初稿　2024年12月6日

Contents
・Developments history of Traditional Japanese Acupuncture
・Objectives
・Comparison of Dashin and Traditional Chinese Acupuncture(TCA)
・Hanare（離れ） in old medical texts
・Hanare condition （右離れ）on the right side of patient’s abdomen
・Clinical case: A systemic dermatitis with Hanare

 

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Developments history of Traditional Japanese Acupuncture

	Originated from China	Domestic progress
Nara Period (701-794)	Acupuncture was arrived to Japan with Buddhism.
Heian Period (794-1192)	Acupuncture needle was used as surgical instrument for drainage, Moxibution was the main part of treatment.	Haratori 腹取 (abdominal massage) was popular as folk remedies. Eiga monogatari 栄花物語(1028) Woman therapist called Haratori-no-Omuna 腹とりの女 cured abdominal pain.
Kamakura Period (1192-1335))	Heated acupuncture needle 火鍼〔huozhen〕 was used for incision of swelling. The medical texts of 宋[song] era were introduced.	Ton-i-Syou 頓医抄(1302) Haratori-You 腹取様 was picked up one of the treatment on Chapter 7.
Early Muromati Period (1338-　)	Herb medicine was the main part of the treatment.There was no famous acupuncturist yet.	Reiran-Shu 霊蘭集（1472） Zen monk cured a patient who was suffered sword wound by abdominal massage.
Latter Muromati Period （- 1573）	Zen monk who had studied in China brought the text of foundation theory of TCM.	A Zen monk, Mubun 無分(1510?-1580?) invented Dashin style of acupuncture.
Azuti-Momoyama Period (1573-1603)	Many good acupuncturist who studied from Chinese and Korean doctors.The base of acupuncture theory was developed by introducing the medical texts of 金［jin］ and 元[yuan] era.	Misono Isai 御薗意斎(1557-1616) who was one of the students of Mubun was promoted to Doctor of the Emperor and the Empress.
Edo Period (1603-1867)	Acupuncture became popular and recognized as one of the important department in medicine. After introducing medical texts of Ming era, various schools of acupuncture were established.	Dashin style had flourished and many schools were derived. However, Dashin fell out of use by invention of new instrument , Shinkan 鍼管 (guide tube) and the concealment of the art.

 

Objectives

We attempt to clarify the theory and methods of Dashin, which we reconstructed by Functional Morphology.

 

Comparison of Dashin and Traditional Chinese Acupuncture(TCA)

	Dashin	TCA
Instrument	Large gold needle Small Mallet	Needle
Main diagnosis	Abdominal diagnosis	Pulse diagnosis
Acupuncture point	Only abdomen	On the meridian
Objectives	Treatment for Hanare disease (離れ)	Circulation of Qi(Chi) in the meridian

 

 

Hanare（離れ） in old medical texts

Japanese acupuncturists who were able to detect subtle but significant indications around umbilicus by abdominal diagnosis defined Hanare as condition of disease.

We were able to find the description about Hanare in the old medical texts that have in common “the state of no abdominal force around umbilicus means death” and “no power but having intention and pain both side of umbilicus means survive”.

“Condition of abdomen skin that dry, tough and swollen, and membrane dropped into depth where pressed internal organs, the function of internal organs cut off the way to survive ”　

This description explained the condition of Hanare with the skin trouble.

 

Hanare condition （右離れ）on the right side of patient’s abdomen

 

【patient】
78years old, Male, 173cm, 63kg

【disease】
A systemic dermatitis 全身的な皮膚炎 (For 6 years)

 

Clinical case: A systemic dermatitis with Hanare

【medical history】
15years ago: glaucoma（緑内障）: the visual field loss
11yeras ago: hemorrhoid（脱肛）: operation
6years ago: dermatitis（皮膚炎）: steroid NG
(not for rising the intraocular pressure)

【major complain】
An itch of the skin, especially in the night time.

【Condition of skin before Dashin treatment】
The skin dries generally. Inflammation of red spots on the arms, the legs, the abdomen, the chest and the back.　

 

【results：dermatitis】
After the 7th treatment, the improvements are recognized with the skin moisture and significant reduction of itching.
We concluded that this improvements of dermatitis were effect of Dashin treatment without steroid therapy. Also, no herb medicine.

 

【results：the shapes, posture 】

Before treatment:

 

After 7th treatment 　　　　　　　　　　　　　　　　　　

Angle of shoulder-breast
Right costal arch
Convex on the right umbilicus

【results】
Hanare disease is complicated disorders of structure and functions.
Dashin can improve stabilization of abdomen and dermatitis simultaneously.
We proved the old medical texts that was described these simultaneous improvements for Hanare disease by Dashin.  

【consideration】
Why does Dashin treat only abdomen at Hanare to　cure　symptoms anywhere in the body?
“The basement membrane hypothesis” by the functional morphology
We considered that Dashin acupuncture approach to the basement membrane (0.2~1.2mm).

 

The basement membrane perform structural stabilization of body to adhere between skin, internal organs,the body cavity(abdominal and thoracic) and connective tissues.
The basement membrane distributed in whole body.

 

“Hanare” are several symptoms caused by disorder of the basement membrane adhesion that lead to ptosis of the internal organs.
These structural disorders lead to functional problems of the internal organs and skin troubles.

Tapping needle technique can create stronger vibration than the normal needle technique
And its enhanced vibration help to re-adhere the basement membrane for ptosis of the internal organs and skin trouble.

 

We proved that Dashin is effective for "Hanare" disease.
Using abdominal diagnosis and by tapping needle techniques making vibration for abdomen we were able to cure whole body symptoms.
It is assumed that these treatment methods are the lost tradition of Mubun.