Method of treating alcoholic dependence and opium addiction 'universal psychopharmacological neurophysiological block'

FIELD: medicine.

SUBSTANCE: invention refers to medicine, and aims at treating alcoholic dependence and opium addiction. That is ensured by a psychological, emotional stress and pharmacological complex followed by pharmacological consolidation of a therapeutic effect. The complex is performed sequentially. General relaxation is followed by emotional stress. 25% Magnesium 4-6 ml, 1% nicotinic acid 0.5-3 ml and 0.9% sodium chloride 5-12 ml are introduced intravenously. An imperative suggestion is attended by ethanol vapour inhalation in treating alcoholic dependence. The following stage involves pharmacological exposure by introducing the preparations desulphirame and/or cyanamide in treating alcoholic dependence, and opiate receptors in treating opiate addiction. Finally, the therapeutic effect is consolidated by the intramuscular introduction of pyrogenal 50-100 mcg in treating alcoholic dependence and 100-1500 mcg in treating opiate addiction.

EFFECT: method provides clinical effectiveness in alcoholic dependence and opiate addiction.

8 ex

 

The invention relates to psychiatry-addiction, namely the treatment of syndrome of alcohol dependence syndrome tobacco dependence, dependence syndrome opiates.

From patent No. 2067878 EN, 1995.04.24 known composition for the treatment of alcoholism, including medications, including psychotropic, namely ketamine, tegretol, analgin, piracetam, Relanium, nicotinic acid, 15-30 g of broth hips, guelder rose or wild rose and Rowan, as well as a method for the treatment of alcohol dependence, stipulating session of exposure before onset of the patient's acute needs alcohol; at the beginning of the session orally administered specified composition are STRESSOMETER aimed at avoiding alcohol and a complete indifference to him, and then illuminate the patient's eye sequentially with light of different colors, then spend hypnotic psychotherapeutic effect, creating the patient comfortable condition and immersing it in a dream, and at all stages of the exercise session suggestive impact. Features of the method are the fasting diet therapy, inhalation by the patient vapors of alcohol during a session, accompanied by session music, aromatization of premises, the effects during the session on the back of the head and the patient's forehead with a cool stream of air or chloroethyl, and the plait and and chest are affected by the warm air.

There is a method of treatment of alcoholism (patent No. 2129887 EN, 1995.11.30), including the introduction of medicines containing ketamine hydrochloride, verbal heterosuggestion impact, as well as psychotherapeutic effect.

From patent No. 2080131 EN, 1995.10.11 known method of treatment of alcoholism with psychopharmacological therapy, which consists in the introduction of ketamine in a mixture with magnesium sulfate doses, the formation of the indifferent attitudes towards alcohol use verbal-exposure to suggestion, simultaneous kneading the brow area and the epigastrium and/or the solar plexus, the induction of the patient's mental sensations localized foreign body, the suggestion that this body is "energy parasites", associate it with the negative sides of alcoholic lifestyle with the subsequent suggestion of removing it.

There is a method of treatment of alcoholism (as the USSR №1806743, 07.02.91), involving simultaneous introduction teturama and apomorphine hydrochloride after a course of detoxification therapy.

The aim of the invention is the reduction procedures of treatment for alcohol and opioid dependency, increase the effectiveness of treatment.

The purpose is due to the fact that the patient is undergoing pharmacological block to ora uses indirect methods suggestively psychotherapy and pharmacological treatment. At the first stage after the General relaxation exercise emotional stress that is in the treatment of opioid dependence and alcoholism in the introduction to the patient an intravenous solution of magnesium 25% (from 4 to 6 cm3, solution of nicotinic acid 1% in the amount of from 0.5 to 3 cm3solution , sodium chloride 0.9% in number from 5 to 12 cm3. Amid the stressful effects of these drugs spend imperative suggestion, the doctor tells the patient about the harmful effects of drugs or alcohol and method of suggestion brings to consciousness the patient the necessity of refraining from the use of harmful substances. In the treatment of alcohol dependence effect on the patient is supported by the inhalation of ethanol vapour. Next, in the procedure of pharmacological block of conduct pharmacological effect when the treatment of opioid dependence orally administered drug antagonist of opiate receptors in the treatment of alcoholism appoint sensibilization therapy drugs disulfiramum series. As a result, the patient's psychological, emotional stress and pharmacological effects. At the second stage, the consolidation of emotional-stress effect, for which the patient intramuscularly injected solution pyrogen is La in the following amounts:

1) in the treatment of opioid dependence in an amount of from 100 μm to 1500 μm,

2) in the treatment of alcoholism in the amount of from 50 to 1500 microns.

