front 1/4 of the area from the temple to the top of

Ossification of posterior longitudinal ligament

the

head,

corresponding

to

the

head

(OPLL) is a progressive disease in which the(cerebral/neurological), with the aim of relieving theossification of the longitudinal ligament locatedpain.

posterior to the vertebra oppresses the spinal cord intransmitting moxa using moxa paper was applied tothe spinal canal and causes such symptoms as

the area 2cm outside the spinous process of segmentsswelling and pain that eventually spreads over a

C3 to C5 and to the LU-3 point on the left side usinglarger area.1) In this study, patients of OPLL whomoxa paper. After applying the moxa five times, thesuffered from intense pain that could not be

patient’s symptoms disappeared. (Second visit) Four

alleviated with an analgesic and were recommended

days later. The patient visited the clinic aftertoacupuncture

experiencing intense pain from early morning.

treatment to relieve the pain. Favorable results wereElectric acupuncture was applied to the same points

obtained as presented below. Additionally, whenas the scalp acupuncture for 10 minutes at 1Hz,

acupuncture treatment was similarly provided to

φ0.16mm needles were inserted in the area outside

two patients of cervical spondylotic myelopathy, thethe spinous process of segments C5 and C6 on thetreatment was effective in one patient but non-left side to a depth of about 2cm and embedded there,effective in the other, as also discussed below.

and half rice grain size moxa was applied five times

undergosurgery,

were

given

Additionally,

half

rice

grain

size

heat

to the outside of the spinous process of segments C3
2. Cases

to C7 on the left side and the BL42 point on the left

[Case 1] 62-year-old maleside using moxa paper. As a result, the patient’s[Chief complaint] Intense pain from the posterior

symptoms

region of the neck on the left side to the shoulder

treatment was applied once a week, and by thearea and lateral surface of the arm due to OPLL.

seventh visit, the patient recovered to the point

Taking an analgesic induced a sleep disorder.

where he could carry on with this daily life without[History of present illness] The patient developed theany problem, so the frequency of the treatment was

symptoms in January YYYY. In February YYYY, hereduced to once a month, and he was treated only

was told he has continuous ossification fromwithsegments C3 to C4, with the ossification (protrusion)

moxibustion. Scalp acupuncture was rarely applied,

occupying one-third of segment C3 at the most. He

thinking that the disappearance of the initial pain

was therefore recommended to undergo surgery. The

might have been attributed to the change in posture

pain was most intense when the patient drove his car,from prone position to sitting position. Figure 1

lay down, or walked, such that he took an increasingshows the acupuncture points used from theamount of analgesics.

patient’s fourth visit and on. In all cases, the needles[Progress of treatment] (First visit) May YYYY. The

were inserted to a depth of about 2cm. (15th visit)patient had a fear of needles and requested

February YYYY+1. The pain remained gone, and the

8

of

pain

embedding

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

disappeared.

needles

Thereafter,

acupunctureandVolume 12, Number 3 | Fall 2017

patient was able to carry on with his daily life
without any problem, but CT images did not show
any decline in ossification. (23rd visit) September
YYYY+1.

The

pain

returned,but

electric

acupuncture to the posterior region of the neckdissipated the pain. (39th visit) February YYYY+3.
The patient experienced no pain for more than a year,
so treatment was canceled. Thereafter, the pain
returned in June YYYY+3, however, so treatment
was resumed once every one to two months. Figure 2
shows a CT image taken in August YYYY+3. Avertical spreading of the ossification could be seen,
but it was not accompanied by pain. The patient
continues to receive treatment today.

Figure 2 Case 1, CT image:
Vertical progression of ossification
39 months after first visit[Case 2] 57-year-old male

Th1

C7

C6

C4

C3

[Chief complaint] Numbness of hands and fingers on
the palm side, pain and limited rotation of the neckand shoulders, weak feeling in both legs
[History of present illness] The cervical vertebra had
been secured with a bolt, but the patient continued
to feel numbness in his hands and fingers, weakness
in his legs, an itchiness in his legs, and pain in his
lower back. Figure 3 shows a CT image taken on his

