The method of treatment cervicobrachialgia neck osteochondrosis
(57) Abstract:The invention relates to medicine, and neurology. Previously perform acupuncture points Ig3 m V59. Then spend biopuncture impact on the point in the area of the pain. The needles are pre-cooled to a temperature of from 4 to 8oC. This temperature is maintained throughout the session. The procedure duration is 30 minutes treatment - 10 sessions. The method increases the duration of remission. The invention relates to medicine, namely to neurology and reflexology, and can be used in the complex treatment of cervicobrachialgia with cervical osteochondrosis.Pain syndromes of the cervical osteochondrosis is an important issue in clinical medicine. This is due to its prevalence in people dawn creative forces and capabilities, causing the decline and loss of earning capacity.There is a method of biopuncture, consisting in the introduction of acupuncture needles in the usual way, after which it attach the device to cryosurgery lens (Macheret E. L., Samosyuk I. H., Lysenok B. N. Reflexology in the treatment of diseases of the nervous system. - Kiev: Health 1, 11, V12, V58, V60, V32, VB11, VB19, VB15, Gi4, Gi11, VB3, VB4, VB5, VB6, VB38, TR6, TR15, VG19, V7, VG11 (Gabaa luvsan. Traditional and modern aspects of Eastern reflexology. Variant 1991, pp. 311-312).The disadvantage of this method is low efficiency, undifferentiated selection of points.Closest to the claimed method is the use of acupuncture in the treatment of cervicobrachialgia (Macheret E. L., Samosyuk I. H., Lysenok B. N. Reflexology in the treatment of diseases of the nervous system. - Kiev: Health, 1989, pp. 53-56), consisting in acupuncture acupuncture points combined with auriculotherapy and cupping massage uses point Ig3, V62, V10, VB20, VB17, P7, TR2, Ig2, VG15, VG19, V11, V60, V67, E8, Gi4, VB7, VB43 and auricular points (AP55, AP51, AP29, AP37, AP28).The disadvantage of this method is that the pain be slow to regress, selection of points undifferentiated.The objective of the invention is to improve the effectiveness of treatment of cervicobrachialgia, rapid relief of pain with prolonged remission and differentiated selection of acupuncture points depending on the localization of the pain.This object is achieved in that at all kinds of localization is biopuncture impact on the point in the zone of localization of pain pre-cooled to to+4 - +8oC needle, followed by maintaining this temperature during the entire session, if the pain in the occipital region to biopuncture use point VB20 and VG16, the localization of pain in the frontal part of the point E8 and tai-Yang, the localization of pain in the temporal-parietal - point VG20 and VB8, and in the diffuse headache - point E8, VB8, VG20, VB20. In all types of pain produce daily acupuncture points E36 and Gi11 regulating hemicircular F5 MC 6 and C7, psychogerontology point VG20, system-specific points-headache - Gi4 and Yin-Tang. The impact of the point Ig3 is carried out in the first and seventh day of treatment, V59 1-St, 2-nd, 4-th, 8-th and 10-th day. The procedure lasts 30 minutesThe novelty of the method:
1. Prior periods Ig3 and V59 treatment provides a priority impact on the level of wonderful Meridian Du-Mai responsible for the functional state of the spinal column and the nervous system.2. Additional application biopuncture, the point of impact of the pain of the needle, cooled to +4 - +8oC allows you to enhance the blood circulation in this area, since the cooling of the skin vessels spasm occurs, whereas in gudenaa were confirmed registration quantitative indicators of venous blood flow by the method rheography (G. Tnavsky, 1979). Research (A. S. Paintal, 1971), it was shown that lowering the temperature slows down the development of excitation after a delay of blood circulation, decreases the sensitivity of the receptor zone on a chemical agent.The temperature is selected in the parameters that provide sufficient irritating effect, while retaining tissue metabolism and does not overcooling and freezing of the tissue fluids.3. Differential selection of points for each type of pain enables you to use the minimum number of needles with maximum effect in contrast to the known methods of treatment.4. Impact on health, psychogerontology, point system specific actions with headaches, point system specific steps in the pathology of