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1 kg 4ml amplitude index 20 Key words ultrasonograph stomach contraction skin warming Received October 26, 2009; Accepted December 25, 2009 I Functional dyspepsia FD Rome III 2006 FD FD FD Tel: , Fax: t_kitsuda@meiji-u.ac.jp FD FD
2 2 The Bulletin of Meiji University of Integrative Medicine II kg BMI mean SD kg 4ml kcal kcal FLO-C1WIN 3 cardio fax Logic TM 400, GE Yokogawa medical systems B 5MHz Preset Fig. 1, 2 EG, nipro 5 1 Fig cycle/min Fig. 1. EG, nipro 5 1 Fig. 2.
3 OMRON 11,12 Categorical Scale CS mg/1000ml ph 7.4 kcal 0 36 kg 4ml CS cm HDD-Recorder RDR-HX67, SONY TV-tuner GV1394TV/M3; I-O DATE 1 Mac mini; Apple computer Image J; NIH Amplitude Index Fig. 3 13, Cm Amplitude index Amplitude index ABS Ci Cm i Cm 180 Ci 1 i Cm 180 amplitude index C1 Cm C2 Cm C180 Cm Max Min Max 100 b a 100 Fig. 4 postprandial dip Chart5 version5.4.2 A/D Instruments fast Fourie transform FFT Cosine bell 128point FFT Fig. 3 A-D PowerLab, A/D Instruments Chart5 version5.4.2 A/D Instruments Chart5 R-R heart rate variability HRV LF/HF CVNN LF/HF
4 4 The Bulletin of Meiji University of Integrative Medicine Fig ml/kg 2 5 min 7 10 min min min min 7 10 min min min min 20 min Fig. 4. CVNN Fig CS Fig. 3 6 Tukey test StateMateIII ATMS, Tokyo 5 Fig. 5. SD * 2 5 min Tukey test ** p 0.01 *** p III 1 Fig Fig. 6
5 Fig Fig. 8. Amplitude Index mean SD 2 5 min t 20 Fig. 7-a Fig. 7-b amplitude index amplitude index amplitude index Fig. 8 Fig. 7. a b mean SD * 2 5min Tukey test * p 0.05 ** p 0.01 *** p amplitude index Fig. 9 n
6 6 The Bulletin of Meiji University of Integrative Medicine Fig Fig. 10. p 0.01 Table 1. 2 t n p χ Fig. 10 amplitude index
7 Fig mean SD 2-way of analysis of variance p 0.01 * Tukey test * p 0.05 ** p t p 0.05 p 0.01 Table 1 Fig. 12. mean SD 2-way of analysis of variance p 0.01 * Tukey test * p 0.05 ** p Fig. 11 Fig. 12 CVNN LF/HF 20 Fig. 13, 14, 15 6 CS Fig. 13. mean SD 2-way of analysis of variance p 0.01 * Tukey test * p 0.05 ** p 0.01 Fig. 16-a, b 20
8 8 The Bulletin of Meiji University of Integrative Medicine Fig. 14. R-R CVNN mean SD 2-way of analysis of variance p 0.01 * Tukey test * p 0.05 ** p 0.01 Fig. 15. R-R LF/HF mean SD 2-way of analysis of Fig. 16. a. b. Categorical Scale CS mean SD 2 5 min Tukey test p 0.05 * 2 5 min Tukey test * p 0.05 ** p 0.01 *** p variance p 0.01 * Tukey test * p 0.05 ** p 0.01 IV ml/kg ml/kg
9 Kleiger R-R cm amplitude index 3 amplitude index CVNN R-R Fig. 9 LF/HF 3 3 9
10 10 The Bulletin of Meiji University of Integrative Medicine 23, cm cpm Nagai 16 CGRP Fig ml/kg amplitude index 8 ml/kg n ml/kg Fig.8 8 ml/kg 2 4 ml/kg 25 Iwa 15 8 ml 8 ml/kg 2 2 amplitude index Fig. 17 kg 4 ml Fig. 8 8 ml/kg 4 ml 4 ml/kg 2
11 V amplitude index Tack J, Talley NJ, Camilleri M, Holtmann G, et al: Functional gastroduodenal disorders. Gastroenterology, 130(5): , pp. 10, pp. 248, pp. 374, pp. 378, pp (6): , (1): 39-45, Electrogastrography: EGG 33(2): , Tabosa A, Yamamura Y, Forno ER, Mello LE: A comparative study of the effects of electroacupuncture and moxibustion in the gastrointestinal motility of the rat. Digestive Diseases and Sciences, 49(4): , (4): , (6): , Lee KJ, Vos R, Tack J: Effect of capsaicin on the sensorimotor function of the proximal stomach in human. Alimentary Pharmacology & Therapeutics, 15; 19(4): , Tack J, Caenepeel P, Corsetti M, Janssens J: Role of tension receptors in dyspeptic patients with hypersensitivity to gastric distention. Gastroenterology, 127(4): , Cappello G, Malatesta MG, Ferri A, Ciccaglione AF, et al: Gastric emptying of a solid-liquid meal measured with 13 C octanoic acid breath test and real-time ultrasonography: a comparative study. The American Journal of Gastroenterology, 95(11): , Kusunoki H, Haruma K, Hata J, Tani H, et al: Realtime ultrasonographic assessment of antroduodenal motility after ingestion of solid and liquid meals by patients with functional dyspepsia. Journal of Gastroenterology and Hepatology, 15(9): , Iwa M, Sakita M: Effects of acupuncture and moxibustion on intestinal motility in mice. The American Journal of Chinese Medicine, 22(2): , Nagai M, Wada M, Kobayashi Y, Togawa S: Effects of Lumbar Skin Warming on Gastric Motility and Blood Pressure in Humans.The Japanese Journal of Physiology, 53(1): 45-51,