Figure 1

Case 1, acupuncture treatment after

4th visit:
2cm & 7cm outside the spinous process

first visit (after surgery). A disc protrusion was seen.
[Progress of treatment] (First visit) June YYYY.
Electric acupuncture was applied by inserting
needles (φ0.25mm) to the area 2cm outside thespinous process from C6 to Th2 on both the left andright sides and to the BL52 and BL25 points to adepth of about 3cm. (3rd visit) To relieve thenumbness in the hands and fingers, sleep apnea
syndrome, and associated chronic sinusitis, half ricegrain size heat transmitting moxa was additionally

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

9Volume 12, Number 3 | Fall 2017

applied five times to the area 2cm outside thethis time, an improvement was also seen in the

spinous process of segments C6 to Th2 on both the

movement of the fingers and hands during cold times

left and right sides and to the BL43 and SL14 points.

and the numbness of the fingers and hands on thepalm side. Furthermore, the itchiness in both lower
limbs and weakness in the legs also disappeared forthe most part. (37th visit) October YYYY+2. Morethan a month without treatment caused tension in

Spinal fusion
Vertebral arch
angioplasty
Laminectomy

the neck and an abnormal noise. Nasal congestion
also worsened. The patient thus continues to receive
treatment today.

irregulery line
Figure 3 Case 2, post-operative CT image (atthe time of first visit)(12th visit) October YYYY. φ0.35mm Chinese
acupuncture needles were inserted to a depth ofabout 2cm in an area 2cm outside the spinous

Figure 4 Case 2, X-ray image after two months

process of segments C6 to Th2 on the left and rightof treatment:sides, and in SL11, SL12, LL11, GB12, BL10 and

Conspicuous misalignment of the vertebral body

EM13. There was no limitation on the rotation of theneck. Thereafter, the same treatment was continued
roughly once a month. Figure 4 shows an X-ray
image

taken

two

monthsafter

commencing

treatment. After the 34th treatment two years andtwo months after the first treatment, the X-ray
image shown in Figure 5 indicated that thealignment of the neck joint was corrected. Around

10

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

Volume 12, Number 3 | Fall 2017

Figure 5 Case 2, 2 months after commencing
treatment:
The vertebral body is aligned[Case 3] 71-year-old male
[Chief complaint] Heaviness in the neck, numbness
in the left hand, walking difficulty after receiving
surgery for cervical spondylotic myelopathy[History of present illness] The patient received
surgery to secure the cervical vertebra with a bolt in
September YYYY-3 and March YYYY-1. The pain in
his neck subsided, but the heaviness remained. He
complained of a numbness in his left hand andfingers and walking difficulty accompanying aweakness and instability of his lower body. Because
the walking difficult occurred after the surgery, thepatient became depressed and could not get himself
to go outdoors. No vertebral arch was seen insegments C3 to C6, and the vertebral body from C2
to C6 was fixed. Figure 6 shows a CT image taken
after the first surgery (October YYYY-1). Due to thesurgery, an area 7cm long and 5cm wide in the neckwas gouged and hardened. At the time of his visit to
the clinic, the patient’s walking appeared to beconsistent with the walking speed of people his age,
but he said his walking has become much slower
than before. He could not lie down in supine position.

Figure 6 Case 3, CT image after first surgery:
The muscle is largely gouged[Progress of treatment] (First visit) October YYYY.
The patient had no experience in acupuncture
treatment.

Jakutaku(needlereciprocating)acupuncture was applied to the SI8, PC6 and LI11
points on the left side in a manner that would
resonate to the hand and fingers, before embedding
them according to the embedding needles method.
Additionally, φ0.16mm needles were inserted to adepth of about 1cm in an area outside the surgicalscar on the neck and in an area 2cm outside thespinous process of segments C4 to Th1 on the left andright sides, and the needles were left there for 10
minutes according to the embedding needles. Halfrice grain size moxa were also applied ten times tothose points using moxa paper. (3rd visit) October
YYYY. There were no changes in the patient’s
symptoms, so Zhu’s scalp acupuncture was applied.
Needle stimulation was applied to the upper 1/3 and2/3 of the top of the head toward the temple on both

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

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Volume 12, Number 3 | Fall 2017

the left and right sides, and the needles were left

patient, an improvement was seen in his symptoms

there for 15 minutes according to the embedding

and in the alignment of his neck after two years ofneedles. (5th visit) November YYYY. Electric

treatment. It is thus thought that the amount ofacupuncture was applied to the upper left limb for 15

stimulation influences the amount of time until anminutes at 70Hz. No changes were seen in the

improvement is seen in the symptoms.

patient’s symptoms, and the treatment was canceled

Next is an observation on moxibustion. In thisstudy, moxibustion was applied in all three cases. In

8 months later on the patient’s 23rd visit.

