RU2472432C1 - Method of treating adaptation disorders - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to psychotherapy, reflexotherapy, physiotherapy. Method includes carrying out bioresonance testing (BRT) of functional state by means of hardware-software complex Vitatest. After that, with patient in lying on back position, transcranial electrostimulation (TES) and trance guidance at the background of aromatherapy and relaxation music for 20-25 minutes. After that, painful zones on hands and feet are detected and reflexotherapeutic impact is performed on detected zones until pain disappears. Further impact is performed depending on detected during BRT disorders. In case of dominating asthenic-depressive manifestations impact is performed in accordance with Su Jok correspondence system on points and zones of brain projection of anti-depressive direction, located on pads of distal feet phalanxes, reflexotherapy of corporal points VC14 jujue 1.5 cun lower than xiphoid precess of sternum, on the middle line of abdomen, anti-depressive herbal drugs with are administered for one month from beginning of cycles of procedures. In case of asthenic and vegetative-vascular manifestations rexlexotherapy is performed on points of heart projections on palms and little toes, on corporal points C4, C9 with administration of stimulating medications - bioadaptogens for 1-2 months. In case of anxiety and phobic disorders, R1 points are stimulated with intake of sedative phytopreparations for 1-3 months. In case of chronic fatigue impact is performed on corporal points TR1, point and deep massage of cervical-collar zone is performed and course of neuroprotectors - essential amino acids is administered for 1 to 3 months symptoms disappear completely. In case of post-trauma stress disorder, reflexotherapeutic impact is performed on the 1-st, 6-th and 11-th days in corporal points IG-8, J-17by sedative method, on the 2-nd, 7-th, 14-th day in points F-8, J-4, R-12 - by tonic method with intake of allopathic and homeopathic preparation with sedative action for 1-3 months.

EFFECT: method reduces treatment terms with increase of remission duration from 10 months to one year.

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Description

The invention relates to medicine, in particular to psychotherapy, physiotherapy, and can be used to treat adaptation disorders.

Synthetic psychotropic drugs currently used to treat adaptation disorders often have to be canceled due to the risk of developing dangerous side effects, toxic effects, drug allergies, addiction, etc. Therefore, in recent years, the attention of an increasing number of specialists has been attracted to the complementary methods of treating maladaptation due to their features, it is safe to influence the processes of self-regulation, which allows to reduce the dose of basic drugs and, accordingly, avoid undesirable complications.

Known methods for complex correction of the functional state of patients with various psycho-emotional and psychosomatic manifestations of maladaptation, including a combination of suggestive effects with massage and reflexotherapy (US Pat. RF No. 2223795, A61M 21/00, A61H 7/00, 2004; Pat. RF No. 2224494, A61H 1/00, 2004).

In these methods, massage techniques are used to reinforce suggestion, without performing the function of forming the required psychoemotional state of the patient. In addition, general massage, as well as acupuncture, being powerful factors of therapeutic effect, have a number of contraindications. Patients with borderline mental disorders with a pronounced vegetative-somatic radical often do not accept acupuncture and conventional massage correctly due to increased pain and tactile sensitivity. In this case, a highly qualified specialist is required, since careless acupuncture and massage can lead to a worsening of the general condition, overexcitation, increased pain, increased muscle tone, blood pressure, increased levels of adrenaline and blood sugar, etc.

In addition, with a prolonged neurotic reaction, with psychosomatic manifestations in asthenized patients, when the depletion of neuropsychiatric processes and a decrease in the functional capabilities of the central nervous system do not provide the ability to self-regulate this contingent, there is a need to search and apply new, more effective methods of psychocorrection using physiotherapeutic agents, aimed not only at achieving regional effects, but also together with systemic corrective actions tvii on the regulatory systems of the body, contributing to detoxification, normalization of metabolic processes, increase overall resistance.

