The present invention relates to a method for causing relaxation of a muscle of a person or an animal, and a system for assisting a person in executing the same method.
An action (hereinafter referred to as a “pressing treatment”) of applying a pressing treatment (for example, a physical action such as pressing, stroking, massaging, or rubbing) to the tissue (for example, muscle) of the body of a person or an animal from a body surface with hands, a tool, or the like to cause a medically, healthily, or mentally beneficial effect on the body is widely known. For example, a pressing treatment generally called an acupressure or massage is known. Patent documents #1-#6 listed below respectively disclose a device and a tool for adjustment of the load of an acupressure, determination of appropriateness of the pressure of an acupressure, seeking of a trigger point of pain, detection of the degree of stiffness of a muscle portion, and acupressure simulation.
A muscle which occupies approximately 50% of a human body will be discussed as an example. Muscular tension can cause various bodily discomfort or diseases such as a low back pain, a stiff shoulder, arthralgia, poor circulation, migraine, and pollinosis. A pressing treatment called “Kanshoho” (a registered trademark in Japan) in the present specification is known as a method for relieving muscular tension (that is, causing relaxation of a tense muscle) (see a non-patent document #1 listed below). The Kanshoho is a method of applying appropriate pressing force to the muscle of a target from the body surface with fingers or the like while expanding and contracting the muscle to cause relaxation of the muscle.
Patent document #1: Japanese Patent Application Publication No. 2007-14442
Patent document #2: Japanese Patent Application Publication No. 2013-172841
Patent document #3: Japanese Patent Application Publication No. 2009-50725
Patent document #4: Japanese Patent Application Publication No. H08-33691
Patent document #5: Japanese Patent Application Publication No. 2014-215563
Patent document #6: Japanese Patent Application Publication No. 2010-20161
Non-patent document #1: Hirozumi Sakaguchi, et al., “The effect of Kanshoho on the low back pain (lumbago)”, Journal of Japanese Society for Integrative Medicine, Vol. 5, No. 1, 2012, http://www.jho.or.jp/201203.pdf
If health care providers and patients themselves learn the skills of practicing the Kanshoho correctly, it is expected that a large portion of diseases and bodily discomfort of many people will be reduced.
The Kanshoho is different from other pressing methods such as so-called acupressure or massage. However, conventionally, the skills of the Kanshoho are learnt through the experience of an expert who has years of experience. It is not easy for most people to learn the skills of the Kanshoho and be able to practice the same.
An object of the present invention is to allow persons to practice the pressing method for causing relaxation of muscles more easily.
According to an aspect of the present disclosure, a method for causing relaxation of a muscle of a body of a person or an animal includes: causing the person or the animal to perform a physical exercise of expanding and contracting the muscle; pressing one or more spots on a skin of the body toward a muscle under the skin while the physical exercise is being performed; and controlling the pressing on the respective spots so that an area of each of the pressed spots of the skin falls within a predetermined area range and a strength of a pressing force applied to each of the spots falls within a predetermined force range. The area range is between approximately 2 cm2 and approximately 0.1 cm2. The force range is between approximately 1 kgf and approximately 100 gf.
According to another aspect of the present disclosure, a system for assisting a user in executing a pressing treatment for causing relaxation of a muscle of a body of a person or an animal includes: at least one sensor sheet disposed between a pressing object operated by the user and a skin of the body; and an information processing system configured to be able to communicate with the at least one sensor sheet. The at least one sensor sheet has a number of sensor elements disposed at a number of two-dimensional positions on the sensor sheet. The sensor elements output pressing signals corresponding to the pressing applied from the pressing object to the respective positions. The information processing system receives the pressing signals from the sensor elements, and on the basis of the received pressing signals, specifies an area of each of one or more pressed spots on the sensor sheet, specifies a magnitude of the pressing force applied to each of the pressed spots, determines whether the area of each of the pressed spots falls within a predetermined area range, determines whether the pressing force at each of the pressed spots falls within a predetermined force range, and notifies the user of determination results. The area range is between approximately 2 cm2 and approximately 0.1 cm2. The force range is between approximately 1 kgf and approximately 100 gf.
Hereinafter, exemplary one or more embodiments of a method for causing relaxation of a muscle and a device for assisting a person in executing the method, based on the Kanshoho will be described with reference to the drawings.
