Method of treating children and adolescents suffering bile passage dysfunction and living in environmentally unfriendly regions. RU patent 2489152.

FIELD: medicine.

SUBSTANCE: invention refers to medicine and aims at treating bile passage dysfunction. What is involved is a 2-staged integrated treatment. At the 1st stage, a diet, sorbents, mineral water, physiotherapy (thermal vibromassage of the area of the gall bladder and liver, or biologically active points) are prescribed. At the 2nd stage, the treatment is prolonged by administering adsorbents in the form of herbal preparations, as well as pelotherapy considering a type of dysfunction.

EFFECT: method enables reducing the length of pain management, prolonging remission or achieving full rehabilitation in children and adolescents suffering bile passage dysfunction and living in environmentally unfriendly regions.

3 cl, 4 ex, 2 tbl

The present invention relates to medicine, namely to gastroenterology, Pediatrics, and can be used in the treatment of children and adolescents with dysfunction of the biliary tract.

Recently among gastroenterological diseases deserve greater attention from the diseases of the biliary tract. The problem is dysfunctional disorders of biliary tract remains a very important due to the unsettled question of the role of the relationship of the structure and functions in the body. Despite scientific advances in Pediatrics, new treatment, rehabilitation, continues the growth of diseases of the biliary system. Studying the clinical and epidemiological features of chronic digestive diseases in children living in environmentally unfavorable regions, marked with their high prevalence. Analysis of the literature in recent years has shown a high level of anthropogenic loading on the incidence of the diseases. In the treatment of children with diseases of bodies of digestion increasingly applied a territorial approach taking into account the living conditions and the influence of risk factors on the course of diseases.

An analogue of the proposed method is the invention « Method of treatment of patients with the diseases of gastroduodenal and excretory systems. no 2257215 (13) C1.

The essence of the method consists in the following: 2-3 days before physiotherapy and its background of conduct reception of biologically active additives Succinic acid in a dose of 0.5 g 3 times a day after meals. Complex treatment includes mineral water, holding intragastric electrophoresis mineral water and therapy, massage, baths. And intragastric electrophoresis and therapy is carried out consistently without time interval between them daily. Treatment course 8-10 procedures.

The author claims that the treatment options claimed method allows to achieve a more pronounced positive dynamics of the main manifestations of the disease and to achieve a better effect of treatment.

The disadvantage of this method is the only treatment is at the stage of sanatorium-resort treatment and the appointment of only BAD. Method does not provide a long-term remission or cure the disease.

Also known method of treatment of dysfunction of the biliary tract serial introduction the duodenum through a probe and with an interval of 30 min (mineral water "Borjomi", 10-20 grams of electricity, olive oil, two egg yolks) for 2.5 hours (SU 1718944). Matveeva L.A.; O. Kuzmenko; G. Kirillova. This method also has a number of disadvantages: the opportunity allergic reactions to the introduction of complex preparations; duration of the procedure 2-2,5 hours, which is almost impossible in practice, child; children may have a paradoxical response from the gastrointestinal tract by typed complex stimuli.

The closest analogue of the proposed method adopted a comprehensive treatment consisting of applications dirt and traditional therapy (diet number 5, vitamin therapy) in the work of OG, Manakova I.P., so-CALLED. «Rehabilitation of children with pathology of a biliary system by applying and food composition Fibro-LACT.

«Method of treatment of hypertensive-hyperkinetic form of a dyskinesia of a biliary tract in young persons» (95111693/14). Against the backdrop of diets №5, destination further use of 50 mg 2 times a day : Breakfast and dinner for 10 days, then 50 mg each morning for 20 days. The method provides a slight increase of effect of treatment compared with the equivalent in the lengthening of the remission of the disease.

The disadvantages are also resistant relapse, remission is from several months to six months.

The aim of the proposed method is complex treatment of diseases of the biliary system, aimed at improving the quality of in-patient treatment, relapse prevention of diseases in ecologically unfavorable regions in hospital and polyclinics.

Objectives: reduction of the number of relapses, shortening the duration of treatment in the hospital due to the relief of pain and dyspeptic syndromes, prolonged remission or complete recovery.

The technical result of the proposed method is its safety in allergic and epidemiological terms, sustained remission, reduction of terms of treatment by 20-25%reduction of pain and dyspeptic syndromes already in 3-4 days. The effect is achieved in a scientifically sound approach to address the causes of the dysfunction of the biliary tract. Special significance method acquires in connection with its use on a particular group of people - children and the teenagers living in ecologically unfavorable regions. The method is easy to use, reachable in outpatient and inpatient conditions, , is effective for a period of either full or incomplete remission. A comprehensive approach to address the causes dysfunction of the biliary tract, individual approach to the treatment scheme, provides a reliable solution of these tasks.

