Various Care Option of Integrative Medicine from the Viewpoint of Patient-Oriented Medicine

Authors and colleagues have managed Shikoku Island division of Integrative Medicine Japan (IMJ) and continued various activities. There were several important conferences in 2019 concerning Integrative Medicine (IM) and Complementary and Alternative Medicine (CAM). World Federation of Chinese Medicine Societies held the 4th cancer rehabilitation seminar in Nagoya, as cooperation with IMJ in May. There was annual congress of our Shikoku division in October, with 14 various lectures such as music therapy, chiropractic, rehabilitation, Hinohara-ism and so on. Annual IMJ congress was held at Kagoshima in December with 1000 attendees and 100 presentations. The keynote speech by Dr. Noriko Yoshida was impressive for remarkable projects, such as national health project, long life & treasure child project, music exercise therapy with traditional song and dance, centenarian research project, island health thalasso-tourism, and psychotherapy. Author gave comments about mindfulness originated from Budhism, Pythagoreanism from Pythagoras and Hinohara-ism from famous Japanese physician Shigeaki Hinohara. These philosophies have common aspect of patient-oriented medicine, which are crucial element for IM and CAM.

ICP.MS.ID.000529. 2(1).2020 on. After successful congress, Shikoku bulletin of IM No.12 was summarized with 40 authors and 100 pages [6]. This is only annual bulletin published in the division of IMJ, which has ISSN number. The characteristic strong point of this bulletin would be the influence of developing IM and CAM for various occupational staffs in the actual medical practice. Currently, it has been Japanese language version, and we are also planning to develop internet version with English language. Many co-medical staffs have attended and presented their papers for years. Consequently, we expect further development and collaboration in the field of IM and CAM.

Figure 1:
There was 23 rd annual congress of IMJ at Kagoshima in December 2019 [7]. We had more than 1000 attendees, 39 lectures/symposia/ workshops and 60 oral/poster presentations. The chairman was Dr. Noriko Yoshida and her keynote speech was impressive and excellent. She has continued developing medical and health care systems in Kagoshima more than 30 years in cooperation with public hospitals and local government. There have been lots of remarkable projects such as national health project, long life & treasure child project, music exercise therapy with traditional song and dance, centenarian research project, prevention of flail and locomotive syndrome, thalassotherapy, island health thalasso-tourism, medical village tourism, international communication and development, and so on. In this congress, the author served a chair in the section of psychological and psychosomatic medicine. Recently, there have been a variety of discussion concerning mindfulness in the light of medical, cultural and social aspects [8]. The word "mindfulness" has the origin from Buddhism, which was Samma-Sati meaning right thinking [9]. Taking the advantages of this concept, people can keep their mind, heart and spirit rather calm with stable condition. Consequently, adequate lecture or advice about mindfulness would be helpful for patients with various problems.
The author has been a physician, pianist, and registered music therapist. The concept of mindfulness is related to the principle of music therapy. Formerly in Inoian Greek era, there was a famous philosopher, Pythagoras (BC 582-496, who is described as Πυθαγόρας (Greek) and Pȳthagórās (Latin) [10]. He was the founder of Pythagoreanism and was also a musician and discovered the basis of music scale with 12 notes, ie., Do Re Mi (Figure 2). He recommended people to live every day with harmonized condition of heart and mind. Even if an accident occurs, keeping the sympathy stable would bring the healthy life. Furthermore, he described as follows: a.
Beautiful music is flowing in the heavenly universe.

b.
Ordinary people can't hear the music, but only a few people with clean and transparent mind can listen to it. c.
These ideas seem to be based on oriental way of thinking and culture, which can become a meaningful reference to western culture.

Figure 2:
There were excellent physicians who were also philosopher and teacher in the medical history. In North American region, Sir William Osler has been well-known, who was a Professor of Johns Hopkins University [11]. He said as follows: "Listen to your patient; he is telling you the diagnosis". His philosophy has been passed down to the younger generation doctors as the Oslerism [12]. The great achievement of Dr. Osler was introduced by Shigeaki Hinohara, who was a prominent Japanese physician living up to 105 years [13]. He was also an excellent pioneer for developing medical education, as well as musician and philosopher. Dr. Hinohara described that medicine, religion and music have the same origin from the viewpoint of human evolution. Hinohara-ism has been widely accepted and been more prevalent in medical education, nursing, primary care, practice of medicine for long years [14]. Sir Osler [11] and Dr. Hinohara [13] had emphasized the importance of patient-oriented medicine [15,16]. The author has several opportunities for enlightenment of IM and CAM.
In such case, the similarity of the medical specialty would be discussed including IM, CAM, primary care medicine, family