Method for the treatment of patients with exogenous-organic brain

 

(57) Abstract:

The invention relates to medicine, particularly psychiatry. Use drugs. Realize the impact of millimeter radiation on biologically active points. When lesions of vascular origin effect of millimeter waves frequency 60,9-61,3 Hz. When other types of lesions using the frequency of 62.3-63,0 GHz. Each biologically active point of impact for 5-7 minutes. The duration of the session 30-35 minutes treatment 10-12 days. The method reduces the time of treatment, reduce side effects of drug therapy. 2 C.p. f-crystals, 2 tab.

The invention relates to medicine, specifically to psychiatry, and can be used for the treatment of patients with exogenous-organic brain damage.

There is a method of treatment of patients with exogenous-organic brain drugs, including psychotropic (1, 2, 3). The combined use of psychotropic and other drugs important to take into account not only the indications and contraindications, but also data about interactions with drugs that treatment (4, 5, 6)

Thus, given the characteristics of pathological processes which may depend on an integrated approach with an adequate selection of drugs, as well as the use of physical factors, contributing to the restoration of impaired functions, development of compensatory mechanisms, the elimination of existing pathophysiological changes in the absence of side reactions.

The use of drugs for these disorders includes basic tools aimed at etiological and pathogenetic links using angioprotectors, dehydratation-absorbing means, nootropics, psychotherapies, and other Symptomatic therapy in these cases is assigned a disturbance in the mental status of the patient during treatment of the underlying funds. Preventive therapy is used for formation of healthy lifestyle, streamline loads, etc.

The system of therapeutic and preventive measures in the treatment of patients with exogenous-organic brain figure prominently methods of physical therapy. Recently, great interest is the use of millimetre-wave (mm-wave) nonthermal intensity, which are gaining an increasingly strong position in health care (7). Methods that increase the effectiveness of the treatment has already become a Trad disease, other), there is a growing list of new diseases, the treatment of which have been successfully used mm-wave (rheumatoid arthritis-arthritis, diabetes, unstable angina, skin diseases etc).

Experience in the use of EHF-therapy (extremely high frequency, therapy millimeter, mm-wave) in clinical practice has allowed to identify the features of this form of treatment. MM-waves (millimeter waves) can be used as monotherapy.

The objective of the proposed method is the elimination of side effects, combination with other treatments. Additionally, the mm-waves have a sedative and anti-stress effect, have polyacenes effect, the main mechanism of mm-waves is to increase the resistance of the body, mobilizing its internal resources, the development of adaptive reactions.

This object is achieved by the use of drugs and the influence of physical factors, which are used as millimeter waves with a frequency 60,9-61,3 GHz or 62,3-63,0 GHz. In the first two sessions affect the point E36, G14. Then when organic asthenic disorders and postcommunion syndrome affect point VC12, E36, V57, organic anxiety, Rastro sledovatelno affect point MS, C3, hypochondriacal symptoms - point TR10, VC15, when labourie - point P5, M, R1, insomnia, weakness of memory, the lowering of mood on the point R20, R15, RP1, reduced intelligence - point VG20, VC15, headache with dizziness - point VC12, E36, V57. Impact on every point spend at least two sessions. When exogenous-organic brain lesions of vascular origin use frequency 60,9-61,3 GHz, for other types of lesions of 62.3-63,0 GHz. The General course of treatment is 10-12 days, each session lasts 30-35 minutes at exposure at each point 5-7 minutes.