In the procedure, the patient creates a conditional reflex. In the future, within half a year 1 time per month, and after 6 months of not less than 1 time in 3 months, the patient is in the process of fixing this effect, which consists in injecting drug one of the following structures:

1) a solution of magnesium 25% (from 4 to 6 cm3the solution of nicotinic acid 1% in the amount of from 0.5 to 3 cm3, solution of sodium chloride 0.9% in number from 5 to 12 cm3;

2) solution of sodium thiosulfate and 30% in number from 7 to 12 cm3, solution of sodium chloride 0.9% in number from 5 to 12 cm3.

In the result, the method of treatment of alcohol dependence remission patients greater than 10 years, and in the treatment of opioid dependence is achieved remission from one year to five years and above. The cost of treatment is low due to the use of common and has a low price of drugs.

The implementation of the invention

The procedure pharmacological block.

On the background of relaxing audiomedia spend a total relaxation of the body of the patient by touching the tips of the fingers of the physician to the frontal, temporal and occipital areas of pale the TA. Then intravenously injected solution of magnesium 25% (from 4 to 6 cm3the solution of nicotinic acid 1% in the amount of from 0.5 to 3 cm3, solution of sodium chloride 0.9% in number from 5 to 12 cm3. Then spend imperative suggestion harm the use of harmful substances, the physician tells the patient about the consequences and method of suggestion brings to consciousness the patient the need for a shift from dependence. In the treatment of alcohol dependence, the patient is given inhale the vapours of ethanol. Next in the treatment of opioid dependence orally administered drug antagonist of opiate receptors in the treatment of alcoholism appoint sensibilization therapy drugs disulfiramum series.

After that, patients were intramuscularly injected solution pyrogenal, in the treatment of alcohol dependence in the range from 50 to 1500 μm, in the treatment of opioid dependence from 100 μm to 1500 μm.

In the future, within half a year 1 time per month, and after 6 months of not less than 1 time in 3 months, the patient is in the process of fixing this effect, which consists in injecting drug one of the following structures:

1) a solution of magnesium 25% (from 4 to 6 cm3the solution of nicotinic acid 1% in the amount of from 0.5 to 3 cm3, solution of sodium chloride 0.9% in number from 5 to 12 cm3;

2) the solution of thiosulfate n the Tria 30% in number from 7 to 12 cm 3, solution of sodium chloride 0.9% in number from 5 to 12 cm3.

Examples

Example 1

The sick man is 35 years old

Chronic alcoholism article I

The complaint against the attraction to alcohol. There is a place alcohol withdrawal syndrome. Craving for alcohol. Formed physical and psychological dependence.

After detoxification therapy, the patient carried out the procedure of psychopharmacol (PPB) for a period of 12 months.

After the patient has stopped manifestations of obsessive craving for alcohol. Developed installation sobriety, normalized sleep, appetite, mood, craving for alcohol denies. Preventive received through the month made injection "feeding". Followed by a reception in 3 months. Remission 10 months.

Example # 2

The sick man is 42 years old. Chronic alcoholism - II century

The complaint attraction to alcohol, have a compulsive nature, poor sleep, decreased appetite, mood, repeatedly treated in hospital drug profile.

History: a persistent pathological craving for alcohol, alcohol withdrawal syndrome (AAS). Fully formed mental and physical dependence on alcohol. Moved twice in different time cancel delirium tremens F 10.41. in a drinking bout 5 days. After the Oh detoxification therapy conducted PPB for 3 years. To be sober. Normalized sleep, appetite and mood. Craving for alcohol denies. After 1 month on the periodic health examination mood even. Completely there is motivation for sobriety. Subsequent reception of 1 times in 3 months. Remission 10 months.

Example # 3

The sick man is 19 years. Mental and behavioural disorders as a result of the use of opiates. The dependence syndrome. Have never been treated.

Complaints attraction to substance use disorder, insomnia, muscle pain, lacrimation, rhinorrhea. After hospital treatment was applied to the centre, which carried out the procedure PFB + oral Anatoxin 500 mg

After 1 month the patient notes the lack of traction for the drug, normalized sleep, appetite and mood. Made makeup + anatoxin 500 mg

To be sober for 10 months of remission. Recharge visited on a monthly basis.

Example No. 4

The sick man is 19 years.