Closest to the proposed method is a method for the treatment of post-traumatic stress disorders, including the integrative effect of transcranial electrical stimulation (TPP), psychotherapy, aromatherapy and music therapy. This method consists in finding out the most pleasant moment of life and aroma from the patient, then transcranial electrical stimulation of the brain is carried out sequentially by impulse currents through electrodes placed on the earlobes, and trance guidance by indirect suggestion of peace and relaxation against the background of aromatherapy and relaxation music (RF patent No. 2411966, A61N 1/32, A61M 21/02, 2011).

The disadvantage of this method is that preliminary testing of the patient is not carried out, which allows timely detection of premorbid conditions and initial forms of diseases, differentiating the effect depending on the identified individual characteristics of the adaptation disorder, ensuring the direct implementation of the necessary measures of primary and secondary prevention. The tactile sensitivity of the patient as an additional sensory influx of information and the possibility of potentiating the effect of the effect on the body through contact with reflexogenic zones, in particular, hands and feet, which are absolutely necessary to achieve sustainable results, namely, complete or significant regression of neurotic symptoms, are also not taken into account. Minimizing the opportunities and advantages of an individual approach leads to the failure to achieve a lasting effect; the return of neurotic symptoms and an increase in the dose of psychotropic drugs occurs in 6-7 months.

The objective of the invention is to achieve prolonged remission - from 10 months to 1 year, reducing treatment time and improving the quality of life of patients.

The problem is solved by a method of treating adaptation disorders, including transcranial electrical stimulation of the brain (TES) and trance guidance by indirect suggestion of peace and relaxation against the background of aromatherapy and relaxation music, characterized in that the patient undergoes bio-resonance testing of the functional state for 20-30 minutes, then lying on their backs, both TPP and trance guidance are carried out against aromatherapy and relaxation music for 20-25 minutes, after which t targeted bilateral massage of the hands and feet and reflexology for 20-25 minutes, using aromatic oil to the points in accordance with the syndromes determined during bioresonance testing, simultaneously conduct a therapeutic effect in the form of a structured targeted diagnostic interview for 5-10 minutes, s identifying painful areas on the hands and feet, moving from points to wider reflexogenic areas of the limbs until the pain disappears and a pleasant sensation appears, repeating the procedure 3-5 times a week, general course of 9-13 sessions: for dominant astheno-depressive manifestations, use points and zones of influence on the projection of the brain of an antidepressant orientation on the pads of the distal phalanx of the feet according to the Su-jok correspondence system, conduct reflexology of corporate points VC14 ju-tsu 1.5 tsun lower the xiphoid process of the sternum on the midline of the abdomen and prescribe antidepressant herbal preparations for a month from the beginning of the cycle of procedures; in case of asthenic and vegetative-vascular manifestations, reflexology is performed on the projection points of the heart on the palms and little fingers of the feet, corporal points C4 of the lin-tao are higher than the proximal wrist fold, C9 is shao-chun at the radial edge of the nail bed of the fifth finger and stimulants are prescribed - bioadaptogens 1-2 months; in case of anxiety-phobic disorders, they stimulate the R1 yun-chuan points in the center of the sole, in the fossa between the II and III metatarsal bones and prescribe sedative herbal remedies for 1-3 months; in case of chronic fatigue syndrome, the effect is exerted on the corporal points of TR1 guan-chun on the ulnar side of the fourth finger 0.3 cm from the nail bed, acupressure and deep massage of the cervical-collar zone are performed and neuroprotectors are prescribed - essential amino acids from 1 to 3 months to complete disappearance of symptoms; in post-traumatic stress disorder, reflexotherapy is carried out on the 1st, 6th and 11th days to the corporal points of the IG-8, J-17 points - by the sedative method, on the 2nd, 7th, 14th days to the points F-8, J-4, R-12 - by the tonic method, and allopathic and homeopathic preparations of a sedative orientation are prescribed for 1-3 months.

A method for the complex treatment of adaptation disorders due to the multicomponent polysensory effect of multimodal stimuli leading to activation of various sections of the central nervous system and a preliminary study of the patient’s functional state by bioresonance testing makes it possible to plan an individual effect depending on the received objective information and current complaints of the patient during the preliminary conversation.

