Method of treatment of hypertension in patients with cerebrovascular diseases

 

(57) Abstract:

The invention relates to medicine, internal medicine, neurology. Realize the impact of the introduction point acupuncture needles harmonizing method for 20-25 minutes, the introduction of point of 0.5% solution of novocaine. Introduction acupuncture needles into points spend 1-5, 7-8, 10 sessions. Introduction solution of novocaine in point is carried out in 6 and 9 sessions. The method reduces drug load. table 1.

The invention relates to medicine, namely to acupuncture, neurology and cardiology, and can be used in the treatment of arterial hypertension (AH).

There is a method of treatment of patients with cerebral angiospastic crises with atherosclerosis of cerebral vessels and hypertension E. N. Panchenko and I. F. Nalco (and.with. No. 1514375, 1989). However, it only applies for relief of hypertensive crisis and requires the use of a constant electric current.

There is a method of treatment of hypertension IB-IIA stage C. Bakhchinyan, C. S. ulaschyk and E. A. Oganova (and.with. No. 1512607, 1989). Cons: only treat the initial stages of hypertension, the need for the use of ultrasound. As well as the impact on sinocarotid zwesten a method of treating hypertensive patients with Hypo - or eugenetics type blood I. Sidorenko, I. Y. Korobko, A. I. Pavlov.with. No. 2039549, 1995). Disadvantage: you need to have the laser therapy apparatus, and also, as in the previous, the impact is sinocarotid zone.

The prototype of the present invention is a method of treatment of hypertension with acupuncture “Acupuncture” encyclopedia I. H. Samosyuk, B. N., Lysenok. - Kiev, Moscow, Russia; Ukrainian encyclopedia; ACT - PRESS; 1994

According to them the most effective use of reflexology for stage I-II disease. Using option II brake method without strong stimulation.

For the treatment of patients with hypertension most commonly used effects on the following points: T(XIII) 20, VB(XI)20, VB(XI)21, V(VII)10 V(VII)15, GI(II)15, J(XIV)14, J(XIV)15, F(XII)14, GI(II)4, GI(II)11, MC(XI)6, C(VII)7, E(III)36, E(III)44, VB(XI)30, F(XII)2, F(XII)3, RP(IV)6, R(VIII)21.

An exemplary combination of points and the treatment regimen.

First session: the impact of point E(III)36(2); AR(X)55; irritation with a bunch of needles in paravertebral lines and points of the neck and collar area.

Second session: the impact on the point J(XIV)15, MC(XI)6(2), F(XII)3(2); AR(V)28(2); heat point MS(IX)8 for 30 - 40 minutes

Third session: the impact point T(XIII)20, VB(XI)21(2), VB(XI)30(2); AR(VI)34(2); irritation with a bunch of needles paravertebral zones and points of neck vorot is. the further point pick up roughly the same way.

When the treatment of hypertension apply course treatment (10-12 sessions per course), only 3-4 course with a break between them from 7-10 days to 2-3 weeks.

However, the reduction in blood pressure (BP) was insignificant and short-lived.

The objective of the invention was to develop a simple and effective method of treatment for any stage of hypertension complicated with acute ischemic stroke (cerebral vascular accident).

Technical result achieved when using the invention, the improved functional outcomes and reduced drug load, the achievement of target BP levels.

