*Yohei Kanzawa¹, Yuka Kitano², Kiyoshi Shikino³, Shimpei Mizuki¹, Tetsuhiro Yoshino⁴, Hiroshi Sugimoto⁵, Masao Horiuchi⁶, Hiroyuki Seto⁷ (1. Department of General Internal Medicine, Akashi Medical Center, 2. Emergency and Critical Care Center, St. Marianna University Yokohama Seibu Hospital, 3. Department of Community-based Medical Education, Graduate School of Medicine Chiba University, 4. Center for Kampo Medicine, School of Medicine, Keio University, 5. National Hospital Organization Kinki-chuo Chest Medical Center, 6. Tokyo Bay Urayasu Ichikawa Medical Center, 7. Department of General Internal Medicine, Takatsuki General Hospital)