総 説㩷
学校薬剤師による医薬品の取り扱い・保管に関する指導㩷
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⍹ᱜ㧝㧖㧘ౝ⮮⚿⧎㧘ᷡ᳓ବ৻㧝㧘ᧁౝੑ㧟㩷
㧝㩷 ᤘᄢቇ⮎ቇㇱ∛ᘒ↢ℂቇᢎቶ㩷
㧞㩷 ᤘᄢቇ∛㒮⮎ㇱ㩷
㧟㩷 ᤘᄢቇ⮎ቇㇱ⮎ቇᢎ⢒ផㅴࡦ࠲㩷
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ⷐ ᣦ㩷
ቇᩞߢߪቇᩞஜᴺߦၮߠ߈㧘ఽ┬↢ᓤߩஜᐽ߿ஜᐽ⊛ߥቇᩞⅣႺߩ⛽ᜬߩߚߦ㧘ቇᩞ⮎
Ꮷࠍ⟎ߊߎߣ߇ቯࠄࠇߡࠆ㧚ቇᩞ⮎Ꮷߪ㧘ᢎቶߩࠆߐ߿ⓨ᳇ߩᳪࠇౕว㧘ቇᩞߩ㘶ᢱ
᳓ߩᬌᩏ㧘⛎㘩ߩⴡ↢ᬌᩏ㧘ࡊ࡞ߩ᳓⾰ᬌᩏߥߤࠍⴕߞߡࠆ㧚ߐࠄߦቇᩞߦ߅ߡ↪ߔࠆ ක⮎ຠߩㆡᱜ↪߿▤ߦߟߡ㧘ቇᩞߩ⡯ຬߦᜰዉ߿ഥ⸒ࠍⴕߞߡࠆ㧚㪉㪇㪇㪏ᐕ㧘ᢥㇱ⑼ቇ⋭
߇⋙ୃߒ㧘⽷࿅ᴺੱ㩷ᣣᧄቇᩞஜળࠃࠅ⊒ߐࠇߚቇᩞߩᢎ⡯ຬะߌߩࠟࠗ࠼ࠗࡦޟቇᩞߩࠕ
࡞ࠡ∔ᖚߦኻߔࠆขࠅ⚵ߺࠟࠗ࠼ࠗࡦޠߢߪ㧘ቇᩞߩᢎ⡯ຬ߇✕ᕆᤨߦࠕ࠽ࡈࠖࠠࠪ
ߩ╙৻ㆬᛯ⮎ߢࠆࠕ࠼࠽ࡦߩ⥄Ꮖᵈࠍ↪ߔࠆߎߣ߇⸵นߐࠇߚ㧚ߘࠇߦߞߡ㧘 ቇᩞ⮎Ꮷߪࠕ࠼࠽ࡦ⥄Ꮖᵈߩ↪ᣇᴺ߿㧘▤ߦߟߡᢎ⡯ຬߦኻߒߡᜰዉഥ⸒
ߔࠆߎߣ߇᳞ࠄࠇߡࠆ㧚ߒ߆ߒߥ߇ࠄ㧘ߎࠇ߹ߢߩᚒޘߩ⺞ᩏߢߪ㧘ቇᩞ⡯ຬ߳ߩቇᩞ⮎
Ꮷߦࠃࠆක⮎ຠߩᜰዉߪ㧘ఽ┬↢ᓤ߇ቇᩞߦᜬෳߔࠆක⮎ຠߦߟߡߛߌߢߥߊ㧘ቇᩞߦᏱ
ߒߡࠆක⮎ຠߦ㑐ߒߡ߽චಽߢߪߥ߆ߞߚ㧚ᧄႎߢߪ㧘ቇᩞߢߩࠕ࠼࠽ࡦ⥄Ꮖᵈߦ 㑐ߔࠆᜰዉߦ߅ߌࠆቇᩞ⮎Ꮷߩᓎഀߣ㧘ᓟߩቇᩞ⮎Ꮷᬺോߩ⺖㗴ߦߟߡ⺑ߔࠆ㧚㩷
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㪢㪼㫐㩷㪮㫆㫉㪻㫊㧦ቇᩞ⮎Ꮷ㧘ࠕ࠽ࡈࠖࠠࠪ㧘ࠕ࠼࠽ࡦ⥄Ꮖᵈ㩷 㩷
ߪߓߦ
ቇᩞߢߪቇᩞஜᴺߦၮߠ߈㧘ఽ┬↢ᓤߩஜ ᐽ߿ஜᐽ⊛ߥቇᩞⅣႺߩ⛽ᜬߩߚߦ㧘ోߡߩቇ
ᩞߦቇᩞකࠍ㧘߹ߚᄢቇએᄖߩቇᩞߦቇᩞᱤ⑼ක ߅ࠃ߮ቇᩞ⮎Ꮷࠍ⟎ߊߎߣ߇ቯࠄࠇߡࠆ㧚 ߎࠇߪ㧘┙ᩞ㧘⑳┙ᩞࠍࠊߕㆡᔕߐࠇࠆ㧚ቇ
ᩞ⮎Ꮷߪ㧘ቇᩞߩ㘶ᢱ᳓ߩᬌᩏ㧘ࡊ࡞ߩ᳓⾰
ᬌᩏ㧘⛎㘩ߩⴡ↢ᬌᩏ㧘ᢎቶߩࠆߐ߿ⓨ᳇ߩᳪ ࠇౕวߥߤߩᬌᩏࠍⴕ㧘ቇᩞⅣႺߦߟߡቇᩞ
ߩ⡯ຬߦᜰዉ㧘ഥ⸒ߔࠆߛߌߢߥߊ㧘ቇᩞߦ߅
ߡ↪ߔࠆක⮎ຠ㧘Ქ‛㧘‛ਗ߮ߦஜ▤ℂߦ
ᔅⷐߥ↪ౕ߅ࠃ߮ᢎ᧚ߩ▤ℂߦ㑐ߒᔅⷐߥᜰዉ
߿ഥ⸒ࠍⴕߞߡࠆ㧚㪉㪇㪇㪏ᐕ㪋ߦ㧘ᢥㇱ⑼ቇ⋭
߇⋙ୃߒ㧘⽷࿅ᴺੱ㩷ᣣᧄቇᩞஜળࠃࠅ⊒ߐ ࠇߚቇᩞߩᢎ⡯ຬะߌߩࠟࠗ࠼ࠗࡦޟቇᩞߩࠕ
࡞ࠡ∔ᖚߦኻߔࠆขࠅ⚵ߺࠟࠗ࠼ࠗࡦޠߦ㧘 ఽ┬↢ᓤ߇ࠕ࠽ࡈ࡚ࠖࠠࠪࠪ࠶ࠢߣߥࠅ㧘 ࠕ࠽ࡈࠖࠠࠪߩ╙৻ㆬᛯ⮎ߢࠆࠕ࠼࠽
ࡦߩ⥄Ꮖᵈ߇ߢ߈ߥ႐วߪ㧘ᢎ⡯ຬ߇ఽ
┬↢ᓤ߿ߘߩ⼔⠪ߦઍࠊߞߡᵈߢ߈ࠆߎߣ ߇⸥ߐࠇߚ㧚ߘࠇߦߣ߽ߥߞߡ㧘ቇᩞ⮎Ꮷߪ ਥᴦක߿ቇᩞකߣߣ߽ߦ㧘ࠕ࠼࠽ࡦ⥄Ꮖᵈ
ߩ▤▤ℂ߿✕ᕆᤨߩኻᔕߦߟߡቇᩞߩ
ᢎ⡯ຬߦኻߒߡᜰዉഥ⸒ߔࠆߎߣ߇᳞ࠄࠇߡ
ࠆ㧚ߒ߆ߒߥ߇ࠄ㧘ఽ┬↢ᓤ߇ቇᩞߦᜬෳߔ ࠆ⮎ߛߌߢߥߊ㧘ቇᩞߦᏱߒߡࠆ⮎ߦߟߡ
߽ቇᩞ⮎Ꮷߩᜰዉ߇චಽߣߪ߃ߥ⁁ᴫߦ
ࠆ㧚ᧄႎߢߪ㧘ቇᩞߢߩࠕ࠽ࡈࠖࠠࠪኻᔕ ࠍߦ㧘ߎࠇ߹ߢߩᚒޘߩ⺞ᩏ߆ࠄࠊ߆ߞߚቇᩞ
⮎Ꮷߩ⁁ߣᓟߩ⺖㗴ߦߟߡ⺑ߔࠆ㧚㩷
ቇᩞ⮎Ꮷߦࠃࠆ⮎ߦ㑐ߔࠆᜰዉ߿ഥ⸒
ቇᩞஜోᴺᣉⴕⷙೣ╙㪉㪋᧦ߦ㧘ቇᩞ⮎Ꮷ ߪ㧘ቇᩞߦ߅ߡ↪ߔࠆක⮎ຠ㧘Ქ‛㧘‛ਗ
߮ߦஜ▤ℂߦᔅⷐߥ↪ౕ߅ࠃ߮᧚ᢱߩ▤ℂߦ 㑐ߒᔅⷐߥᜰዉ߅ࠃ߮ഥ⸒ߔࠆߎߣ߇⸥ߐࠇ ߡࠆ㧚ᚒޘ߇㪉㪇㪇㪍ᐕߦዊਛቇᩞߩ㙃⼔ᢎ⻀ࠍኻ
⽎ߦⴕߞߚࠕࡦࠤ࠻⺞ᩏߢߪ㧘ޟቇᩞ⮎Ꮷ߆ ࠄ⮎ߦ㑐ߔࠆᜰዉ߿ഥ⸒ߪࠆ߆ޠߣ⾰ߒߚߣ ߎࠈ㧘ޟࠆޠߣ࿁╵ߒߚߩߪ㧘┙ዊቇᩞ㩿㪋㪉㧑㪀㧘
┙ਛቇᩞ㩿㪊㪌㧑㪀㧘⑳┙ዊቇᩞ㩿㪈㪌㧑㪀㧘⑳┙ਛቇᩞ
