Quantitative & Qualitative Regulation of Peripheral Leukocyte Subsets plus Emotional Hormones by Floor Heating

A floor heating system is a traditionary famous in Asian countries, especially in North East of China and Korea. In this report, we intended to clarify the effect of floor hating system for accessing a peripheral leukocyte regulation in winter season by evidence-based manner more than VAS. We set up two different office rooms heat-controlled by floor heating and air-conditioned by ceiling electric heater. Both qualitative and quantitative approaches determine which are better therapeutic effective recipes for this trial. The elements were evaluated by the total number of peripheral leukocyte, granulocyte and lymphocyte ratio and lymphocyte subsets. For 5 days of working in each conditioned room, the volunteers were changed the room after one-week interval for cooling down. Floor heating system regulated total number of peripheral leukocyte. The mode of the action for the high number of the volunteer was down-regulated. On the contrary, in lower numbers it was up-regulated after the trial. The number of leukocyte subsets, granulocyte and lymphocyte were also regulated by dose dependent manner. Emotional hormone, adrenalin, cortisone and nor-adrenaline were down regulated by floor heating but dopamine was up-regulated by this heating system. The reversal results were obtained by the group who worked in the conditioned room by the system heating from ceiling. Corresponding author.


Introduction
A choice of health menu in conjunction with each constitution is in a quandary due to the lack of information concerning these cross-interactions among general public and the lack of information among the health professionals resulting with a potentially significant health scale.
A vertebrate animal acquire two ontogenically and phylogenically defense systems and ontogenetically, innate and adaptive.Despite these defense systems overwhelming problems of possessing these dual systems, the innate and adoptive system does not seem to guard or even prevent the development of one internal threat to survival.However, every individual exposes to the risks of immunodeficiency status in daily life with both internal and externals [1]- [12].The factors that influence the acquired immune activity are systemic metabolic disorders such as diabetes mellitus, malnutrition, extreme exhaustion, extensive stress, aging and medical side effects [1]- [12].So we have to select an appropriate menu to regulate the immune function through the leukocyte storage.
In other words, no tentative scale evaluates the intense of each trial.We have reported the best tailored scale by different menus through the leukocyte regulation in number and function [13].For this purpose, we tried to set up two different intense menus for the same volunteers by different modes of room heating, head cooling plus foot heating (HCFH) and head heating plus foot cooling (HHFC).
It is known that the immune system is closely related to the circadian rhythms, nervous and endocrine systems [14].It seems reasonable that a heating system should also influence the immune system, but so far no objective studies have been made.In order to investigate the influence of room heating system on the immune system, we set up the different trials to the same volunteers at the different time with one-week cooling in mid winter in Japan, 2-30 February, 2009.

Subjects
We selected 11 healthy volunteers (mean age, 43.8 ± 11.2 years, ranging 23 -55 years old in both sexualities) and informed consented according to The Ethics Committee of Kanazawa Medical University.The contents of sexuality were 45.3% of the lady and 54.7% for gentleman.They were the students of Medical University and the stuff for the school of medicine.The volunteers were divided in to two group and each group was started, either FHHC experimental group or control group.After 5 days later, the blood samples were prepared at the same hour of the first blood sampling (Figure 1).In both room, room temperatures were adjusted 18˚C at 150 cm from the floor.We sampled peripheral blood from the 11 volunteers before and after working in each heating system dilation at the same time zone of each day, with the consideration of circadian rhythm of leukocyte.

Adjusting Room Temperature 18˚C by Floor Heating
These subjects participated in this study after giving their informed consent.We conducted the study by setting the control group at the same period and same building.The room controlled by floor heating was 18˚C at 150 cm from the floor.We sampled peripheral blood from the 14 volunteers before and after this study at the same time on each day, in consideration of circadian rhythm [15] [16] of leukocyte.The trial started at ten o'clock for about hours, consecutive for 5 day [17] [18].Time interval of blood sampling between before and after the trial was approximately 120 hours.Measurements of the total leukocyte were assessed for differential leukocyte counts, and granulocyte and lymphocyte ratio in the peripheral blood.We ordered to the laboratory of Ishikawa Prefecture Preventive Medicine Association for precise counts for the total and differential leukocyte counts in the peripheral blood from the subjects.The total and differential leukocyte counts were measured by the automated hematology analyzer XE-2100 (Sysmex, Inc., Kobe, Japan).

Adjusting Room Temperature 18˚C by Hot Air on the Ceiling
Another group subjected in this study after giving their informed consent.We conducted the study by setting the control group at the same period and same building.The room controlled by hot air heating by electric device was 18˚C at the height 150 cm from the floor.
After one-week cooling down for all volunteers, we set up again for the same study exchange the room for trial.We prepared peripheral blood from the same 11 volunteers before and after their trial, at the same hour on the day, in consideration of circadian rhythm [19] [20] of leukocyte.

