A method of treating postoperative pain in the remote period
The invention relates to medicine, acupuncture, surgery. Affected by acupuncture. However if the damage is cut channels, reaching inward, and the presence of zones of hyperesthesia below the scar prick toning method zone of the brush on F.B. Kondrovo - MH RP and MOH F away from the pain zone side, and the MOH R - side pain. If the damage is anteromedian one channel pinch zone MH 21 MH 22, and if the damage is cut channels, reaching inward, and the presence of zones of hyperesthesia above scar prick toning method areas of the foot on F.B. Candarave PZ E - pain on the opposite side, and PZ PZ V and VB - side pain. The method improves the efficiency of the treatment. 9 Il.The present invention relates to medicine, namely to reflexology.Pain at the site of the scar in the remote period after the surgery occurs more often in traumatic injuries, scarring, after the amputation of limbs, where the violation of the energy pathways of the channels (Fig.1). The proportion of patients (according to the authors of no more than 15%) do not experience any pain after the amputation of limbs or other operations, as spontaneously brudnoy cells and from the channel to the next in a large circle of energy circulation channel after the amputation of limbs).In other cases, there are different degrees of violations, first of all sensitivity, depending on the number of channels that are not recovered independently. The increase in the number of late complications and contribute to local postoperative complications, the frequency of which according to the literature ranges from 10 to 37% [Sheds centuries Prevention of complications from abdominal wall in patients with acute appendicitis // Surgery. - 1988. No. 3. - S. 104-107].If you cannot restore the correct course of the channel through the postoperative scar, that is, when not finding the rest of my channel, there is a bypass and the movement of energy by collaterals, often in a symmetrical branch channel that leads to pain.Indication for foot reflexology treatment of pain is the lack of indications for re-operation (long-term healing fistulas, leaving part of the gallbladder or long stump of the cystic duct, neglected stones and others).The literature increasingly began to see the data on long-term results appendectomy about pain in the right iliac region [Kutakov M,, Baskakov, C. A. long-term results of appendectomy for chronic appe. No. 8. - S. 38. Korepanova M. C. Hazards and complications in the diagnosis and treatment of acute appendicitis // journal of surgery. - 1997. No. 1. - S. 111-115]. Indicates that the removal of the Appendix reduces immunity, the occurrence of adhesions, and most importantly, operating masked trauma of the disease, simulating the clinic of acute appendicitis [Zabolotna A. Appendectomy is not always good // the Doctor. - 1887. No. 8. - C. 38]. In addition, according to various authors appendectomy was not shown at 18-20% of patients. If we consider these histological studies, the numbers increase to 30-40% [Zabolotna A. Appendectomy is not always good // the Doctor. - 1887. No. 8. - C. 38]. More than 40% of patients remained the same complaints that were before the operation [Kutakov M,, Baskakov, C. A. long-term results of appendectomy for chronic appendicitis // the Health of Kazakhstan. - 1986. No. 11. - S. 59-60]. In addition, patients after surgery long remain pain in the right iliac region, even after the disappearance of the pain persists, sometimes for life, the zone of high hyperesthesia detected during foot reflexology examination. Ileocecal angle is a powerful reflex area and inflamed vermiform process, and howl S. C., Galushin C. A., Obukhov O. A. and other Laparoscopic appendectomy // Nizhny Novgorod honey. log. - 1991. No. 2. - S. 64].In Fig.1 shows sections: 1 - Kocher; 2 - Fedorov; 3 - Volkovich - Diakonova; 4 - Pfannenstiel; 5 - grignetti; Fig.2 - move channels in the norm (F.B. Candarave) in the case of self-healing their progress after the operation; Fig.3 - the flow of energy in the channels after appendectomy (cut by Volkovich - Diakonova) (darkening of the designated area of hyperesthesia); Fig.4 - projection zone representation corporal channels on the brush on F.B. Candarave (1983, 1993), Fig.5 - the flat area of the corporeal representation of the channels in the foot by F.B. Candarave (1993), Fig.6 - the recipe, featured in postoperatoria syndrome (note: FZ - phalanx area) of Fig.7 is a representation of the organs of the gastrointestinal tract on somatotopic hands and feet on F.B. Candarave (1993) (note: MH-47 and PZ-47 - the area of the Appendix; MH-61 EP-62 - the area of the gallbladder). In Fig.8 - cut line: dotted line - Pirogov - Izrael, solid line - Bergman, point - by Fedorov (note: the V - channel of the bladder, VB - channel gallbladder), and Fig.9 - the recipe, featured in postcholecystectomy syndrome (Pcnas gland and liver (based on the cross over, open F.B. Candarave). The same flow of energy is restored in 15% of patients after appendectomy, and subsequently they do not have any clinical symptoms after acute appendicitis. The part of the patients there is a sharp pain below the scar, due to the violation of the energy in the channels of the spleen - pancreas and liver. In Fig.3 depicts the flow of energy in these channels under the condition that are not properly independent restore the flow of energy in the channels, in this case, the development of secondary collaterals, the transition energy on him from the right side to the left, the connection with the opposite branch of its channel, which leads to greater imbalance of energy in the channels of the spleen - pancreas and liver (Fig.3). At the same time there is a sharp pain right in the acupuncture study, Hara-zones, sklepowych zones, orbital, areas of external ear canal, teeth, tongue, and other microacupuncture systems in places of projection in them channels of the spleen - pancreas and liver. Clinically it is manifested by increased sensitivity in the right iliac region below the scar that identify when the data that they imitate a picture of acute abdomen in patients in remote period after surgery, you may receive the tendency to constipation, spastic colitis.These channels are damaged and when grignetti in the groin area, an operation for varicocele, cryptorchidism. But because the damage progress of channels in the inguinal folds, then there is no transition of the channel on the opposite side, which is clinically manifested by pain in the lower limb or impotence in the form of ejaculatio praecox.“Removal of pathologically altered gallbladder itself should not cause pain or other pain... Causes pain after cholecystectomy, appearing at different times after surgery (as in the first month, and a few years later), many and varied.” [Petrovsky B. C. Surgical diseases. - M.: Medicine. - 1980. - 584 C.]. The sick part about this is repeated surgical intervention, other (60%) [Petrovsky B. C. Surgical diseases. - M.: Medicine. - 1980. - 584 S.], with a diagnosis of gastritis, gastric ulcer and duodenal ulcer, hernia hiatal, colitis, spondylosis, and many others, are treated by different specialists. Offers is you want to make treatments which - 50%, compared to 18.4% of persons who did not receive treatment [Kulikov, A. G., P. M. Filimonov, Maksimov, C. A., and Paul L. C., Chernyshev A. L. Cholecystectomy: the necessity and principles of restorative treatment // Matters. balneology, physiotherapy and Medi. physical. Culture. - 2000. No. 1. - S. 30-32]. Clinical manifestations postcholecystectomy syndrome associated not only with lesions typical for hepatic-pancreaticoduodenal area with long-term and recurrent course of the disease before surgery, with changes, not korregirovannye during cholecystectomy, the changes resulting from surgery (iatrogenic bile duct damage, stricture formation and deformation of the biliary tract with violation of the outflow of bile reflux cholangitis, neurinomas crossed nerves and other) [Shalimov A. A. Principles of treatment of postcholecystectomy syndrome // Klin. surgery. - 1989. No. 3. - C. 6-8], but with a forced damage during the operation, the flow of energy classical corporal channels.Some researchers found that in 60% of patients after removal of the uterus certain complaints of sexual sphere: pain with intercourse, decreased libido and orgasm [Barlow D. H. Towards better recognition of the urogenital ageing. - Switzerland, 1995; Cull // Obstet. Gynecol. - 1977. - Vol.49, No. 1. - P. 400-402]. Indicated and a lower percentage of these disorders [Vasil'chenko, S. sexual pathology. - M., 1990. - S. 573; Makarov, O. C., Dobrokhotova Y. E., Tereshkina E. I. Sexual disorders in women after hysterectomy and efficacy of therapy with lebialem // Akush. and gin. - 1998. No. 6. - S. 29-31; Kulakov C. I., L. Adamyan Century, Jaskolska S. I., Frolov O., Health and