muscles and ligaments provides activation of sanogenetic reactions in the core of the regulatory and functional systems of the body, such as musculoskeletal, cardiovascular, autonomic, Meridian, thereby reducing the treatment time and increase the period of remission.5. The selection and order of introduction of the needle on the days of treatment due to the activity of biologically essa, affecting local changes in tissues and organs, normalizing the nervous and humoral regulatory processes, eliminating the pain.6. Time of 30 min was chosen as a result of practical experience and is absolutely sufficient as treatment for 10 sessions.The proposed method is as follows. After establishing a clinical diagnosis, the shape, the severity of the disease, clinical and paraclinical examination of the patient performed traditional acupuncture diagnosis. Based on the data of acupuncture diagnosis define the characteristics of bioenergy violations of the Meridian system of the body of the patient, carry out the selection of points and methods of influence.When cervicobrachialgia due to vertebrogenic disorders, in all types of pain, the impact of exercise on at Ig3 (dot key Meridian Du-Mai) toning method (BU) to the sensations provided (swelling under the needle, feeling hot, sweating). Traditional Oriental ideas Meridian Du-Mai controls the functions of the entire spine. Cervicobrachialgia refers to the syndrome, which is formed due to the on which means the priority of its formation for functional disorders. AT Ig3 activates the Meridian, thereby providing oldestablished action.Then carry out impact AT V59 (Ce - item Meridian Du-Mai) toning method Boo, is part of the Meridian Du-Mai and has the traditional Eastern view active analgesic effect. Accordingly has a relaxing effect on spastic tendon-muscular education and vessels of the whole body, including peripheral vessels of the brain.After that in each case there is an additional biopuncture impact on the point in the area of the pain.If the pain in the occipital region is above acupuncture points Ig3, V59 and cryopuncture AT VB20 (traditional Oriental views at the start of the Meridian Du-Mai activity of this Meridian increases and the zone of influence is greater than the area of the projection of a single channel. Accordingly, AT VB20 gets into the zone of operation of the Meridian Du-Mai and is used here as a point of local actions in view of its proximity to the vertebral artery, has a normalizing effect on the brain vessels), as well as biopuncture the Yu liquor-dynamic changes. Is the point of input to the brain).If the pain in frontal region of the main points Ig3 and V59, it is then biopuncture E8 (not a standard point of the Meridian Du-Mai, but is a native point of the stomach channel, comprising Meridian Du-Mai. E8 the aggregation point of the tendon-muscular meridians V, VB, E, which justifies its use in order to eliminate muscle spasms in the neck and head), and tai-Yang (uncinula point specific actions for headaches).When localization in the temporal-parietal region is a major point of Ig3 and V59, cryopuncture VG20 (own point of Meridian Du-Mai, the exit point of the inner course of the Meridian Du-Mai. Contributes to the stabilization liquor-dynamic processes. Has obscurantism effect, promotes relaxation of vascular tone, especially effective in the area of the head), cryopuncture point VB8 - (located next to the parietal artery and has a specific action on the vessels).In diffuse headache acupuncture main points Ig3 and V59, cryopuncture E8, VB8, VG20, VB20. The choice of method of biopuncture based on the fact that the Eastern positions headache is an excess of Yang in the upper ebohr points (VB20, VG20, VG16, E8, tai-Yang, VB8) is as follows: local points are entered pre-cooled to(+4) - (+8)oC the acupuncture needle, the handle of which is attached, for example, a special nozzle-cups, which are placed pieces of ice. Procedure patients tolerate easily. The duration of the session is 20 minutes, If necessary in a Cup add new pieces of ice to maintain the initial temperature of the cooling needle.Simultaneously with the main acupuncture points are bracing point E36, Gi11; the point total of the governing hemicircular F5, MC6, C7; psychogerontology point VG24; point system-specific headache Gi4, Yin-Tang.The treatment course is 10 sessions held daily. Impact on the