The method of complex treatment of neurosis in adults

 

(57) Abstract:

The invention relates to medicine, particularly acupuncture, psychotherapy. Examine the condition of the body. Carry out a comprehensive impact: prescribed drugs, spend psychotherapy, the percutaneous electrical nerve stimulation, acupressure and deep massage of the neck and Voroncova area, back, lumbar and sacral area, gluteal areas. Pulse and acupuncture diagnosis determine the functional state of the meridians of the heart, pericardium, kidney, gall bladder. Spend acupuncture, have been considered, magnetothermopower, light puncture in auricular and corporeal points identified in the diagnosis changes. The method reduces the time of treatment. 3 C. p. F.-ly, 1 table.

The invention relates to medicine, namely to psychotherapy, and can be used in the treatment of neurosis in adults.

The urgency of the invention is evident from the analysis of the epidemiology of neurosis: over the last 20 years the annual growth of neuroses in 15 industrialized countries was 14.8% (B. D. Petrakov, B. D. Tsygankov. Epidemiology of mental disorders. M, 1996. -121 C. ). Neuroses are closely connected with disharmony with the treatment of neurosis (Fedorov A. P. Protracted neuroses and psychotherapy. Abstract. dis. exercises. step. Doc. the honey. Sciences. St. Petersburg, 1995. - 39 S. ), consisting in the application of a comprehensive system of student-centered psychotherapy with the inclusion of gestalttherapie, cognitive and behavioral psychotherapy and pharmacotherapy.

The disadvantage of this method is low efficiency (improvement -67,6%, a significant improvement and 17.3%, clinical recovery -0%) and duration of treatment (2-3 months).

Closest to the claimed method is step-wise application of methods of psychotherapy, acupuncture and pharmacological means (Macheret E. L. et al. Acupuncture in treatment of functional disorders of the nervous system. Kiev, 1991. -31 C. ).

At the first stage (1st reflexology path) along with reflexology use rational psychotherapy and drug treatment: tranquilizers and antidepressants

In the second stage (2nd reflexology path) in addition to the methods of the first phase include autogenic training.

At the third stage (3rd reflexology path) gradually supersede all medications and patient engage in labor activity.

From the MUI acupuncture. Selection of points is done according to the symptoms: depression used corporal C-3, C-9; for insomnia - MS-6, RP-6, T-20, E-36, T-14, F-14, TR-14, V-62, etc. ; asthenia - C-5, C-7; for dizziness - VB-20, V-10, R-7, GI-4, GI-11, T-14, T-24, TR-5; gastrointestinal disorders - J-12, J-15, GI-4, GI-10, GI-14, E-25; - headache - GI-14, T-23, E-36, V-10, IG-3, V-60. Also used at the same time and auricular points: at-55, ATA-100, ATA-28, ATS-34, ATS-22, at 58, etc.

The disadvantage of the prototype is a long treatment time (3-4 months), low efficiency (positive results is 77.5%) due to the fact that they did not use gipnosuggestevna, family and sexual psychotherapy, massage cervical neck area, back, lumbar and sacral and gluteal regions, abdomen, the transcutaneous electrical nerve stimulation, music therapy, color therapy, treatment homeopathic remedies. Reflexology is not effective enough because of the selection symptomatic acupuncture points without taking into account the functional state of the main meridians.

The main objectives of the present invention:

- reducing the time and improving the efficiency of the treatment.

- improving social and labour adaptation;

- development of clear patterns of use of different types termiczne neuroses, namely, that hold family psychotherapy with daily sex life; prescribe homeopathic medicines sedative action, conduct surface multineedle acupuncture and the transcutaneous electrical nerve stimulation, and acupressure and deep massage of the neck and collar area, back, lumbar and sacral and gluteal regions, at the next session alternated with deep massage of the abdomen; perform acupuncture in the 1st, 5th, 9th and 13th days of treatment in a corporeal point RP-2, J-14, R-13 and auricular point AT 100 toning method, and point IG-8, at 55, at-34 sedative method, in the 2nd, 6th, 10th and 14th days in point F-8, J-4, R-12, AT-101 toning method, and point IG-2, at-51, at-28 sedative method, 3rd, 7th, the 11th and 15th days in point F-7, J-3, R-11, AT-100 toning method, and in the points TR-10, ATS-55, ATS-34 sedative method, in the 4th, 8th and 12th days in the points J-4, R-13, V-67, at-95 toning method, and in the point of the MC-7, at-28, AT-13 sedative method with subsequent have been considered in these corporeal point tonic and sedative method; make a puncture in corporeal point V-13, V-14, V-15, V-23 and V-26; use color therapy blue light, soothing music and complete healing session gipnosuggestevna psychotherapy, chereduya in corporeal point VB-20, TR-10, VB-38, VM-9 and acupuncture auricular points at-96, at-55 AT-13, ATS-34, ATS-35 sedative method, and point F-8 toning method and simultaneously appoint phenazepam oral dose of 1-2 mg, amitriptilin at a dose of 12.5 mg