Cases 1 and 3, heat transmitting moxa was applied
using moxa paper, and in Case 2, heat transmitting[Result and observations]
In Case 1, ossification of posterior longitudinalmoxa was applied without using moxa paper. Heatligament (OPLL) was addressed by applying needle

transmitting moxa is becoming rather outdated instimulation to a depth of approximately 2cm andJapan. It is rarely applied or hardly known in China

electric acupuncture was applied several times to antoday. I have used heat transmitting moxa to treat

area near the afflicted area, with the result that theallergies,

pain that was so intense as to keep the patient

hemiplegia, with results that indicate its efficacy.3) 4)

awake at night disappeared. CT images clearly show5) Therefore, it was also used in the three cases of thisa progression of ossification, so careful follow-up is

study, but because acupuncture and moxibustionnecessary, and there is no telling when thewere applied at the same time, it cannot be said thatsymptoms

sincemoxibustion was effective judging from these threeacupuncture and moxibustion treatment clearlycases alone. In Case 1, the patient was nervous andbrought about a remission of the symptoms, there is

was prone to feel intense pain because he had a fear

room to consider the continuation of conservativeof needles, so there were times when it was

treatment

impossible

might

by

worsen.

acupuncture

Nevertheless,andmoxibustion.

colds,

tosleep

insertapnea

anysyndromeneedles

and

and

only

Additionally, as it has been confirmed that aacupuncture was applied. As he is still undergoingrecurrence of the pain will occur if acupuncture

treatment, I would like to attempt treatment solely

treatment is suspended, it could be said thatby acupuncture hereafter.

acupuncture treatment can prevent pain caused by

Lastly, with regard to Zhu’s scalp acupuncture, I

OPLL. In this case, the patient had a fear of needles,

have felt its efficacy against the aftereffects of aso needle stimulation was applied to an extremely

stroke and also against general pain.3) I therefore

small number of places. In other words, weak

performed scalp acupuncture in Cases 1 and 3, but

stimulation was enough to produce a sufficient effect.

when considering that in Case 1 the pain may have

In Case 2, needle stimulation and moxibustion

disappeared owing to a change in body position, it

was applied to an area 2cm outside the spinous

was performed only five times among a total of 46

process of the afflicted part of the cervical vertebra,

treatment sessions. Furthermore, in Case 2, certain

as in Case 1, but for greater effect, φ0.35mm Chinese

effects were produced without applying scalp

needles that are twice the thickness of those used in

acupuncture, and in Case 3, scalp acupuncture wasCase 1 were used, and heat transmitting moxa wasapplied nine times out of a total 23 treatment

applied without using moxa cautery or moxa paper.

sessions, but no changes in symptoms were observed.

As the patient’s symptoms were in his four limbs,

Thus, the efficacy of Zhu’s scalp acupuncture is notacupuncture and moxibustion were applied to both

known in these three cases.

his left and right sides. The same acupuncture points
were used, but with greater stimulation. In this12

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

Volume 12, Number 3 | Fall 2017

[References][Conclusion]
Applying acupuncture and moxibustion treatment

1) Shoichi Kokubu, Takehiko Torisu, comp. Hyojun

to the area afflicted with ossification of posterior

seikeigeka kagaku. Tokyo. Igaku-Shoin. 2010.

longitudinal

ligament

improvement

in

the

(OPLL)

broughtansymptoms

thereof,andsuspending the treatment brought a recurrence ofthesymptoms.

Thissuggested that

applying

2) Zhu Ming Qing. Zhu’s Scalp Acupuncture. Tokyo.
Toyo Gakujutsu Shuppansha. 1995.
3) Kiyoi Hirano. The Journal of Japan Traditional
Acupuncture & Moxibustion Society. Vol. 37

acupuncture and moxibustion to the afflicted area

No. 2. Tokyo. Japan Traditional Acupuncture &may have some form of impact on the spinal canal.

Moxibustion Society. 2010.

