A method for the treatment of stenotic vascular diseases

 

(57) Abstract:

The invention relates to medicine, therapy. Exposed rectangular pulse electric current of negative polarity at the corporal and auricular acupuncture points. At the corporal of the point total of the exposed silver needles, leave them points for 40-60 minutes and corporeal point local actions affect gold needles and leave them points up to 30 minutes. Then put the needle affected by bipolar electric current of 100-200 μa, the voltage of 5-10 B within 3-20 minutes. While the passive electrode is connected to the silver acupuncture needle entered in one of the points of General jurisdiction, and the active electrodes connected to the arms of Golden needles located at the points of local action. The impact of exercise through the day. Alternate it with impact silver needles, introduced for 10-15 minutes in auricular points and/or in the flat area of the scalp. The method increases the duration of remission. 1 C.p. f-crystals.

The invention relates to medicine, namely to reflexology.

It is known that stenocereus vascular diseases have a wide range of clinical about the constant death. Stenocereus vascular diseases have different causes, but among the reasons leading to obliteration and vascular stenosis, atherosclerotic changes take first place.

There are various ways of treatment of atherosclerotic vascular lesions ranging from pharmacotherapy of various drugs to methods of surgical treatment with the creation of workarounds blood supply.

The basis of the methods of treatment of stenotic atherosclerotic vascular disease: the creation of adequate collateral circulation that can be achieved with the use and methods of foot reflexology impact on the body's healing factors through stimulation of biologically active points (BAP) acupuncture.

There is a method of treatment of atherosclerosis, including the effects of needles on corporal BAHT. The way is long term treatment is mainly aimed at the reduction of pain syndromes, characterized in spasm of the vessels affected by atherosclerosis, the effectiveness of its impact on collateral circulation is not known (E. D. Tikochinsky. Basics of acupuncture. - M., 1979, S. 265).

There is a method of treatment pokalyvanie and radiation of helium-neon laser. However, this method is aimed at stopping only pain syndrome by increasing the redox processes in the body (Polyanskaya, etc. Combined use of acupuncture and laserpuncture for relieving pain in patients with neurovascular by polyneuritis. Abstracts of the Republican scientific conference of non-medicamental methods of relief of chronic pain syndromes, Kiev, 1989, S. 99-101).

Closest to the claimed invention is a method of treatment of obliterating endarteritis, based on the impact on the corporal and auricular BAHT rectangular pulse of current of negative polarity. However, the known results and the duration of treatment is not known, the duration of remission. The method is aimed at normalization of lipid peroxidation in erythrocytes in this disease (Portnov and other Electro obliterative endarteritis, “Theory and practice of acupuncture”. Abstracts of the IV all-Union conference on acupuncture, L., 1984, S. 147).

The technical result of the claimed invention is to improve the effectiveness of treatment is not just due to the elimination of a spasm of blood vessels, causing Nar is brasenia at the site of vascular stenosis, the increase in the duration of remission. The technical result is achieved due to the complex influence (silver, gold needle, pulsed electric current), held both locally, in the area of location of the affected vessel and through the Central pathogenesis.

The method is as follows

On the corporal of the point total of the exposed silver needles and leave them at points within 40-60 minutes. On corporeal points located in the area of pathologically altered atherosclerotic vessels, so-called points of local action, impact gold needles and leave them points up to 30 minutes. Then put the needle affected by bipolar electric current of 100-200 μa, the voltage of 5-10 B with a rectangular pulse shape, while for 4 seconds affect the current of positive polarity, within 1 second pause, then within 4 seconds impact current of negative polarity and again pause for 1 second. Stimulation electric current is conducted within 3-20 minutes. For this purpose, the apparatus Elite 4M. The passive electrode is connected to the silver acupuncture needle inserted into one tocacco local actions. This impact on corporeal point of General and local acts carried out every other day, alternating with effects on the Central pathogenesis, which carried out a silver needle introducing them for 10-15 minutes in auricular (AR) points: AR (an endocrine gland), AR (heart-2), AR (sympathetic), AR (heart 1), AR (fingers), and/or in the flat area of the scalp: 5 (vasomotor area), 10 (motor-sensory area of the feet).