㩿㪈㪊㧑㪀ߣዋߥߊ㧘߹ߚ┙ᩞߣ⑳┙ᩞ㑆ߢ⮎ߦ㑐 ߔࠆᜰዉ߿ഥ⸒ߢᩰᏅ߇↢ߓߡߚ㪈㪀㧚ߒߚ߇ߞ ߡ㧘⑳┙ᩞߢߞߡ߽┙ᩞߣห᭽ߦฦ⥄ᴦߥ ߤ߇ቇᩞஜߦ㑐ߒߡⓍᭂ⊛ߦߔࠆᔅⷐ߇
ࠆߣᕁࠊࠇࠆ㧚㩷
⮎ߦ㑐ߔࠆᜰዉ߿ഥ⸒ߩౝኈߣߒߡߪޟஜቶ
╬ߦᏱߒߡࠆ⮎ߦߟߡޠߩᜰዉ߇߶ߣࠎߤ ߢࠅ㧘ޟఽ┬↢ᓤ߇ቇᩞߦᜬෳߔࠆ⮎ߦߟ
ߡޠߩᜰዉ߿ഥ⸒ߪ߶ߣࠎߤⴕࠊࠇߡߥ߆ߞߚ ߇㧘ߘߩᔅⷐᕈࠍᄙߊߩ㙃⼔ᢎ⻀߇ᗵߓߡߚ㪈㪀㧚 㪉㪇㪇㪉ᐕߦᣣᧄቇᩞ⮎Ꮷળ߇ో࿖ߩቇᩞ⮎Ꮷ ࠍኻ⽎ߦⴕߞߚ⺞ᩏႎ๔ߢߪ㧘ޟቇᩞߩක⮎ຠ╬
ߦߟߡቇᩞ⮎Ꮷߪᜰዉ㧘ഥ⸒ߒߡ߹ߔ߆ޠ ߣߩ⾰ߦ㧘㪉㪊㧑߇ޟቯᦼ⊛ߦⴕߞߡࠆޠ㧘㪍㪌㧑 ߇ޟᔅⷐᤨߦⴕߞߡࠆޠߣ࿁╵ߒߡߚ㪉㪀㧚ᚒޘ ߇㧘㪉㪇㪇㪏ᐕߦෘ↢ഭ⋭ߩ⮎Ꮷታോ⎇ୃᬺߩ
⮎ዪ⎇ୃᣉ⸳ߩ▤ℂ⮎Ꮷࠍኻ⽎ߦⴕߞߚ⺞ᩏ ߢ߽㧘ቇᩞ⮎Ꮷࠍⴕߞߡࠆ▤ℂ⮎Ꮷߩ߁ߜ 㪈㪊㧑߇ޟቯᦼ⊛ߦⴕߞߡࠆޠ㧘㪎㪈㧑߇ޟᔅⷐᤨ
ߦⴕߞߡࠆޠߣ࿁╵ߒ㪊㪀㧘ቇᩞ⮎Ꮷᬺോߩቇ
ᩞ⮎Ꮷߦࠃࠆਥⷰ⊛⹏ଔߣ㙃⼔ᢎ⻀ߦࠃࠆቴ
ⷰ⊛⹏ଔߦߪᄢ߈ߥᏅ߇ߞߚ㧚ࠃߞߡ㧘╙ਃ⠪
ᯏ㑐ߦࠃࠆᬺോౝኈߩ⹏ଔ߿⋥ߒߥߤ߇ᔅⷐ
ߛߣᕁࠊࠇࠆ㧚㩷
ቇᩞߩࠕ࡞ࠡ∔ᖚߦኻߔࠆขࠅ⚵ߺࠟࠗ
࠼ࠗࡦ
㪉㪇㪇㪏ᐕ㪋ߦ㧘ᢥㇱ⑼ቇ⋭߇⋙ୃߒ㧘⽷࿅ᴺੱ㩷 ᣣᧄቇᩞஜળࠃࠅ⊒ߐࠇߚቇᩞߩᢎ⡯ຬะ ߌߩࠟࠗ࠼ࠗࡦޟቇᩞߩࠕ࡞ࠡ∔ᖚߦኻߔ ࠆขࠅ⚵ߺࠟࠗ࠼ࠗࡦޠ㪋㪀ߦ㧘ࠕ࠽ࡈࠖࠠࠪ
࡚ࠪ࠶ࠢᤨߦߪቇᩞᢎ⡯ຬ߇ఽ┬↢ᓤߦઍࠊߞ ߡࠕ࠼࠽ࡦࠍᵈߢ߈ࠆߎߣ߇ߪߓߡ
⸥ߐࠇ㧘ࠕ࠽ࡈ࡚ࠖࠠࠪࠪ࠶ࠢࠍߎߔน⢻
ᕈߩࠆఽ┬↢ᓤࠍขࠅᏎߊⅣႺߪᄢ߈ߊᡷༀ ߐࠇߚ㧚ߥ߅㧘ߎߩቇᩞߩᢎ⡯ຬߦࠃࠆࠕ࠼࠽
ࡦߩᵈߪ㧘ᴺ⊛ߦߪޟකⴕὑޠߣߥࠆ߇㧘ࠕ
࠽ࡈ࡚ࠖࠠࠪࠪ࠶ࠢᤨߩᢇߩߚߦⴕ߁ ⴕὑߢࠅᓳ⛮⛯ߔࠆᗧ࿑߇ߥߣࠄࠇ ࠆߚ㧘කᏧᴺ㆑ߣߪߥࠄߕ㧘ೃ߅ࠃ߮᳃
⽿છ߽ࠊࠇߥ㧚ߎߩࠟࠗ࠼ࠗࡦߢߪ㧘ࠕ࠼
࠽ࡦ⥄Ꮖᵈߩ▤ℂߦߟߡ㧘ቇᩞᢎ
⢒ᆔຬળߪ㧘⼔⠪ᧄੱ㧘ਥᴦකቇᩞක㧘ቇ
ᩞ⮎Ꮷ╬ߣචಽߦද⼏ࠍⴕߞߡ߅ߊᔅⷐ߇
ࠆߣ⸥タߐࠇߡࠆ㧚ߘߩߚ㧘ቇᩞ⮎Ꮷߪࠕ
࠼࠽ࡦ⥄Ꮖᵈߩ▤ℂࠍᜰዉߔࠆߎߣ ߦᵈ⋡ߐࠇ߇ߜߛ߇㧘ቇᩞߩ㕖Ᏹൕ⡯ຬߢࠆቇ
ᩞ⮎Ꮷ߽㧘ఽ┬↢ᓤ߇ࠕ࠽ࡈ࡚ࠖࠠࠪࠪ
࠶ࠢߢෂ㒾ߥ⁁ᘒߢࠇ߫㧘ࠕ࠼࠽ࡦߩᵈ
ࠍⴕ㧘ㆡಾߥኻᔕࠍขࠄߥߌࠇ߫ߥࠄߥ㧚㩷
ࠕ࠽ࡈ࡚ࠖࠠࠪࠪ࠶ࠢߣࠕ࠼࠽ࡦ
ࠕ࠽ࡈ࡚ࠖࠠࠪࠪ࠶ࠢߪ㧘ࡂ࠴Ქ㧘㘩‛㧘
⮎‛㧘࠹࠶ࠢࠬ㩿ᄤὼࠧࡓ㪀ߥߤ߇ේ࿃ߣߥࠅ㧘
ๆ࿎㔍㧘ⴊૐਅ㧘ᗧ⼂㓚ኂߥߤߩ㊀ᐲߩࠕ
࡞ࠡ∝⁁ࠍᒁ߈ߎߒ㧘ᱫߦ⥋ࠆߎߣ߽ࠆ㧚 ᣣᧄߢߪࠕ࠽ࡈࠖࠠࠪߦࠃࠆᐕ㑆ᱫ⠪ᢙ ߪ㪌㪇㨪㪍㪇ੱߢߘߩ߁ߜߩ⚂ඨᢙߪࡂ࠴Ქ߇ේ࿃
ߢࠆ㪌㪀㧚ㄭᐕ㧘ේ࿃㘩‛៨ขᓟߩㆇേߦࠃࠅࠕ
࠽ࡈࠖࠠࠪࠍ⊒∝ߔࠆ㘩‛ଐሽᕈㆇേ⺃⊒
ࠕ࠽ࡈࠖࠠࠪ㪍㨪㪏㪀ߩ∝ႎ๔߇ዊఽߢᄙߊߥ ߞߡ߅ࠅ㧘ᵈᗧ߇ᔅⷐߢࠆ㧚㩷
ࠕ࠽ࡈࠖࠠࠪߩ╙৻ㆬᛯ⮎ߪࠕ࠼࠽
ࡦߢࠆ㧚ࠕ࠼࠽ࡦߪǩ㧘Ǫฃኈേ⮎ߢ㩷
㩷 㩷
ࠛࡇࡍࡦᵈᶧ㪇㪅㪈㪌㩷㫄㪾ɑ㩷 ࠛࡇࡍࡦᵈᶧ㪇㪅㪊㩷㫄㪾㩷
࿑㧝 ࠛࡇࡍࡦ㫤ᵈᶧߩᄖⷰ㩷
ዊఽ↪㩿㊀㪊㪇㩷㫂㪾ᧂḩ↪㪀ߩࠛࡇࡍࡦ㫤ᵈᶧ㪇㪅㪈㪌㫄㪾ߣ㊀߇㪊㪇㫂㪾એ↪ߩࠛࡇࡍࡦ㫤ᵈᶧ㪇㪅㪊㫄㪾߇ࠆ㧚㩿ࡑࠗࡦ
⮎ᩣᑼળ␠ࡎࡓࡍࠫࠃࠅォタ㪀㩷
㩷 㩷
ޣḰ ޤ㩷
㩷 㩷 㩷
㩷 㧝㩷 㧞㩷 㧟㩷
ޣᵈ ޤ㩷
㩷 㩷 㩷
㩷 㧠㩷 㧡㩷 㧢㩷
ޣ⏕ ઃߌޤ㩷
㩷 㩷 㩷
㩷 㧣㩷 㧤㩷 㧥㩷
࿑㧞 ࠛࡇࡍࡦ㫤ᵈᶧߩ↪ᣇᴺ㩷 㧝㩷 ៤Ꮺ↪ࠤࠬߩࠞࡃࠠࡖ࠶ࡊࠍ࿁ߒߥ߇ࠄᄖߒߡ㧘ࠛࡇࡍࡦ㫤ᵈᶧࠍขࠅߔ㧚㩷 㧞㩷 㤥వ┵ࠍਅߦะߌߡࠛࡇࡍࡦ㫤ᵈᶧࠍ ᚻߢߒߞ߆ࠅߣីࠆ㧚㩷
㧟㩷 ߽߁ ᣇߩᚻߢἯ⦡ߩోࠠࡖ࠶ࡊࠍᄖߔ㧚㩷
㧠㩷 ៤Ꮺ↪ࠤࠬߩࠞࡃࠠࡖ࠶ࡊࠍ࿁ߒߥ߇ࠄᄖߒߡ㧘ࠛࡇࡍࡦ㫤ᵈᶧࠍขࠅߔ㧚㩷
㧡㩷 㤥వ┵ࠍਅߦะߌߡࠛࡇࡍࡦ㫤ᵈᶧࠍ ᚻߢߒߞ߆ࠅߣីࠆ㧚㤥వ┵ߦᜰ߹ߚߪᚻߥߤࠍᒰߡࠆߣ⺋ᵈߔࠆෂ㒾߇
ࠆߩߢ㧘⛘ኻߦ⸅ࠇߥࠃ߁ߦᵈᗧߔࠆ㧚㩷