The efficacy of the same acupuncture and4) Kiyoi Hirano. The Journal of Japan Traditional

moxibustion treatment against the postoperative

Acupuncture & Moxibustion Society. Vol. 39

aftereffects of cervical spondylotic myelopathy was

No. 2. Tokyo. Japan Traditional Acupuncture &also suggested. It is thought that with respect to

Moxibustion Society. 2012.

patients who have a cervical problem, acupuncture5) Kiyoi Hirano. The Journal of Japan Traditionaland moxibustion treatment to the afflicted area has

Acupuncture & Moxibustion Society. Vol. 40

the effect of correcting the cervical alignment andNo. 1. Tokyo. Japan Traditional Acupuncture &improving the symptoms, but in cases where a

Moxibustion Society. 2013.

significant decrease in muscle has occurred in the6) Miwa Nakajima, Motohiro Inoue, Megumi Itoi,

afflicted part, acupuncture and moxibustion does not

Hiroshi Kitakoji. The Journal of the Japanese

have the effect of correcting the alignment.

Society of Balneology, Climatology and PhysicalBased on the above, it could be said that it isbeneficial

torecommend

acupunctureandmoxibustion treatment before surgery as long as
time allows.

Medicine, Vol. 76 No. 2. Japanese Society ofBalneology, Climatology and Physical Medicine.
2013.
(The above references 1 to 6 are all in Japanese only)

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

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Volume 12, Number 3 | Fall 2017

Conference Report 1
The 66th Annual Congress of The Japan Society of
Acupuncture and Moxibustion in Tokyo

Sayaka Toda

The annual congress of the Japan Society of
Acupuncture and Moxibustion was held, with morethan 2500 participants, on June 10th-11th atUniversityofTokyo,

where

a

lush

green

environment offers a little oasis in the middle of busy
Tokyo. The theme of this congress was “Japanese
acupuncture, proud to present to the world, — a
progress to establish ‘Tokyo declaration’ ”. Tokyodeclaration was once written in 2011 to specify theadvantages of Japanese acupuncture at the annual
congress, which was mostly cut down due to theGreat East Japan Earthquake.

This time, with thescientific evidences, this congress was aimed toverify and reaffirm the characteristics of Japanese
acupuncture.

The congress president’s speech
2-day congress started with the speech

by Mr.

Takayosi Ogawa, the adviser of the Japan Society of
Acupuncture

andMoxibustion,

followingtheopening ceremony, which seized the audience’s avid
attention with expectations. The topic of the speech
was Oriental medicine versus Western medicine —Which medicine is more of a root treatment? —. Mr.
Ogawa started with questioning regarded therealities and problems of the current medical system
in Japan, where excellence of western medical
doctors with high technologies proliferated thoughweighing now heavily on Japanese finance and aging
society, and distressing patients with side effects. He
highlighted

theefficacyoforiental

medicine

discussing

itsholistic

consideration,

relative

inexpensiveness, and safety to support that oriental
medicine is more of a root treatment in that sense,and guided the audience to expect the main
discussion about the future of acupuncture held in
the following day.
The

opening

ceremony

was

held

in

Yasudaauditorium, a historically famous building in theuniversity. In the opening remarks, the chair of thecommittee, Mr. Soji Toriyabe described that thiscongress was meant for investing the efficacy ofacupuncture with “scientific perspective”, which
turned out to exceed our expectations.

14

Keynote speech
KeynotespeechHisamitsu,

the

was

presented

by

chair

of

SocietyJapan

TadashiofAcupuncture and Moxibustion. He focused on
physiological mechanisms of acupuncture treatment
and its latest progression. He specifically presented
his marked studies that prove clinical conditions on

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

Volume 12, Number 3 | Fall 2017

traditional medicine. One of his basic studies found

On top of the current states and issues, thethat acupuncture promotes blood flow in the cerebral

importancecortex locally by activating the brain cholinergic

characteristics

neurons, decreased function of which can be due tohighlighted in the symposium 3.

aging.

supportThere is an objective data on scientific effects ofphysiologicalpalpation that induces secretion of hormones in themechanism will surely be a key to further studies forbrain. Before all, we should not disregard the factmany acupuncturists in Japan.

that hands-on treatment creates satisfactions on

Hisscientificacupuncture

approaches

treatment

with

to

of

palpation,ofone

Japaneseoftheacupuncture,

noted
was

patients that is clinically significant and beyond
science.