This technical result is achieved due to the fact that they are carrying out acupuncture treatment course of 10 sessions, the impact of needles stainless steel carry out the harmonizing method for 20-25 minutes, at the first session affect the point E(III)36(2), GI(II)11(2), PC3, second session: on a point TR(X)5(2), VB(XI)34(2), AR(X)55(2); at the third session: at point GI(II)4(2), VB(XI)39(2), AR(XVII) 105(2); at the fourth session: at point MC(IX)6(2), RP(IV)6(2), AR(XVII)82; on the fifth session: at point V(VII)60 V(VII)40 T(XIII)14; at the sixth session subcutaneously injected with 0.5% the solution of novocaine 0.5 ml in each point one is deistvuut at point F(XII)2(2), F(XII)3(2), AR(I)8(2); at the eighth session on the point V(VII)62(2), GI(II)15(2), AR(VI)34(2); at the ninth session subcutaneously injected with 0.5% solution of novocaine 0.5 ml in each point simultaneously symmetrically V(VII)41(2), V(VII)42(2), V(VII)43(2), V(VII)44(2), V(VII)45(2); at the tenth session, held two days later, acting on a point IG(VI)3(2), E(III)40(2), T(XIII)24. The proposed method of treatment of hypertension is as follows: effect on acupuncture points with needles made of stainless steel for harmonizing the methodology for 20-25 minutes. Previously the location of the acupuncture treated with alcohol. Twice a day, morning and evening on both hands measure blood pressure (BP), HELL is also measured before and after a session of acupuncture. Additionally subcutaneously injected into acupuncture points on the 1st paravertebral line (V(VII)11(2), V(VII)12(2), V(VII)13(2), V(VII)14(2), V(VII)15(2)) and 2nd paravertebral line (V(VII)41(2), V(VII)42(2), V(VII)43(2), V(VII)44(2)V(VII)45(2)) 0.5 ml of 0.5% solution of novocaine. The introduction of novocaine carried out simultaneously, in pairs in a symmetrical point on the right and left along the spine. The treatment course is 10 sessions. The solution of novocaine us selected with regard to the fact that this medication is public, has a wide spectrum of action. He is not only a local anesthetic drug, but when suction and Nepi reduces the excitability of the peripheral chainreaction systems, having a blocking effect on the autonomic ganglia, reduces spasms of smooth muscles, reduces the excitability of the heart muscle and excitability of the motor areas of the cerebral cortex.

Proposed schema of the treatment:

First session: affect(III)36(2), GI(II)11(2), RS.

Second session: points TR(X)5(2), VB(XI)34(2), AR(X)55(2).

Third session: points GI(II)4(2), VB(XI)39(2), AR(XVII) 105(2).

Fourth session: points MC(IX)6(2), RP(IV)6(2), AR(XVII)82.

Fifth session: the point V(VII)60 V(VII)40, T(XIII)14.

Sixth session: subcutaneously injected with 0.5 ml of 0.5% solution of novocaine in every point, at the same time symmetrically V(VII)11(2), V(VII)12(2), V(VII)13(2), V(VII)14(2), V(VII)15(2).

Seventh session: spend two days later, acting on a point F(XII)2(2), F(XII)3(2), AR(I)8(2).

Eighth session: point V(VII)62(2), GI(II)15(2), AR(VI)34(2).

Ninth session: subcutaneously injected with 0.5 ml of 0.5% solution of novocaine in every point simultaneously symmetrically V(VII)41(2), V(VII)42(2), V(VII)43(2), V(VII)44(2), V(VII)45(2).

Tenth session: spend two days later, acting on a point IG(VI)3(2), E(III)40(2), T(XIII)24.

Treated 21 patients of both sexes, aged from 31 to 67 years (table).

The use of pharmacopuncture helped to increase the effectiveness of treatment due to the dual effect: on the one hand, who will stifle the impulse activity and contributes to the destruction of components of pathological reactions. As a result, conditions for the normalization of the functional state of the nervous system, and on the other, pharmacotherapy is a medicine which is gradually penetrating into the bloodstream and spreading throughout the body, has its effect on the body.

The advantage of this method is that with the introduction of drugs into the active points of the power and duration of exposure increase several times that stabilizes blood pressure. So how to inject small doses, there is no addiction to drugs and less chance of allergies. The treatment can be carried out on an outpatient basis.

Example 1. According to the results of treatment were allocated to 2 groups.

1. A group of 7 people: age 31-50 years (1 man, 6 women) who had: AG III senior risk 3 with mild neurological symptoms. The original AD from 180/120 mm RT.article and 150/100 mm RT.article stabilized to 120/80 mm RT.article The degree of compensation in case of repeated courses of up to 7 years. In a single treatment effect from 6 months to 2 years. The difference HELL was 50/40 to 30/20 mm RT.article (table 1).