Notes craving for opiates. Uses intranasal within 2 months.

The generated syndrome heroin dependence. Asked at the insistence of parents.

Complaints about low mood, temper, unstable sleep. Failure to study, frequent absenteeism of lectures at the Institute. A difficult relationship with his parents. Formed psychic dependence. After psychotherapeutic installation sobriety conducted PPB 1 g is d + anatoxin 500 mg for 1 year with subsequent rehabilitation activities. After 1 month of feeding. Normalized sleep, mood. Caught up in school. Good relationships with parents, cravings for the drug denies. Remission for 10 months with fertilization after 1 month.

Example No. 5

Female 35 years old. Complaints about the attraction to alcohol, unstable sleep, tremor of limbs, ataxia, anxiety. Diagnosis: Chronic alcoholism 1 stage formed of mental and physical dependence. In a drinking bout 5 days. After detoxification therapy conducted PPB with sobriety for 3 years.

Normalized sleep, appetite and mood. Restored good relations in the family, husband, children. After 1 month of feeding. Denies the attraction to alcohol, condemns his alcoholism, became involved in the circles of sobriety. In remission for 10 months. Recharge regularly attend 1 time per month.

Example No. 6

Female 42 years old. Notes attraction to alcohol. Drinks on weekends (Saturday, Sunday). Working days do not drink, as well as working in the shop. Fully formed mental and physical dependence. The dose of alcohol was gradually grow. Uses up to 0.5 liters of vodka daily on weekends. Began to appear more frequently absenteeism at work. Lost situational and quantitative control. The attraction to alcohol obsessive compulsive. is raveena detoxification therapy. Then the procedure PFB installed for 3 years. Normalized sleep, appetite, mood, craving for alcohol denies. Met with a man. Plans to create a family. In remission for 10 months. Feeding visits 1 time per 3 months.

Example No. 7

Female 21 years. Notes irresistible attraction towards the use of opiates. Is an injection drug user (IDU) within 3 years. Diagnosis F 11.242 syndrome of dependence on opiates. Passed numerous psychotherapeutic treatment. Complaints about difficult relationships with parents, peers, MIA. Not working, not studying, not married. Is not a life without surfactant.

From the anamnesis: fully formed mental and physical dependence on heroin. Disrupted normal life, sleep, appetite, mood, sick embittered by the whole world. At the reception motivirovana to start treatment. Took a course of detoxification therapy. Correction insomniatic, elegicheskij and anxiety disorders. Then made the procedure PFB + anatoxin 500 mg. Normalized sleep, appetite and mood. After 1 month of feeding. Cravings for the drug denies. Positive relationships with parents. Visited recharge 1 time per month + anatoxin 500 mg After 6 months met with a man without bad habits. Wants to create a family, to have children. In remission for 10 months. With atrade the receiving remembers his past, drug-related. Got a job, started a fitness. For feeding continues to walk.

Example No. 8

Male 56 years. Complaints about the attraction to alcohol. Uses the hard drinking up to 14 days. Notes insomnia, lack of appetite, surface oblivion with nightmarish dreams. Binges are marked 1 time per quarter. Work was fired for drunkenness.

From the anamnesis: treated regularly twice. Remission is short. Passed the encoding, after which 2-3 weeks again began drinking binges. Notes interruptions in heart. The liver is increased by 3 cm, painful. After detoxification therapy have been PPB. Normalized sleep, appetite and mood. The baseline medical examination after 1 month. Visits recharge 1 time per month. Remission 10 months.

The method of treatment of addiction to alcohol and opiates, including psychological and pharmacological effect, characterized in that after the General relaxation exercise emotional stress by intravenous injection of a solution of magnesium 25%4-6 ml of a solution of nicotinic acid 1%0.5 to 3 ml of sodium chloride solution of 0.9%5-12 ml, then spend imperative suggestion, which is accompanied in the treatment of alcohol dependence by inhalation of ethanol vapour, the next stage pharmacological effects by wvedeniami.detam disulfiramum number and/or cyanamide in the treatment of alcohol dependence and antagonists of opioid receptors in the treatment of addiction from opiates and finally consolidate therapeutic effect by intramuscular injection of a solution of pyrogenal in the amount of 50-100 mcg in the treatment of alcohol dependence and 100-1500 micrograms in the treatment of dependence on opiates.



 

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17 cl, 3 tbl, 3 ex

FIELD: medicine.