The main group of patients treated with the proposed method, amounted to 84 people. For EHF-therapy of patients with exogenous-organic brain injury (traumatic, vascular, toxic, toxic and hypoxic and complex Genesis), was used apparatus Stella-2 (manufacturer company "spinor", ,Tomsk). The control group consisted of 40 persons who received only medical treatment. Enabling and configuring was carried out according to the instructions to the application. Together with this was used block biofeedback "Hellas", to determine the individual frequencies as a result.Voll (8, 9). The exposure was carried out on biologically active points differentially depending on the individual manifestations of the disease, were investigated parameters control points (DTI) and the point of the hypothalamus Meridian of the endocrine system, KTI and summation measurement point (STI) Meridian nerve degeneration, KTI Meridian circulation. The point with the largest deficit electroanalgesia produced the selection frequency. We established the frequency range is within 60,9-61,3 GHz in the treatment of exogenous organic brain vascular Genesis, 62,3-63,0 GHz with other types of lesions (traumatic, infectious-toxic, toxic and hypoxic and complex). The course of EHF-therapy consisted of 10-12 treatments daily for 30-35 minutes. Exposure time was 5-7 minutes on each point.

All patients with organic brain asthenic (F06.6), anxiety (F06.3), affective disorders (F06.4), post-komma syndrome (F07.2) received the maximum standardized treatment with the use of nootropics, dehydratation-absorbable drugs, angioprotectors, immunomodulators of plant origin, tranquilizers, antidepre is his, differentiation depending on the individual manifestations of the disease.

Regimens with the use of EHF-therapy were as follows:

1) when organic asthenic disorders and postcommunion syndrome major points were: E36, G14 - in the first two sessions, depending on the prevalence of the clinical picture of a headache with dizziness in subsequent sessions were used point VC12, E36, V57; labourie P5, MS, R1; when the symptom, combined with insomnia, decreased memory, decreased mood - R20, R15, RP1, hypochondriacal symptoms - TR10, VC15, reduced intelligence-VG20, VC15.

2) when organic affective disorder have worked on the following points: E36, G14 - first two sessions, 3 and 4 session - MS, C3; on the 5th and 6th sessions - V18, V19, VB21, then when hypochondriacal symptoms - TR10, VC15, when labourie - P5, M, R1, headache with dizziness-VC12, E36, V57, when the symptom, combined with insomnia, weakness of memory, the lowering of mood - R20, R15, RP1, reduced intelligence VG20, VC15.

3) when organic anxiety disorder were used point IG3, C5, R1, phobias - C5, E36, F5, when the symptom, combined with insomnia, weakened the PU points conduct at least two sessions.

For a better understanding of the essence of the method proposed specific examples of its implementation.

Example 1. Patient Nikitin, C. I., 1959 R., arrived for treatment in the 1st Department of the Tomsk oblast psychiatric hospital in connection with complaints of headache in the frontal-temporal region arching nature, worse when the weather changes, dizziness, caused by changing the position of the body, the feeling of fatigue and noise in the ears, feeling of General weakness, fatigue, decreased performance, concerns about his health, pain in the cervical spine, superficial sleep.