quality of life of women after total and Subtotal of hysterectomy produced by uterine fibroids // Akush. and gin. - 1999. No. 1. - S. 31-34]. Marked negative symptoms and emotional condition in women after hysterectomy, particularly the development of asthenic and estimatesa disorders, symptoms of anxiety and depressive circle [L. Adamyan Century, Jaskolska S. I., Kudryakov T. A., A. Gorev C. psycho-Emotional state of women after hysterectomy // Akush. and gin. - 1999. No. 1. - S. 35-38], the violation of urodynamics different degrees, which is associated not only with direct or indirect trauma to the urinary organs during surgery [L. Adamyan Century, Pauker C. A., Jaskolska S. I., Starikov, I. Y. Urodynamics of the lower urinary tract before and after hysterectomy, produced by uterine fibroids // Akush. and gin. - 1998. No. 6. - S. 30-34]. In addition to pharmacotherapy are working on reflexology this proletaria in treatment of sexual disorders in postcastration syndrome in women. - Dept. manuscript. Pyatigorsk, 1994].The authors in scientific medical and patent literature not found a method of treatment of pain in the remote period after surgery, non-surgical method.The objective of the invention is to create an effective method of treatment of pain and other consequences of involuntary surgery.The technical result is the elimination of pain and other consequences of involuntary surgical intervention, developing in the remote period.The proposed method of treatment is as follows. For the treatment of these States use a localization scheme projections channels on hand and foot by F.B. Candarave [Walkover B. C., Kushnir, C. Arteriectomy skin. - Chisinau, 1983; Cantarow F.B. New comprehensive diagnosis and acupuncture. / Under. editor Professor A. T. of Kachan - Ufa, 1993. - 640 S.] (Fig.4 and 5), and also take into account the cross over moves corporal channels found. In particular, after using access Volkovich - Diakonova with appendectomy and availability zone hyperesthesia (hyperpathia) below the scar, to restore the flow of energy in the channels of the spleen - pancreas and liver use zone MOH RP and MOH F on the brush opposite the zone of pain hand.In more embedded syndrome” (Fig.6), or only the area of the Appendix in microacupuncture systems (Fig.7).After cholecystectomy and access Fedorov must take into account the damage not only the channels of the spleen - pancreas and liver, but also channels gall bladder, stomach, and sometimes the bladder, the energy which moves the centrifugal and therefore additionally appear zone hyperesthesia and higher postoperative scar (Fig.1, 8). To relieve the pain and restore the flow of energy in the channels of the gall bladder, stomach and bladder use areas of the foot - PP VB, PZ E and PZ V. Considering the intersection of the turn channel of the stomach at point J 5 Shi-men, must be toned PZ E on the left leg, and PZ VB and PZ V - on the right, as if to “pull” channels.In more complex cases, additional use zone of the brush that is included in the recipe “Postcholecystectomy syndrome” (Fig.9), or gall bladder area in microacupuncture systems (Fig.7).After transverse suprapubic, the so-called cosmetic incision (Pfannenstiel), after operations on the pelvic organs damaged stroke anteromedian one channel and both branches of the kidney channel, and sometimes channel of the stomach (Fig.1). There is a zone of hyperesthesia or hyperpnea areas. The woman was saved libido loses sensitivity of large and small labia, may develop infertility, various inflammatory processes of female genital organs. The treatment consists in pricking the toning method MH R on both sides and the MOH 96 and the MOH 21 on the left, and the MOH 22 on the right hand, when the interest channel of the stomach, advanced, and PZ E on both sides.During surgery in the neck, for example strumektomii, and use vorotnichenko cut interrupted the flow of energy in the channels anteromedian one and stomach, which subsequently leads to persistent headaches, dizziness. Treatment: the pricking toning method PZ E on both sides and the MOH 21, as a rule, on the left, and the MOH 22 is on the right hand.After masectomy can't keep the pain in the heart, the armpit area. All these manifestations are also removed or significantly reduced after the treatment method of acupuncture by the proposed method.Example 1Patient W., 67.Diagnosis: diabetes mellitus, type II.Diabetes affects about 20 years. Along with complaints