Statistical Analysis
The statistical comparisons between two groups (before and after trial) for the test of significant difference were performed by paired t-test and wilcoxon signed-ranks test.Further, the test of the correlation was performed a spearman's correlation coefficient by rank test.Data are expressed as means ± standard error of mean (SE).A p value < 0.05 was considered to be statistically significant.The Kendall tau Rank Correlation and the two-sided p-value (H0: tau = 0).The ordinary scatter plot and the scatter plot between ranks of X & Y is also shown [24].

Twenty-Four Hours Change of Leukocyte Counts after Working in the Room Heating by Floor
Each volunteer was prepared their blood before start for trial and after informed consented to the experimental purpose by written Ethics of the Committee in Kanazawa Medical University.We tried to exhibit the effect of peripheral total leukocyte number by individual level of change and plot in the x-axis as in each value before the exercise.As shown in Figure 2, the relative value (%) was calculated before and after the exercise and plotted in the figure of the x-axis according to the value before exercise.As a result of the trial, there found three groups, separated, up-regulated individuals and down-regulated one and was no change.The correlation of change was expressed as a linear function and significant reverse correlation, −0.6893 indicating ideal value of correlative index −0.5 (Figure 3).The data obtained from 4mets exercise was brought ideal regulation.However, 8mets could not bring such a effect significantly.About the leukocyte subset, the ideal regulation of lymphocyte and monocyte were found by floor heating room.

Twenty-Four Hours Change of Leukocyte Counts after Heating by Hot Air from Overhead
None of volunteer was dropped out with any serious problem.In trial, we set up room temperature also 18˚C at the 150 cm in high from floor, we tried to express the effect of peripheral total leukocyte number by individual level of change and plot in the x-axis as in each value before the exercise as is in 3.1 (Figure 3).As shown in lower panel in Figure 3, the correlation was exhibited on a linear function but good correlation was retreated from the results The data obtained from 8mets exercise was lesser regulatory effect than that compared by 4mets of exercise.About the leukocyte subset, the regulation by lymphocytes was more remarkable.However, only the monocyte exhibited significant change by both.

Leukocyte Subsets Regulation by Floor Heating
After one-week working in the conditioned room as HCFH or HHFC, we set up the different mode of trial at the same course and by the same volunteers.None of volunteer was dropped out with any serious problem.In this time, we set up HCFH system, asking to work about for 5 days.We selected four hormones and accessed the effect of HCFH or HHFC conditioned room.After working about regular desk working in the HCFH conditioned room, each volunteer was down-regulated the adrenaline, cortisone and nor-adrenalin.However, Dopamine level was up-regulated for all the individuals tested.On the other hand, HHFC system showed reversed effect for all the hormones in this text.

Twenty-Four Hours Changes and Exhibition by the Serum Hormonal Level before the Trial
After one-week working in the conditioned room as HCFH or HHFC, we set up the different mode of trial at the same course and by the same volunteers.None of volunteer was dropped out with any serious problem.In this time, we set up HCFH system, asking to work about for 5 days.We selected four hormones and accessed the effect of HCFH or HHFC conditioned room.After working about regular desk working in the HCFH conditioned room, each volunteer was down-regulated the adrenaline, cortisone and nor-adrenalin.However, Dopamine level was up-regulated for all the individuals tested.On the other hand, HHFC system showed reversed effect for all the hormones in this text (Figure 4, Figure 5).