History: uncle on the mother suffered from alcoholism. The patient was born at term with normal pregnancy. In infants cried a lot, up to 7 years suffered from enuresis, was observed a nervous TIC in the form of twitching of the upper eyelid of one eye. Grew up moving, sociable, actively participated in children's games, but was vulnerable, touchy. The upbringing of the child was the main occupation of the mother, grew up in a warm, caring atmosphere. At preschool age, had a mild traumatic brain injury, but without loss of consciousness, deterioration of health in the following is not mentioned. At school I studied well. At the end of grade 10 VA severe nausea. After demobilization he graduated from the training of drivers, but currently does business. By nature formed calm, sociable enough, but could easily upset over small failures, which have long suffered. Married 24 years of marriage and 3 children. Considers himself ill with 37 years of age, when, soon after hard-influenza began to disturb headaches, dizziness, appeared stuffiness in the ears, could not stand the heat, sultriness, and got tired easily. Deterioration coincided with the recognition of the wife that one of his sons from him, grieved at what had happened - decreased mood, disturbed sleep, appeared sluggish. Was treated in a psychiatric hospital, where he was discharged with a diagnosis of depressive neurosis. After 3 weeks, the condition deteriorated again - resumed headaches in the frontal-temporal region arching character, fatigue, rapid deterioration when the weather changes. Asked for help in a therapeutic clinic of the Siberian medical University, where he was diagnosed with opisthorchiasis, after treatment, was discharged without significant improvement. Next he passed the examination and treatment as an outpatient by a neurologist in the Regional clinical hospital, with diagnosising cystic adhesive arachnoiditis, without irreversible damage to the cortex, with minimal swelling phenomena. Headaches decreased, but increased when the weather changes, fatigue. In February 1999, was again hospitalized in the neurology Department, where he was discharged with a diagnosis of arachnoiditis of the posterior cranial fossa. In the neurological status was attended by finely sweeping nystagmus when looking at both sides, the syndrome Rossolimo left, slight tenderness of the spinous processes of the thoracic and lumbar vertebrae. Conclusion eye - pastos of the optic disc on the right. Were treated using dehydratation-absorbable, vascular therapy, nootropics, vitamin therapy, trapeks at night. Within a few months after discharge, felt good, then again began to experience headaches associated with changes in the weather and physical stress, stuffiness in the ears, dizziness, decreased performance, superficial sleep, concern about their health, minor reason was to limit itself to the load. History is about 5 times suffered the bite of the tick, but clinically the disease was not diagnosed. He addressed independently in the Department of border States Tomsk about aget complaints focuses doctor for headaches, rapid fatigue, which is accompanied by sweating, weakness and palpitations. He tries not to lose the names of the drugs that were treated, uses in speaking medical terminology, fully calls diagnoses. Concerned about the frequent deterioration, fatigue, would be completely healthy. Asks him to carefully examine and give detailed recommendations. Interested in prescribed treatment, proposes the use of modern drugs. By the end of the conversation, there are signs of fatigue - tries to lean on the table, quickly end a conversation. Thinking with elements of thoroughness, attention exhaustible. The telephone sample was performed with difficulty.

Thus the status is characterized astheno-hypochondriac syndrome.

Diagnosis: organic asthenic disorders infectious Genesis F06.66.

Neurological status: intermittent nystagmoid horizontal, fuzzy axial signs, some restriction of motion in the lumbar spine. Conclusion: post-infectious chronic arachnoiditis, sadacharan holes in the clinical phase compensation hypertension-hydrocephalic is, remission. Obesity 1 degree.

REG: reducing the pulse of blood in a pool left VSP. Stable 2-sided reduction of blood flow in the vertebrobasilar basin.

Treatment: on the background dehydratation-absorbable therapy, vitamin therapy, nootropics, cardiovascular drugs, took the course of EHF-therapy for 10 days, through the impact on biologically active points (BAP) from the office of Stella-2. According to the method of R. Voll was investigated checkpoint and hypothalamic Meridian points of the endocrine system (& 1b KTI, & 20), summation point and the control point of the Meridian nerve degeneration (Hg 1A STI, Hg 1b CB) checkpoint Meridian circulation (Cu 8d CB). The point with the largest deviation from the average value was Hg 1b STI =78.E. Selection frequency produced from a range of 62.3-63,0 GHz frequency radiation that causes the bio-energetic resonance and manifested by moving the arrow apparatus in normalizable state (50-60.E.) meet 62,54 GHz. This frequency was therapeutic for the patient. Exposure time was 5 min in each BATH, the total exposure time to 30 minutes.

Exposure was performed on paired points symmetrically. The scheme is>/P>3rd and 4th session - influenced point VC12, E36, V57.

5 and 6-th session - because the clinical picture was dominated by headaches with dizziness affected point - VC12, E36, V57.

the 7th session until the end of the treatment, because the clinical picture was also attended by hypochondriacal symptoms - influenced point TR10, VC15.