specific to diabetes patient, complains of constipation and intermittent pain in the right Podust Eesa damage the progress of the channels of the spleen - the pancreas and liver, resulting in a zone of hyperesthesia below the scar (Fig.2).Acupuncture diagnosis revealed syndrome 4B, 12/10 II.Treatment: the pricking toning method MOH channel of the spleen - pancreas (pancreatic) and MOH liver on the left hand once, which gave lasting clinical effect. Through the month of zones hyperesthesia in the right iliac region is not detected. Pain and constipation were not. Continues taking antidiabetic drugs.P.S. as this imbalance of energy, in particular in the channel of the spleen - pancreas, appearing after appendectomy, reminds imbalance, like diabetes, the question arises, whether long-existing imbalance of energy in the channels, in particular in the channel of the spleen - pancreas after appendectomy the development of diabetes, sometimes over decades. According to the authors it is not excluded that this is one of the causes of diabetes.Example 2Patient K., aged 45. He complained of frequent abdominal pain, profuse leucorrhoea, headaches, dizziness, irritability, insomnia, a complete rejection to select distance display is From history: 10 years ago, at the age of 35 years underwent hysterectomy about fibroids, abnormal bleeding.Acupuncture diagnosis revealed 8/8 and 13/14 syndromes. At survey: postoperative scar (access Pfannenstiel) length of 10 cm, has stazeni on his turn. Under the scar is determined by the zone of sharp pain in the projection corporeal points J 2 qu-GU and R 11 Han-GU on both sides, above the scar - zone hyperesthesia at points E 29 GUI-Lai on both sides.Treatment: the pricking toning method MH R on both sides and the MOH 96 and the MOH 21 on the left, and the MOH 22 at his right hand.Treatment consisted of three daily sessions. Abdominal pain disappeared, it became possible coitus.A month later the General condition has improved significantly, special no complaints.Example 3Patient N., 37 years old, underwent surgery for nodular goiter 3 years ago. In the last two years, there have been frequent headaches whining character, more in the frontal region, dizziness, twitching of muscles of the legs. During the inspection gate and crustacean leaves an incision in the neck by Kocher long 6 see Damaged the progress of channels and anteromedian one of the two branches of the stomach channel. Defined area of hyperesthesia in the midline below the scar, lateral (m is PZ E on both sides and the MOH 21 on the left, and MOH 22 on the right hand. Headache disappeared during the session and was not repeated in the next month observations.The proposed method treated 356 patients, of whom 109 - with pain in the right iliac region after appendectomy, 89 - with postcholecystectomy syndrome, 103 - after surgery on the pelvic organs, 7 - after strumektomii, 26 patients had restored the flow of energy in the channels after Greenacre, the rest (12 patients) after surgery on the lungs and heart (various scars in the chest). In 289 patients (81.2 per cent) had persistent clinical effect. In 28 patients (7,9%) pain in the postoperative scar appeared again in 4-6 months. The remaining 39 patients (10,9%) were without effect. They were, as a rule, coarse, often keloid, scars.
ClaimsA method of treating postoperative pain in the remote period, including the effects of acupuncture, characterized in that if the damage is cut channels, reaching inward, and the presence of zones of hyperesthesia below the scar prick toning method zone of the brush on F.B. Kondrovo - MH RP and MOH F away from the pain zone side, and the MOH R - side pain, if the damage before the, the presence of zones of hyperesthesia above scar prick toning method areas of the foot on F.B. Candarave PZ E - pain on the opposite side, and PZ PZ V and VB - side pain.
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.
SUBSTANCE: the innovation includes lancing purulent focus, sanitation, draining and antibioticotherapy. Before operative interference and in the course of therapy it is necessary to carry out the seances of acupuncture reflexotherapy per 20-25 min, about 4-5 seances, totally. In case of thumb's purulent disease one should apply points P-7 GI-4, forefinger's purulent disease - GI-6 P9, 3d finger's - MC-6 TR-4, 4th finger's - TR-5, MC-7, and little finger's purulent disease - C-5 and IG-4, IG-7 and C-7.
EFFECT: shortened terms of therapy.
