RU2290915C2 - Method for balneotherapy - Google Patents

Abstract

FIELD: medicine, balneotherapy.

SUBSTANCE: for a patient one should suggest applications of slime sulfide mud for about 10-20 min every other day, at the thickness of mud cake being about 1.5-2.0 cm at the ratio of mud to natural brine being1:2, at about 38-44 C, the course consists of 6-10 procedures. The innovation enables to treat different diseases efficiently due to improved absorption of biologically active substances at decreased expenses of mud solution.

EFFECT: higher efficiency.

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Description

The invention relates to medicine, namely to physiotherapy and balneology, and can be used to treat pathology of the cardiovascular system, diseases of the musculoskeletal system, nervous system, digestive organs, as well as for the treatment of dermatological, gynecological and urological diseases.

A known method of treating various diseases using applications of silt sulphide mud of the Suksunsky pond "Suksunsky peloid" with a mud cake thickness of at least 3-4 cm with a different area of mud application, at a temperature of 42-44 ° C, exposure 10-20 minutes, after 1 day , a course of 9-10 procedures (Methods of complex treatment of patients in the Klyuchi sanatorium in the Perm Region, a manual for doctors, edited by E.V. Vladimirimsky and E.V. Rybolovlev. Perm. 2004, p.11).

Disadvantages: low efficiency of the method with a high consumption of raw materials.

The invention is aimed at solving problems: increasing the effectiveness of the method of treating various diseases by increasing the absorption of the mud, reducing the consumption of mud.

These tasks are achieved by applying the Suksunsky Peloid sulphide mud applications at t = 38-44 ° C for 10-20 minutes, every other day, with a course of 6-10 procedures, with a mud cake thickness of 1.0-2.0 cm, which is achieved by diluting silt sulfide mud with water to a ratio of dirt with brine of 1: 2.

The therapeutic mud of the Suksunsky Pond "Suksunsky Peloid" refers to low-mineralized silt sulphide mud of the lake-key type and meets all the requirements of GOST for this type of mud. Dirt is a peloid of soft consistency in black or black and gray. Physico-chemical properties of dirt: specific gravity of 1.65-1.70 g / cm ³ . Shear resistance 1600-1800 dyne / cm ² , heat capacity 0.62 cal .; particle clogging> 0.25 mm - 0.19-1.70%; redox potential ranges from 200-220 mV. The ionic composition of the mud is hydrocarbonate-calcium, enriched with trace elements. Mineralization of the mud solution is 0.8-1.8 g / l. The solid phase is represented by a clay silicate core (up to 31%) and calcium and magnesium carbonates (up to 9%). The content of organic substances in the peloid is 3.56% dry matter. 100 g of raw mud contains up to 100 mg of HS and up to 250 mg of FeS.

The main therapeutic effects of silt sulfide peloids: anti-inflammatory, immunomodulating, desensitizing, biostimulating, metabolic, reparative-regenerative, defibrosing, keratolic, bactericidal. The main active factors of the peloid are thermal, mechanical, and chemical: irritating the thermo-, mechano-, baro-, chemo-, and osmoreceptors of the skin and exerting a complex reflex and humoral effect on the patient's body.

The method is as follows.

A cloth blanket is placed on the couch, then an oilcloth, a sheet. Mud at a temperature of 38-44 ° C in proportion to brine 1: 2 spread on a sheet, then lay the patient on it and smear it, depending on the location and size of the exposure area so that the mud layer was 1.0-2.0 thick see and wrap the patient with a sheet, oilcloth and a blanket, wrapping them in an envelope. The exposure is 10-20 minutes, the course of treatment is 6-10 procedures, every other day.

The area of the mud application can be different: general applications (covering the entire surface of the body with the exception of the region of the heart and head), half-applications, mud pants, panties, jackets, half-jackets, bras, collars, gloves, stockings, boots, socks.

Example 1

Patient K., 54 years old.