The method is characterized in that after a preliminary study of the functional state by bioresonance testing for 20-30 minutes, the patient is placed on the couch in a prone position, both TES and trance guidance are carried out by indirect suggestion of peace and relaxation against the background of aromatherapy and relaxation music, then the patient is returned from dreamlike conditions and carry out targeted bilateral massage of the hands and feet and reflexology using aromatic oil to the points in accordance with the level of violation of adapt tatsii and the corresponding syndrome, determined during bioresonance testing, for 20-25 minutes, simultaneously conduct a psychotherapeutic effect in the form of a structured targeted diagnostic interview for 5-10 minutes, with the identification of painful areas on the hands and feet, moving from points to more wide reflexogenic zones of the extremities until pain disappears and a pleasant sensation appears.

In practice, the method is as follows.

1. First, bioresonance testing of the functional state and adaptive capabilities of the patient’s body is carried out using the Vitatest software and hardware complex (TU 4035-001-59120290-2009). Duration of testing is 20-30 minutes. Discussing the testing data, allowing to identify the severity of maladaptation and quantitative characteristics of the violation of compensatory reactions and qualitatively topical options for their application in the form of psychosomatic manifestations (syndromes) at the initial stages of development, we make the final diagnosis.

2. In the course of the preliminary conversation, the patient is asked to recall one of the most pleasant situations from the past, they find out their favorite smell or use the classic recommendations of specialists in accordance with the leading pathological syndrome of the patient. Aromatherapy is carried out throughout the session.

3. The session begins with the connection of the TPP and the application of clip electrodes to the earlobes of the patient, who is in a supine position. Impulse currents ranging from 35 to 520 μA with an autocorrelation period of 10 seconds and a frequency of 0.5 imp./s are produced for 20-25 minutes. At the same time, a psychotherapeutic effect is carried out using the technique of trance guidance using indirect suggestion. During the treatment session, the doctor monitors the patient and stimulates him to pleasant memories.

4. From the 20-25th minute, after the termination of transcranial electrical stimulation of the brain and removal of the electrodes from the ears, begin bilateral massage and reflexology of the patient's hands and feet using aromatic oil. The selection of points and oils is carried out based on the syndromes determined by bioresonance testing.

In the case of dominant astheno-depressive manifestations, points and zones of influence on the projection of the brain of an antidepressant orientation are used, namely, on the pillows of the distal phalanges of the feet, according to the Su-jok correspondence system, reflexotherapy is performed by the tonic method of corporate points VC14 ju-tsu 1.5 tsun below the xiphoid process of the sternum on the midline of the abdomen, which improves the effectiveness of treatment, and also recommend the use of antidepressant herbal preparations (gelarium hyperic m, deprim) during the entire cycle of procedures on average 1 month.

With leading asthenic and vegetative-vascular manifestations, they have a local tonic effect on the points of the projection of the heart according to the Su-jok correspondence system on the palms and little fingers of the feet, corporal points - C4 ling-dao above the proximal wrist fold; C9 Shao-chun at the radial edge of the nail bed of the V finger and prescribe stimulating drugs - bioadaptogens (ginseng, eleutherococcus) 1-2 months.

In case of anxiety-phobic disorders, the R1 yun-chuan points in the center of the sole, in the fossa between the II and III metatarsal bones are stimulated and sedative phytopreparations (valerian, melilot, oregano) are prescribed for 1-3 months.

If the chronic fatigue syndrome is detected, the effect is carried out on corporal points - TR1 guan-chun on the ulnar side of the fourth finger 0.3 cm from the nail bed, a precise and deep massage of the cervical-collar zone is performed and neuroprotectors are prescribed - essential amino acids (glycine, glutamic acid) 1-3 months until symptoms disappear.

In post-traumatic stress disorder, reflexotherapy is carried out on the 1st, 6th and 11th days to the corporal points of the IG-8, J-17 points - by the sedative method, on the 2nd, 7th, 14th days to the points F-8, J-4, R-12 - by the tonic method and allopathic and homeopathic preparations of a sedative orientation are prescribed for 1-3 months.

