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NEUROLOGY
INVENTION
Patent of the Russian Federation RU2286130

METHOD FOR TREATMENT OF CERVICAL OSTEOCHONDROSIS IN THE SYNDROME OF THE FRONT LADDER MUSCLE

METHOD OF TREATMENT OF CERVICAL OSTEOCHONDROSIS WITH FRONT SYNDROME
STAIRCASE MUSCLE

The name of the inventor: Wang Wai-Chen (RU); Van Larisa Vasilyevna (RU); Kogay Sergey Mironovich (RU); Ma Lei-Tin (RU); Kim Sergey Robertovich (RU)
The name of the patent holder: ZAO Eligomed (RU)
Address for correspondence: 654031, Kemerovo Region, Novokuznetsk, ul. 40 years of the VLKSM, 27, "Eligomed" CJSC
Date of commencement of the patent: 2004.06.24

The invention relates to medicine, namely to neurology, and can be used in the treatment of cervical osteochondrosis in the syndrome of the anterior staircase. Determine the state of redundancy and insufficiency in the tendon-muscular meridians (CMM) of the channels of the stomach E and the large intestine GI. In the state of redundancy, points E41 and GI5 are toned on the first, second, fourth and eighth days of treatment, points E44 and GI2 are in a deficiency state. And additionally, in the state of redundancy, and in the state of insufficiency on the third, fourth, fifth, sixth and seventh days, the points VG14, VG15, VG16 are toned, on the first, second, fifth, sixth and seventh days act on the points E12, GI17, E10, E11, E13. And in the state of redundancy, these points are sedated, and when the state of deficiency is toned. They influence the method of acupuncture. The method increases the duration of remission.

DESCRIPTION OF THE INVENTION

The invention relates to the field of medicine, namely to neurology and reflexology, can be used in the treatment of cervical osteochondrosis in the syndrome of anterior staircase.

Among the patients with cervical osteochondrosis, the syndrome of the anterior staircase was expressed in marked form in approximately 23% of cases. (Popelyansky Ya.Yu. Orthopedic neurology, vol.1, Syndromology, Kazan 1997, p. 374-388). The syndrome of the anterior staircase is characterized by hypotension, hypotenosis of the muscles of the hypotenara and partly of the tenar, swelling and swelling of the supraclavicular area, pallor or cyanosis, swelling, paleness of the hand, coarsening of the skin, brittle nails, osteoporosis of the hand bones; The front staircase is tense and painful.

The pathology of the front stair muscles entails various dystrophic disorders: atrophy, discoid decay, focal myolysis, vacuolar dystrophy, etc. In the connective tissue, the number of cellular elements increases, edema appears, and a number of changes occur in the vessels. Eventually, the muscle develops a dystrophic scar process with the transition to fibrosis and sclerosis and the whole soft neck framework is involved in the pathological process.

Known is a method for treating osteochondrosis in the syndrome of the anterior staircase by applying acupuncture to the active points of the collar zone VB21, GI15, 14, 10. In addition to the points of the collar zone, it is recommended that the points GI2-3, 4, 5, 11, 14, 15; IG-3, 10; TR-3, 5, 8, 15; VB-20, 21, 34; C-3, 7, 8; V-10, 43, 62; RP-6; AT-13, 51, 22, 55, 62, 67 (Shapkin VI Reflexotherapy, Moscow, 2001, p. 344-336).

The disadvantage of the known method is the undifferentiation of clinical manifestations in the diagnosis of cervical osteochondrosis and accordingly the undifferentiated selection of the points of influence and the absence of a well-designed sequence of actions that slows down the processes of adaptation and regeneration.

A method for treating osteochondrosis in the syndrome of the anterior staircase is known with the help of reflexotherapy by acting on the points of the cervical collar zone and on the points of the anterior surface of the neck, over- and subclavian points R26, 27, E11, E14, J22, and on the points of the auricle AP-37 , 55, 63, 41. (Samosyuk IZ, Lysenyuk VP Acupuncture, Encyclopedia, Kiev-Moscow, 1994, p. 429).

The disadvantage of the known method is the undifferentiation of clinical manifestations in the diagnosis of cervical osteochondrosis and accordingly the undifferentiated selection of the points of influence and the absence of a well-designed sequence of actions that slows down the processes of adaptation and regeneration.

The aim of the invention is to differentiate the points of influence in the syndrome of the anterior staircase and to create an effective narrowly specific method for treating cervical osteochondrosis in the syndrome of the anterior staircase, improving the condition of the muscle fibers and normalizing muscle tone.