Diagnosis: Essential arterial hypertension of the II degree, stage 2, risk 3. History: Blood pressure for 20 years. Heredity without hypotensive correction is burdened by AH. On admission, complaints of a headache in the occipital region. Objectively: the general condition is satisfactory. No swelling. The borders of the heart are expanded to the left, blood pressure 180/100 mm RT. Art., ISS 78 beats', the tone is muffled, rhythmic, the emphasis is II tone on the aorta.

The treatment was carried out: lipid-lowering diet No. 10, daily intake of mineral water inside; general low-mineralized hydrogen sulfide baths in I l / r every other day; application of silt sulfide mud according to the type of socks and gloves for 15 minutes every other day No. 6 at t = 40 ° C in the proposed modification: the thickness of the mud cake is 1.0-2.0 cm, due to the increase in the proportion of brine in it, manual massage of the collar zone . Exercise therapy cardiovascular group. On the 7th day of treatment - moderate headaches persist. HELL 160/90 mm RT. Art. ASC 76 beats' tone is rhythmic. On the 14th day of treatment - headaches do not bother. HELL 150/85 mm RT. Art., heart rate 72 beats', heart sounds are rhythmic.

On the 21st day of treatment - notes improvement. Headaches did not recur BP 140/80 mm Hg. Art. Heart rate 72 beats', heart sounds are rhythmic. Laboratory data: a decrease in total cholesterol (5.6-4.0 m mol / l), a decrease in triglycerides (1.2-1.0), a decrease in LDL (5.7-4.6), according to the results of ultrasound of vessels - an improvement endothelial function.

Example 2

Patient D. 41 g.

Diagnosis: ischemic heart disease. Angina of exertion I FC.

A history of ischemic heart disease. Angina pectoris at level I FC for 2 years.

At admission: complaints of pressure, pain behind the sternum, radiating under the shoulder blade, arising from stress, physical exertion, stops with nitrates.

Objectively: the general condition is satisfactory. No swelling. The boundaries of the heart are not extended. HELL 120/80 mm RT. Art., heart rate 90 beats', heart sounds are clear, rhythmic.

The treatment was carried out: lipid-lowering diet No. 10, daily intake of drinking mineral water, general low-mineralized hydrogen sulfide baths of II l / r every other day, applications of silt sulfide mud like socks and gloves for 15 minutes every other day, No. 6 at t = 38 ° C in the proposed modification: the thickness of the cake is 1.0-2.0 cm, due to an increase in the proportion of brine in it, manual massage of the collar zone.

On the 7th day of treatment - heart pain does not bother, blood pressure 120/80 mm RT. Art. Heart rate 82 beats', heart sounds are rhythmic. On the 14th day of treatment, there was an improvement, angiogenic pain did not recur. HELL 110/70 mm RT. Art., heart rate 78 beats', heart sounds are rhythmic.

Laboratory data: a decrease in total cholesterol (5.8-4.6 m mol / l), an increase in a-cholesterol (1.2-1.4), a decrease in triglycerides and LDL (5.8-4.1), a decrease in IPT (108% -105%). According to the results of rheovasography, a decrease in the tone of the arteries in the upper and lower extremities.

Example 3

Patient I., 46 years old, driver.

Diagnosis: dorsopathy of the lumbar spine.

On admission: complaints of pain in the lumbosacral region, aching in nature; pain during flexion, extension of the trunk, as well as sitting and standing, intensifies. Of the provoking factors - frequent hypothermia, a sedentary lifestyle. For the first time, back pain in the lumbar region appeared 10 years ago after a lift. 3 years ago, exacerbation in the form of a lumbago after hypothermia. Treated on an outpatient basis.

Objectively: The skin is clean, physiological in color. HELL = 130/80 mm RT. Art., physique normosthenic.

