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On the funeral ceremony, more than 4,000 people and the Empress Michiko attended. Dedication flowers were from the emperor/empress, the crown prince/princess, Mikasa-, Akishino-and Takamado-Imperial branch (Figure 1). Moreover more than 10,000 people came to St. Luke's International Hospital for dedication flowers.His contribution was remarkable from several points of view. He was the father in Japan for 1) primary care, 2) life style-related disease, 3) New Elderly movement and 4) music therapy. The authors have continued various activities concerning 1-4) with him for long years. By his excellent guidance and management, these medical and cultural fields have developed to high degree in Japan.In this article, we would introduce the progress and achievement of Dr. Hinohara in each category 1)-4) with some investigation of his activities. Then his broad and deep philosophy called "Hinohara-ism" could be understood, leading to successful aging [2]. The father of primary care in JapanPrimary care (PC) covers wide fields, such as primary health care (PHC), primary medical care (PMC), general practice (GP), family medicine (FM), and so on. When Dr. Hinohara studied medicine in United States, he was impressed with PC and introduced the philosophy of PC in Japan. He was a pioneer of complete annual physical checks, "human dry-dock" and also developed preventive medicine and the education system for doctors and co-medicals.As the concept of PC had been understood and prevalent, Japanese AbstractDr. Shigeaki Hinohara, one of the most eminent physician in Japan lived up to 105, was chairman emeritus of St. Luke's International University and honorary president of St. Luke's International Hospital. He was a pioneer in several fields with remarkable contribution. He introduced and developed primary care (PC) medicine in Japan. The term "life style-related disease" was proposed by him, and decided to use widely by the Ministry of Health and Welfare, Japan. He started New Elderly Association (NEA) to make aged people significant life physically and psychologically with wide spread. He firstly founded Japan BioMusic Association/Japanese Music Therapy Association (JMTA) and developed music therapy in Japan. Thus, by his excellent leadership and management, medical and cultural fields have developed to high degree in Japan.

Integrative medicine (IM) has attracted worldwide attention in recent years. From the perspective of art therapy, there will be some changes in art in hospitals, medicine, medical practice and medical education. Authors have developed art in hospitals using masking tapes. Originally, hospitals and museums have a lot in common. There is professional in the museum, a curator which is from the Latin word curare, meaning care. Through interactive viewing, natural empathy would be obtained for the feelings and thinking of other people. Empathy would be a high-level "caring" in the clinical setting associated with stable logic and objectivity

In the Complementary and alternative medicine (CAM) and Integrated Medicine (IM), hydrotherapy and balneotherapy have been important treatment. They have several pleiotropic effects, such as thermal effects, buoyancy, hydrostatic pressure, viscous resistance and chemical effects. There is clinical efficacy to various diseases or states, including neck pain, low back pain, knee osteoarthritis, Parkinson disease, and so on. New trial with health promotion strategy with balneotherapy has been reported along World Federation of Hydrotherapy and Climatotherapy.

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