It is generally thought that accumulation of wastes in muscles and an excess of calcium is one of the major causes of muscular tension. An object of the Kanshoho is to accelerate elimination of wastes in muscles and unnecessary calcium outside the muscles in order to cause relaxation of tense muscles. Here, a schematic structure of a muscle (particularly, a skeletal muscle) and the principle of the Kanshoho will be described briefly with reference to
As illustrated in
In a muscle relaxation method based on the Kanshoho according to an embodiment, as illustrated in
While the muscle expanding and contracting exercise is being repeated, the therapist pressing the muscle with the fingertip 7 controls a pressing state of the fingertip 7 (particularly, an area (a pressed area) of one pressed spot of the skin and a pressing force applied to the pressed spot) so as to be within a specific range to thereby create a state (that is, a relative movement between muscular fibers) in which some muscular fibers under the pressed spot stop moving in the expanding and contracting direction and the other muscular fibers move in the expanding and contracting direction. Furthermore, even when the orientation and the position of the body of the patient change with the movement of the muscle, the therapist controls the state of the fingertip 7 so that the position of the pressed spot of the muscle and the direction of the pressing force are maintained to be constant and the pressing state of the body (particularly, the pressed area and the pressing force applied to the pressed area) are continuously maintained within an appropriate range.
When the pressing treatment is applied to a certain spot on a skin, a muscle portion under the pressed spot is relaxed. When the pressing treatment is sequentially applied to many successive different spots covering a certain wide region on the skin, a large muscle portion covering the wide region is relaxed.
It is supposed that the following is a mechanism in which a muscle is relaxed by the pressing treatment. As illustrated in
From a viewpoint of accelerating elimination into blood vessels, of wastes and unnecessary calcium between myofibrils, the exercise of expanding and contracting the pressed muscles may be repeated at periods synchronized with the beats of the heart. For example, an exercise of expanding a pressed muscle (for example, an exercise of tilting the upper body 8 to the left side as indicated by the arrow 8A in
The inventor of the present invention conducted the treatment of the Kanshoho-based muscle relaxation method on approximately 300 persons for 1200 hours in total for approximately 4 hours per person. Through this treatment, the relationship between pressing conditions (particularly, an area of one pressed spot (that is, a pressed area) and a pressing force applied to the pressed spot) and the muscle relaxation effect was examined.
From the examination result, it was found that as indicated by a curve 100 in
In
As can be understood from the curve 101 in
As can be understood from the curve 102 in
In this examination, the muscle relaxation effect when 5 minutes of treatment was conducted in a state in which the pressed area was approximately 2 cm2 or more (as illustrated in
In this examination, a difference in the muscle relaxation effect when an exercise (for example, the physical exercise indicated by the arrows 8A and 8B in
From the examination results, an effect that the muscle is relaxed can be obtained when during the treatment of the muscle relaxation method, the pressed area falls within an area range indicated by (1) below and the pressing force applied to the pressed area falls within a force range indicated by (2) below.
(1) Area Range:
(A) Between approximately 2 cm2 and approximately 0.1 cm2;
(B) Between approximately 1.5 cm2 and approximately 0.1 cm2; or
(C) Between approximately 1 cm2 and approximately 0.1 cm2.
(2) Force Range:
(A) Between approximately 1 kgf and approximately 100 gf;
(B) Between approximately 700 gf and approximately 100 gf;
(C) Between approximately 500 gf and approximately 100 gf;
(D) Between approximately 500 gf and approximately 300 gf;
(E) Between approximately 500 gf and approximately 400 gf;
(F) Between approximately 700 gf and approximately 300 gf;
(G) Between approximately 600 gf and approximately 400 gf; or
(H) Within near approximately 500 gf.
Strictly speaking, even when the pressed area and the pressing force are controlled to be within a constant range, the muscle relaxation effect is different depending on an individual difference, the degree of tension, a body region, and a difference in other muscle states. However, if the pressed area is between approximately 1 cm2 and 0.1 cm2 and the pressing force applied to the area is between approximately 500 gf and approximately 100 gf, it is highly likely that a muscle relaxation effect is obtained by approximately 5 minutes of treatment with respect to most of the usual states of muscles. Furthermore, the pressing force applied to the pressed area may be controlled to be within a narrower range closer to approximately 500 gf (for example, between approximately 500 gf and approximately 300 gf).