Symposium
Symposium offered 4 different topics;
1. Current states and tasks for acupuncture

Seminartreatment on refractory nervous system diseases

Seminar was one of the most popular sessions in this

2. Cancer treatment and acupuncture —current

congress, attracted large crowds of people. The

state and development on acupuncture treatment fortheme of the seminar was a current state ofcancer patients, what we can do for cancer patientsacupuncture treatment for pregnant women, where

and their family

discussed acupuncture treatment for pregnant

3. Do you utilize palpation in the practice? —women with minor complaints, from morning

Scientific views of palpation, one of the noted

sickness to skin conditions, and the roles andcharacteristics of Japanese acupuncture

possibilities on acupuncture treatment for each

4. How we can develop our clinical studies regarding

trimester. Many male acupuncturists showed theiracupuncture —as a real medicine, and to study

much interests in the topic and engaged in active

acupuncture scientifically

discussions.

The symposiasts raised some issues in each session

Special lecturesand discussed the importance of acupuncture as anSpecial lectures were the latest topics given byintervention in the medical field. One of thespecialists from each area of the study.

symposiasts mentioned that MDs specialized in

1. Physical symptoms on neurological disease by Prof.

nervous system have well understandings onNobuhito Saito, Director of University of Tokyo

acupuncture that the acupuncturists are welcomed

Hospital.

in the hospital settings. Although, the fact that

2. Individual variation and variation of geneacupuncture is used for treating refractory nervous

expression by Asso.Prof. Hironao Numabe fromsystem is not yet widely known, thus, the publicity

Tokyo Medical University Hospitalis needed. In the discussion, the symposiasts

3. Neurologic regenerative medicine on iPS cellemphasized the needs for predefined scores to createtechnology and application of the study by Prof.

guidelines of acupuncture intervention, compilation

Hideyuki Okano.

of case studies and high quality RCTs to verify theAfter the talks, Prof. Furukawa, a member of House

efficacy of acupuncture.

Symposium 4 wasof Councilors, Mr. Ogawa, Prof. Kawakita from Meiji

presented to specifically give lectures in relation to

University of Integrative Medicine, and Mrs.

those needs, case study compilation, high quality

Kitagawa from Kyorindo clinic joined the main

RCTs and meta-analysis.

discussion, presented with the theme of “Incoming ofhealth care, future of acupuncture”. Acupuncturists’

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

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Volume 12, Number 3 | Fall 2017

current concern against the latest development ofFirst and foremost, there is an urgent need forwestern medicine and technologies was raised that

acupuncture to establish the scientific evidences,

those medicine becomes a fear to the traditional

starting with case gathering, then studying highmedicines. In the discussion, the panelists all agreed

quality RCTs. This congress clearly highlighted thethat the importance of acupuncture complementing

strong needs for those requirements, in that sense,

thethis congress would be a progress to the Tokyo

western

medicine,

working

with

Kampo

medicine, supporting patients’ self-decision, anddeclaration.

further involving to nursing care, to become a chosen
medicine. In order to accomplish those goals, there isan urgent need for acupuncture to be supported
scientifically.
Oral presentations and poster presentations
The theme of the presentations was diverse, manycase reports related to nervous system, cancer
patients and nursing care, and fertility treatment
and pregnancy.
Several of them were studies from Korea, and otherinternational topics were also presented. Each venue
was packed with full of people.
Posterpresentations

were

also

diversewithinteresting topics. Ones that caught the eye werestudies trying to verify traditional/classical theories
scientifically.
There

are

many

other

speciallecturesandpresentations offered in a two-day congress withpacked schedules, though hopping between eachvenue was unexpectedly time consuming.
A rapid advance in medical technologies such as iPS
technology or genetic treatment reaches almost to
the “God’s field”, which may become a threat to the
traditional medicines. That is what Mrs. Kitagawa
shared her thoughts to the audience.
Prof. Okano reassured the audience saying thedevelopment of high-technologies must not exclude
the others but just to support people’s lives. Also, inthe discussion, there was an opinion that if
acupuncture is scientifically proved, data can be
optimized for AI technology. As such, bright futurewould come to oriental medicine field.

16

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Volume 12, Number 3 | Fall 2017

Conference Report 2
A Letter from the 68th General Assembly of The Japan
Society for Oritental Medicine

Kazunari Ozaki

Department of Geriatric Medicine
Itami City Hospital
Itami, Hyogo, Japan

mostly covered by the National Health Insurance
system under a singular medical license system thatis based on Western medicine, thus contributing to
the promotion of patient health. China and Korea on
the other hand, have a dual medical system in which
the medical license for Western (modern) medicine isseparate from that of traditional medicine.

