2 The Bulletin of Meiji University of Integrative Medicine 3, Yamashita 10 11

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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 usage rate questionnaire survey Received August 22, 2012; Accepted November 2, 2012 I 2010 65 629-0392 Tel0771-72-1181 E-mail: t_yano@meiji-u.ac.jp 47.1 1 20.9 2

2 The Bulletin of Meiji University of Integrative Medicine 3,4 10 2007 1 2007 10 3 15.9 2010 11 3 16.9 5 10.3 6 10.4 1 6.1 6 5.7 1 7 9 Yamashita 10 11,12 2000 67 13 2007 3,250 2010 14,15 16 2006 2004 1 4 2010 2004 41 21,100 17 7.92004 33,600 18 2010 36,300 17 2004 76,600 19 2010 21 92,400 20 2000 Yamashita 10 11,12 II 1 1 20 2,000 2 157 139 18 12 19 2009 4 1 20 2008 3 31

2,000 1 1014 3 2009 12 1 14 4 1 1 2 2009 12 1 1 1 1 1 1 4 1 1 1 l 2 1 1 1 1-4 3-6 24 67 3 1 1 6 7 11,12 3 4 3

4 1 1 4 1 3 6 5 2467 7 3 4 The Bulletin of Meiji University of Integrative Medicine 1 2 3 5 2010 for Windows 2575 III 1 2,000 1,362 68.1 638 324 16.2234 11.7 1 a 2 b 3 c 4 d 5 e 6 f 7 g t 2 2 1,362 46.5 53.5 30 60 50 3 1 83 462 813 545 40.0 332 24.4 3 462 1 249 1 213 2 1 249 83 4 249 183 73.5 66 26.5 42 16.9 59 7

2 46.5 vs. 53.530 60 50 1362100 63446.5 72853.570 21816.0 10817.0 11015.1 50 24618.1 10516.6 14119.4 20 17212.6 7912.5 9312.8 30 25919.0 12619.9 13318.3 40 21115.5 8613.6 12517.2 22916.8 17227.1 577.860 25618.8 13020.1 12617.3 493.6 426.6 71.0 282.1 223.5 60.8 16312.0 9515.0 689.3 25018.4 12018.9 13017.9 29621.7 17026.8 12617.3 32323.7 00 32344.4 241.8 132.1 111.5 5 48135.3 23336.8 24834.1 15211.2 7311.5 7910.9 72753.4 32851.7 39954.8 20.1 00 20.3 3 83 462 813 462 1 249 1 213 1 1 83 249 213 813 4 1,362 6.1 18.3 15.6 59.7 0.3 100 1,362 16 19.3 2 249 83 5 38 2.826 1.9150 11 11 0.8 13 1.0 53 3.9 82 49 59.8 58 39 67.2 242 203 83.9 3 1-6 129 9.5 30 2.2 99 7.3 6

6 4 249 183 73.5 66 26.5 42 16.9 83 59 71.1 16 19.3 242 72.9 82 24.7 58 17.5 The Bulletin of Meiji University of Integrative Medicine 249 66 42 183 26.5 16.9 73.5 83 16 16 59 19.3 19.3 71.1 332 82 58 242 24.7 17.5 72.9 5 249 66 1 4 1 38 42 3 6 5 26 183 2467 7 150 83 16 11 16 13 59 53 49 39 203 1 38 2.8 11 0.8 49 3.6 2 19 1.4 3 0.2 22 1.6 3 2 0.1 0 0.0 2 0.1 4 7 0.5 2 0.1 9 0.7 5 26 1.9 13 1.0 39 2.9 6 7 0.5 1 0.1 8 0.6 7 150 11.0 53 3.9 203 14.9 249 18.3 83 6.1 332 24.4 1,362 4 2-7 283 20.1 72 5.3 211 15.5 6 4 2575 2 15 4 210 3 26 1 2 18 4 210 3 1.510 1 2 3 4 59 10 6 1 2

