ãã€ãªãã£ãŒã«ããšãã«ã®ãŒã®èåŸã«ããç§åŠããã®æœåšçãªå¿çšããããŠäžçäžã®å€æ§ãªèŠç¹ã解説ããŸããç ç©¶ãæåçå®è·µããã®æ°èåéã®æªæ¥ã«ã€ããŠåŠã³ãŸãããã
ãã€ãªãã£ãŒã«ããšãã«ã®ãŒã®ç§åŠïŒäžççãªèŠç¹
çåœäœãåãå²ã¿ã浞éãããšãã«ã®ãŒãã£ãŒã«ãã§ããããã€ãªãã£ãŒã«ãããšããæŠå¿µã¯ãäžçäžã®æ§ã ãªæåäŒçµ±ã«ãããŠäœäžçŽã«ãããã£ãŠååšããŠããŸãããã¢ãŒãŠã«ãŽã§ãŒãå»åŠã®ãã©ãŒããããäžå»åŠïŒTCMïŒã®æ°ã«è³ããŸã§ãçåœãåããçåœåãšããèãæ¹ã¯å ±éã®ããŒãã§ããçŸä»£ç§åŠã¯ããŸããŸããã€ãªãã£ãŒã«ããšãã«ã®ãŒãšåŒã°ãããã®ã®æœåšçãªã¡ã«ããºã ãšå¿çšãæ¢æ±ãå§ããŠããŸãã
ãã€ãªãã£ãŒã«ãã®çè§£ïŒåãªãæ¯å©ãè¶ ããŠ
ããã€ãªãã£ãŒã«ãããšããçšèªã¯ã1990幎代ã«åŸ®çްãªãšãã«ã®ãŒã·ã¹ãã ã®æ§ã ãªæŠå¿µãå æ¬ããæ¹æ³ãšããŠè¥¿æŽç§åŠã«å°å ¥ãããŸãããããã¯ã身äœãééãããã®å€åŽã«ãŸã§åºãããè€éã§åçããã€ç©ºéçã«ååžãããã£ãŒã«ããšããŠå®çŸ©ãããŠããŸãããã®ãã£ãŒã«ãã¯ãé»ç£å Žããã€ãªãã©ãã³ããããŠãã®ä»ãŸã å®å šã«ã¯è§£æãããŠããªããšãã«ã®ãŒæåã§æ§æãããŠãããšèããããŠããŸãã
ãã€ãªãã£ãŒã«ãã®ååšã¯äŸç¶ãšããŠç§åŠçãªè°è«ã®å¯Ÿè±¡ã§ãããå¢ãç¶ããç ç©¶ã¯ããããå¥åº·ã幞çŠããããŠæèã«ãããŠéèŠãªåœ¹å²ãæãããŠããå¯èœæ§ã瀺åããŠããŸãããã€ãªãã£ãŒã«ããçŽç²ãªæ¯å©çæŠå¿µãšåºå¥ããå³å¯ãªç§åŠçæ¹æ³è«ã§ãã®ç ç©¶ã«åãçµãããšãéèŠã§ãã
ç§åŠç蚌æ ãšç ç©¶
ãã€ãªãã£ãŒã«ããšãã«ã®ãŒã®ç ç©¶ã¯ãç©çåŠãçç©åŠãç¥çµç§åŠãå»åŠã«ãŸãããåŠéçãªãã®ã§ããããã€ãã®èšŒæ ãããã€ãªãã£ãŒã«ãã®ååšãšåœ±é¿ã®å¯èœæ§ãæ¯æããŠããŸãïŒ
- çäœé»ç£æ°åŠïŒ çåœäœã¯é»ç£å Žãçæãããã®åœ±é¿ãåããŸããäŸãã°ãå¿èã¯äœããæ°ãã£ãŒãé¢ããå Žæã§ã枬å®å¯èœãªåŒ·åãªé»ç£å ŽãçæããŸããç ç©¶ã§ã¯ããããã®ãã£ãŒã«ããã©ã®ããã«æ å ±ãäŒéããççåŠçããã»ã¹ã«åœ±é¿ãäžããããæ¢ã£ãŠããŸããäŸãã°ããã«ã¹é»ç£å Žçæ³ïŒPEMFïŒãšãã®éªšæ²»çãçŒçç·©åãžã®å¹æã«é¢ããç ç©¶ãèããŠã¿ãŠãã ããããããã®ç ç©¶ã¯ãæç€ºçã«ãã€ãªãã£ãŒã«ããç ç©¶ããŠããããã§ã¯ãããŸããããå€éšã®é»ç£å Žãçç©åŠçã·ã¹ãã ã«äžãã圱é¿ã瀺ããŠããŸãã