Thus, the technical result is due to the revealed characteristics of the proposed method. The impact of these properties of the obtained previously unknown effect of treatment by, not only combined signs, but also rigid sequence of their implementation, i.e. the method involves an inventive step.

The essence of the invention is that against the background of dietary treatment is carried out in 2 stages: at the first stage within 10-14 days from the body eliminates toxins through adsorbents in daily maximum age dosage, appoint mineral water with salinity 3-5 g/l, 4-day as an antioxidant and cholagogue drug appoint hofitol in the age dosage and at this stage carried out in parallel with physiotherapy treatment, corresponding to the type of dysfunction of the biliary tract: conduct probing changes with alkaline mineral water of medium mineralization 3-5 g/l, then the children with type dysfunction 15-20 minute of the procedures performed the gall bladder and liver in frequency 60-62 Hz, temperature-nozzle 38-39°C, the amplitude of vibration of 0.5-0.6 mm in 5-7 min, daily, 5-7 procedures per course, and children with type dysfunction spend on acupuncture points YB38, YB41, YB42, YB40, YB44 frequency 28-32 Hz, the temperature of the rod nozzles 39-40°, the amplitude of vibration of 0,2-0,3 mm for 2 minutes on each point daily for 10-12 days; 2 to continue taking the adsorbents in the form of a phytotherapy(Bidens tripartita, mountain ash), taking into account biliary tract motility, as well as conduct within 7-10 days: when dysfunction hypomotor type decoctions causing the rising tone of gall-bladder(ginseng, Chinese Magnolia vine, Golden root). Two infusions of the listed plants for mixed with 50 ml 200 ml of the extract of a dogrose, juice of 3 lemons. Take 1 tsp - 1 tbsp respectively age children 2 times a day, strictly observing the diet (products with effect).

With the aim of removing toxins from the body in the morning, you must take a decoction of Sorbus aucuparia. Fruits contain carotene, ascorbic acid, organic acid, rutin, tannins, flavonoids, and acid, fructose, sucrose. Has choleretic, anti effect, reduces the quantity of cholesterin in blood, reduces the content of fat in the liver, stimulates metabolism, promotes binding and excretion of different toxins.

When type dysfunction prescribe sedatives grass, having (St. John's wort, mint, lime flower, sheet birch). For the preparation of collecting take equal amounts of these components are mixed. One tablespoon of the collection make 200 ml of boiling water for 10-15 minutes, cooled, protsezhivayut. In the resulting broth add 1 tsp of honey for 1 glass. Take 30-50-100 ml on the night of the age.

With the aim of removing toxins from the body during the first half of the day, you must take a decoction of herbs Bidens tripartita. Grass contains about 10 flavonoids, D-glucopyranoside , tannins, carotene, coumarins, ascorbic acid, and traces of essential oils, mucus, bitterness, and amines other substances, has cholagogue, diaphoretic properties, improves the activity of the endocrine glands, improves absorption in the intestine, promotes the elimination of toxins.

The method is as follows:

all children appoint a light diet (table №5), while at the first stage appoint biliary tract cleansing of toxins. With this purpose, under the maximum permissible dose toxins from the body deduce by adsorbents, in particular in maximum dosage of 1 hour before meals for 10 to 14 days.

- from 1 year to 3 years to 1 / 2 tablets 3 times a day;

- from 3 years to 7 years : 1 tablet 3 times a day;

- from 8 years to 12 years 2 tablets 3 times a day;

older than 12 years 3 tablets 3 times a day. Simultaneously accept 3 times a day warmed (t 38-42 degrees) With 1 hour before eating alkaline water with salinity 3-5 g/l calculation of 3-5 ml/kg of mass of the reception of children aged 6-8 years from 50 to 100 ml; 9-12 years 120-150 ml; over 12 years 150-200 ml

From the 4th day appointed hofitol in the following age dosages:

1 year 0.5 ml; 2 years 1.0 ml; 3 years 1.5 ml; 4 years 2.0 ml; 5-7 years, 2.5 ml (1 tab.); 8 years 3.0 ml (1 tab.); 9 years 3.5 ml (1 tab.); 10 years 3.5-4.0 ml (1 tab.); 11 years 4.5 ml (1 tab.); 12 years 4.5 ml (1 tab); 13-18 years 5.0 ml (2 tab.).