Key words: The Japan Society for Oriental
Medicine (JSOM), The 68th General Assembly of
the Japan Society for Oriental Medicine, Kampo
medicine, International Organization for Standard(ISO)

The Japan Society for Oriental Medicine (JSOM)is the largest society of Kampo medicine andtraditional medicine, and is one of the most active
medical societies in Japan. As of June 2017, theJSOM has more than 9,000 members, mainlycomprising

1. Foreword
Japanese traditional medicine, known as Kampo,
originates from Chinese traditional medicine but hasdeveloped independently since the 17th century.
There are several reasons for this. Firstly, regarding
the crude drugs used for Kampo preparations, their
origins

diagnosis and selection of Kampo preparations, is

vary

due

to

differencesinregional

characteristics, vegetation, and ethnicities. As aresult, crude drugs with the same name but ofdifferent origins may be found on the market.
Secondly, regarding diagnostic and prescription
theories, differences arose due to the interruption oftransport imposed by Japan’s isolation policy andthe differences in each country’s basic concept oftraditional medicine. Take the example of thedifference in the basic concept between Chinese andJapanese traditional medicine. Chinese traditional
medicine depends on reductionism, such as thetheory of the Five Elements, whereas Japanese

Kampo is based on the relationship between
diagnosis and formula. In selecting each Kampo
preparation, an abdominal examination is more
influential than a pulse examination that Chinese
traditional medicine regards as important. In
addition, intuition “derived from the expert opinions”
of each school as well as tacit knowledge, a way to
prolong the understanding of pathophysiology, isphysicians,

pharmacists,

andpractitioners of traditional medical techniques(massagers, acupuncturists, and practitioners ofmoxibustion). To achieve the purpose of improving
the quality of life (QOL) of the people, the JSOM wasestablished to organize a global network that sharesinformation on medicine, health, and welfare. The
JSOM joined the Japanese Association of Medical
Sciences in 1991 (1). This fact is considered to signifythat traditional medicine plays an indispensable roleeven for Western medicine.
The 68th General Assembly of the JSOM washeld at the Nagoya Congress Center from June 2 to4, 2017 ( 2 ) ( 3 ). More than 3,000 participants
including researchers, physicians, pharmacists,
practitioners of traditional medical techniques, andordinary citizens, some of whom came from abroad,gathered in this assembly. The participants were
able

to

acquireprofessional

credits

qualifications,education

credits

Association,

a

from

seal

to

maintainvarioussuchaslifelong

Japan

Medicalthe(credit)

for

the

Japan

Pharmacists Education Center (JPEC) certified
pharmacist or JPEC certified pharmacist in Kampo
and crude drugs, and a point of designated course forcertification from the Japan Society of Acupunctureand Moxibustion.

taken seriously. Modern Japanese Kampo, retaining
the characteristics of traditional medicine in the

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

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Volume 12, Number 3 | Fall 2017

2. Sessions
The main theme of this general assembly was the“Establishment

of

Kampo

Medicine:

TowardCooperation and Evolution.” Since the 17th century,
the main stream of Japanese Kampo medicine has
been the Koho-ha (or the antiquity school). At
present, diagnostic and therapeutic methods thatdiffer from those of the Koho-ha, such as theGoseiho-ha (or the latter day school), Chinese
traditional medicine, and EBM Kampo, are also
included. It seemed that the basis of the above theme
was the idea that various schools should “cooperate”
in the establishment and “evolution” of new
Japanese Kampo medicine and integrative medicine.

Nearly 300 events such as lectures and poster
presentations were held, including lectures based onclinical practice and research on Kampo prescriptions(Kampo extract formulations for prescriptions andKampo decoctions) and acupuncture/moxibustion.
Some lecture rooms were packed to overflowing,standing room only. Educational seminars forclinicians, practitioners of acupuncture/moxibustion,and pharmacists were also held, as well as open
lectures for citizens and many company and book
exhibitions. Summaries of the main lectures areshown below in chronological order.

