日本初の大学における統合医療の実践  [in Japanese] Clinical Practice of Integrative Medicine in the University  [in Japanese]

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Author(s)

    • 川嶋 朗 KAWASHIMA Akira
    • 東京女子医科大学附属青山女性・自然医療研究所 自然医療部門 Division of Natural Medicine, Aoyama Institute of Women's and Natural Medicine, Tokyo Women's Medical University
    • 班目 健夫 MADARAME Takeo
    • 東京女子医科大学附属青山女性・自然医療研究所 自然医療部門 Division of Natural Medicine, Aoyama Institute of Women's and Natural Medicine, Tokyo Women's Medical University

Abstract

日本には,漢方医学という伝統的な医療がある.漢方薬は 1895 年に一度廃絶されたが,1965 年には復権し,保険医療で認められるに至っている.最近では,カイロプラクティックやアロマセラピーなどの他国から輸入された相補(補完)・代替医療 Complementary and Alternative Medicine (CAM) がわが国でも広がりつつある.漢方医学以外の CAM に関する学会の設立は目白押しで,遅ればせながら CAM に取り組む気運が盛り上がりつつある.教育面では漢方医学が広く普及してきたが,その他の CAM についても少数ではあるが,教育を行う施設も出てきている.しかしながら,CAM の実践となると家庭医くらいで病院は数えるほどしかない.さらに統合医療となると実践施設はほとんど存在しないのが現状である.2003 年 6 月,東京の青山にわが国の大学としては初の統合医療実践施設が誕生した.西洋医学の専門家が CAM を中心に診療を行っている.筆者はその責任者である.本稿では,統合医療を実践するための問題点や現在行っているプログラムなどについて報告する.<br>

There is a traditional medicine that is Kampo, a kind of Chinese medicine, in Japan. Kampo medicine has been covered with Japanese health insurance since 1965 though it had been abolished in 1895. Recently, complementary and alternative medicine (CAM) imported from other countries, such as the chiropractic and the aromatherapy and so on, spreads out in Japan. The establishment of the academic meeting about CAM other than Kampo medicine is increasing. The institutions to bring it up though it is a small number as for CAM other than for Kampo medicine that is popularized widely on the education come out. However, there are few hospitals less than family doctors in terms of the practice of CAM. As a matter of fact, it is Japanese health insurance system to obstruct practicing integrative medicine in Japan. Kampo and part of acupuncture, moxibustion, Judo-seifuku like osteopathy and massage are covered with Japanese health insurance, but the others in CAM are not. After all, it is difficult to practice integrative medicine because Japanese law doesn't permit practicing CAM and western medicine at the same time under the health insurance system. The first practical institution of integrative medicine in Japanese university was established by Tokyo Women's Medical University in June, 2003. Patients can receive in the same day CAM at the Aoyama Institute of Women's and Natural Medicine and western medicine at Aoyama Hospital located on upper floor in the same building which is another institution attached with Tokyo Women's Medical University. The number of patients that visited our institution from June in 2003 to March in 2004 is 550 (Female: 171 men and 379 women), and an age was from 0 to 85 years old. We have a lot of patients suffering from cancer (80 men and 97 women). We also have patients who have a mental problem (18 men and 59 women) and patients of the incurable diseases by western medicine. CAM such as Kampo, acupuncture, moxibustion, Qigong, homeopathy, flower essence, aromatherapy, bodywork, minus ion treatment, phototherapy and the hyperthermia is performed with 2 doctors and a nurse who is bodyworker too. In the future, not only we will practice it but also research and education will be done, too.<br>

Journal

  • Japanese Journal of Complementary and Alternative Medicine

    Japanese Journal of Complementary and Alternative Medicine 2(1), 75-79, 2005

    The Japanese Society for Complementary and Alternative Medicine

Codes

  • NII Article ID (NAID)
    130000079419
  • NII NACSIS-CAT ID (NCID)
    AA12095429
  • Text Lang
    JPN
  • ISSN
    1348-7922
  • NDL Article ID
    7355763
  • NDL Source Classification
    ZS47(科学技術--医学--治療医学・看護学・漢方医学)
  • NDL Call No.
    Z74-E199
  • Data Source
    NDL  J-STAGE 
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