6 66 4.8 16 1.2 82 6.0 38 3.62.8 11 0.8 49 42 3.1 16 1.2 58 4.3 2.926 1.9 13 1.0 39 183 13.4 59 4.3 242 17.8 150 11.0 53 3.9 203 14.9 99 7.3 30 2.2 129 9.5 211 15.5 72 5.3 283 20.8 7 1 2 10 1 / 34.810 6.3 1 2 3 4 59 10 21.9 19.7 15.8 4.4 13.1 21.4 3.8 100.0 23 10 11 0 8 10 4 66 34.8 15.2 16.7 0.0 12.1 15.1 6.1 100.0 8 5 7 2 8 11 1 42 19.0 11.9 16.7 4.8 19.0 26.2 2.4 100.0 40 36 29 8 24 39 7 183 7 4 4 1 0 5 1 1 16 25.0 25.0 6.3 0.0 31.3 6.3 6.3 100.0 3 2 2 1 3 4 1 16 18.8 12.5 12.5 6.3 18.8 25.0 6.3 100.0 14 11 7 6 6 15 0 59 23.7 18.6 11.9 10.2 10.2 25.4 0.0 100.0 n / n / 10 1 34.8 10 6.3 7 5 83 16 8 50.0 5 31.3 3 18.83 532 640 442 8 83 55 1 4.055 1,362 6 83 1 2,071 1,235 1,877 1,674 1,864 1,612 565 139 433 236 431 198 2,618 974 3,000 1,434 3,020 1,293

8 8 83 16 8 5 3 3 531 640 442 The Bulletin of Meiji University of Integrative Medicine IV 1 1 360 7 1 2,000 1,362 12 0.7 9 46.5 vs. 53.5 22 48.5 vs. 51.5 2.0 80 2.5 10 3 8 5 16 18.8 50.0 31.3 100.0 10 22 23 55 18.2 40.0 41.8 100.0 0 9 6 15 0.0 60.0 40.0 100.0 14 39 34 87 16.1 44.8 39.1 100.0 9 68.1 rs 4.5 7.6 21.9 10.1 4.3 2.3 12.3 9.5 7.0 5.9 3.4 11.5 100.0 89.0 151.0 441.0 216.0 86.0 48.0 232.0 185.0 138.0 120.0 65.0 229.0 2,000 as 4.5 7.6 22.1 10.8 4.3 2.4 11.6 9.3 6.9 6.0 3.3 11.5 100.0 rsas 0.0 0.0-0.2-0.7 0.0-0.1 0.7 0.2 0.1-0.1 0.1 0.0 0.0 12 20032006 65.871.0 80 4.7 80 28 2 2000 1 10 1 2004 61.0 103.0 298.0 137.0 58.0 32.0 167.0 129.0 95.0 80.0 46.0 156.0 1,362

10 80 22 2.5 20 30 40 50 60 70 80 a 12.6 19.0 15.5 18.1 18.8 12.9 3.1 100.0 b 13.2 17.4 16.1 15.6 17.5 12.4 7.8 100.0 ab -0.6 1.6-0.6 2.5 1.3 0.5-4.7 0 22 2006 20032006 11,12 3 4 6.42003 4.7 2004 6.42005 6.72006 2004 95 2009 12 1 9.5 11,12 2006 3 6.7 2.8 955.2 8.3 12 0.8 0.8 2.2 0.8 1 80 1 1 3 III-4 1 2 2 11,12 2006 6.7 3.0 21 1 3.0 2.2 2009 1 1 2.2 2006 3.0 0.8 1 10 1 35 19 16 10 6 25 19 2 4 2 4 22 42.420.9 2002 9