It is not easy for an ordinary person to learn a skill of executing a pressing treatment which satisfies both conditions of (1) and (2). It is more difficult to continuously satisfy both conditions in a state in which a patient is moving the muscles (the body).
As illustrated in
A user attaches the respective sensor sheets 13 to the surface of the skin of an arbitrary body region on which the pressing treatment is to be executed (for example, a lateral region of the left or right side of the waist, the left or right-side back region, and the like) and presses an arbitrary position of the region from the upper surfaces of the respective sensor sheets 13 with an arbitrary pressing object (for example, a fingertip, a distal end of a stick-shaped tool as narrow as a finger, and the like). In this way, the sensor sheet 13 is disposed between the body and the pressing object to detect the pressing state of the pressing applied from the pressing object to the body.
Only one sensor sheet 13 may be used when one region (for example, the right region of the waist) of the body is pressed. Two sensor sheets 13 may be used simultaneously when two separate regions (the right and left regions of the waist) of the body are pressed simultaneously. A larger number of sensor sheets 13 may be used simultaneously. When a plurality of sensor sheets 13 are used simultaneously, the display device 15 can communicate with the plurality of sensor sheets 13 simultaneously and process and display the pressing states detected by the sensor sheets 13 simultaneously.
The sensor sheet 13 is a sheet that is thin (for example, a thickness of approximately several mm or less), wide, and flexible, and that is at least partially formed using a flexible material (for example, silicon rubber or the like) that can be deformed easily. The sensor sheet 13 may have flexibility that is equal to or higher than a biological tissue ranging from the skin to muscles of the body so as not to be resistant to the pressing on the body.
The planar shape of the sensor sheet 13 may be a square shape or may be a rectangular shape, a circular shape, or other arbitrary shapes (for example, a shape that fits to the waist, the shoulder, or other regions of the body). The area of the sensor sheet 13 may be larger than the area of any one of the area ranges discussed above and may be such a size that it is convenient to attach the sheet to a pressing region (for example, between approximately 4 cm2 and approximately 1000 cm2). One surface of the sensor sheet 13 may be an adhesive function such that the sheet is easily attached to the surface of the body skin.
The sensor sheet 13 has a number of sensor elements 17 (segments partitioned by dot lines in
The sensor sheet 13 has a signal processing device 19. The signal processing device 19 can communicate with a number of sensor elements 17 and drives the sensor elements 17, receives pressing force signals from the sensor elements 17, processes the pressing force signals to convert the same to sensing data of a predetermined format, and transmits the sensing data to the display device 15. The signal processing devices 19 of one or more sensor sheets 13 and the display device 15 that can communicate with the signal processing devices 19 form an information processing system 20.
The power of the sensor sheet 13 may be supplied from a battery (not illustrated) mounted on the sensor sheet 13 or an external power supply device (not illustrated) or the display device 15.
The display device 15 may be a special device designed for the pressing assistance system 11 and may be a general-purpose information processing device (for example, a smartphone, a cellular phone, a tablet terminal, or a personal computer) in which an application program for the pressing assistance system 11 executed by an internal CPU 12 is installed and the application program can be executed by the internal CPU 12. The display device 15 receives sensing data from one or more sensor sheets 13 being used and processes the sensing data to thereby create pressing state data indicating the pressing states (a pressing force distribution that correlates the position of the pressed sensor element 17 and the detected pressing force) of the respective sensor sheets 13 and/or pressing evaluation data indicating the evaluation result (for example, the degree in which the pressing state matches the force range and the area range (that is, the degree of appropriateness of pressing (a plurality of steps of levels or scores))) of the respective pressing states on a real-time basis. The display device 15 has a display screen 14 and/or a speaker 16 and can display the pressing state data and/or the pressing evaluation data of the respective sensor sheets 13 on the display screen 14 visually on a real-time basis and/or output the same (particularly, the pressing evaluation data) from the speaker 16 audibly on a real-time basis.
The user can receive the pressing state data or the pressing evaluation data displayed or output on the display device 15 while pressing the body of the patient and determine the appropriateness of the pressing treatment and correct the pressing treatment. In this way, the user can learn and execute an appropriate pressing method more easily.