In the middle course of EHF-therapy hypnotic drug (nitrazepam) was cancelled, diazepam 2.5 mg in the afternoon and evening at the end of the hospital stay was also cancelled. Headache decreased during the session, starting with the 4th intensity, and duration decreased significantly (from 3 points to 1), dizziness just worried about much less with the 5th session (3 to 1 point). Evaluation of reactive and personal anxiety on a scale of spielberger Hanina showed a decrease in scores from the 5th session of reactive anxiety from 47 to 43 points, 10th session - 39 points, before discharge - 30-day - 38 points. Night sleep was restored starting from the 1st session without further changes. The meteosensitivity the 7th session disappeared. Asthenic manifestations disappeared gradually, gradually appeared in force since the 4th session, stuffiness in the ears decreased since the 4th session. On foreverwhen almost didn't bother, there was courage, the patient participated in the labour processes of the Department. The results of psychological research into memory using 10 words and attention showed to treatment - 7/8/8/78/7, after EHF-therapy - 8/8/8/9/8, research attention using tables Schulte before treatment- 60"/95"/65"/58", after treatment 58"/B5"/60"/54". After discharge started to work.

Example 2. The patient Lobov, I. A., 1962 R., arrived for treatment in Tomsk oblast psychiatric hospital with complaints of weakness, fatigue, headaches and pressing nature, aggravated by a change in the weather, in a stuffy room, dizziness, tinnitus, depressed mood, decreased interest in surroundings, intermittent, superficial sleep memory loss.

History: heredity psychopathologies not burdened. He was born at term without injuries. Grew and developed normally. Up to 8 years suffered from enuresis. Often suffered from colds, repeatedly with the development of otitis media. He was raised in an intact family, but often felt unwanted, I was by myself. I went to school on time, studied directly. Was modest, shy, fights rarely entered, resentment kept to yourself, friends had not a lot. After 8 blastoise time working as a carpenter in the station. Married 17 years of marriage and two children. The relationship in the family friendly, family issues do together, together, do homework, work on the cottage. Considers himself ill since 1992 after injury of the head, choked with non-penetrating fracture of the left parietal bone, about what was hospitalized. First time ill health was not celebrated, 4 years after the injury began to experience headaches in the frontal-temporal region oppressive, dull character, growing in a stuffy room, in the heat, when the weather changes, dizziness when changing position of the body, flashing flies before the eyes. Periodically twice a year passed inpatient treatment using dehydratation-resolving therapy, angioprotectors, nootropics, physiotherapy. Some time after discharge felt good, then again when the weather changes suffered from headaches, worsened condition, decreased performance, began to notice the deterioration of memory, had forgotten to do earlier planned, decreased mood. Recently in deteriorating condition, the occurrence of headaches arose depression, decreased interest in the environment, disturbed sleep, stabilitation decided to apply to the Department of border States Tomsk oblast psychiatric hospital.

Mental status. The contact is available, looks dejected, frustrated, tired. Emotionally restrained, mindless. Anamnestic information gives sparingly, reluctantly. Interest in the conversation shows when talking about mood, trying to open up, looking for sympathy, the help of a physician. Reports that are tired of headaches, experiencing some despair, whether to help him. Links the emergence of depression with the occurrence of headaches. Recently there has been a forgetfulness, not immediately finds the required things, forgets to perform the promise. The mood is reduced. Responds slowly, thinking over the question. The telephone sample was completed with errors. Suicidal thoughts are not expressed.

Thus, the status is characterized astheno-depressive syndrome.

Diagnosis: organic affective disorder traumatic Genesis F06.360.

Examination: neurological: neurological status light weak convergence, nystagmoid horizontal. Axial signs are positive. Sample paresis - negative, deep reflexes with hand - d<s, the tone is not changed.

Conclusion. Posttraumatic encephalopathy with hypertension and guide the voltage VC, atherosclerosis of the coronary arteries;

ophthalmologist: angiopathy of the retina in hypertensive type.

EEG: abnormal wave forms is not registered.

REG: decreased blood flow in the system carotid to the right and to the left, reducing blood flow in the vertebrobasilar basin on the left and right, obstruction of the venous outflow in the pool of carotid left, there is a strong asymmetry in the vertebrobasilar blood pool. 3rd: the insufficiency of cerebral circulation diffuse character.