In addition to the 1 stage of conduct physiotherapeutic treatment: probing changes with mineral water of medium mineralization of 3-5 g/l, then 15-20 minute from the beginning child turns back and he takes :

- when type dysfunction daily affect the area of the gallbladder and liver to the labile methodology with a frequency of 60 to 62 Hz at a temperature of-nozzle 37-38°C, the amplitude of vibration of 0.5-0.6 mm in 5-7 min, 5-7 procedures.

Feasibility of frequency selection effects on gallbladder due own frequency of a reduction of smooth muscle fibers of the gastrointestinal tract 60-62 Hz and is the most easy and natural. Amplitude 0.5-0.6 mm provides a mild stimulating massage intrahepatic bile ducts and hypotonic gallbladder. Selected acupuncture points when type of dysfunction of the biliary tract have expressed sedative and antispasmodic effect, frequency and time effects contribute to the maximal manifestation of these effects.

Alkaline mineral water with salinity 3-5 g/l, is well absorbed from the intestine and has a normalizing effect on the function of hepatocytes, the biochemical composition of bile. After the course of procedures improves , eliminates congestion in the liver, normalization of hemodynamics, thereby improving stimulating and tissue respiration liver cells.

For the first time applied on the background of dysfunction of the biliary tract in children. It allowed to increase the period of remission up to 1 year 35-40% remission was achieved up to 2 years, 15-20% of full recovery.

The following results were obtained:

Indicators of the effect of treatment

Control of . type

Control of . type

The main . type

Main . type

The number of relapses

60%

48%

15%

10%

Mild pain syndrome

15%

10%

3%

2%

The period of remission

6 months.

8 months.

12 months.

18-20 months.

A complete cure

5-7%

2-3%

20-25%

30-35%

The treatment course cost

700-800 rubles

500-600 rubles

1000-1200 rubles

900-1000 rubles

Given the toxic effect of pollutants on the mucosa of the bile ducts, we propose to include in the comprehensive treatment of adsorbent (), and antioxidant (hofitol). From the fourth day of antioxidant with . Range choleretic drugs, especially pertaining to the group , is currently very wide. For use in pediatric practice more preferable products of vegetable origin. These funds have a soft corrective action, provide a minimum of side effects, have considerable interval between therapeutic and toxic concentration in the blood, which facilitates drug dosing, especially in infants. In addition, extracts of plants often have a positive impact on the organism, not limited to a narrow targeted action to a particular organ or system. One of the means to fully with the above-listed advantages, is the drug hofitol (laboratory of «rose-», France). He is an extract from the aqueous extract the juice of fresh leaves of an artichoke. The main active ingredients of the extract are and quinic acid, bioflavonoids, , inulin, enzymes . In addition, artichoke extract includes a wide range of vitamins, macro - and microelements. The wealth of the biochemical composition determines the diverse clinical effects of drugs on the basis of artichoke. So, the drug hofitol have been identified and confirmed by clinical tests of the following properties: it normalizes the process of bile formation and bile secretion, has expressed an antioxidant and detoxification effect, a positive impact on lipid, protein, nitrogen and carbohydrate metabolism. This complex of properties makes hofitol very attractive for use in various medical fields, including motor dysfunction of the gallbladder, which is often combined with liver diseases and metabolic disorders.

Then at the 2nd stage, to continue taking the adsorbents in the form of phytotherapy (Bidens tripartita, mountain ash), taking into account the biliary tract motility, as well as conduct within 7-10 days: when dysfunction hypomotor type decoctions causing the rising tone of gall-bladder (ginseng, Chinese Magnolia vine, Golden root). Two infusions of the listed plants for mixed with 50 ml 200 ml of the extract of a dogrose, juice of 3 lemons. Take 1 tsp - 1 tbsp respectively age children 2 times a day, strictly observing the diet (products with effect).

With the aim of removing toxins from the body in the morning, you must take a decoction of Sorbus aucuparia. Fruits contain carotene, ascorbic acid, organic acid, rutin, tannins, flavonoids, and acid, fructose, sucrose. Has choleretic, anti effect, reduces the quantity of cholesterin in blood, reduces the content of fat in the liver, stimulates metabolism, promotes binding and excretion of different toxins.