2. The group of 11 patients aged from 35 to 67 years (4 women and 9 men) with AG III senior risk 4. the GSP. Onmk. This group was allocated 3 of article 51 to 67 years. The original AD from 170/100 to 140/100 mm RT.p.. Stabilized to 130/90 and 120/80 mm RT.article Time compensation from 6 months to 3 years with repeated courses.

2B. A subgroup of 6 patients (2 women, 4 men). Age from 35 to 61 years. the original AD from 190/120 to 160/110 mm RT.article This group was malignant for AG frequent crises to 240/140 mm RT.article After treatment, the blood pressure has stabilized from 150/110 to 120/80 mm RT.article It became possible to reduce the dose of antihypertensive drugs in 3 - 4 times. Hypertensive crises are rare, maximum lift up to 180/100 mm RT.article.

2B. subgroup 3 patients - men. Age from 45 to 50 years. The original HELL 160/100 mm RT.article after treatment, no significant improvement is achieved, as all 3 had comorbidities. The first was - CHD with rhythm by type of bradycardia. The second occlusion of the internal carotid artery. The third - repeated violations of cerebral circulation with extensive foci of ischemia.

Example 2. The patient 54 years. Suffering from arterial hypertension 5 years of AD adapted 160/110 mm RT.article with frequent hypertensive crises to 210/120 mm RT.art., complicated onmk by ischemic type with right-hand light hemiparesis.

The diagnosis of Cerebrovascular disease, ISI period on the background of arterial hypertension Art. III, risk 4. The patient received antihypertensive therapy, including 3 drugs (diuretics, ACE inhibitors, beta-blockers) without significant effect. After 3 courses of acupuncture by the method described above, the blood pressure has stabilized on figures 120/80-130/90 mm RT.article at a minimum dose of only one anti-hypertensive drug.

Example 3. Patient 49 years. Has AH for about 10 years. Adapted HELL 170/100 mm RT.article with frequent crises to 240/120 mm RT.article Suffered a small myocardial infarction and cerebral vascular accident with slight left hemiparesis.

The diagnosis of Cerebrovascular disease, ischemic stroke in the right carotid system with slight left hemiparesis, early recovery period on the background of arterial hypertension of the III century, the risk 4.

Antihypertensive treatment required 2 drugs (diuretics and ACE inhibitors), but the optimal level of blood pressure has not been reached.

After 2 courses of acupuncture by the method described above for hypertension stabilized on figures 140/80 mm RT.art., transferred to one drug, the dosage is reduced 4 times. For AG became beskriva.

Thus, this method is effective at any stage of hypertension, even on the background of existing complications (About the RAM antihypertensive drugs to achieve stabilization of the current AG at this stage without going to the following, more severe. When Art. III AG was able to reduce the dose of antihypertensive drugs in 2-4 times, for hypertension has become “soft”.

The accessibility and simplicity of this method of treatment acupuncture help to implement it in all health care institutions.

Method of treatment of hypertension in patients with cerebrovascular diseases, including the introduction of acupuncture needles into points GI(II)4, GI(II)11, GI(II)15, E(III)36, RP(IV)6, F(XII)2, F(XII)3, AR(X)55, characterized in that the influence exercised by the harmonizing method for 20-25 minutes, at the first session affect the point E(III)36(2), GI(II)11(2), PC3, second session: on a point TR(X)5(2), VB(XI)34(2), AR(X)55(2); at the third session: at point GI(II)4(2), VB(XI)39(2), AR(XVII) 105(2); at the fourth session: at point MC(IX)6(2), RP(IV)6(2), AR(XVII)82; on the fifth session: at point V(VII)60 V(VII)40, T(XIII)14; at the sixth session subcutaneously injected with 0.5% solution of novocaine 0.5 ml in each point simultaneously symmetrically V(VII)11(2), V(VII)12(2), V(VII)13(2), V(VII)14(2), V(VII)15(2); on the seventh session, spend two days later, acting on a point F(XII)2(2), F(XII)3(2), AR(I)8(2); at the eighth session: at point V(VII)62(2), GI(II)15(2), AR(VI)34(2); at the ninth session subcutaneously injected with 0.5% solution of novocaine 0.5 ml in each point at the same time, who are on the point IG(VI)3(2), E(III)40(2), T(XIII)24.

 

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