㧢㩷 ㊎ߩߚࠛࡇࡍࡦ㫤ᵈᶧࠍᛮ߈ขࠅ㧘ᵈߒߚߣߎࠈࠍᢙ⑽㑆߽㧚㩷 㧣㩷 ࠛࡇࡍࡦ㫤ᵈᶧߩ㤥వ┵߆ࠄ㊎߇ߡࠆߎߣࠍ⏕ߔࠆ㧚㩷
㧤㩷 ↪ᷣߺߩᵈེߪ㊎వ߆ࠄ៤Ꮺ↪ࠤࠬߦᚯߒ㧘ࠞࡃࠠࡖ࠶ࡊࠍ࿁ߒߥ߇ࠄߒㄟ㧚㩷
㧥㩷 ㊎వ߇ࠧࡓࠍ⓭߈ᛮߌᦛ߇ࠅ㧘ኈེ߆ࠄᛮߌߥߊߥࠆ߇㧘ࠞࡃࠠࡖ࠶ࡊࠍᄖߒߡᒝߊᝄࠆߣᛮߌࠆߎߣ߇ࠅ㧘ෂ㒾ߥߚ
㧘ᵈᗧ߇ᔅⷐߢࠆ㧚㩷
㩿ࡑࠗࡦ⮎ᩣᑼળ␠ࡎࡓࡍࠫࠃࠅォタ㪀㩷
㧝 㘩‛ߦࠃࠆࠕ࠽ࡈࠖࠠࠪߩ⥃ᐥ⊛㊀∝ᐲಽ㘃㪈㪊㪀㩷
㪞㫉㪸㪻㪼㩷 ⊹ ⤏㩷 ᶖൻེ㩷 ๆེ㩷 ᓴⅣེ㩷 ⚻㩷
㪈㩷
㒢ዪᕈߘ߁∣㩷
⚃ầޔ⭄㤗∐㩷 ⴊ▤ᕈᶋ⣲㩷
ญ⣧ౝߘ߁∣ᗵ㩷 ญ⣧ౝ㆑ᗵ㩷 シᐲญໃ⣲⣘㩷
㧙㩷 㧙㩷 㧙㩷
㪉㩷
ోりᕈߘ߁∣㩷
⚃ầޔ⭄㤗∐㩷 ⴊ▤ᕈᶋ⣲㩷
⸥∝⁁ߦട߃㩷
ᖡᔃޔཌྷฯ㩷 㥦㐽ޔߊߒ߾ߺ㩷 㧙㩷 ᵴേᕈᄌൻ㩷
㪊㩷 ⸥∝⁁㩷 ⸥∝⁁ߦട߃㩷➅ࠅߔཌྷฯ㩷
㥦᳝ޔࠄ߆ߥ㥦㐽㩷 ຜ㗡༄㗡ߩߘ߁∣ᗵ㩷
߹ߚߪ⛉ᛗᗵ㩷
㗫 ⣂㩷 㧔㪂㪈㪌㪆ಽ㧕㩷
ᵴേᕈᄌൻߦട߃㩷 ਇ㩷
㪋㩷 ⸥∝⁁㩷 ⸥∝⁁ߦട߃㩷ਅ∯㩷
༥ჿޔ›ึ᭽ຕ༿㩷
ྚਅ࿎㔍ޔๆ࿎㔍㩷
༎㡆ޔ࠴ࠕࡁ㩷
⸥ߦട߃㩷 ਇᢛ⣂㩷 シᐲⴊૐਅ㩷
シᐲ㗡∩㩷 ᱫߩᕟᔺᗵ㩷
㪌㩷 ⸥∝⁁㩷 ⸥∝⁁ߦട߃㩷⣺▤ᯏ⢻ਇో㩷 ๆᱛ㩷
㊀ᐲᓢ⣂㩷 ⴊૐਅ㩷 ᔃᜉᱛ㩷
ᗧ⼂ᶖᄬ㩷
㩷
ࠅ㧘ᔃ⤳ߩⴊ▤ࠍᒛߒ㧘ᧃ᪳ߢߪⴊ▤ࠍ
❗ߐߖࠆߎߣߦࠃࠅ㧘ⴊࠍߐߖࠆ㧚᳇▤ᡰ ᐔṖ╭ߦኻߒߡߪ᳇▤ᡰࠍᒛߐߖ㧘ๆ㊂ࠍჇ ᄢߐߖࠆ㧚⢈ḩ⚦⢩ߢߪ㪺㪘㪤㪧ࠍߒߡࡅࠬ
࠲ࡒࡦߥߤߩࠤࡒࠞ࡞ࡔ࠺ࠖࠛ࠲ߩㆆ㔌ࠍ ᛥߔࠆ㧚ࠕ࠽ࡈࠖࠠࠪߪᱫߦ⥋ࠆߎߣ߇
ࠆߎߣ߆ࠄ㧘ᕆᕈᦼᴦ≮ߦ߅ߡࠕ࠼࠽ࡦߪ ᔅⷐਇนᰳߢࠅ㧘࡚ࠪ࠶ࠢᤨߦߪߢ߈ࠆߛߌㄦ ㅦߦ↪ߒ㧘ⴊਛỚᐲࠍߍࠆߎߣ߇᳞ࠄࠇࠆ㧚㩷
ࠕ࠼࠽ࡦ⥄Ꮖᵈ㩿ࠛࡇࡍࡦ㫤ᵈᶧ㪀 ߪ㧘☨࿖ߢߪࠕ࠽ࡈࠖࠠࠪߩഥᴦ≮⮎ߣߒ ߡ㪈㪐㪏㪇ᐕࠃࠅ↪߇㐿ᆎߐࠇߚ㪐㪀㧚ᣣᧄߢߪ㧘㪉㪇㪇㪊 ᐕࠃࠅࡂ࠴Ქ㧘㪉㪇㪇㪌ᐕࠃࠅ㘩‛߿⮎‛ߥߤߦ࿃
ߔࠆࠕ࠽ࡈࠖࠠࠪߩഥᴦ≮⮎ߣߒߡᏒ႐ ዉ ߐ ࠇ ߚ㩿 ࡑ ࠗ ࡦ ⮎ ᩣ ᑼ ળ ␠ 㧦 㪿㫋㫋㫇㪑㪆㪆㫎㫎㫎㪅㪼㫇㫀㫇㪼㫅㪅㫁㫇㪆㪀㪈㪇㪀㧚 ࠛ ࡇ ࡍ ࡦ㫤ᵈ ᶧ㩷 㪇㪅㪊㫄㪾㩿࿑㧝㪀ߪ㧘ࡃࡀേᑼߩ㕖㔺㊎ᣇᑼߦࠃࠆ
⥄Ꮖᴦ≮↪ߩᵈࠪࠬ࠹ࡓߢࠆ㧚㊀㪊㪇㫂㪾ᧂḩ ߩᖚ⠪߳ߩᛩਈߪේೣᔊߢࠆ㧚㪉㪇㪇㪌ᐕ߆ࠄߪ㧘 ዊఽ↪ߩ㪇㪅㪈㪌㫄㪾߽ᛚ⽼ᄁߐࠇߡࠆ㧚ߤߜࠄ߽㧘
㪈▤㪉㫄㪣ࠅߢࠆ߇㧘㪇㪅㪊㫄㪣ᵈߐࠇ㧘ᱷࠅ
ߩ⚂㪈㪅㪎㫄㪣ߪᱷࠆࠃ߁ߦ⸳⸘ߐࠇߡࠆ㧚ߥ߅㧘 ᧄߪ㒾ㆡᔕߐࠇߡߥߚ㧘㪈ᧄಣᣇߒ ߡ߽ࠄ߁ߣ⚂㪈ਁ㪌ජ߆߆ࠆ㧚ߒߚ߇ߞߡ㧘ᣣᧄ ߢߪ৻࿁ߩಣᣇߢ㪈ᧄߩߺࠍಣᣇߐࠇࠆ႐ว߇ᄙ
㪈㪈㪀㧚㩷
ࠕ࠼࠽ࡦ⥄Ꮖᵈߩ↪
ࡂ࠴Ქߦࠃࠆࠕ࠽ࡈࠖࠠࠪߩ႐ว㧘ࡂ࠴ೝ
்߆ࠄ㪊㪇ಽએౝߦࠕ࠼࠽ࡦࠍᛩਈߢ߈ࠆ߆
ุ߆߇੍ᓟࠍᏀฝߔࠆߣႎ๔ߐࠇߡ߅ࠅ㪈㪉㪀㧘࡚ࠪ
࠶ࠢᤨߦߪߢ߈ࠆߛߌㅦ߿߆ߦࠕ࠼࠽ࡦߩ ⴊਛỚᐲࠍߍࠆᔅⷐ߇ࠆ㧚㪪㪸㫄㫇㫊㫆㫅 ߩឭ໒ߒ ߡࠆ㘩‛ߦࠃࠆࠕ࠽ࡈࠖࠠࠪߩ⥃ᐥ⊛㊀
∝ᐲಽ㘃㩿㧝㪀㪈㪊㪀ߢ㧘㪞㫉㪸㪻㪼㩷 㪊એߢ߆ߟๆེߩ
∝⁁㩿ๆ⧰߿ຕߘ߁ߥߤ㪀߇ࠄࠇࠇ߫ࠕ࠼
࠽ࡦߩᛩਈ߇ᔅⷐߣߥࠆ㧚↪ᣇᴺߪ࿑㪉ߦ␜
ߒߚ㧚㩷
ߎࠇ߹ߢࠕ࠼࠽ࡦ⥄Ꮖᵈߩ↪ߪ㧘 කᏧ㧘ᖚ⠪㧘ᖚ⠪ߩ⼔⠪ߦ㒢ቯߐࠇߡߚ㪈㪇㪀㧚 ߒߚ߇ߞߡ㧘ቇᩞ⡯ຬߪࠕ࠽ࡈ࡚ࠖࠠࠪࠪ࠶
ࠢᤨߦ㧘ఽ┬㧘↢ᓤ߇ࠕ࠼࠽ࡦࠍᵈߔࠆࠨ ࡐ࠻߇ߢ߈ࠆࠃ߁ߦ㧘ࠕ࠼࠽ࡦ⥄Ꮖᵈ
ߩ▤႐ᚲߩᛠី߿↪ᣇᴺࠍ⏕ߔࠆߎߣ ߇᳞ࠄࠇߡߚ㪈㪋㪀㧚ߒ߆ߒߥ߇ࠄ㧘ቇᩞ႐ߦ ߪࠕ࠼࠽ࡦ⥄Ꮖᵈࠍቇᩞߦᜬߜㄟ
ߎߣ߿ቇᩞߢ▤▤ℂߔࠆߎߣߦᚭᖺ߇ࠅ㧘 ᖚ⠪߿ᖚ⠪ኅᣖߩᏗᦸࠍฃߌࠇߡ߽ࠄ߃ߥ
႐ว߽ࠆ㪈㪌㨪㪈㪎㪀㧚ߘߩࠃ߁ߥ⁁ᴫࠍᡷༀߔࠆߚ㧘
ߊߟ߆ߩၞߢߪ㧘ߎࠇ߹ߢߪࠕ࡞ࠡኾ㐷 ක㧘⮎ળ␠㧘ᖚ⠪ߩኅᣖળ߇ਛᔃߣߥߞߡ㧘ᢎ