Cranial nerves without features. Lordosis is smoothed. Limitation of lateral movements of the spine to 20 ° to the left and right sides. The lumbar paravertebral muscles are soft on palpation. Muscular seals in the lumbar region from 2 sides, painless. Symptom Lasega on the right <80 °. Percussion of the spinous processes is painless. Spinal mobility forward <90 °. CXP D = S, live. Sensitivity saved. Hypotension of the muscles of the right lower limb. The function of the pelvic organs is preserved. Strength in the legs 5 points. Additional examinations: OAA, OAM - without pathology, R-graphy of the lumbar in 2 projections: lordosis is smoothed, sclerosis of the end plates. The height of the vertebral bodies is saved. The height of the intervertebral disc L5-S1 is smoothed. Light C-shaped scoliosis to the right in the lumbar region. The treatment was carried out: mineral water, H2S baths according to 2 treatment regimen every other day No. 6, time 10 minutes. Dirt on the lumbar region t = 42 ° C, feet every other day for 15 minutes No. 6 in the proposed modification: the thickness of the mud cake is 1.0-2.0 cm due to an increase in the proportion of brine, massage of the lumbar region No. 7. Dry carbonic baths No. 6, irrigation of the head No. 8. On the 7th day of treatment, the patient noted a decrease in pain in the lumbar region, the pain became less when bending forward: sitting, lying, standing, the pain did not. Objectively: the volume of lateral movements in the lumbar region increased to 25 °. Muscle seals disappeared. There was pain during palpation along the right sciatic nerve, the rest in neurological status did not change. On the 14th day of treatment (at discharge), pain in the lumbar does not bother. Objectively: the range of movements is 30 °. There are no symptoms of tension. Palpation, percussion of the spinous processes is painless. CXP D = S, live. Sensitivity saved.

Example 4

Patient E., 32 g., Technician.

Diagnosis: Dorsopathy of the thoracic, lumbar spine. Thoracic spondylopathy. C-shaped scoliosis. Disk degeneration L5-S1. Radicular syndrome S1 on the left. On admission: complaints of pulling pain in the lumbosacral region, aggravated by flexion, sitting. The pain in the supine position is reduced. The pain radiates to the left leg along the back surface to the calf muscle. For the first time, back pain appeared 3 years ago, in the form of a lumbago after a stressful situation, lasted 1 month. A year later, the pain began to spread into the left leg Objectively; cranial nerves without features, gait "lame", C-shaped scoliosis to the right in the thoracolumbar region. Lordosis saved, restriction of movements to the left <7 °; to the right <10 °. Soreness on palpation of the spinous processes of L3-L4. Diffusion of the lumbar muscles on the right II degree: left I stage. In the lumbar region, cords 5 cm long, 1 cm wide, moderately painful. Percussion of the spinous processes of L3-L4, CXP D = S knee, live. Achilles S - reduced; D is alive. Sensitivity saved. Hypotension of the muscles of the posterior group of the left leg, the function of the pelvic organs is preserved.

The treatment was carried out: H2S bath II lay down. regime, in a day No. 7, dirt according to the proposed method with a mud cake thickness of 1.0-2.0 cm, back, both legs No. 6 for 20 minutes every other day at t = 44 ° C. Dry carbonic baths No. 6; static field No. 7, massage of the collar zone No. 7, exercise therapy group herniated disc No. 10; aromatherapy No. 10. On the 7th day of treatment, pain in the lumbar region was gone, but the pulling sensations in the left calf muscle remained. Objectively: the volume of lateral movements in the lumbar region <10 ° in both directions increased. Pain on palpation of the L5 spinous process. There is no muscle defenses, moderately painful cords in the lumbar region. TFR D = S, live, sensitivity preserved. Examination methods: UAC: Er - 4.6; HB - 125 g / l; Le - 9.4 * 10; ESR - 12 m / h. OAM: agricultural acid .; 1010; transparent; protein - neg .; ECG - sinus rhythm; 75 per minute. R-gr. thoracic: severe right-sided scoliosis. Decreased height of the intervertebral discs Th5-Th6 Schmorl's hernia along the lower edge of Th5-Th6. Subchondral sclerosis. CT - L3-L4 prolapse 2-3 mm diffuse with the formation of circular protrusion. L4-L5 does not prolapse; L5-S1, prolapse back and centrally 5.5 mm with the formation of a hernia, which puts pressure on the dural membrane and radicular nerve. On the 14th day (at discharge) there is no pain in the lower back and legs. Objectively: Lordosis saved. Range of motion to the left <20 °; to the right <30 °. There is no pain with percussion and palpation of the spinous processes. The muscle cords are painless. TFR D = S, live. Sensitivity saved.