SUBSTANCE: invention relates to field of medical psychology, in particular, to method of psychotherapy for extra weight reduction. Psychotherapeutic contract, which obliges patient to observe rational diet, is concluded. Course of psychotherapy, including, at least, four full-time group sessions with total duration from 4 to 7 days, is carried out, between which patient fulfils correspondence self-study, using printed methodological recommendations on psychology and nutrition of rational food behaviour, are carried out, as well as control meeting, after, at least 25 days from course beginning. In case of side effects and/or detection of diet violation after the end of full-time sessions, correcting and/or supporting psychotherapy is administered. Correcting psychotherapy of patients with conversion senestopathic and/or anxious-depressive side effects includes sessions of transpersonal psychotherapy according to Stanislav Grof in combination with audiovisual stimulation (AVS). Correcting psychotherapy of patients with side effects in form of social desadaptations includes sessions of psychological drama according to Bert Hellinger, in which co-therapists play parts of patient's family members. Correcting psychotherapy of patients with deficit of motivation includes cognitive-behavioral psychotherapy in combination with AVS. Supportive psychotherapy includes additional sessions, at each of which carried out is rational psychotherapy, by means of directed visualisation CCS is induced and suggestions are consolidated accompanied by AVS, CCS is induced by means of transpersonal psychotherapy according to Kolosov VP, colour meditation is carried out, meditative CCS is induced in combination with AVS and aims at results are consolidated according to Uznadze DN. At each of sessions rational psychotherapy is carried out, at the first session presentation of target strategies of rational food behaviour is carried out. At the following sessions target food behaviour is supported and/or behaviour deviating from target behaviour is corrected. At the last session, as aim, suggested is confidence in independent realisation of target strategies In the course of correspondence self-study during the first interval between sessions, actualised are positive effects of weight reduction, then, actualised are positive effects of overeating and extra weight, and, finally, list of alternative sources of enjoyment, which are not connected with food consumption, is formed. At the first session problem of extra weight is dis-identified with patient personality by method of psychosynthesis. First three sessions indirect psychotherapy, which includes physiotherapeutic impact and suggestion to patient that it contributes to weight reduction, is carried out. At the second and third sessions suggestion is supported by induction of CCS by means of holotropic breathing, at the second session additionally formed is aversion with respect to imagined product, inducing neurotic desire, and at the third session - with respect to real product, inducing neurotic desire. On condition of its further application in diet in process of weight reduction, at each session, at least, once in combination with audiovisual stimulation (AVS) CCS is induced by method of directed visualisation, by means of relaxation and/or meditation. At, at least, one of said sessions earlier applied suggestions and/or aims are consolidated.

EFFECT: method makes it possible to form skills of self-control for supporting achieved result in correction of patient's body weight during long period of time and reduction of impact of psychotherapist's personal characteristics on efficiency of carried out therapy.

17 cl, 5 tbl, 4 ex

FIELD: medicine.

SUBSTANCE: invention relates to field of medical psychology, in particular, to method of psychotherapy for extra weight reduction. Psychotherapeutic contract, which obliges patient to observe rational diet, is concluded and course of psychotherapy, including, at least, four full-time group sessions with total duration from 4 to 7 days, between which patient fulfils correspondence self-study, using methodological recommendations on psychology and nutrition of rational food behaviour, are carried out, as well as control meeting, after, at least 25 days from course beginning. In case of side effects and/or detection of diet violation, correcting psychotherapy, which includes cognitive-behavioral psychotherapy in combination with audiovisual stimulation (AVS) is administered. At each session rational psychotherapy is carried out, at the first session presentation of target strategies of rational food behaviour is carried out, at the following sessions target food behaviour is supported and/or behaviour deviating from target behaviour is corrected, and at the last session, as aim, suggested is confidence in independent realisation of target strategies. In the course of correspondence self-study during the first interval between sessions, actualised are positive effects of weight reduction. After that actualised are positive effects of overeating and extra weight, and, finally, list of alternative sources of enjoyment, which are not connected with food consumption, is formed. At the first session problem of extra weight is disidentified with patient personality by method of psychosynthesis, first three sessions indirect psychotherapy, which includes physiotherapeutic impact and suggestion to patient that it contributes to weight reduction, is carried out. At the second and third sessions suggestion is supported by induction of changed consciousness state (CCS) by means of holotropic breathing. At the second session formed is aversion with respect to imagined product, inducing neurotic desire, and at the third session - with respect to real product, inducing neurotic desire, on condition of its further application in diet in process of weight reduction. At each session, at least, once in combination with AVS CCS is induced by method of directed visualisation, by means of relaxation and/or meditation. At, at least, one of said sessions earlier applied suggestions and/or aims are consolidated, correcting psychotherapy in it cognitive-behavioral psychotherapy in combination with AVS.