⢒ᆔຬળߣቇᩞߥߤࠍኻ⽎ߦࠕ࠼࠽ࡦ⥄Ꮖ
ᵈ߳ߩቇᩞኻᔕߦߟߡ⎇ୃળ߇㐿ߐ ࠇߡࠆ㪈㪌㪀㧚㪉㪇㪇㪏ᐕߦ⊒ߐࠇߚޟቇᩞߩࠕ࡞
ࠡ∔ᖚߦኻߔࠆขࠅ⚵ߺࠟࠗ࠼ࠗࡦޠߢߪ㧘 ක≮⠪ߢߪߥቇᩞߩᢎ⡯ຬߦ✕ᕆᤨߩኻᔕ㩿ᖚ ఽ߇ᵈߢ߈ߥࠃ߁ߥ⁁ᴫߢࠇ߫㧘ቇᩞߩᢎ
⡯ຬ߇ઍࠊࠅߦᵈࠍⴕ߁㪀߇᳞ࠄࠇߡࠆ㧚ߎ ࠇߦߞߡᢥㇱ⑼ቇ⋭߽ࠕ࠽ࡈ࡚ࠖࠠࠪࠪ
࠶ࠢߢෂ㒾ߥఽ┬↢ᓤߦኻߒߡᢎ⡯ຬ߇ࠕ࠼
࠽ࡦࠍᵈߒ㧘ㆡಾߥኻᔕࠍขࠆࠃ߁ㅢ⍮ࠍ
ߒߡࠆ㧚㩷
ߎࠇ߹ߢߩቇᩞߢߩࠕ࠼࠽ࡦ↪ߣ ߒߡߪ㧘㪉㪇㪇㪏ᐕ㪈㪉ߦߪၯ₹⋵ౝߩዊቇᩞߢ㧘ࠕ
࠽ࡈࠖࠠࠪࠍ⊒∝ߒߚ↵ఽߦ㙃⼔ᢎ⻀߇ᵈ
ࠍߒߡ࿁ᓳߒߚߎߣ߇ႎ๔ߐࠇߡࠆ㪈㪏㪀㧚৻ᣇ㧘 㪉㪇㪈㪇ᐕ㪈ߦᐶ⋵ᆢ〝ᏒߩᏒ┙ዊቇᩞߢߪ㧘㘩
‛ࠕ࡞ࠡߩ↵ఽ߇⛎㘩ࠍ㘩ߴߡࠕ࠽ࡈࠖ
ࠠࠪࠍ⊒∝ߒߚ߇㧘ቇᩞߪޟᵈߔࠆขࠅ
ࠍ⼔⠪ߣߒߡߥޠߣߒߡ㧘⼔⠪߆ࠄ㗍 ߆ߞߡߚࠕ࠼࠽ࡦ⥄Ꮖᵈࠍ↪ߖ ߕ㧘↵ఽߪߘߩᓟ㪉ᣣ㑆㒮ߒ࿁ᓳߒߚߣႎ๔ߐ ࠇߡࠆ㧚ߘߩᓟ㧘⺒ᄁᣂ⡞߇ో࿖㪋㪎ㇺᐭ⋵ᢎ ᆔߦߨߚߣߎࠈ㧘ᢎ⡯ຬ߇⮎ߩ↪ᴺࠍቇ߱⎇
ୃࠍታᣉߒߡࠆߩߪ㧘ࠊߕ߆㪈㪉ᢎᆔߦߣߤ߹ߞ ߡࠆߎߣ߇ࠊ߆ߞߚ㪈㪐㪀㧚ߒߚ߇ߞߡ㧘⮎Ꮷ㧘
․ߦቇᩞ⮎Ꮷߪ㧘⮎ߩኾ㐷ኅߣߒߡᢎ⡯ຬะߌ ߩ⎇ୃળࠍฦቇᩞߢታᣉߒ㧘ࠕ࠽ࡈࠖࠠࠪᖚ
⠪ߩⅣႺᡷༀߦ㑐ਈߒߡߊᔅⷐ߇ࠆߣᕁࠊ ࠇࠆ㧚㩷
ߥ߅㧘㪉㪇㪇㪐ᐕ㪊ࠃࠅ㧘ᢇᢇᕆ჻ߦࠃࠆࠕ࠼
࠽ࡦ⥄Ꮖᵈߩ↪߇⸃ߐࠇ㪉㪇㪀㧘ᖚ⠪
ࠆߪߘߩ⼔⠪ߦࠃࠆᵈ߇ߢ߈ߥᤨߪ㧘 ࠕ࠼࠽ࡦ⥄Ꮖᵈࠍߞߡߩᵈ߇ߢ ߈ࠆࠃ߁ߦߥߞߚ㧚㩷
ቇᩞ⮎Ꮷ߇ⴕ߁ߴ߈ᜰዉഥ⸒
㩿㪈㪀ࠕ࠼࠽ࡦ⥄Ꮖᵈߩ▤ℂ▤㩷 ቇᩞ⮎Ꮷߪ㧘ቇᩞߩᢎ⡯ຬߦኻߒߡ㧘ࠕ࠼
࠽ࡦߪశߢಽ⸃ߐࠇ߿ߔߚ៤Ꮺ↪ࠤࠬ
ߦࠄࠇߚ⁁ᘒߢ▤ߒ㧘↪ߔࠆ߹ߢขࠅ
ߔߴ߈ߢߪߥߎߣ㧘㪈㪌㨪㪊㪇㷄ߢ▤ߔࠆߎߣ߇ ᦸ߹ࠇ㧘಄ᚲ߹ߚߪᣣశߩߚࠆ㜞᷷ਅߥߤߦ
⟎ߔߴ߈ߢߪߥߎߣߥߤࠍᜰዉߔߴ߈ߢࠆ㧚㩷 ቇᩞߢߩࠕ࠼࠽ࡦ⥄Ꮖᵈߩ▤ℂߪ㧘 ᖚ ⠪߇ ዊቇ↢ ߢ ࠇ߫ ஜቶ ߿⡯ຬ ቶߢ ߩ
▤▤ℂ߇ᦸ߹ߒߣᕁࠊࠇࠆ㧚ߎߩ㓙㧘㙃⼔ᢎ
⻀ߛߌߢߥߊోߡߩᢎ⡯ຬߦࠃࠅ▤ℂߒ㧘✕ᕆᤨ
ߦߪߟߢ߽ขࠅߖࠆߠߊࠅ߇ᔅⷐߢ
ࠆ㧚ਛቇ↢ߦߥࠆߣ৻ㇱߩቇ↢ߪቇᩞߢߩ▤ߪ㧘 ᢎ⡯ຬߦࠃࠆ▤ߛߌߢߥߊ㧘⥄Ꮖ▤ℂߔࠆ↢ᓤ
߽ߡߊࠆߣᕁࠊࠇࠆ㧚ߘߩ㓙ߪ㧘✕ᕆᤨߦ߃ ߡ↢ᓤ߇ߤߎߢ⥄Ꮖ▤ℂߒߡࠆ߆ࠍ೨ߦᛠ
ីߒ㧘✕ᕆᤨߦߪ⋥ߋߦኻᔕߢ߈ࠆࠃ߁ߦߒߡ߅ ߊᔅⷐ߇ࠆ㧚㩷
㪉㪇㪇㪍ᐕߦዊਛቇᩞߩ㙃⼔ᢎ⻀ࠍኻ⽎ߦⴕߞߚ ᚒޘߩࠕࡦࠤ࠻⺞ᩏߢߪ㧘ዊਛቇᩞߩ⚂ඨᢙ߇ ࠕ࠽ࡈࠖࠠࠪ⊒∝ᤨߩኻᔕ╷߇ࠆߣ࿁╵
ߒߚ߇㧘ౕ⊛ߥኻᔕ╷ߣߒߡࠕ࠼࠽ࡦ⥄Ꮖ ᵈ↪ᤨߦഥߔࠆߎߣࠍߡߚߩ ߪ㧘ዊቇᩞߢߪ㪊㧑㧘ਛቇᩞߢߪ㪋㧑ߣࠊߕ߆ߛߞ ߚ㪉㪈㪀㧚߹ߚ㧘ዊቇᩞ㧘ਛቇᩞߣ߽ߦ⚂ඨᢙߩ㙃⼔
ᢎ⻀߇ࠕ࠼࠽ࡦ⥄Ꮖᵈߩሽࠍ⍮ࠄ ߥߣ࿁╵ߒߡߚ㧚หߓߊ㪉㪇㪇㪍ᐕߦᐢፉᏒౝߩ ዊቇᩞߩ㙃⼔ᢎ⻀ࠍኻ⽎ߦⴕߞߚ⺞ᩏߢ߽㧘ࠕ࠼
࠽ࡦ⥄Ꮖᵈࠍ㪉㪏㧑ߪ⍮ࠄߥ㧘㪋㪋㧑ߪ
⡞ߚߎߣߪࠆ߇ߒߊߪ⍮ࠄߥߣ࿁╵ߒ ߡ߅ࠅ㪉㪉㪀㧘ቇᩞኻᔕ߇ㆃࠇߡߚ㧚ᓟߪ⮎Ꮷ㧘
․ߦቇᩞ⮎Ꮷߦࠃࠆࠕ࠼࠽ࡦ⥄Ꮖᵈ
ߩ⍮ᐲࠍ㜞ࠆߚߩᵴേ߽ᔅⷐߦߥࠆߣ ᕁࠊࠇࠆ㧚㩷
㩷
㩿㪉㪀↪ㆊ⺋㒐ᱛ╷㩷
ࠕ࠼࠽ࡦ⥄Ꮖᵈߪ㧘ࠗࡦࠬࡦ⥄Ꮖ ᵈߣߪ⇣ߥࠅ㧘ࠕ࠽ࡈ࡚ࠖࠠࠪࠪ࠶ࠢ
ᤨߩߺߦ↪ߔࠆߚ㧘↪ᣇᴺࠍ⺋ࠆน⢻ᕈ߇ એ೨ࠃࠅᜰ៰ߐࠇߡߚ㧚㪈㪐㪏㪇ᐕࠃࠅࠕ࠼࠽
ࡦ⥄Ꮖᵈ߇Ꮢ႐ዉߐࠇߚ☨࿖ߢߪ㧘ࠕ࠼
࠽ࡦ⥄Ꮖᵈࠍᚲᜬߒߡࠆᖚ⠪ߩ߁ ߜࠕ࠼࠽ࡦ⥄Ꮖᵈߩ↪ᣇᴺࠍ⏕
ߦ⺑ߢ߈ߚߩߪ⚂㪊ഀߒ߆ߥ߆ߞߚߎߣ߇ႎ ๔ߐࠇߡࠆ㪉㪊㪀㧚ࠕ࠼࠽ࡦ⥄Ꮖᵈߩ⺋
↪㒐ᱛኻ╷ߪ㧘ᖚ⠪ߦࠛࡇࡍࡦ࠻࠽ߣ
߁ࠕ࠼࠽ࡦࠍࠎߢߥ✵⠌↪ߩᮨᡆ⥄
Ꮖᵈᶧ㩿㊎ߪઃߡߥ㪀ࠍ↪ߡ✵⠌ߒߡ߅ ߊߎߣ߿ࡎࡓࡍࠫߥߤߦឝタߐࠇߡࠆ
