Method for correction of disorders of the coronary circulation

 

(57) Abstract:

The invention relates to medicine, namely to cardiology, and can be used to treat disorders of the coronary circulation. The essence of the method consists in reflexogenic zones acupressure introduction solution of novocaine in the most painful trigger point of the fibers located in the lower left corner of the scapula, and the conduct of cupping massage neck and interscapular areas, acupressure trigger cords.

The invention relates to medicine, section of cardiology, and is a way to improve or normalize abnormalities of coronary blood flow.

Known methods of correction of infringements of coronary blood flow by using different groups of drugs that improve blood circulation and metabolism of the myocardium, contributing to conservation of oxygen (Mashkovsky M. D. Medicines, M.: Medicine, 1993). However, these methods, despite the presence of a large Arsenal of modern drugs used in ischemic heart disease (IHD), often do not give the desired effect, allows to normalize violation of coronary krovoobrashenie the effects, can cause side effects, do not always prevent the development of myocardial infarction, angina, sudden cardiac arrest.

Known non-pharmacological methods of correction of infringements of coronary blood flow by the use of autologous blood irradiated violet rays (Kukui L. M. Ultraviolet irradiation of autologous blood in the complex therapy of ischemic heart disease: equipment, therapeutic effect and its mechanisms, the implementation in practice of public health. Scientific report on competition of a scientific degree of the doctor of medical Sciences, S. Petersburg. 1993), and autologous blood irradiated with helium-neon laser (Popov Yu Century. and other Methods, the technique and the main indications for extracorporeal laser irradiation of blood. Physiogeography in acute Exo - and endotoxemia. Republican scientific papers, M. 1991). The disadvantages of these methods are that they can be implemented only if there is special equipment that require sterile invasive procedures, have contraindications to their use, do not always have a stable therapeutic effect.

Famous ancient Oriental method of correction of abnormalities of coronary thee each of them has their fundamental differences. Biologically active points (BAP) used in IRT, congenital education, trigger strands (TT) arise in the process of life as pathology (contracture part of myofibrils) and activated under the influence of precipitating factors, they become a source of reflex-reflected pain and/or reflex-reflected autonomic disorders, including coronary artery spasm. Adequate therapy inactivates TT. Unlike BAHT myofascial TPS as pathology with the reflected pain and autonomic disorders can be reproduced artificially in any healthy person in any muscle of the introduction into it of a 6% aqueous solution of chloride of soda.

With the goal of therapy of several diseases, including cardiovascular system, know the use of segmentarnogo massage (Vasechkin Century. And. Reference massage, L.: Medicine, 1991).

Accordingly, the output of nerves distinguish the following segments of the spinal cord: 8 cervical, 12 thoracic, 5 lumbar and 5 sacral. Pathological processes in the internal organs observed change in blood flow, trophic processes in the respective segment. So, with strokes left on the skin of the breast occurs pronounced and long dermograph the ut affect internal organs and other segmental located tissues. It is known, for example, the emergence of a toothache occurs when the boil on the face. Reflex-segmental changes in the muscles are the foci of hypertonus, myelotomy and hyperalgesia, i.e., various forms of myofascial trigger pathology (ICC). For example, it is known that the emergence of foci of hypertonus (TT) of the muscles in the second intercostal space on the left leads to malfunction of the heart. It is noticed that the massage of the muscles in the region of 4 to 6 thoracic vertebrae and the inner edge of the left blade stops pain in the heart area. Holding segmental massage is in violation of the functions and diseases of the heart, when vasomotor angina, infarction, neurosis, chronic heart failure. Thus, reflexive relation, the underlying effective therapy, give reason to believe segmental massage prototype of the proposed method. However, it should be noted that myofascial reflected trigger pain does not match dermatomes, mytonomy and sclerocornea distributions innervation (Travell j. G., D. Simons, Myofascial pain, M.: Medicine, 1989).

The invention expands the Arsenal of effective ways of increasing the effectiveness of therapy of ischemic pain is CLASS="ptx2">

Correction of infringements of coronary blood flow is achieved by removing the reflex influences from the most painful points (ILO) trigger cords located in the lower angle of the left scapula, carried out by introducing a 0.5% solution of novocaine or conducting cupping and acupressure.

The method is implemented as follows. All patients with coronary artery disease, in the lower angle of the left scapula is found from 1 to 3 - 4 trigger cords coming out from under the blades. In the literature these fibers are not described. On the relationship of active office of these bands with the presence of myocardial ischemia, as well as correction of infringements of coronary blood flow after inactivation of the described fibers, confirmed by ECG normalization and smoothing or disappearance of subjective sensations, first drew the attention of the invention.

Detection of bands and their office is sliding palpation (Travell j. G. , D. Simons, Myofascial pain, M.: Medicine, 1989). If the office of the strand is under the blade, then the patient is encouraged to find the position of the left hand where the blade would be moved closer to the girdle. Localization of the office of heavy mark on the skin of a 5% nastov better to use an insulin syringe. Over the office of heavy pierced the skin, and the heavy fixed spaced at its sides II and III fingers of the left hand. Several of these movements of the needle found the office. The criteria for getting needles in the office is the occurrence of short sharp pain. In the office of heavy lead 0.2 - 0.3 ml of 0.5% solution of novocaine. Injection solution of novocaine is carried out in the first and last days of treatment. In patients with precipitating factors new office in the described fibers, therefore, the procedures inactivation novocaine repeat or injections of novocaine combine with point or cupping massage in the area of the strands in the three treatments on the course of treatment.