- ãã€ãªãã©ãã³ïŒ ãã¹ãŠã®ç现èã¯ãå¯èŠå ããã³çŽ«å€é åã®åŸ®åŒ±ãªé»ç£æŸå°ã§ãããã€ãªãã©ãã³ãæŸåºããŸããäžéšã®ç ç©¶è ã¯ããã€ãªãã©ãã³ã现èéã³ãã¥ãã±ãŒã·ã§ã³ãçç©åŠçããã»ã¹ã®èª¿ç¯ã«åœ¹å²ãæãããŠãããšèããŠããŸããããªããïŒã¢ã«ããŒãã»ããããã®ç ç©¶ã¯ããããã®æŸå°ãã©ã³ãã ãªãã€ãºã§ã¯ãªããã³ããŒã¬ã³ãã§æ§é åãããŠããããšã瀺åããŠããŸãã
- å¿æå€åïŒHRVïŒïŒ å¿æéã®æéå€åã§ããHRVã¯ãèªåŸç¥çµç³»ã®æ©èœãšå šäœçãªå¥åº·ã®ããŒã«ãŒã§ããç ç©¶ã«ãããšãã¬ã€ããã»ã©ãã¥ãŒãã£ãã¯ã»ã¿ãããªã©ã®ç¹å®ã®ãã€ãªãã£ãŒã«ãçæ³ã¯HRVã«åœ±é¿ãäžããããšã瀺ãããŠãããèªåŸç¥çµç³»ã®èª¿ç¯ã瀺åããŠããŸãã
- è³æ³¢ïŒEEGïŒãšè³ç»åïŒ EEGãfMRIãçšããç ç©¶ã§ã¯ãè³ããã€ãªãã£ãŒã«ãçæ³ã«ã©ã®ããã«å¿çããçžäºäœçšããããæ¢ã£ãŠããŸããããã€ãã®ç ç©¶ã§ã¯ããšãã«ã®ãŒããŒãªã³ã°ã»ãã·ã§ã³äžã«è³æŽ»åã®å€åã瀺ãããŠããããã€ãªãã£ãŒã«ãã®ç¥çµçžé¢ã®å¯èœæ§ã瀺åããŠããŸãã
ãã®åéã®ç ç©¶ã®å€ãã¯ãŸã äºåçãªãã®ã§ããããããã®çºèŠã確èªããæ ¹æ¬çãªã¡ã«ããºã ãè§£æããããã«ã¯ãããå³å¯ãªç ç©¶ãå¿ èŠã§ããããšã«æ³šæããããšãéèŠã§ããããããèç©ããã蚌æ ã¯ããã€ãªãã£ãŒã«ããå¥åº·ãšå¹žçŠã«æœåšçãªåœ±é¿ãæã€ãå®åšã枬å®å¯èœãªçŸè±¡ã§ããå¯èœæ§ã瀺åããŠããŸãã
äžççãªæåçå®è·µãšãã€ãªãã£ãŒã«ããšãã«ã®ãŒ
äžçäžã®å€ãã®äŒçµ±çãªããŒãªã³ã°ã·ã¹ãã ã¯ãæ§ã ãªåœ¢ã§ãã€ãªãã£ãŒã«ããšãã«ã®ãŒãèªèããå©çšããŠããŸãããããã®å®è·µã«ã¯ãæ²»çãšå¹žçŠãä¿é²ããããã«ãäœã®ãšãã«ã®ãŒãã£ãŒã«ããæäœãŸãã¯ãã©ã³ã¹ãããæè¡ãå«ãŸããããšããããããŸãã
- ã¢ãŒãŠã«ãŽã§ãŒãïŒã€ã³ãïŒïŒ ã¢ãŒãŠã«ãŽã§ãŒãã§ã¯ããã©ãŒããäœã«çåœãäžããçåœåãšããŠèª¬æããŠããŸãããšã¬ãçæ³ããã©ãŒããŒã€ãŒãïŒåŒåžæ³ïŒãªã©ã®å®è·µã¯ããã©ãŒããå¹ãããã©ã³ã¹ããšãããã«çšããããŸããç¹å®ã®ã¢ãŒãŠã«ãŽã§ãŒãæ²»çã«ã¯ããšãã«ã®ãŒã®æµããå埩ãããããã®ãšãã«ã®ãŒãã€ã³ãïŒãã«ãïŒã®æäœãå«ãŸããŸãã