When dysfunction prescribe sedatives grass, having (St. John's wort, mint, lime flower, sheet birch). For the preparation of collecting take equal amounts of these components are mixed. One tablespoon of the collection make 200 ml of boiling water for 10-15 minutes, cooled, protsezhivayut. In the resulting broth add 1 tsp of honey for 1 glass. Take 30-50-100 ml on the night of the age.

With the aim of removing toxins from the body during the first half of the day, you must take a decoction of herbs Bidens tripartita. Grass contains about 10 flavonoids, D-glucopyranoside , tannins, carotene, coumarins, ascorbic acid, and traces of essential oils, mucus, bitterness, amines and other substances. Grass has cholagogue, diaphoretic properties, improves the activity of the endocrine glands, improves absorption in the intestine, promotes the elimination of toxins. be conducted in the form of mud thin at t 26-28 C right hypochondrium, a day, in the course 8-10 procedures.

Clinical application of the method of complex therapy was carried out in hospital for patients with diseases of the biliary system. Use common methods of clinical research: assessment of the General condition of the patient, the clinical analysis of blood and urine biochemical tests (alkaline phosphatase, ALT, AST, bilirubin, cholesterol, amylase), , ultrasound of liver, gall-bladder, pancreas.

Patients with dysfunction biliary tract hypomotor type (group I - 83 children) and patients with dysfunction of the biliary passages as to hypermotor type (group II - 14 children), were divided into subgroups: «A», received complex therapy without sorbents and «B», received complex therapy of sorbent and antioxidant.

All children up to the start of treatment, and 14-day treatment was conducted physical examination, biochemical blood analysis, ultrasound examination of the liver and gall bladder with dynamic estimation of its functions. Clinical dynamics was recorded daily, biochemical and ultrasonic at the end of treatment.

Dynamics of biochemical parameters at dysfunction of the biliary tract.

Indicators of biochemistry of blood

source

after treatment

alkaline phosphatase

Normal

16,8%(14)

67.4%(56)

increased

83.2%(69)

32.5%(27)

cholesterol

normal

85.5%(71)

95.1%(79)

increased

14.4%(12)

4.8%(4)

transaminase(ALT; AST)

normal

89.1%(74)

96%(80)

raised

10.8%(9)

3.6%(3)

Analysis of changes of biochemical indices proves pronounced clinical effect complex therapy with the drug , which consists in a more rapid disappearance of subjective and objective signs of cholestasis in diseases of the biliary tract.

When studying the biochemical indices of the Alp is normalized by the end of 2 weeks, revealed credible quantitative changes their indicators y of patients treated by the proposed method.

In the clinical picture of the disease before treatment dominated complained of pains in the abdomen ( region and in the right upper quadrant). The absolute majority of surveyed during examination determined the positive blistering symptoms (Kepa, Murphy).

A feeling of heaviness and pain in the upper abdomen, nausea. Somewhat less frequently suffered flatulence, violations of the chair (y 12 children). In 4 children there were episodes of vomiting, y 3 a feeling of bitterness in the mouth. The absolute majority of surveyed during examination determined the positive blistering symptoms (Kepa, Murphy).

In all cases of application of complex treatment of improved well-being of children: 3-4 day the feeling of heaviness and pain in the right hypochondrium, normalized chair, disappeared holetsaticalkie violations.

Thus, on the basis of the above it is evident that the method is an effective method of treatment of diseases of biliary tract, can prevent the progression of the pathological process, in 1,5-2 times to reduce the frequency of relapses of diseases, to reduce terms of stay of patients in a hospital. During the course of treatment failed to arrest the pain syndrome in children with dysfunction and on 3-4 day, whereas in patients who were on basic therapy of pain were stopped only by the end of the 1st week.

Examples.

1. Valery A., 7 years was hospitalized children's hospital No.1 with a diagnosis of Krasnodar: dysfunction of the biliary passages as to hypermotor type.

Ill for two years, was treated in a polyclinic when you receive a complaint on the attack-like sharp pain in the right hypochondrium after physical activity and violation of the diet, poor appetite, nausea, and constipation.

On examination: the language of the white furred. Skin and visible mucous pale pink. Breathing rate of 18 per minute, auscultation vesicular breath. Heart rate of 82 per minute. The cardiac sounds clear, rhythmical. Belly at a palpation mild, revealed the pain in the right hypochondrium, positive blistering symptoms: C, Murphy. Chair 1 time in 2-3 days.