5. During the massage, the psychotherapeutic effect is continued in the form of a structured targeted diagnostic interview, involving the patient’s return from the trance and his active participation, as well as an interest in the optimal treatment result. They ask certain questions to enhance the effectiveness and refine the massage effect in the selected zones and points for 5-10 minutes.

- What, in the most detailed and accurate way, do you feel at the points of influence now?

- Strong, weak or moderate pain at a given time?

- How much to strengthen, weaken the impact or leave the same?

- Do circular or longitudinal movements?

- Do massage movements faster or slower?

- A feeling of comfortable relaxation and emotionally positive feelings arise more in this, second or third (fourth, fifth, etc.) reflexogenic point?

Depending on the responses of patients at each session, the reflexogenic effect changes. The degree of pain and the quality of the sensitivity of the zones when pressed with fingers or a diagnostic probe judge the possibility or presence of diseases in the relevant organs. At the end of the interview, they continue the massage, moving from points to wider reflexogenic zones of the limbs, while emphasizing bilateral techniques with simultaneous effects on the right and left limbs.

The described multicomponent multimodal polysensory effect based on a combination of electro-psychotherapy, including transcranial electrostimulation of the brain and non-directive psychotherapy in the form of trance guidance and targeted diagnostic interviews, aromatherapy, massage of reflexogenic areas of the hands and feet with aroma oil, relaxation music, performed in accordance with the preliminary results testing revealing the degree of maladaptation has not been previously described, which allows the applicant to clude that its proposal meets the criterion of "novelty".

During the session, the patient experiences a state of rest, muscle relaxation, which creates favorable conditions for activating imaginative thinking and adequate pain perception by increasing the threshold of pain sensitivity with subsequent local exposure to reflexogenic points.

Aromatherapy used individually during massage using aromatic oils corresponding to your favorite aroma helps to improve tissue nutrition.

Massage of points and reflex zones of the hands and feet is carried out with the fingertips, palm surfaces of the hands and a steel diagnostic probe-massager Su-jok with a spherical tip on the points used in various types of maladaptation.

Therapeutic massage has an antidepressant effect, since the foot points of the antidepressant effect on the Su-jok system are actively exposed, and includes the following techniques: stroking the points, which should occupy most of the session, surface kneading of the points and shaking, circular and longitudinal, which is a variety vibrations.

The most effective for patients were relaxation techniques with learning to relax on the background of musical compositions in the framework of the concept of emotional stress music therapy. Previously developed various types of music were used: “antistress”, “sedatik”, “antidepressant”, as well as sounds and noises of nature in combination with relaxation and meditative techniques.

Example 1. Patient S. 38 years. Two years ago, he became a participant in a traffic accident in which he received a combined injury to his right thigh and middle third of his left shoulder. Upon admission, he complained of difficulty falling asleep, nightmares, fear of death, increased irritability, pain in the area of the injured hip. When viewed from the conversation, he is not located, he is reluctant to talk about his experiences, indicates that after the operations he underwent injuries, he considers himself a failure “in life”.

On examination: Hypomimic. The pace of speech is slow, it is kept tight, answers questions reluctantly and monosyllabic. The mood is lowered. Vegetative lability is noticeably expressed in the form of a game of vasomotors of the face, hyperhidrosis, heart palpitations.

Against the background of the previous treatment regarding the consequences of injuries in a specialized hospital, including the traditionally accepted combination of drug therapy, medical nutrition, exercise therapy, massage, magnetotherapy, it was possible to achieve an insufficiently pronounced effect, neurotic symptoms and pain remained persistent.

It was decided to treat the patient according to the proposed method.

The patient underwent bioresonance testing using the Vitatest hardware-software complex. The first examination revealed a violation of the functional activity of the hypothalamic-pituitary system and a decrease in the level of functional activity of the central nervous system by 60%.

Diagnosis according to ICD-10: Prolonged astheno-depressive reaction due to an adaptation disorder.