Clinical example. Patient M., 53, directed by a cardiologist with a diagnosis of ischemic heart disease, angina load III functional class, NGOs, atherosclerotic cardiosclerosis, climacteric neurosis, myofascia, chronic pancreatitis in Art. remission, chronic sinusitis in Art. remission. The patient disturbed daily, several times a day, gnawing, sometimes compressive attacks of pain in the sternum, in the left half of the chest, in the region of the left scapula. Attacks of pain first appeared in late November 1993 after suffering a St who their menstrual cycle. The patient, in addition, disturbed sleep, headaches, fatigue, irritability, tearfulness, anxiety, sporadic feelings of anxiety, depression, apatia, depression. Conclusion ECG before treatment from 02.11.1993, - lack of blood supply to the myocardium in the anterior, posterior wall and the apex of the left ventricle. Treatment: 10.12.1993, and 28.12.1993, in the office three trigger fibers localized in the region of the lower edge of the left scapula, was administered in 0.2 - 0.3 ml of 0.5% solution of novocaine, 16.12.1993,, 17.12.1993, and 22.12.1993, near the location of the trigger cords were conducted braking method acupressure, 15.12.1993,, 18.12.1993,, 21.12.1993, and 25.12.1993 was carried out cupping massage the neck interscapular areas. ECG from 15.12.1993, in comparison with ECG from 02.11.1993, some improvement of blood supply to the anterior wall and apex of the left ventricle. Reduction in myocardial blood supply to the posterior wall of the left ventricle. ECG from 29.12.1993, in comparison with ECG from 15.12.1993, the trend of improvement in myocardial blood supply to the posterior wall of the left ventricle. ECG after treatment 17.01.1994, in comparison with ECG from 29.12.1993, the restoration of blood supply to the myocardium of all departments of the left ventricle. At the same time in the course of treatment b is in the left half of the chest, in the region of the left scapula. Partially smoothed out the symptoms of neurosis. The electrocardiogram of the patient from 02.11.1993,, 15.12.1993,, 29.12.1993, and 17.01.1994 was represented in the application.

The rationale of the proposed method. Activation of trigger points (TPS) or the office of trigger fibers under the influence of precipitating factors coinciding with IBS and myofasciitis, leads to the development of reflex-reflected pain and reflex-reflected autonomic disorders, including arteries spasm, numbness. This phenomenon has been described in numerous literature. To date, the known number of muscles, the presence of active TT feigns the symptoms of angina: chest, heart pain, radiation of pain and onemany in the area of the left shoulder, the hand, in the fourth and fifth fingers of the left hand. Substernal pain simulate active TP in sternal muscles, and the intensity of reflected pain can be extreme in intensity. Pain in the heart simulate active TP in major and minor pectoral muscles. In addition, the number of TPS in the muscles of the shoulder girdle, chest and neck, the activation of which gives different mosaic reflected pain and onemany, aggravating the severity of coronary artery disease, angina and myocardial infarction. Describe what Giardia and arrythmia (Travell j. G., D. Simons, Myofascial pain, M.: Medicine, 1989; Ivancev, A. Painful muscle seals, Kazan: publishing house. Kazan University, 1990).

In patients with coronary artery disease in the lower angle of the left scapula palpable trigger strands, causing reflex-reflected coronary artery spasm. The office of trigger strands that are closer to the spine in the lower angle of the left scapula, causing ischemia of the posterior wall of the left ventricle. The office of trigger bands, localized in the lower angle of the left scapula closer to the posterior axillary line, lead to reflex Pressor violation of the coronary circulation to the anterior wall of the left ventricle of the heart. Inactivation of the above-described trigger cords causes the correction of abnormalities of coronary blood flow, reducing or completely removing the reflex spasm of the coronary arteries, reducing or kopurua subjective manifestations of coronary heart disease.

Circumscribed trigger strands are elastic, round seal with a diameter of 2 to 4 mm, a length of 4 to 6, see Palpation of such serious causes mild pain, but in a certain place strand can detect a slight thickening of maximum tenderness (ILO), the severity of painful the making of coronary blood flow of the proposed method will depend on the availability unavailable for inactivation of the office of the described trigger strands in the left subscapularis area at the maximum raised the blade; from the severity of the transition of the office of the described trigger serious stage of neuromuscular dysfunction in stage degenerative changes (Popeljanskij J. Y. and J. other Issues rheumatism, 1976, N 3. S. 38 - 43.); on the presence and severity of atherosclerosis of the coronary arteries and/or microdisperse; from the presence and the severity of the precipitating factors that support the activity of the office of the described trigger cords and degree of activity of the satellite myofascial influences from other

Method for correction of disorders of the coronary circulation, including the reflexogenic zones acupressure, characterized in that exercise introduction 0.2 to 0.3 ml of 0.5% solution of novocaine in the most painful trigger point of the fibers located in the lower left corner of the scapula, and the conduct of cupping massage neck and interscapular areas, acupressure trigger cords, while injection of a solution of novocaine is carried out in the first and last days of treatment, and the procedures of cupping massage neck and interscapular areas alternate with trigger point massage cords, three treatments of treatment.

 

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