The method of treatment of vibration disease

 

(57) Abstract:

The invention relates to medicine, occupational pathology. The method includes the introduction of acupuncture needles in the corporal and auricular points. Use the point total of the regulating neuroendocrine, and immune system. Use superficial acupuncture Mei-Hua-Zhen. The method normalizes the immune system, hormone levels in the blood. 5 C.p. f-crystals.

The invention relates to medicine, namely to occupational pathology and can be used in the treatment of vibration disease.

Known successful use of acupuncture in vibration disease in 70 - 80-ies. Used classical acupuncture - H. M. Zulkharneev "Acupuncture in vibration disease" Methodological letter. Ufa, 1971, S. 31; electroacupuncture - A. E. Lukyanenko et al. Reflexology vibration disease / guidelines. Kharkiv - 1982, S. 14. But these techniques are not effective in all forms of vibration disease. They give poor results in patients with long-existing condition, especially when the pathology of the peripheral nervous and vascular systems is complicated by the defeat with the no, the proposed C. D. Barsky et al. (Barsky C. D., Kolesov Century, the Method of treatment of vibration disease. Auth. mon. N 1395324 from 15.01.88,; C. D. Barsky et al. Reflexology vibration disease from exposure to local vibration. /Educational-methodical recommendations. Irkutsk - 1987, S. 22).

In their study, the authors tried to reinforce therapeutic effects of acupuncture, first, by the combined effects on the acupuncture points of the body and the ear and, secondly, due to the additional irritation of the muscle tissue and the periosteum in the field of painful local acupuncture points. The disadvantages of this method of treatment is that our predecessors were not taken into account the state of the neuroendocrine, and immune systems of patients with vibration disease that reduced the effectiveness of the proposed method.

New data on the pathogenesis of vibration disease was allowed to develop the most versatile directional, pathogenetically reasonable treatment by combined corporale-auricular acupuncture.

The aim of the invention is to increase the effectiveness of treatment of vibration disease.

This goal is achieved through the introduction is indrema for 10 daily sessions. What's new is that in the first procedure used corporal and auricular points common actions. In corporeal point put steel needles for 20 - 30 minutes, auricular points - steel needles for 30 to 40 minutes, or microneedle at a single point 5 - 7 days. The second procedure is additionally used for 1 - 2 auricular points, regulating the neuroendocrine system, replacing them in the procedures followed by other points similar actions affecting them steel needles 30 to 40 minutes, or at one point microneedles 5 to 7 days, followed by the introduction of microneedles in a different point from the same series. With the third-fourth procedure in addition use 1-2 corporeal point regulating the neuroendocrine system, replacing a subsequent procedure points similar actions, and when hypercortisolism irritation hold steel needles harmonizing method with two sides, 10 to 12 minutes, with a hypofunction of a thyroid gland - steel needles strong influence 25 - 30 minutes in Addition, use 1 - 2 corporal points 1 and auricular point, regulating the immune system, affecting the corporeal point steel needles 20 to 30 minutes, and on the auricular point steel needles 30 - 40 min, or seropurulent point combined with superficial acupuncture Mei-Hua-Zhen (MHC) on important and special districts.

When neuromuscular changes at the distal sections of the median or ulnar nerves with 3 treatments affect corporeal point corresponding to the localization of the nerve trunks or branches.

In recent years in the diagnosis of vibration disease have been used radioimmunoassay, immunological research methods and stimulation electroneuromyography, which allowed to reveal the obscure side of the pathogenesis of the disease. In particular, detected by vibration disease hypercortisolism, subclinical variant of latent hypothyroidism, secondary immune deficiency due to the immunosuppressive actions of cortisol indicates a significant role of the hypothalamic-pituitary-adrenal and hypothalamic-pituitary-thyroid parts of the neuroendocrine system in the formation of vibration disease. Electroneuromyography helps to identify neuromuscular disorders on the plots of the median and ulnar nerves, and to diagnose carpal tunnel syndrome (carpal) channel, which is found in 30% of patients with vibration disease. From the latest in 70% of cases detected lesions of the median nerve by nerve conduction even the systems were not known to our predecessors, therefore, when treating patients were not considered violations of the hormonal, immune homeostasis and neuromuscular parameters determined using electroneuromyography.

We obtained new data allow us to apply corporal and auricular acupuncture points, providing corrective influence primarily on the neuroendocrine, immune and peripheral nervous system. This, in turn, extends reflexology, providing versatile directional pathogenetic effect on nerve reflex and neurohumoral mechanisms of the disease. Along with combined corporale-auricular reflexology is superficial acupuncture - Mei-Hua-Zhen (MHC) that were not used by our predecessors in the treatment of vibration disease.