↪ᣇᴺߦ㑐ߔࠆࡆ࠺ࠝࠍⷰߡᣇࠍᓳ⠌ߒߡ ߅ߊߎߣߥߤߣߥߞߡࠆ㧚ᴦ㛎ߦḰߓߚᛒߢ 㪈㪐㪐㪌ᐕ߆ࠄዉߐࠇߡߚᨋ㊁ᐡ߆ࠄ⊒ߐࠇ ߡࠆࡂ࠴ೝ்ߦࠃࠆࠕ࠽ࡈࠖࠠࠪߩ
ߩਛߦߪ㧘೨ߦࠛࡇࡍࡦ࠻࠽ߦࠃࠆ✵⠌
ࠍߒߡߚߦ߽߆߆ࠊࠄߕᵈེࠍኻߦᜬߜ㧘 ࠕ࠼࠽ࡦ⥄Ꮖᵈߩ↪ࠍᄬᢌߒߚ
߇ႎ๔ߐࠇߡࠆ㪉㪋㪀㧚ߒߚ߇ߞߡ㧘ቇᩞ⮎Ꮷ ߪቇᩞߩᢎ⡯ຬߦኻߒߡ㧘ࠕ࠼࠽ࡦ⥄Ꮖᵈ
ߩ▤▤ℂ↪ᣇᴺߥߤߦߟߡ㧘ቯᦼ
⊛ߦ⺑ળߥߤࠍⴕ㧘⏕ߔࠆߥߤߣߞߚข ࠅ⚵ߺ߇ᔅⷐߛߣᕁࠊࠇࠆ㧚㩷
㩷
㩿㪊㪀㧝࿁ߩᵈߢലᨐ߇ߥ႐วߩኻᔕ㩷
ࠕ࠼࠽ࡦߩ⥄Ꮖᵈߪ㧘ߊ߹ߢ߽ࠕ࠽ࡈ
ࠖࠠࠪߩഥᴦ≮ߣߒߡߩ⟎ߠߌߢࠅ㧘
⥄Ꮖᵈᓟߪㅦ߿߆ߦ∛㒮ࠍฃ⸻ߔࠆᔅⷐ߇
ࠆ㪌㪀㧚ߒ߆ߒ㧘ጊ㑆ㇱ߿㔌ፉߥߤߩߢࠕ࠽ࡈ
ࠖࠠࠪࠍ⊒∝ߒߚ႐ว㧘∛㒮߹ߢߩ៝ㅍߦᤨ
㑆߇߆߆ࠆߎߣ߇ᄙߊ㧘ࠕ࠼࠽ࡦߩ⥄Ꮖㅊട ᛩਈ߇ᔅⷐߣߥࠆ႐ว߽⠨߃ࠄࠇࠆ㧚ࠕ࠽ࡈࠖ
ࠠࠪ⊒∝ᓟߩࠕ࠼࠽ࡦೋ࿁ᛩਈᓟ㧘∛㒮߳
ߩ៝ㅍ߹ߢߦ∝⁁߇ᡷༀߐࠇߥ႐ว߿∝⁁߇
ౣ߮ᖡൻߒߚ႐วߦߪ㧘㪈㪌ಽ߆ࠄ㪉㪇ಽ߅߈ߦࠕ࠼
࠽ࡦߩㅊടᛩਈࠍ⠨ᘦߔߴ߈ߢࠆ㧚☨࿖ߢ ߪ㧘㪈㪇㪌ੱߩࠕ࠽ࡈࠖࠠࠪᖚ⠪ࠍኻ⽎ߣߒߚ
⎇ⓥߦ߅ߡ㧘㪊㪍㧑ߩᖚ⠪߇ࠕ࠼࠽ࡦߩೋ࿁
ᛩਈ߆ࠄ㪌ಽ߆ࠄ㪈㪇ಽએౝߦ㪉࿁⋡ߩᛩਈ߇ᔅⷐ ߛߞߚߣႎ๔ߐࠇߡࠆ㪉㪊㪀㧚ᚒޘ߇ࠛࡇࡍࡦ㫤ᵈ
ᶧಣᣇ⊓㍳කᏧࠍኻ⽎ߦⴕߞߚ⺞ᩏߢ߽㧘ࠕ࠼
࠽ࡦߩㅊടᛩਈ߇ᔅⷐߛߞߚ∝߇ࠆߎ ߣ߇ࠊ߆ߞߚ㪈㪈㪀㧚㩷
ጊ㑆ㇱ߿㔌ፉߥߤߩߢ㧘ఽ┬↢ᓤ߇ࠕ࠽
ࡈ࡚ࠖࠠࠪࠪ࠶ࠢߣߥߞߚ႐วߥߤߪ㧘ᢇᕆ ゞ⌕߹ߢߦᤨ㑆߇߆߆ࠆߎߣ੍߽ᗐߐࠇࠆ㧚߽
ߒ㧘ࠕ࠼࠽ࡦ⥄ᏆᵈࠍᏱ↪ߣ៤Ꮺ↪
ߦ㪉ᧄಣᣇߒߡ߽ࠄߞߡࠆ႐วߪ㧘ቇᩞ⮎Ꮷ ߪㅊടᛩਈߩᔅⷐᕈߦ㑐ߒߡ߽ቇᩞߩᢎ⡯ຬߦ ኻߒߡㆡಾߦᜰዉ߿ഥ⸒ࠍߒߡ߅ߊߴ߈ߢࠆ㧚㩷
ቇᩞ⮎Ꮷߩᓟߩ⺖㗴
ᚒޘ߇㪉㪇㪇㪍ᐕߦ㙃⼔ᢎ⻀ߦⴕߞߚ⺞ᩏߢߪ㧘⥄
↱⸥ㅀᰣߦޟቇᩞ⮎Ꮷߪࠆ߇ฬ೨ߛߌߢᬺോ
ߪⴕߞߡߥޠ㧘ޟߩቇᩞ⮎Ꮷߩᵴേౝኈ ߢߪᔅⷐᕈࠍᗵߓߥޠ㧘ޟࡃࠗ࠻㩿ᬺ㪀ᗵⷡߢ᳇
ᭉߦⴕ߁ߩߪ߿ߡ߶ߒޠߥߤ㧘෩ߒࠦࡔࡦ
࠻߇ᄙ߆ߞߚ㪈㪀㧚ޟቇᩞߩࠕ࡞ࠡ∔ᖚߦኻߔࠆ ขࠅ⚵ߺࠟࠗ࠼ࠗࡦޠߢ㧘ࠕ࠼࠽ࡦ⥄Ꮖᵈ
ߩ▤▤ℂ㧘✕ᕆᤨߩኻᔕߥߤߦߟߡ ቇᩞ⮎Ꮷߩᜰዉ߿ഥ⸒߇᳞ࠄࠇࠆߥߤ㧘ߎࠇ
߹ߢߩᬌᩏਛᔃߩᬺോ߆ࠄ㧘⮎ߩኾ㐷ኅߣߒߡߩ
⡯⢻߇᳞ࠄࠇࠆࠃ߁ߦߥߞߡ߈ߡࠆ㧚㩷 㩷
㩿㪈㪀ᐲߩ⋥ߒ㩷
㪉㪇㪇㪏ᐕߦෘ↢ഭ⋭ߩ⮎Ꮷታോ⎇ୃᬺߩ
⮎ዪ⎇ୃᣉ⸳ߩ▤ℂ⮎Ꮷࠍኻ⽎ߦⴕߞߚ⺞ᩏ ߢߪ㧘ቇᩞ⮎Ꮷࠍⴕߞߡࠆ▤ℂ⮎Ꮷߩ㪎㪈㧑㧘 ቇᩞ⮎Ꮷࠍⴕߞߡߥ▤ℂ⮎Ꮷߩ㪎㪍㧑߇ ቇᩞ⮎Ꮷᐲߩ⋥ߒߩᔅⷐᕈࠍᗵߓߡߚ㪊㪀㧚
ౕ⊛ߦߪ⎇ୃߩలታ㧘છᦼᐲߩዉߣߩ࿁╵
߇ᄙ߆ߞߚ㧚ቇᩞ⮎Ꮷߦߪ㧘છᦼᐲ㧘
ᐲ㧘ቯᐕᐲߥߤ߇ߥߚ㧘৻ᣤቇᩞ⮎Ꮷߦ ߥࠆߣ㐳ᦼߦࠊߚࠅ⛮⛯ߔࠆะߦࠅ㧘ቇᩞ⮎
Ꮷߩ㜞㦂ൻߦߟߥ߇ߞߡࠆ㧚߹ߚ㧘ቇᩞ⮎
Ꮷߩᄙߊߪ㒾⮎ዪߢߩᬺോࠍോߒߡࠆߚ
㧘⺞ᬺോߩᔔߒਛߢ㧘ቇᩞ⮎Ꮷߩᬺോࠍ ⴕ߁ߎߣ߇࿎㔍ߦߥߞߡࠆᣇ߽ᄙߊ㧘ߥ߆ߦߪ ᄙᔔࠍℂ↱ߦ㧘ቇᩞ⮎Ꮷߩᬺോࠍචಽߦⴕߞߡ
ߥ⮎Ꮷ߽ࠆࠃ߁ߛ㧚৻ᣇߢ㧘ၞߦࠃߞ ߡߪ㧘ቇᩞ⮎Ꮷߦⓨ߈߇ߥߊ㧘ቇᩞ⮎Ꮷࠍⴕ
ߚߊߡ߽ߢ߈ߥ⁁߽ࠆࠃ߁ߛ㧚ߒߚ߇ߞ ߡ㧘ޟછᦼᐲߩዉޠ߿ޟቇᩞߩᢎ⡯ຬ߿╙ਃ
⠪ᯏ㑐ߦࠃࠆ⹏ଔߩዉޠߥߤ߇ᔅⷐߛߣᕁࠊࠇ ࠆ㪊㪀㧚㩷
㩷
㩿㪉㪀ቇᩞ⮎Ꮷߦࠃࠆߊߔࠅᢎ⢒߆ࠄቇᩞਃᏧ߇ දജߒߚක≮ᢎ⢒߳㩷
ᚒޘߩ㪉㪇㪇㪏ᐕߩ⺞ᩏߢߪ㧘ޟఽ┬↢ᓤ߳ߩ⮎
ᢎ⢒ᵴേޠࠍዉߔߴ߈ߣ⠨߃ߡࠆ⮎Ꮷ߇ᄙ ߆ߞߚ㪊㪀㧚ߎࠇ߹ߢ⮎ߩᢎ⢒ߪ㧘✚วቇ⠌ߩᤨ㑆
ࠍ↪ߒߡⴕ߁ߎߣ߇ᄙ߆ߞߚ߇㧘ਛቇᩞߩᣂቇ
⠌ᜰዉⷐ㗔ߦޟߊߔࠅᢎ⢒ޠ߇ടࠊࠅ㧘㪉㪇㪈㪉ᐕࠃ ࠅஜ⢒ߩᬺߢⴕ߁ߎߣ߇ቯߒߚ㪉㪍㪀㧚ౕ
⊛ߥቇ⠌㗄⋡ߣߒߡߪ㧘ޟஜᐽߩᜬჇㅴ߿∔∛
ߩ੍㒐ߦߪ㧘ஜක≮ᯏ㑐ࠍലߦ↪ߔࠆߎ ߣ㧚߹ߚක⮎ຠߪᱜߒߊ↪ߔࠆߎߣ㧚ޠ߇⸥