Treatment dehydratation-absorbable therapy, nootropics, cardiovascular drugs, vitamin therapy, imipramine 25 mg in the morning, amitriptyline 25 mg at lunch, 50 mg in the evening, radedorm n/a N. Course of EHF-therapy was carried out for 10 days on biologically active points of the device, Stella-2. According to the method of R. Voll was investigated checkpoint and hypothalamic Meridian points of the endocrine system (& 1b KTI, & 20), summation point and the control point of the Meridian nerve degeneration (Hg 1a STI, Hg 1b CB) checkpoint Meridian circulation (Cu 8d CB). The point with the largest deviation from the average value was the point of the hypothalamus: & 20 left and right at 65.E. Selection frequency produced from a range of 62.3-63,0 GHz Magicheskoe state (70-80.E. for a point of the hypothalamus), consistent with 62,72 GHz. This frequency was therapeutic for the patient. Exposure time was 5 min in each BATH, the total exposure time is 30 minutes.

The treatment regimen was as follows - exposure was performed on paired points symmetrically.

In the 1st and 2nd session was used points: E36, G14.

3rd and 4th session - influenced point MS, C3.

5 and 6-th session - V18, V19, VB21.

7 and 8-th session - because the clinical picture was dominated by headaches with dizziness affected point - VC12, E36, V57.

9 and 10-th session affected R20, R15, RP1, because the clinical picture combined low mood, weakness of memory, insomnia.

On the background of EHF-therapy sleep was recovered from the second session, radedorm was cancelled after the recovery night of sleep, reduced fatigue, starting with the 5th session was in a better mood. The dynamics of the total score on the MADRS scale up of treatment was 25 points, on 5-th day - 10 points, on 10-day - 5 points, imipramine was cancelled, the dose of amitriptyline was reduced to 50 mg/day, before discharge was cancelled. The intensity of the headaches have passed since the 5th session. The meteosensitivity and what was omegal honey. staff on request. Headache was rare and short-lived and not delivered to the patient significant experiences. The psychological study of memory and attention revealed: before treatment - 5,6,8,8,7/7 after treatment 6,8,8,9,9/7;

attention: before treatment- 40"/53"/38"/42", after treatment- 43"/41"/40"/38". On the REG reported a positive trend - normalization of blood flow in the basin of the ICA, interhemispheric asymmetry of blood flow in the vertebrobasilar basin was absent.

Example 3. The patient of Silvestry T. F., 1951 R., arrived for treatment in Tomsk oblast psychiatric hospital in the Department of border States in response to complaints: the attacks of chills, shivering, shortness of breath, arching headache, dizziness, palpitations, sensations of burning, tingling throughout the body. The attack is accompanied by restlessness, anxiety, fear of heart attack, high blood pressure up to 180/100 mm RT.article Such attacks are concerned about 2-3 times a week, arise under strong excitement, and when the weather changes. In the interictal period is often causeless anxiety, disturbed sleep with frequent awakenings and unpleasant sensations in the heart, headaches, dizziness, associated with the fluctuation of arterial who was trade enuresis. Grew and developed in accordance with age. Was sociable, inquisitive, obedient. The school on time, worked hard, willingly participated in the social life of the class. At this age had a mild traumatic brain injury without loss of consciousness, any changes in condition over time were noted. After leaving school he entered Tomsk pedagogical Institute. Has specialty literature teacher, currently teaching literature in high school. Married 24 years. In marriage two children, relationship to patient home adequate. Up to 35 years considered myself very healthy, but with this age first began to notice the increase in blood pressure up to 140-150/100 mm RT.article With 44 years appeared previously uncharacteristic fatigue, irritability, frequent headaches pulsating character in the fronto-temporal region, joined stabbing pain in the heart. Blood pressure during hypertensive crisis came to 220/130 mm RT.article With 45 years notes increased sensitivity, suspiciousness, resentment. Before even minor events experiencing excitement, anxiety. A year ago during treatment in hospital in occasion of erosion of the stomach had an attack from above is the incarnation of burning, tingling all over my body. The attack was accompanied by anxiety, fear for their health. Lasted for 30 minutes. In subsequent attacks were repeated 2-3 times a month. In the interictal period were attended by the internal stress, unreasonable anxiety, fear of repeated attack was afraid to be home alone, was concerned about his condition. The attacks were shot injection Relanium, hypotensive drugs. Currently, the occurrence of such attacks associates with a change in the weather, fatigue frequency to 2-3 times a week. Nights not sleeping well, waking up every noise, worried about the headaches, fatigue, decreased memory - can't remember at the right time necessary words often confuse the names, patronymics. He addressed independently in Tomsk oblast psychiatric hospital.