10 The Bulletin of Meiji University of Integrative Medicine III-6 2,618 974 3,000 1,434 4 2010 6 328 23 3.1 4.0III-5 414 86 24 25.4 414 24 100 5 0.82009 1 0.8 103,600,000 2 III-4 1,658,000 103,600,000 0.008 2 8 81.3 50.0 31.8 1,348,000 1,658,000 0.81 57,400 21,100 36,300 24.9 21,100 63.6 2009 1 1 25 64 / 13 1 25 64 / 3 1

V 2123 21590552 1. 22 2 73 2012. 2. 22 2 75 2012. 3. pp 35-53, 2009. 4. pp 205-232, 2010. 5. 22 http://www.mhlw.go.jp/topics/ kaigo/osirase/jigyo/10/dl/h22_point. pdf#search=, 2011. 6. 19 2 77 2008. 7. 2007. 8. 2010. 9. 2011-53 RCT- 33-198, 2012. 10. Yamashita H, Tsukayama H, Sugishita C: popularity of complementary and alternative medicine in Japan: a telephone survey. Complement Ther Med. 10: 83-93, 2002. 11. 55(5): 697-705, 2005. 12. Naoto I, Tadashi Y, Kenji K: Public Status and Prevalence of Acuouncture in Japan. ECAM, 7(4): 493-500, 2010. 13. 60(5): 792-801, 2010. 14. 69(3): 86-95, 2010. 15. 70(9): 137-146, 2011. 16. 70(11): 167-176, 2011. 17. 22 77 2010. 18. 16 75 2006. 19. 16 74 2006. 20. 22 76 2012. 21. 767: 169-175, 2005. 22. 746: 125-130, 2005. 23. 22 61 2010. 24. 744; 125-132, 2005. 11

12 The rate of patients undergoing acupuncture and moxibustion comparison between the rate of treatment with acupuncture and moxibustion and that of treatment with acupuncture, moxibustion, and Anma-Massage-Shiatsu Ryosuke Fujii 1), Tadashi Yano 2) The Bulletin of Meiji University of Integrative Medicine 1) Faculty of Health Science, Tsukuba University of Technology 2) Department of Health Promoting and Preventive Acupuncture and Moxibustion, Meiji University of Integrative Medicine ABSTRACT Purpose: The objective was to determine the rate of patients undergoing acupuncture and moxibustion (AM treatment) and the rate of patients undergoing acupuncture, moxibustion, and Anma-Massage-Shiatsu (AMA treatment) and to characterize the demand for these treatments and the current status of these treatments in Japan. Methods: A questionnaire survey on acupuncture, moxibustion, and Anma-Massage-Shiatsu was sent to 2,000 male and female aged over 20 years, who were selected using a stratified two-step random sampling method. The two-week research period started on December 1, 2009. Researchers visited and interviewed all of the respondents. Result: The questionnaire was returned by 1,362 respondents (68.1%). The annual AM + AMA usage rate (i.e., usage rate of treatment at least once in 2009), the usage rate of AM + AMA treatment at one month before the start of the study were 9.5%, and 2.2%, respectively. The annual usage rate, monthly usage rate, were 3.6%, and 0.8%, respectively, for those treated with AM and 2.9%, and 1.0%, respectively, for those treated with AMA. The annual usage rate was greater for those treated with AM than for those treated with AMA. However, those treated with AM had a 0.2% lower monthly usage rate than those treated with AMA. The number of times (median) per year that patients underwent AM treatment, Anma alone, and AMA treatment in 2009 was 2 times, 3 times, and 4 times, respectively. The number of times (median) per month that patients underwent AM treatment, Anma alone, and AMA treatment was 2 times, 3 times, and 4 times, respectively. Discussion and conclusion: The annual AM and AMA usage rates have been increasing as the number of clinics and the availability of services have increased dramatically. However, the monthly usage rate was lower for those treated with AM than for those treated with AMA. This appears to suggest that the recent increase in the numbers of acupuncture and moxibustion specialists and clinics has not led to an increase in the demand for acupuncture and moxibustion. It is considered that the supply of services is exceeding the demand for them.