During the examination in the General analysis of blood (UAC) without inflammatory changes; General analysis of urine (OAM) norm; in the biochemical analysis of blood: alkaline phosphatase 369.6 u/l (increased), ALT 21.2 u/l (norm), ACT 34.2 u/l (norm); cholesterol 4.48 mmol/l (norm); bilirubin total 6.32 mmol/l (norm);

Ultrasound of the liver: echostructure, echo is not changed, vascular figure normal, individually sealed wall sprigs CENTURIES; gallbladder normal size functional bend in the neck, a wall not changed, clearance , single suspension. Pancreas head 6 mm, 5 mm body, tail 10 mm

The child was treated in accordance with the claimed method, namely, the first day of treatment against the backdrop of diets (table No.5), mineral water of medium mineralization 3-5 g/l 50 ml 3 times a day warmed (38 degrees Celsius) for 1 hour before meals, sorbent 1 tab. x 3 times 10 days;

- from the 4th to 14th day of the antioxidant and choleretic (hofitol 2.5 ml x 3 times).

- probing changes with mineral water with salinity 3-5 g/l, 20 minutes from the beginning to turn on his back for the conduct on acupuncture points sequentially to a symmetrical point YB38, YB41, YB42, YB40, YB44, with a frequency of 32 Hz, the temperature of the rod nozzles 39C With, vibration amplitude 0.3 mm for 2 minutes on each point. After exposure to vibration to turn on the right side and is located on the heater for another 30 minutes. The course was held in 7 days. On a background of treatment the girl on day 3, was arrested pain syndrome, nausea disappeared, normalized chair, decreased pain, blistering symptoms are not revealed. In blood according to the biochemical analysis reduced the level of alkaline phosphatase to 128.8 u/l, the ultrasound was absent, suspended in the lumen of the gallbladder. She was transferred to the 2nd stage of the treatment, where, in accordance with the claimed method continued to receive: sedative herbal tea: (St. John's wort, mint, lime flower). One tablespoon of brew 200 ml of boiling water for 10-15 minutes, cool, strain. In the resulting broth add 1 tsp of honey for 1 glass. Take 50 ml per night for 10 days. With the aim of removing toxins take a decoction of Spanish needles herbs (Bideus tripartite L). 10 g pour 200 ml of hot boiled water, cover and heated on a water bath during 30 min then cooled at room temperature for 10 minutes and strain. Take 50 ml of 1 times in the morning on an empty stomach.

After 10 days during the examination of the girl has no complaints, biochemical analysis of blood (Alp) is normalized. Within 2 years of exacerbations observed.

2. Denis W., 12 years. Was on treatment in hospital children's hospital No.1 with a diagnosis of Krasnodar: dysfunction of the biliary passages as to hypermotor type. Reactive pancreatitis.

Complaints paroxysmal pain in the right hypochondrium, after the intake of fatty foods after exercise, nausea, recurrent headaches, constipation. Sick for 3 years. Treated and examined in the polyclinic. Objectively: the language of the white furred at the root. Visible mucous membranes and skin pink. Respiratory rate - 18 in 1 minute. over the light is determined by the clear pulmonary sound, auscultation of vesicular breath. Heart sounds are clear, clean. Heart rate 78 in 1 minute. Abdomen soft, pain in the right hypochondrium. Blistering symptoms (symptom Kera, Murphy positive). The liver is palpated +1.0 cm from the edge of a costal arch. Chair with a tendency to constipation, decorated. Urination is not broken.

In the hospital survey: General: (a General analysis of blood (norm), the General analysis of urine(usually), feces analysis on I/worm, scraping by enterobiasis, biochemical: total bilirubin, cholesterol, ALT, AST, amylase, alkaline phosphatase. There were changes in the biochemical analysis of blood: elevated alkaline phosphatase 329.4 u/l, clotting from 83.2 E/HP

Ultrasound of the intestine: in the gall bladder functional bend in the neck, smooth contour, wall without changes, clearance single suspension, the lobe of the liver increased +1 cm, left normal, echostructure homogeneous, vascular figure normal, individually sealed walls of twigs.;

The boy received treatment in accordance with the claimed method:

- the diet (table No.5); mineral water with salinity 3-5 g/l 150 ml X3 times a day in the form of heat for 1 hour before meals.

- 2 tabs. x 3 times a day for 40 minutes before meals for 10 days;

- hofitol 1 tab. x 3 times from the 4th to 14th day.