The display device 15 may have a function of displaying the pressing state data and/or the pressing evaluation data of the plurality of sensor sheets 13 on the display screen 14 simultaneously in comparison when the plurality of sensor sheets 13 are used simultaneously and/or outputting the same from the speaker 16 (for example, the tone may be changed for respective sensor sheets 13 so that the sensor sheets can be distinguished by the sound).
By using this function, the user can specify the pressing states of the two regions of the left and right sides of the waist of a person, for example, while pressing the two regions simultaneously. Alternatively, a beginner can observe the pressing state in comparison with that of a skilled person while the beginner presses the left side of the waist of a person and the skilled person presses the right side of the waist of the person. In this way, the beginner can learn the skill of the skilled person more easily.
The display device 15 has a storage 18 and the past pressing state data and/or the past pressing evaluation data may be stored in the storage 18. The display device 15 may have a function of displaying the data on the display screen 14 as an image simultaneously with and in comparison with the real-time pressing state and/or the pressing evaluation data and/or outputting the same from the speaker 16 as sound (for example, the tone may be changed for respective sensor sheets 13 so that the sensor sheets can be distinguished by the sound).
By using this function, a beginner can observe his or her real-time pressing state while reproducing the pressing state data and/or the pressing evaluation data of the skilled person stored in the storage 18 and comparing the pressing state with the reproduced data. In this way, the beginner can learn the skill of the skilled person more easily.
The display device 15 may have a function of visually or audibly outputting an instruction (for example, prepared in advance and stored in the storage 18) related to a muscular (physical) exercise, starting and stopping of pressing, changing of a pressed spot, and/or checking of a muscular flexibility while displaying or outputting the pressing state and the like on a real-time basis. When the Kanshoho is executed, an exercise of expanding and contracting muscles (for example, swinging of the upper body of the waist) at a speed of approximately one reciprocation in 4 seconds, for example. Moreover, after a muscle expanding and contracting exercise is performed a number of times while continuing the pressing, the pressing is stopped temporarily and then, the pressing and the muscular exercise are performed again. Alternatively, the same treatment is repeated while changing the pressing position. After such a treatment is performed for several minutes, the flexibility of muscles may be checked. When the display device 15 provides an instruction for performing such operations to the user, the user can learn and practice the Kanshoho more easily and appropriately.
As illustrated in
A plurality of layers of elastic sheets are formed on the lower sheet 23 (although three layers are formed in the present embodiment, two or four or more layers may be formed). For example, a lower elastic sheet 25, a middle elastic sheet 27, and an upper elastic sheet 29 are provided in a superimposed manner. These elastic sheets 25, 27, and 29 have areas such that the lower layer has a larger area than the upper layer and form a generally stepped pyramid.
A plurality of column electrodes 31-1, 31-2, 33-1, 33-2, and 35 are disposed on the horizontal surfaces of a plurality of steps of the stepped pyramid. That is, the column electrodes 31-1 and 31-2 are disposed on the surface of the lower sheet 23 on the outer side of the lower elastic sheet 25. The column electrodes 33-1 and 33-2 are disposed on the surface of the lower elastic sheet 25 on the outer side of the middle elastic sheet 27. Moreover, the column electrodes 35 are disposed on the surface of the middle elastic sheet 27 on the outer side of the upper elastic sheet 29.
A row electrode 37 is disposed on the lower surface of the upper sheet 21 so as to face the column electrodes 31-1, 31-2, 33-1, 33-2, and 35. The row electrode 37 and the column electrodes 31-1, 31-2, 33-1, 33-2, and 35 form switches. Each switch is normally in the OFF state and enters into the ON state upon receiving a certain magnitude of pressing force. A switch corresponding to a column electrode disposed on a lower layer is turned on upon receiving a larger pressing force than a switch corresponding to a column electrode disposed on an upper layer. Therefore, it is possible to detect the level of an applied pressing force by identifying a switch in the ON state.
As illustrated in
As illustrated in
As can be understood from
That is, the switches corresponding to the column electrodes 35 are turned on when a predetermined low-level pressing force is applied. The switches corresponding to the column electrodes 33-1 and 33-2 are also turned on when a predetermined middle-level pressing force is applied. The switches corresponding to the column electrodes 31-1 and 31-2 are also turned on when a predetermined high-level pressing force is applied. Therefore, it is possible to know the level of the pressing force applied to the sensor element 17 by checking the ON/OFF states of switches in each sensor element 17.
