Ryo Yoshinaga1, Shizukiyo Ishikawa2, Katsuhiko Ayukawa3, Yasufumi Doi4. 1. Department of Japanese Oriental Medicine, Iizuka Hospital, Iizuka, Japan ryoshinagah2@aih-net.com. 2. Medical Education Center, Jichi Medical University, Shimotsuke, Japan. 3. Department of Emergency, Iizuka Hospital, Iizuka, Japan. 4. Department of Health Office, Iizuka Hospital, Iizuka, Japan.