When pain in the lumbar-sacral area used acupuncture, have been considered and the puncture based on identified functional state of the meridians of the gallbladder, kidneys, urinary bladder in corporeal point V-62 V-32, V-31, V-28, V-27, V-26, V-25, V-23, T-2, T-3, IG-3, VB-30, VB-25 and acupuncture auricular points at 54, at 58, at-95, AT-40 AT-38, AT-55 AT-34.

When depression complement treatment toning method in corporeal point J-14, J-7, J-4, T-18, T-19, T-20, and with fear in point T-12, T-14, T-24, C-7, MS-9 toning method.

The method is as follows. Carefully collect anamnesis, identify psychogenic, since early childhood, during pregnancy in the mother and have her in this period of severe stress, discover financial situation, marital relationship, the rhythm of sexual activity, the presence of women orgasm during sex, place of employment and industrial relations, the presence of harmful habits. Carefully under the special scheme identify main and the other two hands, define dermographism, tendon reflexes, examine the condition of the skin of the hands and feet.

On the day of the examination or in the coming days with the couple spend family psychotherapy in which discuss the harmonization of interpersonal relationships, identify roles of each spouse and discuss the importance of good role-playing behavior for normal marital relations, explain the role of frequent, ideally daily, the sexual life of spouses for a harmonious family relations, normal psychological climate in the family, mental and physical health of the spouses and a speedy recovery. Recommended daily sex life with the obligatory orgasm in women without ejaculation in men. The patient phenazepam at a dose of 0.5 mg 3 times a day, and at night in a dose of 1-2 mg, amitriptilin at a dose of 6 mg 3 times a day, and at night to 12.5 mg.

When depressed and hypochondriacal syndromes, as well as three vascular crises dose of amitriptyline at night increase twice. At the same time prescribe homeopathic remedies according to the testimony: Ignacy 6, Nyah 6, Nux vomica 6 5-7 grains 3 times a day under the tongue.

The patient laid on the couch and multineedle the tens-2, point and deep massage of the neck and Vorotnikova area, back, lumbar and sacral and gluteal regions, at the next session alternated with deep massage of the abdomen.

In the 1st, 5th, 9th and 13th days of treatment affect corporeal point RP-2, J-14, R-13 and auricular point AT 100 toning method, and point IG-8, at 55, at-34 - sedative method. In the 2nd, 6th, 10th and 14th days affect point F-8, J-4, R-12, AT-101 toning method, and point IG-2, at-51, at-28 - sedative method. In the 3rd, 7th, 11th and 15th days - point F-7, J-3, R-11, AT-100 toning method, and the points TR-10, ATS-55, at-34 - sedative method. In the 4th, 8th and 12th days - at points J-4, R-13, V-67, at-95 toning method, and point, MS-7, at-28 AT-13 - sedative method. After corporal acupuncture points, which were produced sedative effects, produce thermal puncture apparatus PTP-01 stable way, and in corporeal point that was made toning effect, they produce have been considered pecking way. By the "Wave" produce magnetothermopower for 2 minutes in a corporeal point V-13, V-14, V-15, V-23, V-26.

When there is intense headache use acupuncture and have been considered in corporeal point VB-20, TR-10, VB-38, VM-9 and acupuncture in auricular phenazepam oral dose of 1-2 mg, amitriptilin at a dose of 12.5 mg

When pain in the lumbar-sacral area used acupuncture, have been considered and the puncture based on identified functional state of the meridians of the gall bladder, kidneys and urinary bladder in corporeal point V-62 V-32, V-31, V-28, V-27, V-26, V-25, V-23, T-2, T-3, IG-3, VB-30, VB-25 and acupuncture auricular points at 54, at 58, at-95, AT-40 AT-38, AT-55 AT-34.

When depression complement treatment tonic effect in terms of J-14, J-7, J-4, T-18, T-19, T-20, and when fear is in point T-12, T-14, T-24, C-9, MS-9 toning method.

Simultaneously with reflexology use glasses with a blue color filter for color therapy within 30 minutes.

The entire treatment is performed on the background of soothing music small volume using the works of classical composers and instrumental music by contemporary composers. Finish the treatment gipnosuggestevna therapy, alternating with auditory training. Duration of sessions - 30 minutes.

Patients given an assignment to do at home auto-training for 15-20 minutes in the morning and evening.