The task is solved by the fact that in clinical manifestations corresponding to the syndrome of the anterior staircase muscle, the condition of redundancy and insufficiency in the tendon-muscular meridians (CMM) of the channels of the stomach E and large intestine GI is preliminarily determined, and then in the state of redundancy in the first, second, The fourth and eighth days of treatment tone the points E41 and GI5, in the state of insufficiency, the points E44 and GI2 and additionally in the redundancy state, and in the state of insufficiency on the third, fourth, fifth, sixth and seventh days, the points VG14, VG15, VG16, The first, second, fifth, sixth and seventh days act on the points E12, GI17, E10, E11, E13, and when the state of redundancy these points are sedated, and when the deficiency state is toned.

The novelty of the method lies in the fact that the impact on the points E41 and GI5 - the point of the jin with redundancy in the CMM meridians of the channels of the stomach E and the large intestine GI allows to calm the external course of the channels and activate the internal course, if the same channels do not affect the points E44 and GI2 - points ion allows you to activate the outer course of the channels and calm the internal course.

In addition, exposure to local action points GI17, E10, E11, E12, E13 with a sedative or tonic method, depending on the excess or deficiency of the CMM channels of the bladder and large intestine allows to normalize muscle tone. In the state of insufficiency, the muscles are in a state of hypotension and the points should be acted upon by a toning method, and in the state of redundancy, when the muscles are in a spasmodic state, normalizing the muscle tone will allow the point to be affected by a sedating method.

Additional impact on the points VG14, VG15, VG16 by tonic method increases the resistance of the spine in this section of the spine.

The proposed method is carried out as follows.

Based on the data of the neurological and radiological examination, in the case of a syndrome of the anterior staircase with acupuncture diagnostics, the state of redundancy and insufficiency in the channel-meridian system of the organism was determined. All patients in the acupuncture conclusion had an imbalance in the channels of the stomach E and large intestine GI. Clinically, the deficit stage of the syndrome in cervical osteochondrosis corresponded to the state of insufficiency in the SMM of the affected canal, the irritative stage of the syndrome - to the state of redundancy.

Given the stage of the syndrome and the peculiarities of the condition in the SMM channels of the stomach E and large intestine GI, the choice of acupuncture points was made. Igreflexotherapy in the state of redundancy in the tendon-muscular meridians (CMM) of the channels of the stomach E and large intestine GI was carried out by acting on the points in the following sequence:

In the state of redundancy on the first day, they affect the points E41, GI5, E12, GI17, E10, E11, E13; On the second day - sharpening E41, GI5, E12, GI17, E10, E11, E13; In the third day - on the points VG14, VG15, VG16; In the 4th day - at the points E41, GI5, VG14, VG15, VG16, on the 5th day - at the points E12, GI17, E10, E11, E13, VG14, VG15, VG16; In the 6th day - at the points E12, GI17, E10, E11, E13, VG14, VG15, VG16; In the 7th day - at the points E12, GI17, E10, E11, E13, VG14, VG15, VG16, on the 8th day - at points E41, GI5;

When the condition of insufficiency on the first day affects the points E44, GI2, E12, GI17, E10, E11, E13; On the second day - sharpening E44, GI2, E12, GI17, E10, E11, E13; In the third day - on the points VG14, VG15, VG16; In the 4th day - at points E44, GI2, VG14, VG15, VG16; In the 5th day - at the points E12, GI17, E10, E11, E13, VG14, VG15, VG16; In the 6th day - at the points E12, GI17, E10, E11, E13, VG14, VG15, VG16; In the 7th day - at the points E12, GI17, E10, E11, E13, VG14, VG15, VG16; In the 8th day - at points E44, GI2.

Example №1

Patient K., 34 years old. Has addressed with complaints to pains in the left humeral joint with irradiation in the left forearm at night and at movements in a humeral joint.

From anamnesis: for many years she suffers from osteochondrosis with posterolateral herniation of the CV-VII disc on the left. This aggravation within five days. At night, does not sleep because of pain in the left shoulder joint.

Objectively: The position of the head is forced, it turns it along with the body, slightly tilted to the right shoulder. The turn and inclination of the head to the left are sharply limited and painful. Less restricted movement back and forth. Against the background of uniform hyperreflexion hyperreflexia from the left triceps muscle is noted. Extremely painful from the left are the Erb points, the supercarbids, the front staircase, the beak-like process. The left hand is somewhat edematous, pale-cyanotic.

Radiography of the cervical spine, in the direct and lateral projections, the univertebral growths CV-VI on the left are determined. Pronounced low-necked spondylarthrosis, the most coarse in the CV-VI region.

According to the Voll method, an increase in the threshold of the EEF above 60 along the E and GI channels was noted. Pulse diagnostics: strengthening of force and filling of pulse in points E and GI, redundancy in SMM of these channels.

Diagnosis: Cervical osteochondrosis C5-C6, chronically recurrent neprograde flow, exacerbation, stationary phase, irritative stage, forward staircase syndrome on the left, 3-4 degree of clinical manifestations.