- äžå»åŠïŒTCMïŒïŒäžåœïŒïŒ TCMã¯ãäœå ã®çµçµ¡ïŒãšãã«ã®ãŒã®éè·¯ïŒãæµããæ°ã®æŠå¿µãå©çšããŸããéŒçžãæå§ã挢æ¹è¬ã¯ãæ°ã®æµãã調ç¯ãããã©ã³ã¹ãå埩ããããã«çšããããŸããäžè ¹éšã«ããäž¹ç°ã¯ãTCMã«ãããäž»èŠãªãšãã«ã®ãŒã»ã³ã¿ãŒãšèŠãªãããŠããŸãã
- ã¬ã€ãïŒæ¥æ¬ïŒïŒ ã¬ã€ãã¯ãå®å®ã®çåœåãšãã«ã®ãŒãæµããŠããŒãªã³ã°ãä¿é²ããæåœãŠçæ³ã§ããå®è·µè ã¯ãã¬ã€ããäœã®ãšãã«ã®ãŒãã£ãŒã«ãã®ãã©ã³ã¹ãæŽãããªã©ã¯ãŒãŒã·ã§ã³ãä¿é²ããã®ã«åœ¹ç«ã€ãšä¿¡ããŠããŸãã
- æ°åïŒäžåœïŒïŒ æ°åã¯ãåŒåžãåããçæ³ã調åãããŠæ°ãå¹ãã埪ç°ãããããšãå«ã¿ãŸããæ°åã«ã¯å€ãã®ç°ãªãã¹ã¿ã€ã«ããããããããã«ç¬èªã®æè¡ãšååããããŸãã
- ã·ã£ãŒãããã¯ããŒãªã³ã°ïŒæ§ã ãªæåïŒïŒ äžçäžã®ã·ã£ãŒãããºã ã®äŒçµ±ã§ã¯ãããŒãªã³ã°ãä¿é²ããããã«ãšãã«ã®ãŒãã£ãŒã«ãã粟éãšåãããšããããããŸããã·ã£ãŒãã³ã¯ã倪éŒãè© å±ããžã£ãŒããŒïŒéçæ è¡ïŒãªã©ã®æè¡ãçšããŠæèç¶æ ãå€ããã¹ããªããã®äžçã«ã¢ã¯ã»ã¹ããããšããããŸãã
- ã»ã©ãã¥ãŒãã£ãã¯ã»ã¿ããïŒç±³åœã§éçºãããäžççã«å®è·µïŒïŒ ãã®çŸä»£çãªããŒãªã³ã°ã¢ããªãã£ã¯ããªã©ã¯ãŒãŒã·ã§ã³ãä¿é²ããçã¿ã軜æžããæ²»çãä¿é²ããããã«ãæã䜿ã£ãŠäººéã®ãšãã«ã®ãŒãã£ãŒã«ããè©äŸ¡ãã調ç¯ããããšã«çŠç¹ãåœãŠãŠããŸãã
説æãæè¡ã¯ç°ãªããããããŸãããããããã®å€æ§ãªæåçå®è·µã¯ããšãã«ã®ãŒãå¥åº·ãšå¹žçŠã«ãããŠéèŠãªåœ¹å²ãæãããšããå ±éã®ä¿¡å¿µãå ±æããŠããŸãããããã®å®è·µã«ã¯ããã®æŽå²çããã³æåçéèŠæ§ãèªèããæ¬æãšæåçãªæåæ§ããã£ãŠæ¥ããããšãéèŠã§ãã
課é¡ãšä»åŸã®æ¹åæ§
ãã€ãªãã£ãŒã«ããšãã«ã®ãŒã®ç ç©¶ã¯ãããã€ãã®èª²é¡ã«çŽé¢ããŠããŸãïŒ
- æšæºåãããå®çŸ©ãšæž¬å®æè¡ã®æ¬ åŠïŒ ãã€ãªãã£ãŒã«ãã®æç¢ºã§äžè²«ããå®çŸ©ãšããã®ç¹æ§ã枬å®ããããã®ä¿¡é Œæ§ãé«ãæ€èšŒãããæ¹æ³ãå¿ èŠã§ããçŸåšããã€ãªãã£ãŒã«ããæž¬å®ããããã®åäžã®ãŽãŒã«ãã¹ã¿ã³ããŒããªæ©åšã¯ååšããŸããã