During the preliminary conversation, the patient described his pleasant memory - a walk through the woods and the favorite scent of needles, which the therapist used in trance guidance, using the patient’s words as much as possible. A course of transcranial electrical stimulation with the Alfaria instrument (TU 9444-002-81444687-2008) was conducted, level 9 points (current strength 300 μA), with an autocorrelation period of 10 seconds, a frequency of 0.5 imp./sec for 20 minutes daily, simultaneously conducted trance guidance by indirect suggestion of rest, using relaxation music from the moment of trance guidance and aromatherapy of needles throughout the session. Indirect, indirect suggestions created an atmosphere of security and contributed to the relaxation of relaxation: “now you do not need to do anything. There is no need to move, no need to speak, and even no need to keep your eyes open (indirect suggestion to close your eyes). And at the same time, to do nothing already means to do something - for example, to hear surrounding sounds ... (paradoxical confusion, designed to fix attention) ... And by continuing to hear these sounds, you can feel the position of your body - the position of your hands, legs, contact your back with the back of a chair. You can feel the clothes adhere to the body, and you can feel your breath ... (creating an internal focus of attention). And after a few moments I will ask you to turn to a pleasant memory - to recall that pleasant moment of your life when you took a walk through the forest (concretization of memories). And you can remember where and when it was (localization in time and space). And you can see with your inner eyes that which surrounds you at this pleasant moment in your life. You can see that which is close, and that which is far, that which is on the right, and that which is on the left, you can see light and shadows, colors, shades ... (elaboration of the visual channel). And you can hear the sounds that surround you at this pleasant moment in your life. And different sounds may come - the murmur of water, the rustling of leaves in the wind, distant voices ... (elaboration of the audio channel). And the pleasant sensations that it experiences at this pleasant moment may come to the body - there may be contact with a specific tree ... (elaboration of the kinesthetic channel). And maybe there is some specific smell or some special taste on the lips (study of the olfactory and taste channels). And as time passes, a sense of relaxation, peace and comfort may come. And when it comes, you will let me know about it simply by nodding your head (ideomotor signaling). Take full advantage of these pleasant and comfortable sensations (resource activation). And when you take full advantage of it, you can take a deep breath, open your eyes and return to normal. And I hope that you will feel very good (contextual suggestion). ” From 25 minutes from the start of the session, they switched to acupressure in combination with a psychotherapeutic effect in the form of a structured targeted diagnostic interview. On the feet, we applied the influence of a steel probe-massager Su-jok over the zones of the projections of the brain as part of the correspondence system, on the pads of the distal phalanges of the feet, reflexotherapy was performed using the tonic method of corporal points VC14 ju-tsu 1.5 tsun below the xiphoid process of the sternum on the midline of the abdomen , lasting 20 minutes Comfortable sensations at the points were observed from the first reflexology session. Pain exposure ranged from minimal to severe. Exposure gradually decreased from the first to the last session. The comfortable sensations provided during acupressure were achieved by longitudinal and quick movements. Feelings of comfort and pleasant relaxation and the most emotionally positive sensations arose only at the points of antidepressant action. The course of treatment was 11 sessions. The patient also took gelarium hypericum 1 dragee 3 p. / Day for 4 weeks from the start of treatment.

As a result of the treatment, a significant improvement in the general condition of the patient was achieved: nightmares stopped, the mood background was leveled, a pronounced analgesic effect was noted, which contributed to improving the quality of sleep and life in general. The patient gained confidence in the restoration of health, which now made it possible to make plans for the future.

The positive dynamics of the state, observed at the clinical level, was confirmed by statistical data using the dynamics of the initial indicators on the scales for assessing the manifestations of depression.

Pathopsychological testing revealed a statistically significant decrease in the severity of depression - from the initial 12 points to 6 points on the Hamilton scale. According to the CGI scale, a “significant” improvement was recorded by the time the study was completed.

Thus, the ongoing therapy allowed us to optimize the results of rehabilitation by significantly restoring the patient’s mental and physical status. Positive follow-up - within 11.5 months.