ߐࠇߚ㪉㪍㪀㧚ߊߔࠅߩㆡᱜ↪ද⼏ળ߇৻⥸Ꮢ᳃ࠍ ኻ⽎ߦⴕߞߚ⺞ᩏߢߪ㧘ቇᩞᢎ⢒ߢක⮎ຠߩㆡᱜ
↪ࠍขࠅߍࠆߎߣ߇ᔅⷐߛߣ⠨߃ࠆ৻⥸Ꮢ
᳃ߪ㪎㪍㧑ߦ㆐ߒߡߚ㪉㪎㪀㧚㙃⼔ᢎ⻀ࠍኻ⽎ߦⴕߞ ߚ⺞ᩏߢ߽㧘ቇᩞᢎ⢒ߢቇᩞ⮎Ꮷ߇㧘⮎ߩ㘶ߺ ᣇ㧘↪㧘↪ߥߤߦߟߡᢎ⢒ߔࠆߎߣߦ㑐 ߒߡ㧘ዊቇᩞߢ㪍㪎㧑㧘ਛቇᩞߢ㪏㪇㧑ߩ㙃⼔ᢎ⻀߇ ߘߩᔅⷐᕈࠍᗵߓߡߚ㪉㪏㪀㧚ߒߚ߇ߞߡ㧘࿁ߩ ቇ⠌ᜰዉⷐ㗔ߦޟߊߔࠅߩㆡᱜ↪ޠ߇ടࠊߞߚ ߎߣߪ␠ળ߿ቇᩞߩ࠾࠭ࠍḩߚߒߡ߅ࠅ㧘ᄢᄌ ᗧ⟵߇ࠆ㧚ᓟ㧘৻ㇱߩቇᩞ⮎Ꮷ߇ⴕߞߡ
ࠆዊቇᩞߩఽ┬ะߌߩ⮎ᢎ⢒ᵴേ߇ో࿖⊛ߦዷ 㐿ߐࠇࠆߎߣࠍᦼᓙߒߚ㧚㩷
ᚒޘߩ㪉㪇㪇㪏ᐕߩ⺞ᩏߢߪ㧘ޟ⼔⠪߳ߩ⮎ᢎ⢒ޠ㧘 ޟᢎ⡯ຬ߳ߩ⮎ᢎ⢒ޠ㧘ޟ㙃⼔ᢎ⻀߿ᢎ⡯ຬߣදജ
ߒߚஜᐽᜰዉޠ㧘ޟቇᩞක߿ቇᩞᱤ⑼කߣදജߒߚ ஜᐽᵴേޠߥߤࠍᦸჿ߇ᄙ߆ߞߚ㪊㪀㧚㧘∛
㒮ౝߢߩක≮ᵴേ㧘ၞߢߩක≮ᵴേߥߤ㧘ක≮
ߩࠈࠈߥ႐㕙ߢ࠴ࡓක≮߇ᵈ⋡ߐࠇߡ
ࠆ㧚ቇᩞஜߢߪቇᩞකቇᩞᱤ⑼කቇᩞ⮎
ᏧߩਃᏧ߇ቇᩞஜᆔຬળߦෳടߒ㧘ఽ┬↢ᓤ ߩஜᐽ㗴ߦ㑐ߒߡද⼏ߔࠆߎߣߣߥߞߡࠆ ߇㧘ߎߩᆔຬળߦᏨߒߥቇᩞ⮎Ꮷ߇ࠆߎ ߣ߇㗴ⷞߐࠇߡࠆ㪉㪏㪀㧚೨ㅀߒߚఽ┬↢ᓤ߳
ߩߊߔࠅᢎ⢒߽ቇᩞ⮎Ꮷߪ㧘ቇᩞක߿ቇᩞᱤ⑼ කߣㅪ៤ࠍߣࠅ㧘දജߒߡⴕ߁ߎߣ߇ߢ߈ࠇ߫㧘 ࠃࠅ⦟ක≮ᢎ⢒ߦ➁߇ࠆߩߢߪߥ߆ߣᕁࠊ ࠇࠆ㧚㩷
⻢ ㄉ
ᧄ✚⺑ߢ⚫ߒߚ⎇ⓥߪ㧘∛ᘒ↢ℂቇᢎቶᚲዻ ߩᄢቇ㒮↢㩿ဈᖘ♿ሶ᳁㧘ਛሶ᳁㧘ౝ⮮ሶ
᳁㧘ዊᨋବ᳁㪀ߣቇㇱ↢㩿ዊᨋ⌀ℂሶ᳁㧘↰ਛᴕ ᒎ᳁㧘ᷡ᳓ፏᰴ᳁㧘ዊᎹᵏ⪲᳁㪀ߩදജߦࠃࠅⴕߞ ߚ߽ߩߢࠅ㧘ᷓߊᗵ⻢⥌ߒ߹ߔ㧚㩷
ᒁ↪ᢥ₂
㪈㪀㩷 ⍹ᱜ㪃㩷ဈᖘ♿ሶ㪃㩷↰ਛᴕᒎ㪃㩷ઁ㧦ࠕ࠼
࠽ ࡦ ⥄ Ꮖ ᵈ ߩ ᜬ ㄟ ࠍ Ꮧ ᦸ ߔ ࠆ ఽ
┬↢ᓤ߳ߩቇᩞኻᔕߩ⁁ߣቇᩞ⮎Ꮷߩ ᓎഀ㪃㩷ዊఽ⑼⥃ᐥ㪃㩷㪍㪈㪃㩷㪋㪋㪊㪄㪋㪋㪏㩷㩿㪉㪇㪇㪏㪀㪅㩷 㪉㪀㩷 ᣣᧄቇᩞ⮎Ꮷળ㧦ᐔᚑ㪈㪋ᐕᐲో࿖ቇᩞஜ
⺞ᩏ㓸⸘⚿ᨐႎ๔㪃㩷㪌㪌㪃㩷㪈㪉㪈㪉㪄㪈㪉㪈㪐㩷㩿㪉㪇㪇㪉㪀㪅㩷 㪊㪀㩷 ⍹ᱜ㪃㩷ౝ⮮⚿⧎㪃㩷ዊᎹᵏ⪲㪃㩷ઁ㧦ቇᩞஜ
ߦ߅ߌࠆቇᩞ⮎Ꮷߩᓎഀ㧦⮎ߦ㑐ߔࠆᜰ ዉഥ⸒߅ࠃ߮⮎ᢎ⢒ᵴേ㪃㩷ஜߩ⑼ቇ㪃㩷 㪌㪈㪃㩷 㪋㪉㪊㪄㪋㪉㪏㩷㩿㪉㪇㪇㪐㪀㪅㩷
㪋㪀㩷 ᣣᧄቇᩞஜળ✬㩷ᢥㇱ⑼ቇ⋭ࠬࡐ࠷㕍 ዋᐕዪቇᩞஜᐽᢎ⢒⺖⎇ୃ㧦ቇᩞߩࠕ࡞
ࠡ∔ᖚߦኻߔࠆขࠅ⚵ߺࠟࠗ࠼ࠗࡦ㪃㩷 㩷 㪿㫋㫋㫇㪑㪆㪆㫎㫎㫎㪅㪾㪸㫂㫂㫆㪿㫆㫂㪼㫅㪅㫁㫇㪆㪹㫆㫆㫂㪆㪹㫆㪇㪇㪇㪈㪅㪿㫋㫄㫃㩿 㪉㪇㪈㪇ᐕ㪏㪊㪈ᣣ㪀㩷
㪌㪀㩷 ₹⟎ᷕሶ㪑ࠊ߇࿖ߦ߅ߌࠆ㘩‛ߦࠃࠆࠕ࠽ࡈ
ࠖࠠࠪᱫߩታᘒ㪃㩷ࠕ࡞ࠡ⑼㪃㩷 㪈㪐㪃㩷 㪉㪐㪊㪄㪉㪐㪏㩷㩿㪉㪇㪇㪌㪀㪅㩷
㪍㪀㩷 ⍹ᱜ㧦㘩‛ଐሽᕈㆇേ⺃⊒ࠕ࠽ࡈࠖࠠ
ࠪ ߦ ߏ ᵈ ᗧ ࠍ ࡔ ࠺ࠖ ࠞ ࡞ ᦺ ᣣ㪃㩷 㪊㪋㩿㪉㪀㪃㩷 㪏㪎㪄㪏㪐㩷㩿㪉㪇㪇㪌㪀㪅㩷
㪎㪀㩷 ⍹ᱜ㧦㘩‛ଐሽᕈㆇേ⺃⊒ࠕ࠽ࡈࠖࠠ
ࠪ㪃㩷⮎ዪ㪃㩷㪌㪍㪃㩷㪉㪎㪐㪊㪄㪉㪎㪐㪏㩷㩿㪉㪇㪇㪌㪀㪅㩷
㪏㪀㩷 ⍹ᱜ㪃㩷↰ਛᴕᒎ㪃㩷ౝ⮮ሶ㪃㩷ઁ㧦㘩‛ଐሽ ᕈㆇേ⺃⊒ࠕ࠽ࡈࠖࠠࠪᖚ⠪߳ߩቇᩞ
ኻᔕߩ⁁ߣᓟߩ⺖㗴㪃㩷ࠢ࠾ࠞ࡞ࡊࠢ
࠹ࠖࠬ㪃㩷㪉㪍㪃㩷㪉㪌㪎㪄㪉㪍㪇㩷㩿㪉㪇㪇㪎㪀㪅㩷
㪐㪀㩷 㒸ᗆ৻㪃㩷⍹ᱜ㪃㩷ᧁౝੑ㪃㩷ઁ㧦ࠛࡇࡀࡈ
ࡦ⥄Ꮖᵈࠠ࠶࠻㩿ࠛࡇࡍࡦ㪀ߩㆡᔕᄢ ߣ⮎Ꮷߩ㑐ࠊࠅ㧦☨࿖ߢߩ↪⁁ࠍෳ⠨
ߦߒߡ㪃㩷⮎ዪ㪃㩷㪌㪍㪃㩷㪉㪍㪍㪋㧙㪉㪍㪎㪉㩷㩿㪉㪇㪇㪌㪀㪅㩷
㪈㪇㪀㩷 ⍹ᱜ㧦ࠍᢇ߁ࠛࡇࡀࡈࡦ⥄Ꮖᵈ㨪
⥃ᐥㆡᔕᄢߣᓟߩ⺖㗴㨪㪃ࡔ࠺ࠖࠞ࡞ᦺ ᣣ㪃㩷㪊㪋㩿㪌㪀㪃㩷㪏㪐㪄㪐㪇㩷㩿㪉㪇㪇㪌㪀㪅㩷
㪈㪈㪀㩷 ⍹ᱜ㪃㩷ዊᨋବ㪃㩷ౝ⮮⚿⧎㪃ઁ㧦ࠕ࠽ࡈࠖ
࡚ࠠࠪࠪ࠶ࠢᤨߩࠕ࠼࠽ࡦ⥄Ꮖㅊ ട ᵈ ߩ ᔅ ⷐ ᕈ㪃㩷ࠕ ࡞ ࠡ ∉㪃㩷 㪈㪌㪃㩷 㪈㪍㪏㪇㪄㪈㪍㪏㪍㩷㩿㪉㪇㪇㪏㪀㪅㩷