- ãã©ã»ã广ã®ã³ã³ãããŒã«ã®é£ããïŒ å€ãã®ãã€ãªãã£ãŒã«ãçæ³ã¯äž»èгçãªçµéšã䌎ããããçæ³ã®ç¹å®ã®å¹æãšãã©ã»ã广ãåºå¥ããããšãå°é£ã§ãããã®åé¡ã«å¯ŸåŠããããã«ã¯ãæ éã«èšèšãããå¯Ÿç §ç ç©¶ãå¿ èŠã§ãã
- è³é調éãšç ç©¶æ¯æŽïŒ ãã€ãªãã£ãŒã«ããšãã«ã®ãŒã®ç ç©¶ã¯ãã°ãã°è³éäžè¶³ã§ãããç ç©¶ã®ç¯å²ãšå³å¯ããå¶éãããŠããŸãããã®åéã§è³ªã®é«ãç ç©¶ãæ¯æŽããããã«ã¯ãè³éã®å¢é¡ãå¿ èŠã§ãã
- éåžžå»çãšã®çµ±åïŒ ãã€ãªãã£ãŒã«ãçæ³ãäž»æµã®å»çã«çµ±åããæœåšçãªå©ç¹ãæ¢ãããã«ãéåžžå»çãšçžè£å»çã®ç ç©¶è ãšå®è·µè ã®éã§ãã倧ããªååãå¿ èŠã§ãã
ãããã®èª²é¡ã«ããããããããã€ãªãã£ãŒã«ããšãã«ã®ãŒç ç©¶ã®æªæ¥ã¯ææã«èŠããŸããããé«æåºŠãªã»ã³ãµãŒãç»åæè¡ãªã©ã®æè¡ã®é²æ©ã«ãããç ç©¶è ã¯ãã€ãªãã£ãŒã«ããããè©³çŽ°ã«æ¢æ±ã§ããããã«ãªã£ãŠããŸããããã«ãå¥åº·ãžã®ããªã¹ãã£ãã¯ã§çµ±åçãªã¢ãããŒããžã®é¢å¿ã®é«ãŸããããã€ãªãã£ãŒã«ããšãã«ã®ãŒã«é¢ããããå€ãã®ç ç©¶ãšæ å ±ã®éèŠãä¿é²ããŠããŸãã
å«ççé æ ®
ãã€ãªãã£ãŒã«ãçæ³ãããåºãåãå ¥ããããããã«ãªãã«ã€ããŠãå«ççãªé æ ®ã«å¯ŸåŠããããšãäžå¯æ¬ ã§ãããããã«ã¯ä»¥äžãå«ãŸããŸãïŒ
- ã€ã³ãã©ãŒã ãã»ã³ã³ã»ã³ãïŒ æ£è ã¯ãæ²»çãåããåã«ãã€ãªãã£ãŒã«ãçæ³ã®æœåšçãªå©ç¹ãšãªã¹ã¯ã«ã€ããŠååã«ç¥ããããã¹ãã§ãã
- å®è·µã®ç¯å²ïŒ å®è·µè ã¯ãèªèº«ã®ãã¬ãŒãã³ã°ãšè³æ Œã®ç¯å²å ã§ã®ã¿å®è·µãã¹ãã§ãã
- èåœã®äž»åŒµã®åé¿ïŒ å®è·µè ã¯ããã€ãªãã£ãŒã«ãçæ³ã®æå¹æ§ã«ã€ããŠæ ¹æ ã®ãªã䞻匵ãé¿ããã¹ãã§ãã
- æ£è ã®èªåŸæ§ã®å°éïŒ æ£è ã¯ãã€ãªãã£ãŒã«ãçæ³ãåãããã©ãããéžæããæš©å©ãããããã®éžæã¯å°éãããã¹ãã§ãã
å®çšçãªå¿çšãšèæ ®äºé
ãããªãç ç©¶ãå¿ èŠã§ããããã€ãªãã£ãŒã«ããšãã«ã®ãŒã®ããã€ãã®æœåšçãªå¿çšãæ¢æ±ãããŠããŸãïŒ
- çŒç管çïŒ ããã€ãã®ç ç©¶ã¯ããã€ãªãã£ãŒã«ãçæ³ãç¹ã«æ ¢æ§çãªçã¿ã®è»œæžã«åœ¹ç«ã€å¯èœæ§ãããããšã瀺åããŠããŸãã
- ã¹ãã¬ã¹è»œæžïŒ å€ãã®ãã€ãªãã£ãŒã«ãçæ³ã¯ãªã©ã¯ãŒãŒã·ã§ã³ãšã¹ãã¬ã¹è»œæžãä¿é²ãããããå šäœçãªå¥åº·ã«ãã©ã¹ã®åœ±é¿ãäžããå¯èœæ§ããããŸãã