Example 2. Patient N. 28 years. Complaints about mood swings, a sharp deterioration in memory, decreased working capacity, increased fatigue, irritability, insomnia, heart palpitations during the year.

Somatic and neurological status without features. A psychopathological examination revealed: The patient is conscious, adequate, critical. Speech is monotonous, movements are slow. Lack of cognitive functions, the rate of thinking is reduced, severe hypotension, suspiciousness, anxiety. There are no productive symptoms.

Previously, the patient underwent planned medication and physiotherapy (psychotropic drugs, massage of the cervical-collar zone, exercise therapy), against which a temporary improvement occurred: anxiety decreased, sleep normalized. However, soon after discharge from the hospital, psychopathological symptoms again resumed. The patient was offered treatment by the proposed method.

At the beginning of treatment, the patient underwent bioresonance testing of the current state. Dysfunction of the hypothalamic-pituitary-adrenal interactions, vegetative-vascular insufficiency were revealed. Diagnosis according to ICD-10: Adaptation disorder, prolonged depressive reaction with a predominance of asthenic and vegetative-vascular manifestations.

In a preliminary conversation, the patient was introduced to the methodology of exposure and informed about the sequence of receptions and sensations that would arise.

For each session, the first 20 minutes spent transcranial electrical stimulation by applying electrodes - clips on the earlobes, the level of 5-6 points (150-200 μA for individual sensations). At the same time, the above-described psychotherapeutic support was carried out in a pleasant memory, which stimulated the patient’s active imagination, which made it possible to create optimal conditions for the development of internal processes.

Each session was accompanied by lavender aromatherapy. Reflexotherapy with tonic effect on Su-Jok heart projection points on the palms and little fingers of the feet was used, corporal points - C4 lin-dao above the proximal wrist fold, C9 shao-chun at the radial edge of the nail bed of the fifth finger. A structured diagnostic interview conducted at the same time clarified the effects as follows. In this patient, comfortable sensations at the points were observed only from the second session of reflexology. Pain exposure ranged from minimal to moderate. The impact gradually increased from the first to the last session. The comfortable sensations provided during acupressure were achieved in circular and rapid movements using lavender aromatic oil. Feelings of comfort and pleasant relaxation and the most emotionally positive sensations arose at the points of antidepressant action of the feet, the last 3 sessions in the areas of the projection of the heart. The treatment lasted 3 weeks, 3 sessions per week. The patient took Eleutherococcus, 25 cap. tinctures daily in the morning 2 months.

The patient already at the first sessions noted a high level of confidence in the methodology and positive results.

After the course of treatment, which amounted to only 9 procedures, the patient felt a significant improvement in well-being, her condition was almost completely normal, and her working capacity was restored; psychophysiological status was normalized, sleep quality improved, nightmare dreams disappeared, reactive and personal anxiety according to Spielberger objectively decreased. Pathopsychological testing conducted at the end of the course of treatment revealed a decrease in indicators by the 20th day on Hamilton scales: depression to 6 points (compared with 11 points at the beginning). According to the CGI scale, a “significant” improvement was recorded by the time the study was completed.

Further observation showed that the effect persisted for 12 months.

Thus, the therapy based on the combination of the use of the TES method and integrative psychotherapy, using non-directive hypnosis, indirect suggestion, aromatherapy with your favorite smell, followed by targeted psychodiagnostic interviews and appropriate massage of the points and areas of the hands and feet using aromatic oil against a background of relaxing healing music led to structural changes in the neurotic personality and the restoration of adaptation mechanisms.

Example 3. Lieutenant P., 22 years old, was admitted for rehabilitation and prosthetics in the trauma ward on the 12th day after the wound.

Upon admission, he complained of phantom pains, weakness, fatigue, excessive sweating, sleep disturbance, irritability, temper, fear of the future.

During a psychopathological examination: the consciousness is clear, oriented correctly, emotionally unstable, irritable. He is worried about his wound. Declares obsessive troubling memories associated with the war.

With a psychophysiological study: C - 3.3; A - 3.12; H - 3.10; LT - 28.4; RT - 42.3.