The method is as follows.

The treatment begins with a points total steps: corporeal (for example: GJ 11, E36and aciculare (for example: AT55"Shen-men", AT51, the sympathetic nervous system, AT34"The cerebral cortex and superficial acupuncture Mei-Hua-Zhen (MHC) multineedle hammer, affecting important region="ptx2">

Corporal acupuncture points are chosen in accordance with the condition and symptoms of a particular patient according to the laws of classical acupuncture General, segmental, local and individual pain points ("Chi") in the affected area.

Starting from the second session are used auricular points, providing a regulating effect on the neurohormonal system. To this end, taking into account identified in patients with WB and subclinical hypercortisolism variant of latent hypothyroidism, apply at13"adrenal glands", 22 "gland of internal secretion and 25 "brain-stem", 26a "hypothalamus", 28 "pituitary", 45 "thyroid" and 95 "kidney". The impact on the ATA will be made within 30 - 40 min using daily one or two at, or slow the introduction of silver microneedles in one auricular point for 5 to 7 days, followed by the introduction of next week microneedle to another of the same at.

Since the third-fourth session selected corporeal acupuncture point (TA), which allows to influence the authorities that control the activity of the neuroendocrine system. If hypercortisolemia used MC7, Rp6, R 75 fu-Liu, V 52, reduced content tireoidnykh hormonea with two sides for 10 12 min, while hypothyroidism strong influence for 25 - 30 minutes

Also, since the third session used corporal and auricular points, providing a regulating effect on the immune system TA-J20, J21, since it is known that the external regulation of the organs of immunogenesis is carried out by the environment through the micro-areas of the integument, functionally associated with the immune system.

Internal regulation of immunogenesis is provided by the centers hypoplasy, pituitary gland, thyroid gland, adrenal glands. It is implemented not only through the neurotransmitters of the autonomic nervous system, but largely due to changes in the microcirculation, kislorodolechenie and energy metabolism immune organs and cells. It seems appropriate for all of these mechanisms of internal regulation of immunogenesis also be impacted by reflex from the integument through auricular points 26a - hypothalamus, 28 - pituitary 45 - thyroid, and T. A. E 36, TR 5, MC 6, regulating and stimulating the microcirculation and has a tonic adaptation effect.

Immunostimulatory effect of irritation points THAT P*001 and the t metabolism and immune system G point 14.

Impact on corporal points are symmetrically within 20 to 30 minutes to receive intensive "provided sensations". Irritation auricular points is carried out for 30 to 40 minutes using daily any one auricular points, or leaving silver microneedles in one of the points of the ear for 5 to 7 days.

According to the testimony affect at reflecting damage to a particular area of the upper extremities. Among these points are used at 62 "fingers", at 67 "brush", at 64 "shoulder joint", at 65 "shoulder" at 66 "elbow".

Based on the identified neuromuscular changes at the distal sections of the median or ulnar nerves, is the selection of local TA according to localization of the nerve trunks or branches.

In the area of innervation of the median nerve and its branches are used MC 5, MC 6, MC 7, MC 8. The data THAT are used when carpal tunnel syndrome (carpal) channel. In the area of innervation of the hand ulnar nerve and its branches are used C5, C7, C8, JG3, JG4, JG5, TR 3, TR 4.

Irritation described distal points is carried out to obtain the "sensations provided" considerable intensity, and the needles are mounted on 20 - 30 minutes

When periandros shoulder joint, manifested by pain in the anterior region of the shoulder, used TA: GJ15, GJ14, P1, P2.

Pain in the upper, outer region of the shoulder and shoulder joint effect on point and GJ16, VB21, JG14, pain in the posterior shoulder and shoulder joint most often used JG10. specific point of affecting any lesion of bone and articular apparatus is V 11.