Mental status. Keeps the stress, often sighs, somewhat fussy, occasionally looking around. In an interview interested, answers specific in terms of the questions asked, but often confuses the sequence of recent events. Concerned with their status, fear of re-occurrence of the attack, the risk of a heart attack. Details of the complaint, during the conversation which I about your condition a bit wept, but immediately in response to a joke smiled. Notes in recent memory impairment and related production problems, and the emergence of previously uncharacteristic lack of organization, distraction, fear, sensitivity. Interested in will be able to help her and than it will cure. The critical condition. By the end of the conversation began to answer in monosyllables, appeared headache.

Thus, the status is characterized by anxious-phobic syndrome in combination with hypomnesia and cephalgic manifestations.

Diagnosis: organic anxiety disorder vascular Genesis. F06.41.

Survey: neurologist: chronic cerebral circulation insufficiency in vertebrobasilar basin on the background of cervical degenerative disc disease with a chronic course in the stage of compensation. Diencephalic syndrome with seizures by type of sympathoadrenal. Lumbar degenerative disc disease, chronic relapsing course.

Therapist: hypertension of II degree slow-progressivwe for. Diabetes mellitus type II, a rare over compensated. Autoimmune thyroiditis.

Ophthalmologist: amblyopia OD. Hypertensive angiogene pulse blood diffuse nature, venous blood circulation, pronounced asymmetry of the pulse of blood in vertebrobasilar basin. Decreased elasticity of the vascular wall.

On the background of the application of angioprotectors, diuretics, antihypertensive drugs, vitamin therapy, nootropics, xanax 0.5 mg twice a day (lunch, evening), took the course of EHF-therapy for 10 days on biologically active points of the device, Stella-2. According to the method of R. Voll was investigated checkpoint and hypothalamic Meridian points of the endocrine system (& 1b KTI, & 20), summation point and the control point of the Meridian nerve degeneration (Hg 1a STI, Hg 1b CB), control point Meridian circulation (Cu 8d CB). The point with the largest deviation from the average turned out to be the control point of the Meridian circulation: Cu 8d CB - 80.E. Selection frequency produced from a range 60,9-61,3 GHz frequency radiation that causes the bio-energetic resonance and manifested by moving the arrow apparatus in normalizable state (50-60.E.), meet 61,08 GHz. This frequency was therapeutic for the patient. Exposure time was 5 min in each BATH, the total exposure time is 30 minutes.

The treatment regimen was as follows - ptx2">

3rd and 4th session - influenced point IG3, C5, R1.

5 and 6-th session - C5, E36, F5, as the clinical picture was attended by the phobic perivale (cardiophobia).

7 and 8-th session - as in the mental status was labourie affected point - P5, MS, R1.

9 and 10-th session affected R20, R15, RP1, because the clinical picture combined with lowered mood, less memory, sleep disturbance.