Treatment consists of 12 treatments daily. Just spend 2 to 4 courses with breaks. The interval between the first and second courses of 10 days, and between the subsequent 30 days.

The use of comprehensive treatment, including how various factors (silver, gold needle, pulsed electric current), and different zones of impact (health, local acupuncture points, auricular points, the projection area of the scalp) are presented in the claimed invention the combination allowed due to the impact on peripheral and Central pathogenesis achieve the specified technical result, which is expressed in increasing the effectiveness of treatment through the establishment of collateral circulation in the affected is gained.

Example 1

Patient C. A. C. 37 years. He complained of severe pain in the right lower leg and foot that could occur when walking lameness, lack of sleep at night because of severe pain in the toes of both feet. Considers himself ill for about 3 years. The disease progressed slowly. In the beginning there were pains in the calf muscles and the right foot while walking, which after 6-7 months began to be ongoing and intensified at night. Disease associates with excessive Smoking and frequent exposure.

Objectively. Somatic status without features.

Status localis. The skin of the leg and foot pale, moderately swollen, thinning, vegetation is absent. At the distal and middle phalanges III, IV and V fingers - trophic ulcers. The pulsation of the artery dorsalis pedis is not defined. The gentle gait, lameness, without relying on the right leg.

With additional examination of Doppler ultrasound of the arteries of the lower extremities revealed:

1. Diffuse changes of the abdominal aorta, Powszechny arteries without hemodynamically significant disturbances of blood flow.

2. Femoral artery diffuse changed to the left - without hemodynamically significant is Oh popliteal artery (lumen heterogeneous, the blood flow by Doppler is not received).

3. USDG signs stenoziruyuschego defeat branches of the popliteal artery to the right, occlusive lesions of the left. LEAD dex. = 0,46 - stage of subcompensation. The LEAD sin. = 0,75 - stage of subcompensation.

On the basis of complaints, anamnesis and additional methods of examination exhibited clinical diagnosis of occlusive disease of lower extremities vessels, stenocereus defeat of the branches of the right popliteal artery. Graphic violations of the lower third of the right tibia and foot sores third, fourth and fifth fingers.

The treatment was performed according to the claimed method.

1 session. Impact silver needles on the point total of the: GI(II)11(Qu Chi), V(VII)60(Kun-LUN) for 60 minutes. The impact of Golden needles at the point of local action: PN86 (Cheng-Jian), PN85 (JIU-nei-fan), PN77 (Geng-ping).

The handle of the needle, put in point PN86 (Cheng-Jian), PN85 (JIU-nei-fan), PN77 (Geng-ping) was connected to the active electrodes. The passive electrode was connected to the handle of the needle, put in the point V(VII)60(Kun-LUN). The electrodes were applied current bipolar orientation 100 μa, the voltage 8 B with a rectangular pulse shape (4 sec + 1 sec pause, 4 sredy removed, and Golden needles remain in the tissues for another 10 minutes

2 session. Impact on restorative point MS(IX)6(Nei-Guan), V(XI)34 (Yang Ling Quan) silver needles 60 minutes symmetrically. Impact gold needles on points of local action PN83 (Lo-Di), PN89 (JIU-Wai-fan), PN76 (pan-GU), PN79 (Jing-Xia), PN78 (Hao-Qing, Shang-Jie si), R (It-Huai-Jian) for 30 minutes symmetrically.

On the ear affect point AR(IX)51(simpotichnaya), AR(X)55 (Shen-men) silver needles 30 minutes symmetrically. Additionally impinges on the projection area of the scalp 10 (motorsensory area feet) silver needles 10 minutes symmetrically.

Subsequent sessions are conducted on a similar scheme, i.e., combined in different sequences stimulation of acupuncture points with needles with electrical stimulation current, the stimulation of the auricle with the stimulation of the projection areas of the scalp. Throughout the course there were 12 daily sessions. After 10 days of treatment is repeated (12 sessions). After 30 days conducted an additional course of treatment (12 sessions).