18

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

Volume 12, Number 3 | Fall 2017

3. Highlights of the Conference
Among the sessions on the afternoon of June 2,of Standardization of Traditional Medicine by theInternational

Organization

forStandardization

titled “The Impact of Traditional Medicine on the(ISO),” which explained the movement of ISO, theTreatment of Olfactory Disturbance,” included the

movement of China at Technical Committees 215

following lectures: “The Mechanism and Treatment

and 249 in particular, as well as the nature ofof Olfactory Disturbance” by Keiichi Ichimurainternational(Ishibashi General Hospital), “The Treatment of

movements of traditional medicine. Next, Takao

Olfactory Disturbance by Kampo” by Keiko Ogawa

Namiki (Chiba University) delivered a lecture titled(Kanazawa University), and “The Treatment of“Details

Olfactory Disturbance with Kampo Prescriptions:

Traditional

Current State and Future Prospects” by Takaki

International Statistical Classification of Diseases

Miwa (Kanazawa University).

and Related Health Problems (ICD)-11,” whichofstandardization

theIntroduction

Medicine

andofrelated

East

Asian

Classification

into

Among the sessions on the morning of June 3

explained the details of the introduction of diseases

was a lecture by the head of the assembly, Yukio

in traditional medicine into the revision of the ICD-

Kaneko (Kaneko Clinic), titled “Learning Shanghan

10 (editing of the ICD-11) by the WHO. The lecturer

Zabing Lun [Treatise on Cold Pathogenic andemphasized that the publication of this new edition,

Miscellaneous Diseases]: From Zhang Zhong Jing tosignifying the introduction of traditional medicine

Ye Tian Shi,” that discussed and introduced theinto the ICD, will be a revolutionary event for thedifference between the Keiho and the study of warm

ICD because its range has been limited to diseases

diseases. The former is a set of formulas specified inin Western medicine since 1900. Next, Michiho Ito

Shang Han Lun [Treatise On Cold Pathogenic
Disease] and Jin Gui Yao Lue [Treatise On Essential(KyotoPrescriptions of the Golden Casket] by Zhang

which disclosed the hardships experienced by the

Zhongjing. The latter is a study on the treatment ofmanaging editors during editing of the ICD-11 by thedisorders resulting from warmness and infectious

WHO. According to this lecture, one idea in

diseases, founded by Wu Youke, author of Wenyi Lun

introducing traditional medicine into the ICD was to[Treatise On Warm Epidemic Disease], which wasincorporate knowledge of Chinese, Korean, andestablished by Ye Tian Shi and propagated by Wu Ju

Japanese traditional medicines. These medicines

Tong.)

have gone through ample clinical tests and are

University)

deliveredalecturetitled“Meeting of Managing Editors: Their Struggle,”

A joint symposium of the international andscientifically well studied. With their introduction,

terminology committees was held on the afternoon offinancial support can be expected. However, theJune 3, comprising seven lectures. First, Keiko

editors are aiming to publish a comprehensive

Ogawa (Kanazawa University) delivered a lecture

edition (“Mickey Mouse model”) that incorporates

titled “Realities of Kampo Medicine in Europe,”

not only what the three medicines have in common,

which reported the realities of traditional medicine

but also that which distinguishes them from one

in Europe, as observed mainly from Germany. Next,

another. Tadashi Watsuji (Meiji University of

Yuji Miyauchi (Tokyo University) delivered a lecture

Integrative Medicine) and Toshihiro Togo (Tokyo

titled “The Current State of China,” which reported

Ariake University of Medical and Health Sciences)

the abundance of human resources, especially in thepresented “Clinical Manifestations for Acupuncture

younger generation, and the social evolution inand Moxibustion in ICD-11: a Proposal of Meridian

China. Next, Yasuyuki Hirose (University of the

Manifestations,”

Ryukyus) delivered a lecture titled “The Movement

manifestations of 12 main meridians and eight

which

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

explainedhowclinical19Volume 12, Number 3 | Fall 2017

extraordinary meridians came to be presented in theSpecialist:

A

Reportfrom

Shikoku.”The

ICD-11β in September 2016, as well as their current

presentation proposed “the following four points asstate.

the grounding required for Kampo specialists: (1) Do
not lose sight of the forest for the trees; (2) Acquire

Symposium 17, “Current State and Futuredetailed knowledge on crude drugs; (3) A deepened

Prospect of Kampo Education,” was a session on theunderstanding of acupuncture and moxibustion; (4)morning of June 4 in which five lectures were

