acquiring the skill of 蘭漢折衷型医術, After returned to Honjo in around 1827 from his travel to Kyoto City, Kawagoe City and other places to treat patients, he opened departments of internal treatment, surgery and ophthalmology.
蘭漢折衷型医術を自分のものとし、京都、川越市など治療の旅を続け、文政10年（1827年）頃、本庄に戻り、内科、外科、眼科を開業。