After treatment, the patient A. B. C. no complaints Objective somatic status without features. Gait free (may take control of ultrasonic Doppler study of blood vessels of the lower extremities revealed:

1. On the abdominal aorta and femoral arteries is unchanged.

2. On the right popliteal artery - residual blood flow. Ahead of the right popliteal artery lazerette blood vessel diameter up to 2.5 mm with collaterally the bloodstream.

3. Lazerous collaterally vessels in the projection of the anterior and posterior branches of the femoral artery on the right. Improvement colaterales blood circulation in legs and feet. Improvement index: LEAD dex. from 0,46 to 0.80, LEAD sin. from 0.75 to 0.80. The follow-up period of 3 years, no worsening of the situation. Fully able-bodied.

Example 2.

Patient P., I. J., 57 years. He complained of pain in both lower extremities, recurrent lameness that occurs when walking, frequent sense of cold, “crawling”.

Considers himself ill for about 5 years. The disease progressed gradually.

Objectively. Semantic status in accordance with the age changes of organs and systems.

St.localis. Upon examination of the lower extremities define the characteristics of the vessel and trophic changes: thinning of the skin, absence of vegetation, changing colors and patterns of the nail plate, palpation of the foot and lower leg cold, pulsation of the arteries on the rear of Adelaide:

On the left side. Wall of the common femoral artery sealed. In the distal left surface of the femoral artery lazerous concentric kalyanaraman ateroskleroticheskie plaques, stenocereus the lumen of the artery by 20%. The blood flow in the common and superficial femoral arterial - main unchanged. In the lumen of the popliteal artery lazerette flat plaque with a length of 2.5 cm, stenoziruyuschaya the lumen of the vessel 30%, the flow - main unchanged. The blood flow in the posterior tibial and arteries of the rear foot - trunk unchanged.

On the right side. Wall of the common femoral artery sealed. The lumen of the right superficial femoral artery on the border of middle and lower third of the thigh occluded. Collateral blood flow is restored in the proximal popliteal artery, its stenotic lumen 30% of the atherosclerotic plaque. The blood flow in the posterior tibial and arteries behind - the collateral.

Indexes segmental pressure:

On the rear tibial arteries left to 1.00, the right to 0.69.

The arteries of the rear foot to the left 1,10, to the right of 0.62.

The deep veins of the legs, popliteal, superficial and General vein is not extended, fully compressible when to lazerette insufficient perforating vein. On the posteromedial surface of the right tibia lazerette tributary of the great saphenous vein lumen is not extended, pass.

Conclusion.

1. Obliterating atherosclerosis of lower limb arteries with occlusion of the right superficial femoral artery at the level of the lower third of the thigh and stenosis:

left superficial femoral artery 20%

- popliteal arteries by 30%.

2. The patency of deep veins of both lower limbs saved.

3. Insufficient perforating vein posteromedial surface of the medial third of the right tibia.

Patient treatment was conducted under the scheme.

1 session. Impact on bracing points GI(II)4(Hu-GU), E(III)36(Zu San-Lee), J(XIV)6(Chi-hi) silver needles 60 minutes symmetrically. Impact on the point of local action N86 (Chen-Jian), N85 (JIU-nei-fan) N83 (Lo-Di), RM (JIU-Wai-fan), PC150 (Jiao And Golden needles 10 minutes symmetrically. Addition was carried out impact on the projection area of the scalp 10 (motor-sensory area of the foot) silver needles 10 minutes symmetrically.