Clinical example. Patient M. , 37 years has been treated with the diagnosis of hysterical neurosis, astheno-hypochondriac syndrome with frequent vascular kazamias weakness, fatigue, insomnia, constant headaches, pain in the heart region with irradiation to the left arm, pain in the interscapular region, the lumbar-sacral area, epigastrium, right pojebani, lower abdomen, loss of appetite, bloating, constipation, menstrual disorders, frequent nighttime urination, increased sweating of the hands and feet, increased sensitivity to cold. Sick about 1 year. The disease is occasionally (almost weekly) is complicated by bouts of sudden deterioration of health: sudden weakness, dizziness, palpitations, shortness of breath, chills throughout the body, pale skin, headache, fear of death. These symptoms quickly grow and increase, and the patient is forced to call an ambulance to stop these attacks. Blood pressure during vegetative crises increases up to 150/90, and after crises falls to 90/60 mm RT. senior Married 20 years, 2 children, 2 abortions, secondary technical education. Currently not working due to illness. Parents sick constantly quarreled up to fight. Menstruation is 12 years, last 7-8 days, profuse, painful. Became pregnant for the first time in 29 years. Having sex 3-4 times a week, but the orgasm IO labile, fixed on the painful feelings and experiences. The pulse rate of 94 beats per minute, rhythmic. Blood pressure on the left hand 130/80, on the right - 140/90 mm RT. senior pale Skin. The skin of the hands and feet cool, hands and feet wet. Dermographism red, persistent, narrow. Tendon reflexes are normal.

The patient arrived at the reception with her husband, so after a survey with their spouses family and sexual psychotherapy. Explained the rights and obligations of spouses in family life, given the idea of the perfect normal sexual life, its significance for women's health, explained the harmful effects on the psyche of women lack of orgasm during sexual intercourse, explained the details of equipment of sexual intercourse for anorgasmia women. Given the recommendation spouses to conduct a sexual life on a daily basis. The patient is given for immediate ingestion phenazepam 1.0 mg, amitriptilin of 12.5 mg. is Recommended to take phenazepam in the next week 0.5 mg 3 times a day, and at night 1.0 mg, amitriptilin 6 mg 3 times a day, and at night to 12.5 mg. Assigned homeopathic remedies Ignacy 6 and Nyah 6 5 grains 3 times a day under the tongue on an empty stomach.

Next, the produced surface multineedle acupuncture mngt, point and deep massage for 15 minutes neck and collar area, back, lumbar and sacral and gluteal regions.

After that was corporal acupuncture points RP-2, J-14 and R-13 in the auricular point AT 100 toning method, and point IG-8, ATS-34, ATS-55 sedative method. Needles are removed after 15 minutes. All the painful symptoms after injection needles disappeared. In the 5th, 9th and 13th days of treatment was acupuncture on the 1st day. In the 2nd, 6th, 10th and 14th days produced acupuncture point F-8, J-4, R-12, AT-101 toning method, and point IG-2, at-28, at 51 sedative method.

In the 3rd, 7th, 11th, and 15th days - point R-7, J-3, R-11, AT-100 toning method, and in the points TR-10, ATS-34, ATS-55 - sedative method. In the 4th, 8th and 12th days - in points J-4, R-13, V-67, at-95 toning method, and in the point of the MC-7, AT-13, at-28 sedative method. To enhance the effects of corporal corporal acupuncture points, which were produced sedative effects produced by thermal puncture apparatus PTP-01 stable way for 5 minutes, and in corporeal point that was made tonic effects, have been considered pecking way for 2 minutes.

The apparatus magnetothermopower "Wave" produced effect 2 mccrum within 30 minutes.

All treatments were conducted in a calm atmosphere with friendly attitude on the part of the doctor and nurses quietly in the background soothing music.

At the end of the treatment sessions were conducted gipnosuggestevna psychotherapy, with successive auto-training. Duration gipnosuggestevna psychotherapy and auditory training - 30 minutes. The whole treatment lasted 4 hours and 30 minutes.

At the next treatment session instead of a point and deep massage of neck and collar area, back, lumbar and sacral and gluteal regions were conducted in-depth massage of the abdomen for 15 minutes, which in the following days alternated with point and deep massage of neck and collar area, back, lumbar and sacral and gluteal regions. Attacks vascular crises disappeared from the first day of treatment. At the end of the first week cancelled phenazepam, amitriptylin. Sexual life of the patient is normalized: sexual acts were carried out 5-6 times a week with orgasm, the patient. Conducted 15 sessions of comprehensive treatment. Fully recovered feeling sick, mood, performance, sleep. When you re-inspection after a year, no complaints, blood pressure 110/70 mm RT. Art.

