8 The Bulletin of Meiji University of Integrative Medicine API II 61 ASO X 11 7 X-4 6 X m 5 X-2 4 X 3 9 X 11 7 API 0.84 ASO X 1 1 MR-angio

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1 Fontaine II ASO61 3 API ASO ASO ASO API API KKKKKKKKKK ASO Fontaine II API Received April 14, 2009; Accepted July 16, 2009 I arteriosclerosis obliterans: ASO ASO ,2 Fontaine 3 MR-angio CT Ankle pressure index API TEL: FAX: Fontaine I II TASCII 1,2 II III IV ASO 4-6 Fontaine II 7 Fontaine I IV 8 Fontaine IV Fontaine II ASO

2 8 The Bulletin of Meiji University of Integrative Medicine API II 61 ASO X 11 7 X-4 6 X m 5 X-2 4 X 3 9 X 11 7 API 0.84 ASO X 1 1 MR-angio 70 ASO BI ; 350ml 1 175cm 66.3Kg BMI 21.6kg/m 2 136/96mmHg 80m MR-angio

3 API MR-angio 1a 70 Fontaine II 1 4 濇 ASO X ASO

4 MR-angio The Bulletin of Meiji University of Integrative Medicine III X 1 1 ASO ASO 40mm Hz 10 40mm 20 30mm 16 IV 1 200m 2 API API V ASO m API m API 0.57 MR-angio 70 1a ASO m API m API API m API 0.77 MR-angio 1b API

5 3 API API API p Wilcoxson 4 VI X-4 X-3

6 12 The Bulletin of Meiji University of Integrative Medicine 4 API 24 API p wilcoxon test X API 0.84 ASO MR-angio ASO ASO X 11 ASO ASO API 8 API API API API 4-6 ASO VII Fontaine II ASO API 1. Norgren L, et al.: Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASCII). Journal of Vascular Surgery, 45(1): S5- S67, TASCII Working Group II

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8 14 Clinical effects of acupuncture on a patient with arteriosclerosis obliterans Azuma Miyuki 1), Fukuda Fumihiko 1), Watsuji Tadashi 2), Imai Kenji 1), Kitakoji Hiroshi 1) 1) Department of Clinical Acupuncture and Moxibustion, Meiji University of Integrative Medicine 2) Department of traditional Acupuncture and Moxibustion, Meiji University of Integrative Medicine The Bulletin of Meiji University of Integrative Medicine ABSTRACT Purpose: Clinical experience with acupuncture treatment for a case of arteriosclerosis obliterans (ASO) with intermittent claudication, is reported. Case: A sixty-one-year-old male patient showed intermittent claudication, coldness and pain at the left leg and was diagnosed as having ASO of Fontaine II with decreased ankle brachial pressure index (API). These symptoms had already persisted for three years before starting the acupuncture treatment. First, Acupuncture and moxibustion treatments were performed over the whole body to improve the general condition based on the principals of oriental medicine. Then, electrical acupuncture were performed for the left leg to increase blood flow. However, the patient did not ask for western medication at the hospital. Results: The patient trusted the effects of acupuncture and moxibustion treatment and preferred treatment with these oriental medications only. Significant elevation of API was demonstrated immediately after the treatment. However, improvement of clinical effects with acupuncture and moxibustion only were not remarkable. Therefore, the patient accepted western medication accompanied by oriental treatments following an explanation by the acupuncturist. With this combined therapy, symptoms, intermittent claudication and API were improved over the long term. Discussion: These findings suggest that combined therapy with western medication and oriental treatment was highly effective in this case.

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