㪈㪉㪀㩷 㪙㪸㫉㫅㪸㫉㪻㪃㩷 㪡㪅㪟㪅㪑㩷 㪥㫆㫅㪽㪸㫋㪸㫃㩷 㫉㪼㫊㫌㫃㫋㫊㩷 㫀㫅㩷 㫋㪿㫀㫉㪻㪄㪻㪼㪾㫉㪼㪼㩷 㪸㫅㪸㫇㪿㫐㫃㪸㫏㫀㫊㩷㪽㫉㫆㫄㩷㪿㫐㫄㪼㫅㫆㫇㫋㪼㫉㪸㩷㫊㫋㫀㫅㪾㫊㪅㩷㪡㪅㩷㪘㫃㫃㪼㫉㪾㫐㪃㩷 㪋㪌㪃㩷㪐㪉㪄㪐㪍㩷㩿㪈㪐㪎㪇㪀㪅㩷
㪈㪊㪀㩷 㪪㪸㫄㫇㫊㫆㫅㪃㩷 㪟㪅㪘㪅㪑㩷 㪘㫅㪸㫇㪿㫐㫃㪸㫏㫀㫊㩷 㪸㫅㪻㩷 㪼㫄㪼㫉㪾㪼㫅㪺㫐㩷 㫋㫉㪼㪸㫋㫄㪼㫅㫋㪅㩷㪧㪼㪻㫀㪸㫋㫉㫀㪺㫊㪃㩷㪈㪈㪈㪃㩷㪈㪍㪇㪈㪄㪈㪍㪇㪏㩷㩿㪉㪇㪇㪊㪀㪅㩷 㪈㪋㪀㩷 ᣣᧄዊఽࠕ࡞ࠡቇળ㧦㘩‛ࠕ࡞ࠡߦ
ࠃࠆࠕ࠽ࡈࠖࠠࠪቇᩞኻᔕࡑ࠾ࡘࠕ࡞㪃㩷 㪿㫋㫋㫇㪑㪆㪆㫎㫎㫎㪅㫀㫊㪺㪹㪅㫅㪼㫋㪆㪡㪪㪧㪘㪚㪠㪆㩿㪉㪇㪈㪇ᐕ㪏㪊㪈ᣣ
㪀㪅㩷
㪈㪌㪀㩷 ㇱ߹ࠅሶ㧦ޟࠛࡇࡍࡦޠኻᔕ ቇᩞ߳ߩ
߈ដߌ㪉㪃㩷╙㪍࿁㘩‛ࠕ࡞ࠡ⎇ⓥળᛞ㍳
㓸㪃㩷㫇㪉㪍㩷㩿㪉㪇㪇㪍㪀㪅㩷
㪈㪍㪀㩷 ዊᨋବ㪃㩷⍹ᱜ㪃㩷ౝ⮮⚿⧎㪃㩷ઁ㧦ࠕ࠼࠽
ࡦ⥄Ꮖᵈߩቇᩞኻᔕߦ߅ߌࠆቇᩞ
⮎Ꮷߩᓎഀ㪃㩷ࠕ࡞ࠡ∉㪃㩷 㪈㪍㪃㩷 㪐㪇㪄㪐㪎㩷 㩿㪉㪇㪇㪐㪀㪅㩷
㪈㪎㪀㩷 ⋧ේ㓶ᐘ㧦ቇᩞ↢ᵴߦ߅ߌࠆዊఽක≮㪅㩷㘩‛
ࠕ࡞ࠡߣㆇേ㒢㧘ࠛࡇࡍࡦ㫤ߩ↪ᴺ㪃㩷
࠴ࡖࠗ࡞࠼ࡋ࡞ࠬ㪃㩷㪈㪉㪃㩷㪌㪉㪋㪄㪌㪉㪎㩷㩿㪉㪇㪇㪐㪀㪅㩷 㪈㪏㪀㩷 ⛎㘩ߢ࡚ࠪ࠶ࠢ∝⁁ߩఽ┬㧘ቇᩞ߇⥄Ꮖᵈ
⮎ࠊߕ㪃㩷⺒ᄁᣂ⡞㩿㪉㪇㪈㪇ᐕ㪉㪉㪎ᣣ㪀㩷
㪈㪐㪀㩷 ᕆᕈࠕ࡞ࠡಣ⟎㧘ޟ✕ᕆᵈޠ⸠✵ㇺ
ᐭ⋵㪈㪉ᢎᆔߛߌ㪃⺒ᄁᣂ⡞㩿㪉㪇㪈㪇ᐕ㪊㪈㪌ᣣ㪀㩷 㪉㪇㪀㩷 ᶏ⠧Ỉరብ㧦㘩‛ࠕ࡞ࠡ␠ળ⊛ኻᔕߩㅴ
ዷ㪅㩷ࠕ࡞ࠡߩ⥃ᐥ㪃㩷㪊㪇㪃㩷㪌㪉㪇㪄㪌㪉㪌㩷㩿㪉㪇㪈㪇㪀㪅㩷 㪉㪈㪀㩷 ↰ਛᴕᒎ㪃㩷⍹ᱜ㪃㩷ዊᨋ⌀ℂሶ㪃㩷ઁ㧦ቇᩞ ߦ
߅ߌࠆࠛࡇࡍࡦ㫤ಣᣇᖚ⠪߳ߩኻᔕߩ⁁ߣ
ᓟߩ⺖㗴㪅㩷㙃⼔ᢎ⻀߳ߩࠕࡦࠤ࠻⺞ᩏ 㩿㪠㪠㪀㪃㩷ࠕ࡞ࠡ∉㪃㩷㪈㪋㪃㩷㪉㪊㪍㪄㪉㪋㪉㩷㩿㪉㪇㪇㪎㪀㪅㩷
㪉㪉㪀㩷 ㋕ⓣ㓁ሶ㪃㩷ᷡ᳓ᳰ✍ሶ㪃㩷⼱ᑝ૫ᄹሶ㪃ઁ㧦ዊ ቇᩞߢߩࠕ࠼࠽ࡦ⥄Ꮖᵈᶧߦࠃࠆ㘩
‛ࠕ࡞ࠡߩ✕ᕆᤨኻᔕߦߟߡ㪃㩷ஜߩ
⑼ቇ㪃㩷㪋㪐㪃㩷㪎㪏㪈㪄㪎㪏㪍㩷㩿㪉㪇㪇㪎㪀㪅㩷
㪉㪊㪀㩷 㪪㫀㫄㫆㫅㫊㩷㪝㪜㪑㩷㪝㫀㫉㫊㫋㪄㪸㫀㪻㩷㫋㫉㪼㪸㫋㫄㪼㫅㫋㩷㫆㪽㩷㪸㫅㪸㫇㪿㫐㫃㪸㫏㫀㫊㩷㫋㫆㩷 㪽㫆㫆㪻㪑㩷 㪝㫆㪺㫌㫊㩷 㫆㫅㩷 㪼㫇㫀㫅㪼㫇㪿㫉㫀㫅㪼㪅㩷 㪡㪅㩷 㪘㫃㫃㪼㫉㪾㫐㩷 㪚㫃㫀㫅㪅㩷 㪠㫄㫄㫌㫅㫆㫃㪅㪃㩷㪈㪈㪊㪃㩷㪏㪊㪎㪄㪏㪋㪋㩷㩿㪉㪇㪇㪋㪀㪅㩷
㪉㪋㪀㩷 ޘᧁ⌀Ὼ㪃㩷ᢧ⮮ᐞਭᰴ㇢㪃㩷⥓↰⺈㪃㩷ઁ㧦ⱎᲥ ࠕ࡞ࠡߦࠃࠆࠕ࠽ࡈࠖࠠࠪߩ੍㒐 ߣᴦ≮㪅㩷ᨋ㊁ᐡߦ߅ߌࠆኻᔕ㧦ࠛࡇࡍࡦ㫤ߩ
↪㨪㪃㩷ࠕ࡞ࠡ∉㪃㩷 㪈㪇㪃㩷 㪈㪈㪌㪋㪄㪈㪈㪍㪏㩷 㩿㪉㪇㪇㪊㪀㪅㩷
㪉㪌㪀㩷 㪢㫆㫉㪼㫅㪹㫃㪸㫋㪃㩷 㪧㪅㪃㩷 㪤㪸㫉㫂㪃㩷 㪡㪅㪣㪅㪃㩷 㪩㪸㫅㪻㪃㩷 㪜㪅㪛㪅㪃㩷 㪼㫋㩷 㪸㫃㪅㪃㪑㩷 㪘㩷 㫉㪼㫋㫉㫆㫊㫇㪼㪺㫋㫀㫍㪼㩷 㫊㫋㫌㪻㫐㩷 㫆㪽㩷 㪼㫇㫀㫅㪼㫇㪿㫉㫀㫅㪼㩷 㪸㪻㫄㫀㫅㫀㫊㫋㫉㪸㫋㫀㫆㫅㩷 㪽㫆㫉㩷 㪸㫅㪸㫇㪿㫐㫃㪸㫏㫀㫊㪑㩷 㪟㫆㫎㩷 㫄㪸㫅㫐㩷 㪻㫆㫊㪼㫊㩷 㪸㫉㪼㩷 㫅㪼㪼㪻㪼㪻㪖㩷 㪘㫃㫃㪼㫉㪾㫐㩷㪘㫊㫋㪿㫄㪸㩷㪧㫉㫆㪺㪅㪃㩷㪉㪇㪃㩷㪊㪏㪊㪄㪊㪏㪍㩷㩿㪈㪐㪐㪐㪀㪅㩷
㪉㪍㪀㩷 ߊߔࠅߩㆡᱜ↪ද⼏ળ㧦ߊߔࠅᢎ⢒㪆ᣂቇ
⠌ ᜰ ዉ ⷐ 㗔 ࠍ ฃ ߌ ߚ ද ⼏ ળ ߩ ข ࠅ ⚵ ߺ㪃㩷 㪩㪘㪛㪄㪘㪩㪃㩷㪈㪏㩿㪉㪀㪃㩷㪌㪄㪏㩷㩿㪉㪇㪇㪏㪀㪅㩷
㪉㪎㪀㩷 ߊߔࠅߩㆡᱜ↪ද⼏ળ㧦৻⥸Ꮢ᳃ߩක⮎ຠ
߅ ࠃ ߮ ක ≮ ߦ 㑐 ߔ ࠆ ᗧ ⼂ ⺞ ᩏ ߹ ߣ ߹ ࠆ㪃㩷 㪩㪘㪛㪄㪘㪩㪃㩷㪈㪍㩿㪍㪀㪃㩷㪉㪄㪊㩷㩿㪉㪇㪇㪍㪀㪅㩷
㪉㪏㪀㩷 ↰ਛᴕᒎ㪃㩷⍹ᱜ㪃㩷ዊᨋ⌀ℂሶ㪃㩷ઁ㧦㙃⼔ ᢎ
⻀߆ࠄߺߚቇᩞ⮎Ꮷߩ⁁ߣᓟߩ⺖㗴㪅㩷 ࠕࡦࠤ࠻⺞ᩏႎ๔㪃㩷⮎ዪ㪃㩷 㪌㪏㪃㩷 㪈㪐㪎㪌㪄㪈㪐㪏㪇㩷 㩿㪉㪇㪇㪎㪀㪅㩷 㩷
Guidance by the School Pharmacist for Safe Handling and Storage of Medicine