- åµå·æ²»çïŒ äºåçãªç ç©¶ã¯ããã€ãªãã£ãŒã«ãçæ³ãåµå·æ²»çãä¿é²ããå¯èœæ§ãããããšã瀺åããŠããŸãã
- çæŽ»ã®è³ªã®åäžïŒ ãã€ãªãã£ãŒã«ãçæ³ã¯ãæ ¢æ§çŸæ£ãæã€å人ã®ç掻ã®è³ªãåäžãããå¯èœæ§ããããŸãã
- ããã®è£å®çã±ã¢ïŒ äžéšã®ããæ£è ã¯ãå¯äœçšã管çããå¹žçŠæãåäžãããããã«ãéåžžã®ããæ²»çãè£å®ãããã®ãšããŠãã€ãªãã£ãŒã«ãçæ³ã䜿çšããŠããŸãããã€ãªãã£ãŒã«ãçæ³ãéåžžã®ããæ²»çã®ä»£æ¿ãšããŠäœ¿çšãããã¹ãã§ã¯ãªãããšã匷調ããããšãéèŠã§ãã
éèŠãªèæ ®äºé ïŒ
- è³æ Œã®ããå»çå°éå®¶ã«çžè«ããïŒ ãã€ãªãã£ãŒã«ãçæ³ã®äœ¿çšãæ€èšããŠããå Žåã¯ãè³æ Œã®ããå»çå°éå®¶ã«çžè«ããŠãéžæè¢ã«ã€ããŠè©±ãåãããããããªãã«ãšã£ãŠå®å šã§é©åã§ããããšã確èªããããšãäžå¯æ¬ ã§ãã
- è³æ Œã®ããå®è·µè ãéžã¶ïŒ ãã€ãªãã£ãŒã«ãçæ³ã詊ãããšã«ããå Žåãé©åã«èšç·Žããèªå®ããããè³æ Œãšçµéšã®ããå®è·µè ãéžãã§ãã ãããå€ãã®åœã§ã¯ããããã®å®è·µã®èŠå¶ã¯éãããŠããããããã¥ãŒããªãžã§ã³ã¹ãéèŠã§ãã
- æåŸ ã管çããïŒ ãã€ãªãã£ãŒã«ãçæ³ã¯ãã¹ãŠã®äººã«å¹æããããšã¯éãããçŸå®çãªæåŸ ãæã€ããšãéèŠã§ãã
çµè«ïŒäžççãªåœ±é¿ãæã€æé·åé
ãã€ãªãã£ãŒã«ããšãã«ã®ãŒã®ç§åŠã¯ãå¥åº·ãããŒãªã³ã°ãæèã«é¢ããç§ãã¡ã®çè§£ãå€ããå¯èœæ§ãç§ããæ°èåéã§ããå€ãã®çåãæªè§£æ±ºã®ãŸãŸã§ãããèç©ããã蚌æ ã¯ããã€ãªãã£ãŒã«ããäžççãªå¥åº·ãšå¹žçŠã«é倧ãªåœ±é¿ãæã€ãå®åšã枬å®å¯èœãªçŸè±¡ã§ããå¯èœæ§ã瀺åããŠããŸããå³å¯ãªç§åŠç調æ»ãšäŒçµ±çãªããŒãªã³ã°å®è·µãžã®æ¬æãçµã¿åãããããšã§ãç§ãã¡ã¯äžçäžã®äººã ã®ç掻ãåäžãããããã«ãã€ãªãã£ãŒã«ããšãã«ã®ãŒã®æœåšèœåãæå€§éã«åŒãåºãããšãã§ããŸãããããªãç ç©¶ãæšæºåãããæ¹æ³è«ããããŠå«ççé æ ®ãããã®é åçãªç ç©¶åéã®å©çãå®çŸããããã«äžå¯æ¬ ã§ãã
åèæç®ãšãªãœãŒã¹
- 埮现ãšãã«ã®ãŒã»ãšãã«ã®ãŒå»åŠç ç©¶åœéåŠäŒïŒISSSEEMïŒ
- ç±³åœåœç«è£å®çµ±åè¡çã»ã³ã¿ãŒïŒNCCIHïŒ
- Journal of Alternative and Complementary Medicine