management point Ig3 method of acupuncture is carried out in the 1st and 7th day, to the point V59 1-St, 2-nd, 4-th, 8-th and 10-th day, and restorative, palliative, point system-specific actions every day. Cryotherapy was performed every day. The total duration of the procedure was 30 minutesExample.Patient S. , aged 47. Diagnosis: Cervical osteochondrosis C5-C6, C6-C7, chronically relapsing neposredestvenno left, 3rd degree of clinical manifestations.He complained of paroxysmal headache (diffuse type), beginning in the cervical spine, neck left with irradiation to the left ear, crown, forehead and temple to the left (in the area of taking off the helmet). Neck pain is more to the left with irradiation to the shoulder girdle, arms.From the anamnesis: neck pain disturb more than 10 years. Headaches for about 6 months. Contacted the clinic where she was held the following treatment: antispasmodics, vascular therapy, magnetotherapy. As a result of the treatment effect was not observed.Objective: the internal organs within the age-related changes. HELL 110/60 mm RT.article on the right, 90/50 mm RT.article - on the left.Irritable, emotionally not stable. The movement in the cervical spine is not limited, but painful. The symptom of cervical Lasaga left. Painful point of the vertebral artery on the left, the ERB's point and nadenbousch from two sides. The voltage of the right trapezius muscle. Brush wet, cyanotic. On radiographs of the cervical spine using functional tests: hiperlans at the level of C3-C4, C4-C5. In other segments lordosis is missing. Subluxation by Kovacs C3-C4, C4-C5. The front agnostic - increased strength and filling in the points of the meridians E and Ig.Conducted a course of acupuncture (10 sessions) acupuncture points Ig3, (1-th and 7-th day), V59 (1-St, 2-nd, 4-th, 8-th, 10-th day). Bracing point E36, Gi11 (daily), point regulating hemicircular F5, MC6, C7 (daily); psychogerontology point VG24 (daily), point system-specific headache Gi4, Yin-Tang (daily). At the same time was carried out cryotherapy on local points VB20, VG20, VG16, E8, VB8, tai-Yang (daily, 20 min). Procedure duration was 30 minutesAfter the treatment pain almost completely stopped. Kept a slight difference in the AD on the left and right hand. On pulse diagnosis: the alignment of forces and the filling of the pulse wave at the point of diagnosis meridians E and Ig. During the follow-up observation for 6 months once noted a feeling of heaviness in the occipital region, paroxysmal headache was not.Thus, a differentiated approach to the treatment of cervicobrachialgia combined cryotherapy and acupuncture allows to quickly arrest the pain and to achieve remission, which greatly enhances the 80 patients, the effectiveness of the treatment was confirmed by mild clinical manifestations, long-term remission (follow-up observation from 6 months to 1 year) and no recurrence. The method of treatment cervicobrachialgia when cervical osteochondroses, including acupuncture acupuncture points, characterized in that produce daily acupuncture points E36, Gi11, P5, MC6, C7, VG20, Gi4, Yin-Tang, while previously in the first and seventh days of treatment acupuncture points Ig3, and in the first, second, fourth, eighth and tenth days - acupuncture points V59, then spend biopuncture impact on points located in the area of the pain, needles, pre-cooled to a temperature of from 4 to 8oWith, followed by maintaining the temperature during the whole session, if the pain in the occipital region to biopuncture use point VB20 and VG16, the localization of pain in the frontal part of the point E8 and tai-Yang, the localization of pain in the temporal-parietal - point VG20 and VB8, and in the diffuse headache - point E8, VB8, VG20, VB20, the procedure lasts 30 minutes, the course of treatment - 10 sessions.
SUBSTANCE: method involves applying thermoacupuncture treatment to local points when pain is localized on posteromedial articulation surface, suprahumeral and posterocervical zone. Needle treatment is applied in harmonizing way to points of generally strengthening action, symptomatic points and points of systemic action. Points of V64, IG4, IG6 are pierced with needles at the first, second, fourth and eighth treatment day. Visceral organs pathology being the case, Shu- and Mo-points of injured meridians are treated with needles.
EFFECT: prolonged remission period.