Masakazu Ishii
1*, Yuika Naito
1,2, Shunichi Shimizu
1, Yuji Kiuchi
3㪈㩷㪛㪼㫇㪸㫉㫋㫄㪼㫅㫋㩷㫆㪽㩷㪧㪸㫋㪿㫆㫇㪿㫐㫊㫀㫆㫃㫆㪾㫐㩷㪸㫅㪻㩷㪊㩷㪚㪼㫅㫋㪼㫉㩷㫆㪽㩷㪧㪿㪸㫉㫄㪸㪺㪼㫌㫋㫀㪺㪸㫃㩷㪜㪻㫌㪺㪸㫋㫀㫆㫅㪃㩷㪪㪺㪿㫆㫆㫃㩷㫆㪽㩷㪧㪿㪸㫉㫄㪸㪺㫐㪃㩷 㪪㪿㫆㫎㪸㩷㪬㫅㫀㫍㪼㫉㫊㫀㫋㫐㩷
㪉㩷㪛㪼㫇㪸㫉㫋㫄㪼㫅㫋㩷㫆㪽㩷㪧㪿㪸㫉㫄㪸㪺㫐㪃㩷㪪㪿㫆㫎㪸㩷㪬㫅㫀㫍㪼㫉㫊㫀㫋㫐㩷㪟㫆㫊㫇㫀㫋㪸㫃㩷 㩷
Abstract
Under School Health Law, school pharmacists contribute to the improvement and maintenance of the environment at school and to improving health and sanitation for children.
School pharmacists check illumination and air quality in classrooms, drinking water, dining rooms, swimming pool and so on. In addition, school pharmacists also guide the safe handling and storage of medicines by school staff. In 2008, school staff received permission to use an adrenaline-auto injector, the first choice medicine for anaphylaxis, and clearly described in
“guideline for the management for students with allergy in school”. Therefore, in this guideline, it is requested that school pharmacists guide school staff in the safe handling and storage of adrenaline auto-injectors for anaphylaxis. However, it was not considered sufficient to provide guidance only for medicine brought to the school by individual students but also for regular medicine kept at the school by school staff such as the nurse teacher. In this review, we introduce the role of school pharmacists in safe handling and storage of medicines such as adrenaline auto-injector in school, and discuss the future duties of school pharmacists.
Key Words㧦school pharmacist; anaphylaxis; adrenaline auto-injector
㪩㪼㪺㪼㫀㫍㪼㪻㩷㪍㩷㪪㪼㫇㫋㪼㫄㪹㪼㫉㩷㪉㪇㪈㪇㪒㩷㪸㪺㪺㪼㫇㫋㪼㪻㩷㪈㪉㩷㪦㪺㫋㫆㪹㪼㫉㩷㪉㪇㪈㪇㪅㩷 㩷
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