All column electrodes 31-1, 31-2, 33-1, 33-2, and 35 and all row electrodes 37 are connected to the signal processing device 19 illustrated in
The signal processing performed by the signal processing device 19 is only converting a data format of the detection result to a predetermined format, and may be relative simple processing of outputting the detection result itself as the content of the sensing data. Alternatively, the signal processing may be relatively complex processing of analyzing the detection result, specifying a position (a sensor element 17) on the sensor sheet 13 to which the pressing force is applied and the level of pressing force applied to the position, and outputting the sensing data as the detected content.
As illustrated in
A real-time area of each pressed spot is specified on the basis of the pressing position distribution (step S3). Here, the pressed spot is a region in which a plurality of positions in which pressing force is detected are successively adjacent and gather and is a region on the sensor sheet (that is, substantially on the skin) pressed by the same pressing object (for example, one fingertip, one stick end or the like). The area (a pressed area) of the pressed spot is specified from the number of positions (sensor elements 17) in which the pressing force is detected and which gather in that region.
A real-time total pressing force applied to each pressed spot is specified (step S4). The total pressing force applied to each pressed spot is specified by adding up the pressing force at the positions gathering in the above-described region.
Subsequently, the pressing state (for example, the pressed area and the total pressing force) on each pressed spot is evaluated, and the real-time evaluation result is stored in the storage 18 in correlation with the sensing data processed in step S1 (step S5). In this evaluation, it is determined for each pressed spot whether the pressed area falls within one or more of the above-described area ranges and whether the total pressing force falls within one or more of the above-described force ranges. For example, a plurality of levels (for example, four levels) of determination results (that is, evaluation results) can be output as follows.
(1) Evaluation result level 4: “Pressing is excessively large”
The total pressing force applied to the pressed spot is more than 700 gf, or the area of the pressed spot is more than 1.5 cm2.
(2) Evaluation result level 3: “Pressing is nearly appropriate but slightly excessively large”
The total pressing force applied to the pressed spot is 700 gf or less and more than 500 gf, or the area of the target pressed spot is 1.5 cm2 or less and more than 1 cm2.
(3) Evaluation result level 2: “Pressing is appropriate”
The total pressing force applied to the pressed spot is 500 gf or less and 300 gf or more, and the area of the target pressed spot is 1 cm2 or less and more than 0.1 cm2.
(4) Evaluation result level 1: “Pressing is excessively small”
The total pressing force applied to the target pressed spot is less than 300 gf, or the area of the target pressed spot is 0.1 cm2 or less.
According to the evaluation method, it is determined that the pressing is appropriate if the area of the target pressed spot is between 1 cm2 and 0.1 cm2 and the total pressing force applied to the target pressed spot is between 500 gf and 300 gf. However, the above-described evaluation is an example for explanation only. Delicate evaluation with a larger number of steps (for example, scores ranging from 0 to 100) may be performed. Alternatively, tighter evaluation (for example, refined evaluation with a narrower range of appropriate pressing force and appropriate pressed area may be performed, and looser evaluation may be performed. Alternatively, the pressing force and the pressed area may be evaluated separately.
The total pressing force applied to the pressed spot may be evaluated using one or more pressing force references having a predetermined pressing force value selected from near 1 kgf, near 700 gf, and near 500 gf, for example. Moreover, the area (the pressed area) of the pressed spot may be evaluated using one or more pressed area references having a predetermined area value selected from near 2 cm2, near 1.5 cm2, and near 1 cm2, for example. The appropriateness of the pressing state may be evaluated in a plurality of levels on the basis of these evaluation results. By doing so, it may be evaluated that it is an appropriate pressing state if the total pressing force applied to one pressed spot is between approximately 1 kgf and approximately 300 gf, between approximately 700 gf and approximately 300 gf, or between approximately 500 gf and approximately 300 gf, and the pressed area is approximately 2 cm2 or less, approximately 1.5 cm2 or less, or approximately 1 cm2 or less.
The real-time positional distribution of the pressing force and the evaluation result specified in this manner are output in such a manner that the user can recognize the evaluation result and the distribution (step S6). As an output method, image information may be displayed on the display screen 14 and/or audio information may be output from the speaker 16.