SUBSTANCE: method involves applying infiltration anesthesia with Novocain or Lidocaine solution. The needle is introduced into compression zone above the tunnel. Actovegin is introduced into injured place at a dose of 80-200 mg after having preliminarily introduced the anesthetic. Actovegin is introduced into four biologically active points along the injured nerve path.
EFFECT: enhanced effectiveness of treatment; accelerated treatment course.
FIELD: medical engineering.
SUBSTANCE: device according to the first embodiment has flexible base and needles, each having thickening at one end and sharp tip at the other end. The needles are fixed with their thickenings in the base. The base has two layers connected to each other in plasticized state with following integral whole structure being formed when hardening. Needles are pressed into the structure to provide their position stability when bending base and applying loads. The second embodiment has flexible base and needles, each having thickening at one end and sharp tip at the other end. The needles are fixed with their thickenings in the base. The base is manufactured as hollow cylindrical roller having two layers connected to each other in plasticized state with following integral whole structure being formed when hardening. Needles are pressed into the structure to provide their position stability when bending base and applying loads. The cylindrical roller is fixed on at least one shell rotatable on an axis or fixed on a shaft.
EFFECT: enhanced effectiveness in purifying biological fluid without additional reagents being applied.
20 cl, 29 dwg
SUBSTANCE: method involves treating corporal biologically active points of general, local and segmental action. Silver needles are introduced and left in the points for 60 min. Silver needles are additionally introduced into auricular acupuncture points. The auricular points are selected with fistulae locations taken into consideration. The needles are left in the auricular points for 30 min. A gold needle is introduced into fistula cavity along the whole its length.
EFFECT: enhanced effectiveness of treatment; prolonged remission time.
FIELD: medicine, psychotherapy, reflexotherapy.
SUBSTANCE: one should introduce microneedles of auricular acupuncture points of predominant concha auriculae such as AT-34, AT-55, AT-76, AT-77, AT-78,AT-82 for about 7-10 d. After removal one should introduce needles into the same points of another ear for about 7-10 d. After removal needles should be introduced into predominant concha auriculae for about 7-10 d. Before each introduction of microneedles and after their each removal it is necessary to perform psychotherapeutic impact due to verbal suggestion.
EFFECT: higher efficiency of therapy.
FIELD: medicine, reflexotherapy.
SUBSTANCE: one should affect auricular acupuncture points of predominant concha auriculae with microneedles. It is necessary to apply points AT-18, AT-55, AT-87, AT-13, AT-34, AT-82. Needles should be kept in the above-mentioned points for 10 d. Then comes impact for the same auricular points of another ear. Before each insertion of microneedles and after their removal it is necessary to conduct psychotherapeutic impact due to verbal suggestion.
EFFECT: shortened terms of therapy.
FIELD: medicine, venerology.
SUBSTANCE: corporal points of restorative local and segmentary action and auricular points and urogenital areas of scalp should be affected with silver needles. One should supplement corporal point VB (XI) 30 Khuan' Tyao with antibacterial preparations by taking into account microflora's sensitivity to them. Therapeutic course consists of 12 seances. The method increases sensitivity of microorganisms to antibioticotherapy.
EFFECT: higher efficiency of therapy.
4 cl, 3 ex
FIELD: medicine, neurology.
SUBSTANCE: one should affect corporal points of restorative local and segmentary action and auricular points with silver needles for 60 min. Additionally, it is necessary to affect immunomodulating (IM) areas of craniopuncture. Therapeutic course consists of 12 seances. The method increases efficiency of therapy due to affecting the system of immunogenesis.
EFFECT: higher efficiency of therapy.
2 cl, 3 ex
FIELD: medicine, infectology.
SUBSTANCE: one should daily affect corporal and auricular acupuncture points and scalp areas with needles. Moreover, corporal acupuncture points should be affected due to introducing silver acupuncture needles to keep them there for 60 - 90 min. Auricular acupuncture points should be affected with golden acupuncture needles to keep them there for 5 - 20 min. Scalp areas should be affected with golden acupuncture needles to keep them there for 5 - 20 min. Course consists of 10-12 seances and prevents the development of relapses.
EFFECT: higher efficiency of therapy.
1 cl, 5 ex, 40 tbl