With a standardized multidisciplinary study of personality - an increased level of anxiety, psychasthenic, social maladaptation.

According to the Luscher test, there is a high level of neurotization and signs of autonomic instability.

An objective examination: the general condition is satisfactory. Pulse 94 beats / min, rhythmic, blood pressure 120/85 mm Hg Heart sounds are muffled.

Quality of life indicators: energy - 51.4 points, emotional reactions - 53.3 points, sleep - 45.1 points, physical activity - 66.4 points.

In the complex of the generally accepted rehabilitation program, including a sparing-training regimen, therapeutic exercises, magneto-laser therapy on the stump area, the above treatment method was proposed.

When conducting bioresonance testing - incomplete adaptation of the 2nd degree, anxiety-phobic syndrome.

Transcranial electrical stimulation was performed in combination with integrative psychotherapy and lemon mint aromatherapy and massage of the reflex zones of the feet daily, 13 procedures. Stimulated points R1 yun-chuan in the center of the sole, in the fossa between the II and III metatarsal bones. Thanks to a psycho-diagnostic interview, at the 5th session of the patient, local pain in the affected areas disappeared and transformed into pleasant ones. The patient took persert forte 6 caps./day and a sedative collection containing valerian, oregano, sweet clover, thyme, mint, 100 ml 3 times a day for 3 months.

As a result of the treatment, the patient significantly reduced manifestations of the phantom-pain syndrome, regressed weakness, increased exercise tolerance, normalized sleep, decreased irritability, and improved mood.

In the control psychophysiological study: C - 4.8, A - 5.0, H - 4.6, RT - 28.0, RT - 38.0.

With a standardized multidisciplinary study of personality - a significant decrease in the level of anxiety, psychasthenic and social maladaptation.

According to the Luscher test, a decrease in the level of neurotization and autonomic instability.

During control testing - incomplete adaptation of 1 degree. Quality of life indicators: energy - 59.8 points, emotional reactions - 58.1 points, sleep - 57.6 points, physical activity - 89.2 points.

Thus, the therapy with the inclusion of the proposed course of biophysiopsychocorrection led to a pronounced regression of personality transformation and contributed to improving the quality of life of a disabled person. Positive follow-up - 11.5 months.

Example 4. Patient N., 23 years old, student. Complaints about mood swings, a sharp decrease in memory, loss of acquired learning skills, lack of understanding of the text read, constant fatigue that does not go away after sleep and rest, irritability, insomnia, headache and muscle pain. Symptoms increased during the year, and, according to the patient, the outpatient treatment with psychotropic drugs was not effective, in addition, unwanted side effects from the gastrointestinal tract appeared.

Somatic status without features.

Primary bioresonance testing data revealed an imbalance at the level of immune defense mechanisms, and gastrointestinal dysfunction.

ICD-10 diagnosis: Adaptation disorder, chronic fatigue syndrome.

For each session, transcranial electrical stimulation was performed for the first 20 minutes by applying clip electrodes to earlobes, level 6 points. At the same time, the above-described psychotherapeutic support was carried out in a pleasant memory (relaxation on the sea coast).

Trance guidance was carried out by indirect suggestion of rest, using relaxation music and patchouli aromatherapy. From the 25th minute, after the termination of the TPP, acupressure of the cervical-collar zone and acupressure of corporal points - TR1 guan-chun on the ulnar side of the fourth finger were 0.3 cm from the nail bed for 20 minutes. A targeted psycho-diagnostic interview made it possible to clarify the degree and technique of exposure. In this patient, comfortable sensations at the points were observed only from the third session. The pain was moderate and severe. The comfortable sensations provided during acupressure were achieved by longitudinal and quick movements. Feelings of comfort, pleasant relaxation and the most emotionally positive sensations arose mainly at the points of antidepressant action. Sessions were carried out every other day, the course consisted of 10 sessions. For 3 months with interruptions, the patient took glycine at 2 tablets / 3 r. per day on an empty stomach, glutamic acid 1 tab. / 3 p. in a day. The patient's condition on the background of the treatment improved in 4 sessions. After a course of treatment, the symptoms of the above chronic fatigue disappeared. According to the CGI scale, a “significant” improvement was recorded by the time the study was completed. During the control bioresonance testing - an improvement in compensatory capabilities by 75%. The return of symptoms was not observed within 14 months.