2 session. Impact on obsheucrepluchee point MS(IX)7(Yes-Lin), RP(IV)6('In the Qiao): the handle of the Golden eagle was joined by active electrodes (apparatus “Elite 4”), and the handle of the silver needle J(XIV)6(Chi-hi) - the passive electrode. Conducted stimulation electric current of different orientation, a value of 100 μa and a voltage of 5 B with a rectangular pulse shape (4 s +; 4 sec; 2 sec pause). The time of stimulation electric current of 10 min was Affected on the projection area of the scalp 5 (vazomotorna area), 10 (motor-sensory area of the foot) silver needles 10 minutes

3 session. Impact on restorative point J(XIV)4(Guan yuan), J(XIV)6(Chi-hi), V(VII)60(Kun-LUN), E(III)36(Zu San Li) silver needles symmetrically 60 minutes Exposure to gold needles on points locally-segmental actions RS (tai-Yin-Qiao), E(III)44(Nei-tin), V(XI)43(SJ-si), R (BA-Feng), PC135 (Xiao-Zhi-Jian), PC136 (Mu-Chih-Heng-Li-Hsien Mao).

Additionally influenced point of the ear AP(IX)51(sympathetic, autonomic), AP(VIII)46( toes) 60 minutes

Further treatment was carried out under the scheme. A total of 12 sessions. After 10 days was repeated a course of 12 sessions. After 30 days was held an additional 3 year - 12 sessions.

After the treatment, the patient no complaints. The pain in his legs vanished poudou and extremities revealed:

- On the left. Wall of the common femoral artery sealed. In the distal left superficial femoral artery lazerous concentric whether atherosclerotic plaques, stenocereus the lumen of the artery by 20%. The blood flow in the common and superficial femoral arteries - main unchanged. In the lumen of the popliteal artery lazerette flat wounded heterogeneous structure with a predominance of dense component of atherosclerotic plaque with a length of 2.5 cm, stenoziruyuschaya the lumen of the vessel 30%, the flow - main unchanged. The blood flow in the posterior tibial and arteries of the rear foot - trunk unchanged.

On the right side. Wall of the common femoral artery sealed. The lumen of the right superficial femoral artery on the border of the middle and lower thirds of the thigh occluded. Collateral blood flow is restored in the proximal popliteal artery, its stenotic lumen 30% of the atherosclerotic plaque. The blood flow in the posterior tibial and arteries rear - mallaranny.

Indexes segmental pressure:

On the rear tibial arteries left 1,00, right 0,70.

The arteries of the rear foot to the left 1,10, to the right of 0.75.

The GLA is pressie sensor, determined phase flow. On the posteromedial surface of the medial third of the right tibia lazerette insufficient perforating vein. On the posteromedial surface of the right tibia is determined by the blood flow through colaterales.

Conclusion.

1. Obliterating atherosclerosis of lower limb arteries with occlusion of the right superficial femoral artery at the level of the lower third of the thigh and stenosis:

left superficial femoral artery 12%;

- popliteal arteries by 15%.

2. The patency of deep veins of both lower limbs saved.

3. Insufficient perforating vein posteromedial surface of the medial third of the right tibia.

Compared with the study from a month ago significant positive dynamics of indexes segmental pressure on the right sidebartabs and arteries of the rear foot. Lazerette collateralise circulation.

1. A method for the treatment of stenotic vascular diseases, including the effects of the rectangular pulse electric current of negative polarity at the corporal and auricular acupuncture points, characterized in that corporeal point General who is deistvuut Golden needles and leave them at points 30 min, then put the needle affected by bipolar electric current of 100-200 μa, the voltage of 5-10 V, for from 3 to 20 min, while the passive electrode is connected to the silver acupuncture needle entered in one of the points of General jurisdiction, and the active electrodes connected to the arms of Golden needles located at the points of local actions, the impact of exercise every other day, alternating with impact silver needles, introduced for 10-15 minutes in auricular (AR): AR 22 (an endocrine gland), art 21 (heart-2), AR 51 (sympathetic), the AP 100 (heart 1), AR 46 (fingers), and/or in the flat area of the scalp: 5 (vasomotor area), 10 (motor-sensory area of the feet); in the course of treatment of 12 treatments daily.

2. The method according to p. 1, characterized in that is carried out from 2 to 4 courses with breaks between the first and second courses of 10 days between the next 30 days.

 

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