The method of treatment of lumbar degenerative disc disease
(57) Abstract:The invention relates to medicine, and neurology. Determine the state of redundancy or failure at the tendon-muscle meridians (SMM) channels bladder V and gallbladder VC. Spend acupuncture and warming of active points based on the status of redundancy or failure. Additionally perform acupuncture without warming up points V40, VB32, VB38, V57, V27, V28. The method contributes to the achievement of remission. The invention relates to medicine, namely to neurology and reflexology can be used in the treatment of lumbar degenerative disc disease.Widely known large prevalence of osteochondrosis in the population, a high level of morbidity with temporary disability, the frequency and the maximum intensity of exacerbations in the most productive age. The most clinically relevant, as it is known, is a lumbar osteochondrosis. Despite the undoubted successes in the development of theoretical and practical aspects of the problem, the prevalence of lumbar degenerative disc disease is not reduced.There is a method of treatment of lumbar osteochondral the neurological syndromes of the cervical and lumbar degenerative disc disease. Health Of The Russian Federation 1985. No. 3, S. 27-29.).Known method of acupuncture (Gabaa luvsan. Essays methods of Oriental reflexology. Novosibirsk: "Nauka" 1991. C. 263-270) for the treatment of lumbar degenerative disc disease, including using points: VB30, VB31, V60, V40, V37, VB32, VB33, VB34, V54, V36, V61, V57, E32.The disadvantage of these methods is the lack of efficiency, high recurrence rate after treatment.Closest to the claimed is a method of treating lumbago and sciatica using acupuncture and moxibustion (Gabaa luvsan. Traditional and modern aspects of reflexology - M.: "Nauka" 1990. C. 374-376.), consisting of acupuncture points: V52, VB25, VB41, V27, V28, V57, VB36, E38, V60, V59, at the point V23 in lumbago and E36 with sciatica needle injected for 10 minutes, then sear.The disadvantage of the prototype is that points are selected nedifferentsirovannoi, there is no clear sequence of insertion of needles at various syndromes prizhivaetsya by one point.The objective of the invention is the creation of a more effective method of treatment of lumbar degenerative disc disease with prolonged remission.This object is achieved in that after Opera V and gallbladder VB, and when the condition of redundancy in SMM bladder V and gallbladder VB treatment is carried out by heating the first and second day points V60 and V63, the third point VB30, V25, V26 on the affected side, the fourth - V60, V63, fifth, sixth, seventh days of treatment is to warm up the point VB30, V25, V26, an eighth point V60, V63, while state failure in SMM bladder V and gallbladder VB treatment is carried out by heating the first and second day points V67, V66, third - VB30, V25, V26 on the affected side, the fourth - V67, V66, fifth, sixth, seventh days of treatment is to warm up the point VB30, V25, V26, eighth - V67, V66, at the same time perform as redundancy and failure SMM advanced acupuncture without warming up points V40, VB32, VB38, V57, V27, V28.The novelty of the method:
1) determining the status of redundancy and failure in SMM channel of the bladder and gall bladder (i.e., two channels and not three, as in the prototype, as in the syndrome of lumbar ischialgia the stomach channel E is not affected) allows a differentiated selection of points depending on the function.2) Warming of 2 to 3 points at a time (for each treatment) with acupuncture provides: (a) improving the microcirculation in the point area, which leads to the recovery point; b) additional impact on the pathogenetic mechanisms of lumbar degenerative disc disease
3) And acterized integrated approach, coming from the initial impact point distally located, irritation which is perceived by the body more intensely, as many receptors, also distal points are points of control, contributing to normalize the function of the SMM, which corresponds to the muscle groups most commonly involved in pathological processes. Impact on paravertebral points, which are mainly influenced by local importance, contributing to the recovery of neuromuscular conduction, avoids the formation of pathological substrate in the form of fibrotic lesions, which occur frequently and in the following are a source of irritative pain, which contribute to the provocation of new exacerbations.4) Eight-day course of treatment provides the most effective results, achieving rapid regression in the process of treatment and rehabilitation activities. As a result, total reflex influence on biologically active points renegotiated improvements gained more than seven days, which eliminates the need to carry out the treatment by this method more than eight days.5) Additional impact on some acupuncture points methodname local character.The proposed method is as follows:
Patients, in addition to clinical and neurological examination was conducted acupuncture diagnosis, including overall inspection, inspection micropuncture systems (ears, tongue, nose, lips and eyes), kinesthetically diagnosis of the meridians and their corresponding organs on the points of sympathy (Shu) and points alarm (Mo), pulse diagnostics and targeted survey.Based on the data of acupuncture diagnosis was determined by the condition of redundancy and failure in the Meridian system of the body. All patients in the acupuncture report noted the defeat of the tendon-muscular Meridian (SMM) channels bladder V and gallbladder VB. Clinically stage deficit syndrome in lumbar osteochondrosis consistent with state failure in SMM affected channel, irritative stage syndrome - the condition of redundancy.Given the stage of the syndrome and features state of the channels V and VB carried out the selection of acupuncture points and was affected by the method of thermal therapy (moxibustion). therapy was performed wormwood (using heating devices) for additional activation dasini and set on fire. The criterion for the duration of the procedure was the subjective sensation of heat (50-60oC) the patient, which averaged 8 to 10 minutes per session (not more than 4 acupuncture points.When redundancy hmm bladder V and gallbladder VB thermotherapy were points:
V60 (point-Jin) - activates the internal process and soothes the external course of the channel of the bladder, helps to reduce pain.V63 (North point) - dissipates excess energy, which leads to decrease in pain.VB30 - to reduce the pain in buttocks and leg.V25 and V26 - match segments L3-L4 and L4-L5 to restore innervation by segment, reduce back pain, leg.On the first day warmed up point V60, V63. Points are open 24 hours.The second day V60, V63. Point work 48 hours.The third day VB30, V25, V26, on the affected side, to restore innervation segment and reducing the pain.The fourth day V60, V63. Point work 96 hours. Fifth, sixth, seventh days of treatment warmed up point VB30, V25, V26.The eighth day V60, V63. Points are 192 hours.When failure hmm bladder is Yaya available failure.V66 (point-ion) - tones outside the course and soothes the internal passage channel of the bladder.VB30 - to reduce the pain in buttocks and leg.V25 and V26 - match segments L3-L4 and L4-L5, to restore innervation by segment, reduce back pain, leg.The first day warmed up point V67, V66. Points are open 24 hours.The second day V67, V66. Point work 48 hours.The third day VB30, V25, V26, on the affected side, to restore innervation by segment, relieving pain.The fourth day V67, V66. Point work 96 hours.Fifth, sixth, seventh days of treatment warmed up point VB30, V25, V26.The eighth day V67, V66. Points are 192 hours.Was also performed acupuncture as when redundancy and failure points V40, VB32, VB38, V57, V27, V28, which were painful to palpation, and shimmering point that does not coincide with acupuncture, along with the main points, but without warming up.The course of treatment was 8 days, as it was mentioned the most positive results in relieving pain and recovery additional method obsledovanie is in the lumbar spine, radiating into the right leg on the back surface to the heel bone. Pain increases in the supine position.From the anamnesis: it is believed patients within 3 years. About this exacerbation within 12 days were treated in the clinic: physiotherapy, therapy. As a result of the treatment effect is not watching.Objectively: the patient is in satisfactory Condition. Gentle gait (limp on the right leg). Flattened lumbar lordosis. Palpation is defined pain L5 S1 vertebrae, paravertebral tissue in this area is moderately painful, at the point of the piriformis muscle on the right is defined pain with radiating leg to the calf muscle. In the course of the channel V-marked soreness, along the canal VB reasonable. Tendon reflexes live d = s. Sensitive no violations.R-gr. POP: osteochondrosis of the L4-L5 1 period, L5-S1 2 period.By Voll was rising RFU threshold above 60 channels V and VB.Pulse diagnosis: increased strength and filling pulse at points V and VB, redundancy in SMM these channels.Diagnosis: Lumbar osteochondrosis L4-L5 1-period, L5-S1 2-period.Chronically-recidiviruyuschee nepen clinical manifestations.Conducted course thermotherapy and acupuncture (8 days) on biologically active points (BAP): V60, V63, V25, V26, VB30, VB32, V27, V28, V57 and shimmering point.After the treatment pain almost completely stopped. Palpation in the paravertebral region of the light soreness, along the channels V and VB pain there. Pulse diagnosis: it was noted the alignment of forces and the filling pulse at points V and VB. By Voll RFU threshold was observed in the range 50-65 in the channels V and VB.During the follow-up monitoring within 1 year of the manifestation of osteochondrosis was mentioned once after heavy exercise, short-term (1-2 days).Example No. 2. Patient S. 47 years.Was admitted with complaints of lower back pain, radiating to the left leg on the back of the leg to the heel bone. Paresthesia in the area of the leg and foot.From the anamnesis: it is believed the patient within 10 years. This exacerbation within one month. Treated: drug therapy, physiotherapy, acupuncture. As a result of treatment marks a slight improvement.Objectively: the patient is in satisfactory Condition. Gentle gait.Smooth clear up to the popliteal region, in the course of the channels V and VB.Tendon reflexes live d = s. Signs of hypesthesia along the L5 root.R-gr. POP: osteochondrosis of the L3-L4 1 period, L5-S1 3 period.Pulse diagnosis: decreased strength and filling pulse at points V and VB, failure in SMM these channels.By Voll has decreased threshold below 50 RFU by channel V and VB.Diagnosis: Lumbar osteochondrosis L3-L4 1 period, L5-S1 3 period, chronically relapsing neprochitannoe for, aggravation, stationary phase, stage deficit syndrome lumbar ischialgia left 3 degree of clinical manifestations.Conducted course thermotherapy and acupuncture (8 days) BAHT: V67, V66, VB30, V25, V26, V27, V28, VB32, V40, V57, V58 and shimmering point.After the treatment pain almost completely stopped. Palpation light pain in the L5-S1 vertebrae. At the point the piriformis muscle, along the channels V and VB pain was copied. Restored the sensitivity along the L5 root.Pulse diagnosis: it was noted the alignment of forces and filling pulse at all points. By Voll: RFU threshold in the channels V and VB were observed within 50-60.When catamnestic. Short 2-3 days.The proposed method of treatment is effective for relief of pain with vertebral lumbar ischialgia without the use of drug therapy contributes to the achievement of remission. In this way treated more than 30 patients with clear results improve. The method of treatment of lumbar degenerative disc disease, based on acupuncture and applied to the active points, characterized in that after determining the state of the redundancy and failure at the tendon-muscle meridians (SMM) channels bladder V and gallbladder VB, and when the condition of redundancy in SMM bladder V and gallbladder VB treatment is carried out by heating the first and second day points V60 and V63, in the third - points VB30, V25, V26 on the affected side, the fourth - V60, V63, fifth, sixth, seventh days of treatment is to warm up the point VB30, V25, V26, eighth - point V60, V63, while state failure in SMM bladder V and gallbladder VB treatment is carried out by heating the first and second day points V67, V66, third - VB30, V25, V26, on the affected side, the fourth - V67, V66, fifth, sixth, seventh days of treatment is to warm up the point VB30, V25, V26, eighth - V67, V66, in addition carried out as in huts
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.