Support junior colleagues and aim to undertake

delivered. First, Juichi Sato (Nagoya University)

global activities with them in the future.” Next,

delivered a lecture titled “Draft Core Curriculum for

Norio Iizuka (Hiroshima University) et al. presented

Pre-graduate Education of Kampo Medicine: Aiming“Kampo Education in the Era of the Internet,” whichat an Introduction into the State Examination,”showed that “standardization of the evaluation

followed by a lecture by Makoto Arai (Tokaisystem in Kampo education details will be possible

University) titled “Current State and Problems ofby pooling questions evaluating achievement andPre-graduate Education of Kampo Medicine.” Theprofiling contents of the questions on the basis oflatter reported that “in 98% of Japanese medical

difficulty.

colleges, Kampo medicine has been incorporated into

On the afternoon of June 4, five students made a

pre-graduate education and that in 84% of them,presentation in a “student session.” I had thefour or more classes are held before graduation.”

impression that together with the sessions in

Next, Shin Takayama (Tohoku University) et al.

Symposium 17 in the morning, presentations onpresented “Education of Early-phase Residents in

Kampo education have become popular. The same

Kampo Medicine: A View Derived from Our

evening, there was an open lecture for citizens titled

Questionnaire Survey.” In their survey, 121 early-“Happyphase residents from the following six hospitals

Acupuncture, and Moxibustion: the Blessing ofanswered the questionnaire (response rate, 74%):

Oxytocin, Pre-symptomatic States, and Healthcare.”Tohoku University Hospital, Japanese Red Cross

With a large audience in attendance, I felt that the

Ishinomaki Hospital, Yamagata Prefectural Central

propagation of Kampo knowledge to citizens is

Hospital, Aomori Prefectural Central Hospital,

successfully progressing.

Livingby

the

Wisdomof

Kampo,

Yamagata University Hospital, and Sendai Red
Cross Hospital. The result showed that 96% of the

4. Concluding remarks and about the upcoming

respondents “had experienced pre-graduate Kampo

congresses

education” and 41% felt that “their pre-graduate

All the participants agreed that the General

Kampo education was instrumental in their clinicalpractice.” In addition, 74% thought that “Kampo

Assembly was an academic event of Kampo medicine

education is needed during the early phases ofphysicians of the Kampo medicine have obligation toresidency.” Takayama et al. concluded that in future,

improve the quality of life (QOL) of people all overearly-phase residents should be taught how to use

the world by sharing study results on health, welfare,Kampo formulas in general practice, and that theand medical science. There will be the 69th Generaldevelopment of a consistent educational program

Assembly of The Japan Society for Oriental Medicine

that covers the pre-graduate and post-graduate

in Osaka, Japan (June 8-10, 2018)(4) The theme ofphases, will be necessary. Next, Denichiro Yamaoka

this future conference will be “To display Kampo’s(Ehime Prefectural Central Hospital) presented

ability: Clinical Importance and Healing Power.” In

Kampo

view of JSOM’s long experience in organizing key“Aiming20

atBecomingaWorld-classwith high level and standard. The researchers and

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

Volume 12, Number 3 | Fall 2017

events and of the city’s main congress facilities, the69th General Assembly of the Japan Society for
Oriental Medicine 2018 will be sure not to dissatisfy.
Acknowledgements: I wish to thank Ms. Tabei (therepresentative director and the chief editor of the
KANPO IYAKU SHINBUN) for the photographs she
has donated to the paper.

1

Homepage of the Japanese Association of Medical
Sciences. http://jams.med.or.jp/members-s/87.html [thelast date of access August 1, 2017]2
Homepage of the 68th General Assembly of the Japan
Society for Oriental Medicine.
http://www.pcojapan.jp/jsom68/ [the last date of access
August 1, 2017]3
Abstracts of the 68th General Assembly of the Japan
Society for Oriental Medicine. Kampo Medicine (extra
issue), 2017; 68: 1-451. (第68回日本東洋医学会学術総会 講演要旨集. 日本東洋医学雑誌, 2017; 68 別
冊号: 1-451.)
4
Homepage of the 69th General Assembly of The
Japan Society for Oriental Medicine
http://convention.jtbcom.co.jp/69jsom/index.html (the lastdate of access Oct.30,2017) KANPO IYAKUSHINBUN for the photographs she has donated tothe paper.http://convention.jtbcom.co.jp/69jsom/index.html(the last date of access Oct.30,2017)

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

21

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