Discussion
Our results showed that within 24 hours after light exercise, the white blood cells in peripheral blood had regulated significantly, not only in leukocyte subset but also lymphocyte subset.The results showed that these subsets could reflect the number and function of immuno-competent cells [13] [25]- [30].For example, in an individual with a low granulocyte number, the number increased after treatment, while it decreased in another individual with a higher cell number.Our results led us to believe that leukocyte subsets could be an interesting indicator for the evaluation of alternative therapies.Many systems are in place to evaluate Western therapies that aim at healing the symptoms of an illness.We hope that our work will attract more attention to the mechanisms of which each CAM menu regulates the human immune system.Abo reported that according to the lymphocyte subset content, lymphocyte rich type showed over 40% on the other hand granulocyte rich type show over 60% of granulocyte.Each type exhibited different character even in the same age, sexuality and different age.Within the same age and the sexuality, even in gentleman can sorts out as G-rich type (granulocyte 60%), and L-rich type (lymphocyte 40%).On the other hand, as a stand point of sexuality difference, the lady belongs to L-rich type but the gentleman belongs to G-rich type.According to the age-related change, G-rich type of young man has changed into L-rich type according to getting older [19] [31].We have been trying to regulate the immune responsiveness through much mature by fragile daily condition from circumstance stress and so on.The main menu were, acupuncture, hot-spring hydrotherapy, light exercise etc.In this article, we would like to show the  regulatory mechanism of the light exercise walking as a tailored scale.The circumstance, except for cases of contraindication, has been medically useful approved to be effective in many stress-related disorders and the improvement of dysfunction of the biological rhythm disturbance as well as chronic disease.The mechanism of effects has been reported in many studies, but many things are still unclear.
In order to assess correctly to the changes after the menu, it is important to conscious of circadian rhythm.Abo also reported that it was possible to sort the constitution, granulocyte-rich individual and lymphocyte-rich one with the peripheral leukocyte [20] [32]- [35].
Each population of subset is depends on a circadian rhythm.Within a same individual, granulocyte increase in the daytime, on the other hand, lymphocyte increased in the night time in a cycle 24 hrs.So we have to compare the effect of each menu for the peripheral leukocyte on the same time before and after the menu.
With our report simple comparison of grouped value did not exhibit the valuable change in each individual.So this style of presentation was suggestive to the patient for immunodeficiency such as in DM.
It was reported that the leukocyte subset, granulocyte and lymphocyte regulated by various factors.One major point is that they are regulated by autonomous nervous system [36], resulting in circadian rhythm [15] [16].Therefore, in order to access the effect within a short time, it is necessary to consider this factor to adjust the time to collect the sample.For example, efficacy and impact of walking exercise has been widely recognized.However, the majority of walkers did not have a scientific background to know the best exercise menu for the one' QOL; quality of life.The purpose of this study was to demonstrate the best menu of walking that regulates the peripheral white blood cells in number and function as a marker of QOL expression.
However, almost all the judgments of efficacy are VAS (visual analog scale).Moreover, simple processing by grouped value and make mean fadeout the precise regulation according to each constitution.Therefore, we hope our tailored scale can be suggested to assess every CAM therapies in the world for competition.

Conclusions
We have measured the number of leukocyte subsets, granulocyte and lymphocyte ratio after different modes of room heating systems.The conclusions were as following.
1) The quantitative regulation of total leukocyte number could be assessed by the down-regulated, namely tailored scale for each constitution.
2) HCFH proved to regulate the total number of leukocyte subsets, granulocyte and lymphocyte.
3) HCFH proved down-regulated for granulocyte number, but up-regulated for lymphocyte.4) HCFH down regulated the adrenalin level, so as to cortisone and nor-adrenaline.5) HHFC showed a reverse effect for regulating the number of leukocyte, subset.6) HHFC showed a reverse effect for regulating the serum emotional hormone compared by HCFH.

Figure 1 .
Figure 1.Experimental design of this report:The different air-conditioned rooms were set up and served for this trial.HCFH; indicating head cool and foot hot setting, HHFC; indicating head hot and foot cool setting, for this trial.In both room, room temperatures were adjusted 18˚C at 150 cm from the floor.We sampled peripheral blood from the 11 volunteers before and after working in each heating system dilation at the same time zone of each day, with the consideration of circadian rhythm of leukocyte.

Figure 2 .
Figure 2. We tried to express the effect of peripheral total leukocyte number by individual level.The results were indicated in the x-axis as with each value before the trial.The relative value (%) of post trial was calculated with before and after and indicated in the y-axis.Total leukocytes, leukocyte subset, granulocyte and lymphocyte were also traced in the figures.

Figure 3 .
Figure 3.We tried to express the effect of peripheral total leukocyte number by individual level of change and plot in the x-axis as in each value according to the age.The relative value (%) of post trial was calculated with before and after and indicated in the y-axis.Leukocyte subset, granulocyte and lymphocyte were also showed in the figures.

Figure 4 .
Figure 4. We tried to express the effect of HCFH & FCHH system on emotional hormones by individual level of change and plot in the x-axis as in each degree of hormonal level before the trial.The relative value (%) of post trial was calculated with relative ratio before and after and plotted in the y-axis.Adrenalin, nor-adrenaline, dopamine and cortisone were exhibited in the figures.

Figure 5 .
Figure 5.We tried to express the effect of HCFH & FCHH system on emotional hormones by individual level of change and plot in the x-axis as in each ager before the trial.The relative value (%) of post trial was calculated with relative ratio before and after and plotted in the y-axis.Adrenalin, noradrenaline, dopamine and cortisone were exhibited in the figures.