Example 5

Patient B., 35 years old.

Diagnosis: chronic gastritis type B, normoacid, without exacerbation, chronic stoneless cholecystitis with dnskinesia of the biliary tract according to the hypertonic type. NDC by hypotonic type, neurasthenic syndrome. Upon admission, she complained of pain in the epigastric region, aching in nature on an "empty" stomach, periodically heartburn, bitterness in the mouth in the morning, constipation for 2 days.

Objectively: Normostenic addition. The skin of the physiological color, clean. The tongue is coated with a white coating at the root. The abdomen is symmetrical, participates in the act of breathing, with superficial palpation soft, painless with deep palpation, sensitivity is noted in the epigastric region itself. Mendel's symptom is negative. Liver at the edge of the costal arch. Symptoms of cholecystitis 1, 2, 3 - negative groups. Segments of the colon are painless. The chair after 1-2 days, feces decorated, dense, brown. The treatment was carried out: diet No. 5, mineral water "Keys" t = 38 °, 30-40 minutes before meals with 100 ml - 200 ml, gradual addition 3 times a day, mud applications on the right hypochondrium, epigastric region, along the spine t = 40 °, time 15 minutes in a day No. 9 according to the proposed modification with a mud cake thickness of 1.0-2.0 cm, hydrogen sulfide baths according to the first treatment regimen every other day No. 9, EHF-therapy on the epigastric region daily No. 10, aromatherapy - No. 10, herbal tea.

On the 5th day, the disappearance of pain in the epigastrium was noted. Bitterness in the mouth, heartburn less often. The chair is daily, decorated.

Example 6

Patient P., 48 years old.

The diagnosis of chronic gastritis type B, hyperacid, moderate pain, phase of incomplete remission. Duodenal ulcer, uncomplicated, without exacerbation of the GDR. Upon receipt of a complaint of pain in the epigastric aching nature, 1.5-2 hours after eating, heartburn, sour taste in the mouth.

Objectively: the condition is satisfactory. Normastenik. The skin is physiological in color. The tongue is densely lined with white plaque at the root. Diastasis of the white line of the abdomen. The abdomen is symmetrical, soft on palpation, sensitive in the epigastric region. Symptom Mendel is doubtful. Liver at the edge of the costal arch. Symptoms of cholecystitis are negative. Zones of Shoffar-Gubergrits-Skulsky are painless. Bowel loops are painless, regular stool.

The treatment was carried out: diet No. 5, mineral water 1 hour before a meal, t = 38 °, from 100 ml with a gradual increase in 2-3 days to 200 ml - 3 times a day; mud applications on the epigastric region t = 40 ° exposure 15 minutes every other day No. 9 according to the proposed method with a thickness of a mud cake of 1.0-2.0 cm: hydrogen sulfide baths according to the first treatment regimen No. 10. On 3-4 days from the start of treatment, there is a decrease in pain symptom, heartburn less frequently, with deep palpation, the abdomen is weakly sensitive in epigastrium, Mendel’s symptom is “-”, on day 7 the pain symptom disappeared, heartburn is insignificant with a change in body position. The tongue is slightly covered with white coating, the abdomen is soft, weakly sensitive in the epigastrium, the stool is regular.

Example 7

Patient K., 40 years old, seller.

The diagnosis of adhesion of the pelvis, bilateral mastopathy.

In the anamnesis: twice a cesarean section (1989, 1990), in 2003 a bilateral tubectomy for bilateral inflammation of the appendages. Upon admission: complaints of constant pain in the lower abdomen, annually holds 2-3 courses of anti-inflammatory treatment. Sanatorium treatment was not carried out. The last menstruation from October 14-20, moderately painful, not profuse, regular.

Objectively: the neck is clean, the discharge is moderate, mucous, the uterus is small, painless. In the appendages, the formations are not determined, in the arches the severity is painless. KLA: er. - 4.0; Hb - 125 g / l, Le - 3.0, ESR - 14 ml / h; E - 3, P - 5; C - 42, L - 47, M - 3. OAM: specific gravity 1.009, protein - 0033% 0, color light yellow, Le - 1-2; SPL: adhesive process of the pelvis; smear on the flora degree of purity: Le 3 - 4; tr, gn - not detected, the flora of the bacillus is moderate.