EFFECT: method makes it possible to form skills of self-control for supporting achieved result in correction of patient's body weight during long period of time and reduction of impact of psychotherapist's personal characteristics on efficiency of carried out therapy.

17 cl, 5 tbl, 3 ex

FIELD: medicine.

SUBSTANCE: intention relates to medicine, in particular, to dermatology. Carried out is method of synchronous stimulation of visual and acoustic receptors with application of unconscious suggestion. Simultaneously carried out is stimulation of receptors: visual - in form of positive images or landscape on videounit monitor, acoustic - in from of individual for each patient selected music. During session into musical signals unconscious verbal story, by meaning removing patient's stress tension and their "psychologically expected readiness" to seasonal psoriasis recurrence, is built. Preventive sessions are carried out before defined, constantly repeated, term of off-season recurrence - in the spring and in the autumn by 45-60 min, daily, during 3-4 weeks.

EFFECT: method makes it possible to normalise psycho-emotional mechanisms and regulate immune-endocrine processes in patients' organism.

1 ex

FIELD: medicine.

SUBSTANCE: invention relates to medicine, psychophysiology and can be applied for social adaptation of personality, change of inefficient behaviour stereotypes, treatment of diseases associated with dead-end event streams. Method includes physical exercise and word impact on patient. Regulation is carried out by selection and achievement of sport aim with fixation of positive sensations to solved psychological problem. For this purpose first identified is psychological problem, emotionally important for patient, selected is its psychological solution, with which patient agrees, but which contradicts experience, fixed by bodily and emotional patient's memory. Selected is achievable sport aim, which includes fulfillment of acceptable sport exercises with fixation in patient of stable association based on connection emotion-sensation-body: achieved sport aim-solved psychological problem. At the same time patient makes arbitrary workout with fixation of sensation of comfort. During rest patient is motivated to achievement of selected sport aim and solution of psychological problem. Patient does sport exercises in conditions of physical and emotional comfort. Patient obtains assistance in active achievement of set sport aim with reminding at the same time selected psychological problem solution.

EFFECT: method ensures regulation of psychological state through motor activity - achievement of sport aim, removal of emotional stress and muscular grip with fixation of positive body sensations to solved psychological problem.

1 ex

FIELD: medicine.

SUBSTANCE: invention refers to medicine, treating obsessions. 8 group psychotherapy sessions include trance and meditative technicians, neuron-linguistic programming with therapeutic exercises. A patient keeps a diet diary with specifying a mealtime, food amount and name, emotional state before a meal. A cognitive diary is used for the patient to set the situations leading to a negative emotional state. The correct diary keeping is considered at the sessions. The patient is asked to remember a life moment when he felt comfortably both physically and psychologically, to make a right fist, then to relax the hand and to imagine himself/herself being with a desired body weight, to make a left fist and then to relax the hand. The patient is asked to recollect himself/herself in memories of childhood related with parents and a negative experience, to write down and read it aloud in the group. Further the patients train a disengagement and overeating guilt refusal exercise, practice in coping with it by physical activity. The group psychotherapy sessions are followed by a therapeutic exercise set consisting of respiratory exercises to train a deep, abdominal, rhythmic breathing, and tension and relaxation exercises - contrast relaxation, respiratory relaxation, "Comfort Point", "modified Lowen's arch". The integrated training for 3 hours 2 times a week for a month. Upon completion of the integrated group sessions, the patients are recommended continuing individual therapeutic exercises.

EFFECT: method provides detection, comprehension and overcoming of the psychological causes leading to eating behaviour disorder, constructive solution of conflict situations with no rational meals and with corrected long-term food behaviour.

3 ex

FIELD: medicine.

SUBSTANCE: invention relates to creation of efficient means in therapy of patients with bacterial vaginosis based on natural mineral components. Medication for treatment of bacterial vaginosis representing mineral water "Kurgazak" enriched with colloidal ions of silver in concentration 10000 mcg/l.

EFFECT: local application (vaginal tampons) of solution of colloidal ions of silver in mineral water "Kurgazak" has proved to be efficient means of restorative therapy of patients with bacterial vaginosis.

3 tbl

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