In patients with peripheral angiospastic violations points are used J12, J14, J15, J17, F2, F3, T13, T14, V11, V13, V15, V17, V43, VB21, P9, c5, c7, MC7, MC6, TR6. Irritation of the above points is performed in the first embodiment of the braking method for separation of the needles for 30 minutes

In vibration disease offers several effective combinations distal points. Pain and stiffness in the interphalangeal joints of the hands with the palm of the hand, stroke acropathy that combination MS with unequality points (W) W 94 (si-Feng), or points located between the metacarpal-phalangeal joints 2 to 5 fingers. When pain, stiffness, numbness and swelling of the brush uses a combination TR5 points BT 107 (BA CoE). Irritation points is the harmonizing method ostavleny the existence of the proposed method combined corporale-auricular acupuncture (SC ART) can significantly improve the treatment efficiency of vibration disease from exposure to local vibration with regard to identify when it hypercortisolism, subclinical variants of hypothyroidism, secondary immune deficiency and determined by electroneuromyography neuromuscular disorders. The proposed method of reflexology can reduce the cost of the treatment in connection with the exception of spending money on drugs and ancillary equipment, to reduce the period of stay of the patient in the hospital.

The proposed method SCART shown in vibration disease of any severity. It is recommended to use it for a long, long illness, persistent pain syndrome, lesions of the structures of the osteoarticular apparatus, of the phenomena of polyneuropathy, peripheral angiopathies and angiospastic syndrome hand.

The proposed method of reflexology was applied in the clinic for the treatment of 70 patients with vibration disease. Among treated in 4 people diagnosed with grade I, 50 I - II degree, and 16 people - II stage. 31 patient had a combination of sensory or autonomic-sensory polyneuropathy hands with peripheral angiogenesis or angiospastic syndrome that corresponds to the I - II severity of disease, the ary angiodysplasia and 27 patients leading manifestations was the defeat of structures osteoarticular system: arthrosis of the elbow, less shoulder and wrist joints, periastron shoulder joint, which is inherent in the I - II or II disease. Pathology of the upper extremities in all cases was accompanied by pain syndrome.

The use of the proposed method reflexology helped to achieve significant and good effect in 92.8% of cases. Under significant improvement has been accepted as the dynamics of the disease, when at the end of therapy the patient has completely disappeared clinical manifestations of the disease or had only a private low symptoms. Simultaneously, there was normalization of all or most impaired functional performance. The effect was considered to be good, when after treatment has come a significant regression of the primary or most of accompanying symptom complex with the transition of the disease in mild or isolated form. While there was a strong positive trend of the majority and the normalization of the number of functional parameters.

therapeutic effect with the proposed method, reflexology is achieved quickly. Most patients pain passes or decreases significantly after 3 - 4 sessions, with the most persistent pain effect us the th course of reflexology necessary to normalize hormonal, immunological and electroneuromyographic indicators for fixing clinical outcome for a longer stabilization of chronic disease.

Primer. Patient M., aged 47, miner mining. Clinical diagnosis: Vibration disease II degree from exposure to local vibration (autonomic-sensory polyneuropathy hand, peripheral angiospastic syndrome hands, periastron right shoulder joint, functional failure of the I century). The disease duration of 9 years.

The patient previously for a number of years took medication with little therapeutic effect. When receiving a comprehensive evaluation according to the standard technique with the additional determination of the level of hormones in the blood, immunological studies I and II, electroneuromyographic study indicators. When receiving results revealed hypercortisolemia (882,5 nmol/l), decreased levels of triiodothyronine (T3) (0.9 nmol/l), immunodeficiency due to a significant reduction of a subpopulation of T-suppressors (7%) and imbalance regulatory unit of T-lymphocytes, marked changes electroneuromyographic LASS="ptx2">

I session: GJ 11(2)Qu-Chi, E 36(2)Zu-San-Li - introduced steel needles for 20 min; the right ear (dominant right-handed): at 55 "Shen-men", at 51 "sympathetic nervous system" is introduced steel needles for 30 minutes

II session: TR 5(2)Wai Guan, VB, 21(2)Jian-Jing; VB 41(2)Zu-Lin-Chi - steel needles for 20 minutes - use rule "wonderful" Meridian. Right ear: at 34 "cerebral cortex", at 95 "kidney" - steel needles 40 minutes MHC on areas of the occipital part and the back of the neck and upper back area.

III session: MC 6(2)Nei-Guan - steel needles for 20 min, MS 7(2)Yes-Lin - steel needles for 12 min, harmonizing influence, F3(2)Tai-Chun - steel needles for 20 minutes Right ear: at 13 "adrenal glands", at 22 "the glands" - steel needles 40 minutes MHC on special areas - the inner area of the forearm, inner wrist.

IV session: P2(2)Yun-men, P7(2)Les-cue, J17 tan-Zhong, J21 Xuan-JI - steel needles for 20 minutes Right ear: at 26a "hypothalamus", at 67 brush - steel needles 40 minutes MHC on the inner shoulder, an outer shoulder, sternum and chest.