Conducted treatment: diet No. 15, sedative fees, hydrogen sulfide baths according to the first treatment regimen every other day No. 8; mud applications along the spine, panties every other day # 6 for 15 minutes at t = 42 ° C according to the proposed method: with a thickness of a mud cake of 1.0-2.0 cm; hydrogen sulfide irrigation of the vagina No. 10 - daily; mud vaginal swabs No. 6; mud rectal swabs No. 4; microclysters with hydrogen sulfide No. 5; PEMP on the lower abdomen number 10 daily; manual massage of the lumbosacral region No. 7 daily.

On day 5 - complaints of itching in the vagina, pain in the lower abdomen intensified, a smear on the flora and the degree of purity were taken. Smear analysis: (Le - 2-3, flora polymorphic, moderate gn - not detected) - recommended Diclovit suppositories - rectally.

On the 8-10th day of spa treatment, a decrease in pain syndrome is noted. Towards the end of treatment: OAM - color light yellow, specific gravity 1005, acidic reaction, protein “-”, white blood cells 1-2; KLA: erythrocytes 3-4 * 10 ¹² KLA: Hb - 111 g / l, Le - 5.6 * 10 ⁹ , ESR - 12 ml / h; E - 1, P - 1; S - 50, L - 49, M - 4.

Example 8

Patient M., 43 years old, housewife.

Diagnosis: adhesive process of the pelvis. Condition after plastic surgery for vaginal prolapse, cystocele, partial urinary incontinence (July 2004).

A history of cesarean section twice (in 1986, 1988). In 2001, she was operated on for uterine fibroids - supravaginal amputation of the uterus with appendages. At admission: complaints about the difficulty of urine discharge in a sitting position, drawing pains in the lower abdomen. periodic.

Objectively: the neck is clean, the discharge is milky, moderate. The stump of the cervix is not enlarged, painless. Appendages are not determined. OAM and KLA - without pathology. The treatment was carried out: Diet No. 5, calming fees, hydrogen sulfide baths according to the first treatment regimen every other day No. 6; mud applications along the spine, panties every other day No. 6 for 15 minutes at t = 38 ° C according to the proposed method: with a thickness of a mud cake of 1.0-2.0 cm; hydrogen sulfide irrigation of the vagina No. 9 - daily; mud vaginal swabs every other day No. 6; manual massage of the lumbosacral region No. 7 daily; SMT - to the lower abdomen, No. 8, daily. Deterioration of well-being and intensification of pain against the background of spa treatment was not observed, by the end of treatment there was an improvement in urine discharge. Pain in the lower abdomen does not bother. At the end of treatment, OAM and OAC; OAM - color light yellow, specific gravity 1015, acidic reaction, protein “-”, leukocytes 2-3; OAC: red blood cells 4.4 * 10 ¹² , Hb - 153 g / l, Le - 4.9 * 10 ⁹ , ESR - 14 ml / h; E - 4, P - 1; C - 42, L - 52, M - 1.

Example 9

Patient R., 13 years old.

Diagnosis: common psoriasis, stationary stage, plaque form. Chronic gastroduodenitis. Neurosis. Maternal grandmother suffers from psoriasis. On admission: the skin in the back, abdomen, lower legs is covered with psoriatic plaques, pale red, with pronounced infiltration, covered with thick scales-crusts, white-yellow in color, more in the lower leg, on the back, stomach - white scales. There are single psoriatic plaques in the scalp. Mild itching worries.

The treatment was carried out: mud applications - along the spine, abdomen, rash areas t = 38 ° C - 15 minutes every other day No. 6 according to the proposed method with a mud cake thickness of 1.0-2.0 cm, daily irrigation of the head with hydrogen sulfide No. 10; intake of mineral water daily 3 times a day.