12 12 The Bulletin of Meiji University of Integrative Medicine 36: 42-44, Søreide E, Eriksson LI, Hirlekar G, Eriksson H, et al: Pre-operative fasting guidelines: an update. Acta Anaesthesiologica Scandinavica, 49(8): , : 43-51, Ellis H, Feldman S, Harrop-Griffiths W: ANATO- MY FOR ANAESTHETISTS. 8th ed. Blackwell Publishing. UK, pp Moore KL, Dalley AF: Clinically Oriented Anatomy. 5th ed. LIPPINCOTT WILLIAMS & WILKINS, USA. pp Kleiger RE, Miller JP, Bigger JT Jr, Moss AJ: Decreased heart rate variability and its association with increased mortality after acute myocardial infarction. The American Journal of Cardiology, 59(4): , (6): , (5): , Walther OE, Iriki M, Simon E: Antagonistic changes of blood flow and sympathetic activity in different vascular beds following central thermal stimulation. II. Cutaneous and visceral sympathetic activity during spinal cord heating and cooling in anesthetized rabbits and cats. Pflugers Arch, 319(2): , 1970.
13 Effect of paravertebral skin warming at the upper back on postprandial gastric motility in healthy males Kitsuda Taiki Graduate school of clinical acupuncture and moxibustion, Meiji University of Integrative Medicine ABSTRACT Introduction: There have been many reports describing the effects of acupuncture and/or moxibustion applied to the abdomen and lower limbs on gastric motility. However, there have been few experiments investigating the effect of skin warming at the upper back on human gastric function. We examined the effect of paravertebral skin warming at the upper back on postprandial gastric motility in healthy males. Method: Eight healthy male subjects participated in the experiment. Postprandial gastric motility was observed for 30 minutes after liquid ingestion (bottled water, 4 ml/kg of body weight) using ultrasonographic recording (B-mode, 5 MHz convex probe, GE Medical system) of the gastric antrum and external electrogastrography (EGG, Nipro Co.). Paratvertebral skin warming at the upper back using an electrical moxibution heater (CS-2000, Kanaken Co.) started with liquid-drinking and was maintained for 18 minutes (warming group). On a separate day the same protocol was carried out without back warming as control experiment in the same population. We analyzed the cross sectional area, gastric contraction period and the amplitude index of gastric contraction using second by second images converted from the ultrasonographic video recording. The peak frequency was calculated by fast Fourier transfer analysis of EGG, and abdominal bloating and satiety were evaluated by categorical scale. Results: The average cross sectional area of gastric antrum and the period of antropyloric contraction did not show any significant difference between the control experiment and warming experiment. The amplitude index showing contractility of the gastric antrum was not significantly changed by back-warming. Though the averaged magnitude of gastric contraction was almost the same in both groups, there was significantly wider variation among gastric contractile magnitudes in the warming group. The tendency for back-warming to inhibit the circulatory sympathetic activity was recognized in digital skin blood flow and heart rates. The abdominal bloating sensation after ingestion was increased in both groups, but in the warming group the bloading sensation had returned to the previous control level 20 minutes later. Conclusion: Paravertebral skin warming at the upper back showed a significant change in the gastric motility pattern and abdominal sensations in healthy humans. 13
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11-19 2012 1 2 3 30 2 Key words acupuncture insulated needle cervical sympathetick trunk thermography blood flow of the nasal skin Received September 12, 2011; Accepted November 1, 2011 I 1 2 1954 3 564-0034
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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1-122013 1 2 1 2 20 2,000 2009 12 1 2 1,362 68.1 2009 1 1 9.5 1 2.2 3.6 0.82.9 1.0 0.2 2 4 3 1 2 4 3 Key words acupuncture and moxibustion Treatment with acupuncture, moxibustion and Anma-Massage-Shiatsu
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14 1-11 2015 20 23 2 Visual analogue scale 15 10 P 0.001 P 0.01 Key words acupuncture static visual acuity dynamic visual acuity Advanced trail making test fliker fusion frequency Received October 30;
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