After 4 sessions the majority of the symptoms is olode, confirming the positive symptoms PAL and white spots, also there is a slight pain and limitation of range of motion in the shoulder joint, i.e. remain phenomena periostraca. To address these clinical changes, and normalize hormonal, immunological and electroneuromyographic indicators is further treatment.

V session: T 14 Yes-Jui, V11(2)Yes-Zhu GJ 16 Ju-GU, right, GJ 15 Jian-Yu right - steel needles for 30 min, V52(2)Zhi-Shi - steel needles for 10 min harmonizing influence. Both ears: set microneedle in at 25 "brain stem". MHC on the outer areas of the shoulder and forearm, and upper back area.

VI session: MC 6(2)Nei-Guan, W 94(2)Si-Feng - steel needles for 10 min harmonizing influence, J 20 Hua Gai - steel needles for 20 minutes PR 6(2)San-Yin-Jiao - steel needles for 10 min harmonizing influence. Right ear: at 62 "fingers", at 64 "shoulder joint" - steel needles for 30 minutes

VII session: P 1(2)Zhong-fu, J 12 Zhong-WAN - steel needles for 30 min, R 7(2)Fu-Liu - steel needles for 10 min harmonizing influence. Right ear: at 45 "micans: GJ4(2)Hae-GU, GJ14(2)Bi-nao, V13(2)Fay-Shu, V43(2)Gao-Juan - steel needles 25 minutes Right ear: at 28 "pituitary", at 64 "shoulder joint" - steel needles 40 minutes

IX session: TR 5(2)Wei-Guan, VB, 21(2)Jian-csim, VB, 41(2)Zu-Lin-Chi - steel needles for 20 minutes, use rule "wonderful" Meridian. The right ear at 95 "kidney" - steel needles 40 minutes

X session: GJ 10(2)Show-San-Li, E 36(2)Zu-San-Li - steel needles for 20 minutes Right ear: at 55 Shen-men, at 51 "sympathetic nervous system" - steel needles for 30 minutes Removed previously installed microneedle, the treatment is completed. In the treatment of pain in the hands, Oneonta and paresthesia hands passed passed bouts clenched fingers, normalized night sleep and blood pressure, disappeared asthenoneurotic phenomena, range of motion in the shoulder joint full, local pain is absent, gone are the symptoms of pál and white spots, brush became drier and warmer.

Came normalization threshold of pain and vibration sensitivity. The content of cortisol in the blood decreased considerably to 535,0 nmol/l, and triiodothyronine increased to 1.3 n/mol/l, increased the level of T-suppressors - up to 18%, and due to this, the normal is ski performance. Period distal latency decreased to 2.4 M. S. Dynamics of the disease after treatment were assessed as practical recovery.

Example 2. Patient S., aged 45, miner mining. Clinical diagnosis: "Vibration disease II degree from exposure to local vibration (autonomic-sensory polyneuropathy hand, peripheral amiodaronesee the hand syndrome, arthrosis of the elbow joints, functional failure TN Art. I) disease Duration of 8 years.

When conducted examination revealed increased blood levels of cortisol 772,5 nmol/l, decreased levels of triiodothyronine - 1.0 nmol/l, the reduction of a subpopulation of T-suppressors - 5%, thereby increasing the index of regulation of cellular immunity (Tx/Tc) - 6.4 (T-helpers - 32%) identified changes electroneuromyographic indicators that indicate pathology of the median and ulnar nerves: the period of the distal latency of the median nerve is 4.8 M. S., while the term distal latency of the ulnar nerve - 3,6 M. S.

I session: GJ4(2)Hae-GU, E 36(2)Zu-San-Li - introduced steel needles for 20 minutes Left ear (the dominant left-handers): AT "Shen-men", at 34 "cortex" - is-Ling-qi - steel needles for 20 minutes, use rule "wonderful" Meridian. Left ear: at 51 "sympathetic nervous system", at 22 "the glands" - introduced steel needles for 30 minutes MHC on areas of the occipital part and the back of the neck, the upper back area.

III session: P 1(2)Zhong-fu, P 5(2)Chi-TSE, J 20 Hua Gai - steel needles for 20 minutes Left ear: at 25 "brain-stem", at 67 brush - steel needles 40 minutes MHC on the sternum and chest.

IV session: MS 7(2)Yes-Lin, RP 6(2)San-Yin-Jiao - steel needles 12 min harmonizing influence, MS 6(2)Nei-Guan - steel needles for 20 minutes Left ear: at 28 "pituitary", at 66 "elbow joint". The right ear at 66 "elbow" - steel needles 40 minutes MHC on the inner wrist.