On the 4th day - the plaques turned pale, settled to the level of the skin, peeling is preserved especially in the lower leg. Added 3% salicylic ointment on the plaques in the lower leg. On the 8th day - in the area of the back, abdomen, white-pink plaques, less peeling, scaly-crusts disappeared, plaques became paler. On the 15th day - on the abdomen, back at the site of the plaques, slight hyperemia and dry skin, in the shin region the plaques decreased in size, without peeling, do not rise above the skin level. In the scalp - plaques disappeared. Complete blood count: a decrease in the level of eosinophils from 6 to 2, ESR levels - from 18 to 10 mm / l.

Example 10

Patient N., 53 years old.

Diagnosis: common psoriasis, stationary stage, decaying course, psoriatic arthropathy. chronic cholecystitis. VSD. Sick for 30 years, heredity is not burdened, the first manifestations of the disease after childbirth. The aggravation is seasonal in nature - spring, autumn. On admission: the skin is dry, large psoriatic plaques merge together throughout the body. Plaques of stagnant red color, with severe infiltration, are covered with large dry, white scales, on the surface of the plaques there are bleeding cracks, more in the back and abdomen. There are single rashes on the face, head. The psoriatic triad is positive. Pain in the knee joints, joints without deformation. The treatment was carried out: diet No. 5, intake of mineral water inside, mud applications - along the spine, abdomen, areas of rashes, knee joints t = 38 ° С - for 15 minutes every other day No. 10 according to the proposed method with a mud cake thickness of 1.0-2.0 see, irrigation of the head with hydrogen sulfide daily No. 10.

On the 3rd day, dry skin intensified, a feeling of tightening appeared in the back and abdomen. On the 7th day, plaque cracks healed. Peeling decreased, the feeling of constriction, itching disappeared.

On the 12th day - the plaques settled, turned pale, Voronov's pseudoatrophic rim appeared, peeling decreased, in the area of the face, the plaque's head disappeared. Pain in the knee joint decreased. On the 18th day, pains in the knee joints are practically not disturbed, on the back and stomach, the plaques disappeared or slight peeling remained on the site of the plaques, and the general dryness of the skin decreased. Laboratory studies: biochemical AK: sugar level decreased from 5.3 to 3.9 mg / l; cholesterol decreased from 7.8-6.9 mg / l; ALAT from 39.3 to 18.7 mg / l, in the UAC - the level of ESR was reduced from 38-24 mm / l, Le 6.8 to 4.8 * 10 ⁹ .

Example 11

Patient P., 57 years old, married, has children, participant in the liquidation of the Chernobyl accident.

Complaints: sluggish stream of urine, a significant decrease in erection, sluggish spontaneous erection, "persistent" self-doubt. Suffers for about 3 years, no treatment has been carried out. On examination: the external genitalia are formed correctly, the testicles in the scrotum, appendages without features. Rectally: externally collapsed hemorrhoids. The prostate gland is somewhat swollen, testy, the contours are not clear, painless, the interlobar sulcus is smoothed by ultrasound-ПЖ-4,2 * 3,4 * 2,6 mm, the structure is not homogeneous, there is no residual urine.

Diagnosis: Chronic prostatitis, without exacerbation. Vasculogenous erectile dysfunction, mixed form, chronic hemorrhoids. Treatment: pancreatic massage + t 1 '; every day No. 8: mud applications "underpants" No. 10; daily t = 40-42 °, time 20 minutes according to the proposed method with a mud cake thickness of 1.0-2.0 cm; LOD therapy No. 8, daily dilution from 0.20-0.30 atm, infrared radiation from 0.25 to 0.45 Hz. On the 2-3 day of treatment, improvement in urination is noted, an elastic spontaneous erection has appeared. Subsequently, until the end of his stay in the sanatorium no complaints were made.

The proposed method of mud treatment of various diseases in comparison with the traditional method allows to increase the effectiveness of treatment by increasing the proportion of brine in the mud cake and thereby improve the absorption of biologically active substances, reduce the consumption of mud solution, and increase its usability.

Claims (1)

The method of mud treatment by applying applications of silt sulfide mud for 10-20 minutes every other day, characterized in that the thickness of the mud cake is 1.5-2.0 cm with a ratio of mud with brine 1: 2 at an application temperature of 38-44 ° C , course of 6-10 procedures.