During therapy blood pressure has stabilized since the 3rd session, dose adelfina was reduced from 2 pills to 1. Headache and dizziness to the 6th session were less intense and short-lived (3 to 1). Tinnitus disappeared for 4-session. Sleep was recovered from the 2nd session without prescription sleeping pills. To 5-session, the patient noted a more stable mood, less exposure to different occasions. Regression diencephalic seizures were observed by the end of the first week. Xanax to the 7th session was reduced to 0.5 mg/day. The dynamics of the total score of the scale HARS showed a decrease points to the 5th session with 25 points to 17 points, the 10th - session up to 8 points. Especially comfortable she feels after a session - snimals the Oia - 5,6,8,7,7/7 after treatment -6,7,9,8,8/8; attention: before treatment- 54"/49"/55"/57", after treatment- 43"/41"/40"/38". The patient during treatment became much calmer, disappeared causeless anxiety, had a desire to go faster at work.

To assess the quality of treatment by the proposed method was used scale to assess the patient on treatment (Institute of PZ and TOKB), scale for the assessment of depression MADRS (depression Scale Montgomery-Asberg), anxiety HARS (Hamilton anxiety Scale), Samoobrona Tsung anxiety and depression, a test of personal and reactive anxiety of Spilberger Hanina, method of assessing autonomic homeostasis - kardiointervalografii, as well as additional neuropsychological study of memory and attention, rheoencephalography.

Through the symptoms of these disorders was Serebryanicheskaya symptoms, features of which depended on the Genesis and duration of disease. In patients with vascular lesions were observed emotional lability, rapid mental and physical exhaustion, dizziness, tinnitus, stress, excitement over a minor matter. Traumatic carebastine proceeded with symptoms of lethargy, hyperesthesia, meterability, asthenic Russiam, hyperesthesia. Cerebral-organic symptoms manifested by impaired attention, hypomnesia, reduction of critical abilities, focused thinking.

During the session, most patients of the main group with organic asthenic disorders and post-komma syndrome (n=30) had a feeling of heat in the impact zone, transient parasthesia, General relaxation, peace, small sleepiness that according to the literature, indicates the right frequency. Headache, fluctuating blood pressure was measured after the first session, 5-6-th session (in control (n=19), with the use of drug treatment for 10-12 day) blood pressure in many patients stabilized, and the frequency and severity of headaches were less intense and fast passing, or even degenerate, and was accompanied by a sense of clarity in my head. The effect was maintained until the discharge of the patients. Disappeared gradually asthenic manifestations: appeared gradually forces, patients become more self-disciplined and self-motivated. To 5-7 session disappeared emotional lability, hyperesthesia, sleep was restored after the first two sessions. Some PA is changed antihypertensive drugs.

Affective disorders in patients with organic affective disorder characterized by features pathoplastic influence of organic lesions of the brain and also depended on the Genesis and duration of disease. Present anxiety symptoms were included in a wide range of syndromes and often depends on the health of patients, and was manifested on various occasions, which did not meet a considerable intensity of affect. As a result of treatment offered by way of the actual depressive experiences became labile mood leveled off following the improvement in General condition, the disappearance of headaches, patients appeared belief in the treatment, hypochondriac mood was more correctable, less any side effects from the drugs. In comparison with a reduction in depressive symptoms dynamics of anxiety disorders was more active. It should be noted that doses of antidepressants and tranquilizers, as compared with the control group were reduced without further deterioration.

The analysis of the dynamics of the original value of the sum of scores on the MADRS scale (table.1) showed that in the main group (n=29) using trolley group (n=11, 2,31,85 points). A significant reduction of depressive symptoms was observed for the 10-session EHF-therapy and also significantly (p<0.001) and more pronounced in the primary group 5,060,99 points (control - 12,71+1,47). The effectiveness of the treatment was confirmed by the subjective assessments of patients on a scale of self-esteem depression and anxiety Tsung. In addition it should be noted that in 18% of patients experienced less pronounced effect on the treatment by the proposed method, which is probably due to the duration of the disease and pathological personality development exogenous-organic origin (10).