After 4 sessions was still in pain and slight limitation of motion in extension in the elbow joints, significantly decreased numbness in the hands, but was saved by 4 - 5 fingers of both hands.

V session: TR 4(2)Yang-Chi, TR 10(2)Tien Ching, V 11(2)Yes-Zhu - steel needles for 20 minutes Both ears: set microneedle in at 13 "adrenal glands". MHC on the upper area of the back, the outer edge of the shoulder and is 30 minutes Left ear: at 26a "hypothalamus", at 66 "elbow"; the right ear; at 66 "elbow" - steel needles 40 minutes

VII session: JG 3(2)HOU-C, JG 4(2)WAN-GU, T 14 Yes-Jui strong influence - steel needles for 20 min, V 52(2)Zhi-Shi - steel needles 12 min harmonizing influence. Left ear: at 45 "thyroid gland", at 95 "kidney" - steel needles 40 minutes

VIII session: MC 6(2)Nei-Guan, F 3(2)Tai-Chun - steel needles for 20 min, MS 7(2)Yes-Lin - steel needles for 10 min harmonizing influence, J 21 Xuan-JI - steel needle for 20 minutes Left ear: at 62 "fingers" - steel needles for 40 min; MHC on internal areas of the forearm and wrist.

IX session: TR 5(2)Wei-Guan, VB, 21(2)Jian-Jing, VB, 41(2)Zu-Lin-Chi - steel needles for 20 minutes, use rule "wonderful" Meridian. Left ear: at 34 "cortex" - steel needles for 40 min; after the session is removed microneedle out at 13 "adrenal glands".

X session: GJ 11(2)Qu-Chi, E 36(2)Zu-San-Li - steel needles for 20 minutes Left ear: at 55 "Shen-men; at 51 "sympathetic nervous system" - steel needles for 30 minutes

MHC on areas of the occipital part and the rear surface W is tevah joints, Oneonta and parasthesia hand held, chilliness brushes don't care range of motion in the elbow joints almost full, local pain is absent. Came normalization threshold of pain and vibration sensitivity. We found a decrease in previously elevated blood cortisol with 772,5 nmol/l to 468,0 nmol/l; increased levels of triiodothyronine from 1.0 nmol/l to 1.4 nmol/l; the increase in the subpopulation of T-suppressors from 5% to 17%, which accounts for the observed decrease of the index of regulation of cellular immunity (Tx/Tc) from 6.4 to 2.0 (T-helpers - 34%); decreased time period distal latency of the median nerve from 4.8 meters C. to 2.3 M. S. ; the ulnar nerve from 3.6 M. C. up to 1.8 m S. the Dynamics of the disease after treatment were assessed as practical recovery.

1. The method of treatment of vibration disease by introducing acupuncture needles in the corporal and auricular points, and the choice depends on the leading clinical syndrome, a course of 10 treatments daily, characterized in that the first procedure used corporal and auricular point total of the (corporeal point - steel needles for 20-30 minutes; in the auricular - steel needles 30-40 min); the second procedure additionally ispolzuya procedures (steel needles for 30-40 minutes or silver microneedle at a single point 5-7 days); with the third - fourth procedure in addition use 1-2 corporeal point regulating the neuroendocrine system, with the replacement of their points from the same number in the following procedures; 1-2 corporeal point (steel needles for 20-30 minutes) and 1-2 auricular points (steel needles for 30-40 minutes or silver microneedle for 5-7 days), regulating the immune system with the replacement of their points from the same number in the following procedure.

2. The method according to p. 1, characterized in that the third and subsequent impact on corporeal point of the neuroendocrine system in hypercortisolemia hold steel needles harmonizing method with two sides, 10-12 minutes, when hypothyroidism is a strong way for 25-30 minutes

3. The method according to p. 1, characterized in that when you change neirobiologicheskie indicators at the distal sections of the median or ulnar nerves with a third procedure affect corporeal point corresponding to the localization of the nerve trunks or branches.

4. The method according to p. 1, characterized in that, to increase the effectiveness of treatment, the impact on corporeal point combined with superficial acupuncture Mei-Hua-Zhen (MHC).

5. JV is with the third procedure, additionally use a combination of point MS6with unequality points W 94 or points located between partnerlanguage joints 2-5 fingers.

6. The method according to p. 1, characterized in that when the painful manifestations in the brush, with the third procedure uses a combination of point TR 5 points W 107, or a combination of IG-3 and IG-4.

 

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