- probing changes mineral water with salinity 3-5 g/l at 20-minute on acupuncture points sequentially to a symmetrical point YB38, YB41, YB42, YB40, YB44, with a frequency of 32 Hz, the temperature of the rod nozzles 39C With, vibration amplitude 0.3 mm for 2 minutes on each point, then turns right side and is located on the heater another 30 minutes Procedure is carried out daily during 10 days. On the second stage of treatment received sedative herbal tea: (St. John's wort, mint, lime flower, sheet birch). One tablespoon of the collection make 200 ml of boiling water for 10-15 minutes, cooled, protsezhivayut. In the resulting broth add 1 teaspoon on 1 glass of honey, take 100 ml of the night 10 days. A decoction of herbs Spanish needles herbs 10 g pour 200 ml of hot boiled water, cover and heated on a water bath during 30 min, and then cooled at room temperature for 10 minutes and strain. Take 100 ml of 1 times in the morning on an empty stomach. On course of treatment was repeated examination: alkaline phosphatase was reduced in 2 times (from 329.4 u/l up to 189.2 u/l), indicator of the ACT from 83.2 u/l up to 56.1 u/l). The General condition has improved, no complaints. On physical examination, blistering negative symptoms. Observation for 2 years showed lack of exacerbations of the disease.

3. Vasilisa HP,5 years, was hospitalized children's city hospital with the diagnosis:

Dysfunction of the biliary tract hypomotor type.

Objectively: the language of the white furred. Skin and visible mucous pale pink. Breathing rate of 20 per minute. Auscultation vesicular breath. Heart rate of 84 per minute. The cardiac sounds clear, rhythmical. Belly painful region, in the right hypochondrium. The liver at the edge of a costal arch.

When surveyed in OAK without inflammatory changes. In OAM norm, b/x of the blood, alkaline phosphatase 246.6 u/l (increased), ALT 19.3/l (norm), ACT 30.7 u/l (norm), cholesterol 2.88 mmol/l (norm), bilirubin total 5.43 mmol/l (norm);

Ultrasound of the gallbladder: dimensions usual, functional break in n/C of the body contour of a smooth wall are not changed, the lumen , single suspension. The pancreas is enlarged in the head, body, tail.

The girl was appointed comprehensive treatment in accordance with the claimed method diet: a table №5); water with salinity 3-5 g/l, 60 ml 3 times a day for 1 hour;

- hofitol 20 drops x 3 times from 4 to 14 day;

- 1 tab. x 3 times a day for 40 minutes before meals for 10 days;

- probing changes with mineral water of medium mineralization of 3-5 g/l, then the 20 minute spend , affecting the area of the gallbladder and liver to the labile methodology with a frequency of 60 Hz at t 37 C, the amplitude of vibration of 0.5 mm for 5 min; on the 2nd stage of treatment continued to stimulating collection under the present method: two infusions (ginseng and gold root) 50 ml mixed with 200 ml of the extract of a dogrose, juice of 3 lemons. Take 1 tsp x 2 times a day for 10 days, and in the morning broth Sorbus aucuparia 50 ml before a meal.

When carrying out monitoring surveys in the biochemical analysis of blood alkaline phosphatase decreased to 148.8 u/l, the ultrasound was absent, suspended in the lumen of the gallbladder. Within 2 years of exacerbations observed.

1. The method of treatment of children and adolescents with dysfunction of the biliary tract living in ecologically unfavorable regions, including dietary meals and medication use, characterized in that on the background of dietary treatment is carried out in 2 stages: at the first stage within 10-14 days adsorbents used in daily maximum dose, appointed with mineral water salinity 3-5 g/l, with a 4-day treatment appoint more zhelchegonny product hofitol and simultaneously probing changes and : when type on 20 minutes from the beginning spend on acupuncture points sequentially to a symmetrical point YB38, YB41, YB42, YB40, YB44, with a frequency of 32 Hz, the temperature of the rod nozzles 39C With, vibration amplitude 0.3 mm for 2 min at each point in the morning on an empty stomach 10-12 days; if type of dysfunction on 20 minutes from the beginning spend , affecting the area of the gallbladder and liver labile methodology with a frequency of 60 Hz at a temperature of-nozzle 37 C, the amplitude of vibration of 0.5 mm for 5 minutes, daily 5-7 days; at the second stage appoint boiled series of separate within 7-10 days and , type appoint boiled sedative herbs and when broths stimulating herbs.

2. The method according to claim 1, characterized in that the second phase of treatment when type of dysfunction as a sedative herbs use St. John's wort, mint, lime flower, sheet birch.

3. The method according to claim 1, characterized in that the type of dysfunction as a stimulating herbs used ginseng, Chinese Magnolia vine, Golden root.