Way passed the lnyh neuroses. Data on the timing and efficiency of the treatment by the proposed method and the prototype shown in the table.

Comparative data in the table show that the proposed method is compared with the prototype allows to reduce the treatment time from 3-4 months to 20 days, to increase the efficiency of treatment of 77.5% to 100% with clinical recovery of 72.3% and a significant improvement in 27.7% of cases.

During the follow-up observation after 1 year of sustainable positive results noted in 93% of cases of all patients.

1. The method of complex treatment of neurosis in adults, including the study of the functional state of the organism, the use of tranquilizers and antidepressants, and the subsequent exposure of rational psychotherapy and auditory training, acupuncture, thermal puncture, puncture, characterized in that the holding family psychotherapy with daily sex life, prescribe homeopathic medicines sedative action, conduct surface multineedle acupuncture and the percutaneous electrical nerve stimulation, and acupressure and deep massage of the neck and collar area, back, lumbar and sacral and gluteal regions, perform acupuncture in the 1st, 5th, 9th I, At-34 sedative method, in the 2nd, 6th, 10th and 14th days - point F-8, J-4, R-12, at-101 toning method, and point IG-2, at-51, at-28 sedative method, 3rd, 7th, 11th and 15th days - point F-7, J-3, R-11, at-100 toning method, and in point TR-10, ATS-55, ATS-34 sedative method, in the 4th, 8th and 12th days in the points J-4, R-13, V-67, at-95 toning method, and in the point of the MC-7, at-28, at 13 sedative method with subsequent have been considered in these corporeal point tonic and sedative method, make magnetothermopower in corporeal point V-13, V-14, V-15, V-23, V-26, use color therapy blue light, soothing music and finish the treatment gipnosuggestevna psychotherapy, alternating with auditory training.

2. The method according to p. 1, characterized in that when there is intense headache use acupuncture and have been considered corporeal point VB-20, TR-10, VB-38, VM-9 and acupuncture auricular points at-96, at-55, at-13, ATS-34, ATS-35 sedative method, and point F-8 toning method, and simultaneously appoint phenazepam oral dose of 1-2 mg, amitriptilin at a dose of 12.5 mg

3. The method according to 1, characterized in that when the pain in the lumbar-sacral area used acupuncture, have been considered, and the puncture based on identified functional is 26, V-25, V-23, T-2, T-3, 1G-3, VB-30, VB-25 and acupuncture auricular points at 54, at 58, at 95, at-40, at-38, at-55 at-34.

4. The method according to p. 1, characterized in that the depression complement treatment toning method in corporeal point J-14, J-7, J-4, T-18, T-19, T-20, and when fear is in point T-12, T-14, T-24, C-7, MS-9 toning method.

 

Same patents:
The invention relates to medicine, in particular to addiction, and can be used for the treatment of patients suffering from addiction to alcohol, nicotine
The invention relates to psychology and can be used in psychotherapeutic practice
The invention relates to medicine and can be used in psychology, physical education and sport

The invention relates to medicine and can be used for the correction of psychophysiological state in terms of the production profile

Way rehabilitation // 2175251
The invention relates to medicine and can be used for complex psychosomatic effects on the human body to normalize physical, mental and psychosocial status

The invention relates to medicine, namely to anesthesiology

The invention relates to medical methods of disease prevention and health of the human body and can be used for prevention of diseases of the musculoskeletal system, internal organs, improve efficiency and improve the immune system

The invention relates to medicine, pulmonology
The invention relates to the field of psychology and can be used for diagnosis with subsequent correction of the state energy shell of a person, violations of which are both a cause and a consequence of the functional and pathological disruptions in the body
How psychotherapy // 2173183
The invention relates to medicine, namely to psychotherapy

Way rehabilitation // 2175251
The invention relates to medicine and can be used for complex psychosomatic effects on the human body to normalize physical, mental and psychosocial status
The invention relates to medicine, namely to dermatology and cosmetology, and can be used as a prophylactic and therapeutic purposes
The invention relates to medicine, namely to methods of treatment using massage
The invention relates to medicine, cosmetology

The invention relates to furniture and medical equipment, in particular the tables, appliances, couches) for massage, chiropractic and medical-gymnastic procedures

The invention relates to medicine, cardiology
The invention relates to medicine, namely to rheumatology, and can be used for the treatment of ankylosing spondylitis

The invention relates to medicine, namely to regenerative medicine, and for the treatment of injuries of the muscular spine

The invention relates to medicine, in particular to therapeutic massage
The invention relates to medicine, manual therapy
The invention relates to medicine, therapy
Up!