The above-described control of steps S1 to S6 is repeated at a high speed. In this way, in a period in which the user performs a pressing treatment, the pressing state (for example, the positional distribution of the pressing force at each pressed spot and the evaluation result) is output to the display device 15 continuously and on a real-time basis. When a plurality of sensor sheets 13 are used simultaneously, the display device 15 may perform the control of S1 to S6 on the respective sensor sheets 13 and output the positional distributions of the pressing force and the evaluation results of the plurality of sensor sheets 13 simultaneously or selectively.
When a request is input from the user to the display device 15, the past pressing force distribution and the evaluation result stored in the storage 18 of the display device 15 are read simultaneously with the control of steps S1 to S6 (step S7) and are output simultaneously so as to be compared with the real-time pressing state output in step S6 (step S8).
When a request is input from the user to the display device 15, a predetermined instruction (for example, a visual, audible, or tactile instruction for guiding treatment such as a physical exercise for expanding and contracting muscles, starting and stopping of pressing and changing of a pressing position) stored in the storage 18 of the display device 15 is read simultaneously with the control of steps S1 to S6 (step S9) and is output simultaneously with the output of the real-time pressing state in step S6 (step S10). An example of the instruction is an audio signal for guiding execution of a physical exercise for expanding and contracting muscles at predetermined periods (for example, an audio signal repeatedly output every 2 seconds, for prompting a patient to repeat contraction of muscles for 2 seconds and expansion of muscles for 2 seconds).
In the example illustrated in
The pressing force distribution images 41 and 45 represent the level of the pressing force at respective positions using the density of display colors at respective positions, for example. Moreover, the evaluation result images 43 and 47 display an evaluation result with such a classification that red corresponds to the evaluation result level 4, yellow corresponds to the evaluation result level 3, green corresponds to the evaluation result level 2, and blue corresponds to the evaluation result level 1.
By providing such display, the user can learn and execute an appropriate pressing method more easily.
Such display is also helpful in studying which pressing state is more appropriate. For example, a plurality of pressing treatments with different pressed areas and/or pressing forces may be performed, and the pressing states sensed in execution of these pressing treatments may be stored in the display device 15. After that, by displaying and observing the pressing states of the respective pressing treatments stored in the display device 15 while comparing with a medical effect obtained by the respective pressing treatments, it is possible to study which pressing state provides a high medical effect.
As illustrated in
The signal processing device 19 performs a scanning operation to sequentially detect the electrical characteristics of the pressure-sensitive electrical elements 55 of a number of sensor elements 17, creates sensing data from the detection result, and transmits the sensing data to the display device 15. The display device 15 performs the control illustrated in
While several embodiments have been described, the description of these embodiments are illustrations for understanding the present invention, and the technical scope of the present invention is not limited to these embodiments. The present invention can be embodied in forms different from the above-described embodiments without departing from the gist thereof. For example, An assistance system according to the present invention may be applied to a pressing treatment of a type which is not based on the Kanshoho (for example, an acupressure, a massage, and other treatments that apply detectable pressing to a body, such as pressing, stroking, rubbing or massaging). For example, in the case of an acupressure, any one value within the range of several tens of kgf to 1 kgf may be employed as a reference for evaluating the pressing force, and any one value within the range of several tens of cm2 to 1 cm2 may be employed as a reference for evaluating the pressed area. In the case of a massage, an evaluation reference in other numerical ranges may be employed.
Number | Date | Country | Kind |
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JP2017-027550 | Feb 2017 | JP | national |
Number | Name | Date | Kind |
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6090045 | Leahy | Jul 2000 | A |
9446288 | Pazan | Sep 2016 | B1 |
20160074234 | Abichandani | Mar 2016 | A1 |
20160367433 | Leahy | Dec 2016 | A1 |
Number | Date | Country |
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H08-033691 | Feb 1996 | JP |
2007-014442 | Jan 2007 | JP |
2009-050725 | Mar 2009 | JP |
3152151 | Jul 2009 | JP |
2010-020161 | Jan 2010 | JP |
2010-534110 | Nov 2010 | JP |
2013-172841 | Sep 2013 | JP |
2014-215563 | Nov 2014 | JP |
Entry |
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Sakaguchi, Hirozumi et al., “The Effect of Kanshoho on the Low Back Pain (Lumbago).”, Journal of Japanese Society for Integrative Medicine, vol. 5, No. 1, (2012). |
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20180235835 A1 | Aug 2018 | US |