As for performance anxiety scale (HARS patients with organic anxiety disorder, then the total score before treatment in the main group (n= 25) was 22,52,46, control group (n=10) was comparable with the main (PL. 2). 5-7 day was a significant reduction of points as in the control of 11.25 and basic 9.0 points, but significant differences were not observed p>0.5 in. 10 session in both groups also continues to decline, the overall score, however, there is a tendency (p<0,2) differences between groups: in the main 5,80,96, in the control 8,01,45. To 30 days, a complete reduction of anxiety symptoms with a significant difference p>0,001 between groups. Patients VI is smov occurred in patients as the primary, and the control group by the end of the 1st, the beginning of the 2nd week of treatment, interictal period was more favorable in the treatment of the proposed method: decreased anxious wait, desactualizado phobic experiences - fear of heart attack, stroke, re-attack, the fear of death. Patients were able to cope with Intrusive thoughts, to escape from them. It should be noted that the decrease in intensity and regression zerebrasteniceski, cephalgic violations in the course of treatment, helps reduce anxiety, agitation in patients, delaying the flow of phobic and anxious feelings. Especially comfortable patients felt after the procedure. Was a decrease in incidence of adverse reactions from the drug in the form of lethargy, drowsiness, disturbances of concentration, inhibition. Significantly better compared with the control group decreased level of anxiety disorders on the Hamilton depression rating scale.

As indicators of processes of adaptation and monitoring the effectiveness of treatment was used, the automated cardiointervalografia studies using functional tests. It was determined vegetative Rea the voltage (JN) kardiointervalogrammy. The dependence of the effectiveness of treatment from the initial index voltage, which is measured at the background tension index (INF), as vagotonic (from 1 to 160 srvc. ed) and hypersympathicotonia (above 160 services. units).

Conducted neuropsychological study on the background of EHF-therapy in patients with exogenous-organic lesions of the brain revealed facilitate memory processes, and the improvement of attention.

Thus, studies have shown that most patients with exogenous-organic brain in the treatment of the proposed method show significant improvement in clinical condition that is registered on the scale of the General condition, MADRS, HARS, of self-rating scales, indicators of kardiointervalografii, neuropsychological research. Resulting in a rapid decrease in severity of zerebrasteniceski, affective, cephalgic, vazovegetative syndromes. In addition, the application of the proposed method allows lower doses of psychotropic drugs and to reduce the incidence of side effects.

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1. Method for the treatment of patients with exogenous-organic brain damage by applying a medicinal pResult millimeter wave frequency 60,9-61,3 GHz with lesions of vascular origin, and frequency of 62.3-63,0 GHz with other types of lesions, in the first two sessions influence on biologically active points E36, G14, then when organic asthenic disorders and postcommunion syndrome influence on biologically active points, VC12, E36, V57, organic anxiety disorder on biologically active points IG3, C5, R1, phobias - on biologically active points C5, E36, F5, organic affective disorder influence on biologically active points MS, C3, then V18, V19, VB21, hypochondriacal symptoms on biologically active points TRI0, VC15, when labourie - on biologically active points P5, M, R1, insomnia, weakness of memory, the lowering of mood on biologically active points R20, R15, RP1, reduced intelligence on biologically active points VG20, VC15, headache with dizziness - on biologically active points, VC12, E36, V57.

2. The method according to p. 1, characterized in that the impact on every biologically active points spend at least two sessions.

3. The method according to p. 1, characterized in that the total course of treatment is 10-12 days, the duration of the session 30-35 min exposure to each of biologically active point 5-7 minutes

 

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FIELD: medicine.

SUBSTANCE: method involves administering diet with high content of nutrient fibers and restricted amount of ordinary hydrocarbons, animal fats and meat broth. Massage is done with manual massage machine Acupress being four-roller bronze or ebonite massage instrument operating along small intestine during 5-6min and then with movements across the abdomen from left to right during 3-4 min. The like movements are done with two-roller bronze or ebonite massage instrument operating along large intestine meridian symmetrically relative to the right and left arm during 4-5 min. All massage movements are done slowly. Procedures are given daily in the morning on empty stomach, before dinner and before going to bed.

EFFECT: enhanced effectiveness in treating chronic constipation cases.

4 dwg

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