We conducted acupuncture according to BAP: E41, GI5, E12, GI17, E10, E11, E13, VG14, VG15, VG16 according to the scheme:

On the first day they worked on the points E41, GI5, E12, GI17, E10, E11, E13; On the second day - at points E41, GI5, E12, GI17, E10, E11, E13; In the third day - on the points VG14, VG15, VG16; In the 4th day - at the points E41, GI5, VG14, VG15, VG16, on the 5th day - at the points E12, GI17, E10, E11, E13, VG14, VG15, VG16; In the 6th day - at the points E12, GI17, E10, E11, E13, VG14, VG15, VG16; In the 7th day - sharpening of E12, GI17, E10, E11, E13, VG14, VG15, VG16, on the 8th day - at points E41, GI5;

After the course of treatment, the pain syndrome almost completely stopped. Pulse diagnostics: the alignment of the force and the filling of the pulse at points E and GI were noted. According to the Voll method, the threshold of EEF was noted within 50-60 in the E and GI channels.

When follow-up for 2 years, once after a heavy physical exertion, he felt uncomfortable in the cervical spine, briefly (1-2 days).

Example №2

Patient M., 38 years old. Has addressed with complaints to a pain in the right humeral joint. Painful sensations decrease when moving in the shoulder joint. In recent days, with a prolonged static load, there is a feeling of numbness II and lateral edge of the third finger of the hand on the right.

From an anamnesis: for 5 years, periodically shooting pains in the right forearm, often at night. The above symptoms appeared two weeks ago. I was treated in a polyclinic: magnetotherapy. Electrophoresis with novocaine and drug therapy (anti-inflammatory drugs, B vitamins, nicotinic acid). As a result of the treatment, no effect was observed.

Objectively: The position of the head is forced, it turns it along with the trunk. Significantly reduced the strength of the triceps. Hypotrophic musculature of the tenar and the first intercostal space. Reduction of the reflex from the right triceps. Hyposthesia in the area of ​​the radial edge of the palm, especially rough in the zone II-III fingers and up the forearm.

Radiography of the cervical spine, in the direct and lateral projections are determined unco-vertebral growths CV-VI. Pronounced low-necked spondylarthrosis, the most coarse in the CV-VI region.

Pulse diagnostics: decrease in strength and pulse filling at points E and GI, insufficiency in SMM of these channels. According to the Voll method, the threshold of the EEF lower than 50 along the E and GI channels was noted.

Diagnosis: Cervical osteochondrosis C5-C6, chronically-recurring non-conditional flow, exacerbation, stationary phase, deficiency stage, right staircase syndrome on the right, 3-4 degree of clinical manifestations.

We conducted the acupuncture in BAP: E44, GI2, E12, GI17, E10, E11, E13, VG14, VG15, VG16 according to the scheme:

On the first day, they worked on the points E44, GI2, E12, GI17, E10, E11, E13; On the 2nd day - at points E44, GI2, E12, GI17, E10, E11, E13; In the third day - on the points VG14, VG15, VG16; In the 4th day - at points E44, GI2, VG14, VG15, VG16; In the 5th day - at the points E12, GI17, E10, E11, E13, VG14, VG15, VG16; In the 6th day - at the points E12, GI17, E10, E11, E13, VG14, VG15, VG16; In the 7th day - at the points E12, GI17, E10, E11, E13, VG14, VG15, VG16; In the 8th day - at points E44, GI2.

After the course of treatment, the pain syndrome almost completely stopped, the sensations of numbness in the II-III fingers of the hand disappeared, sensitivity was restored. Pulse diagnostics: the alignment of the force and the pulse filling at points GI and E were noted. According to the Voll method, the threshold of EEF was noted within 50-60 in the channels GI and E.

At follow-up observation for 3 years did not disturb, only when wearing heavy weights in the hands feels aching pain in the region of the lower lumbar vertebrae, for a short time (1-2 days).

The proposed method of treatment contributes to the achievement of persistent and long-term remission without the use of drug therapy. In this way, more than 30 patients with clear improvement results were treated.

CLAIM

The method of treatment of cervical osteochondrosis in the syndrome of anterior staircase muscle, which includes the action on acupuncture points by acupuncture, characterized by the state of redundancy and insufficiency in the tendon-muscular meridians (CMM) of the gastric ducts E and the large intestine GI, and then in the redundancy state in the first , The second, fourth and eighth days of treatment tone the points E41 and GI5, in the state of insufficiency, the points E44 and GI2, and additionally in the redundancy state, and in the third, fourth, fifth, sixth and seventh days, the points VG14, VG15 , VG16, on the first, second, fifth, sixth and seventh days affect the points E12, GI17, E10, E11, E13, with the state of redundancy, these points are sedated, and when the deficiency state is toned.

print version
Date of publication 06.01.2007gg