Example 5. Patient B. 36 years. Complaints of irritability, fatigue, sleep disturbances, anxiety, aggressiveness, intermittent palpitations, respiratory discomfort. The patient suffered acute stress after the sudden death of a loved one. Symptoms appeared after 6 months. I did not contact the doctors.

During bioresonance testing of the current state, dysfunction of the hypothalamic-pituitary-adrenal interactions, depletion of compensatory-adaptive reactions by 89% were revealed.

ICD-10 diagnosis: Post-traumatic stress disorder.

At each session, TES was performed by applying clip electrodes to earlobes, level 8 points, in combination with integrative psychotherapy and ylang-ylang aromatherapy for 25 minutes, after which massage of the reflex zones of the hands and feet with lavender oil was started. On the feet, the impact was applied with a steel probe-massager Su-jock along the zones of the projections of the brain as part of the correspondence system, on the pads of the distal phalanx of the feet, on the 1st, 6th and 11th days to the corporal points of points IG-8, J- 17 - sedative method, on the 2nd, 7th, 14th days to the points F-8, J-4, R-12 - by the tonic method for 20 minutes with clarifying questions on the degree of perception of pain. Sessions were carried out daily, a course of 12 procedures. The patient took Valdoxan 25 mg / day in the evening for 6 weeks, tenotene 6 tablets / day for 3 months.

As a result of the treatment according to the proposed method, a significant improvement in the patient's condition was achieved - sleep disturbances, anxiety, palpitations, respiratory discomfort disappeared, the emotional and mental response returned to normal, and exercise tolerance increased. Optimization of the stress index, the Kerdo and Hildebrant indices testified to the improvement of the autonomic regulation of the activity of internal organs. Indicators of external respiration function also tended to improve. In the study of adaptation - incomplete adaptation of 1 degree. Quality of life indicators: energy - 62.1 points, emotional reactions - 66.4, sleep - 58.4 points, physical activity - 93.2 points. Positive follow-up - 9 months.

For the period 2009-2011 78 patients were examined and treated in this way.

Distribution of patients according to individual treatment regimens

No. gr. Quantity (people) Disapproval manifestations Methods Bioresonance Testing EPT (TPP + trance guidance, relaxation music) Aromatherapy and aroma massage + targeted diagnostic interview Medicines one twenty Asteno
depressive +
11 sessions +
11 sessions points and zones of influence on the projection of the brain of an antidepressant orientation - on the pads of the distal phalanx of the feet, according to the Su-jok correspondence system, acupuncture with the tonic method of corporal points VC14 ju-tsu 1.5 tsun below the xiphoid process of the sternum on the midline of the abdomen, 11 sessions gelarium hypericum 1 dragee 3 p. / day for at least 4 weeks, deprim 1 tab. 3 p. / Day 4-6 weeks 2 16 Anxious Phobic +13 sessions +13 sessions stimulate R1 points in the center of the sole, in the fossa between the II and III metatarsal bones, 13 sessions valerian, melilot, oregano 1-3 months, persen forte 1-6 caps./day 1-3 months 3 eighteen Asthenic + vegetative-vascular +9 sessions +9 sessions local tonic effect on the projection points of the heart according to Su-Jok on the palms and little fingers of the feet, corporal points - C4 ling-dao above the proximal wrist fold, C9 shao-chun at the radial edge of the nail bed of the fifth finger, 9 sessions ginseng, eleutherococcus, magnolia vine 25-40 cap. tinctures daily in the morning 1-2 months four fifteen Chronic fatigue syndrome +10 sessions +10 sessions corporal points - TR1, acupressure and deep massage of the cervical-collar zone, 10 sessions Glycine 6 tablets / day, glutamic acid 3 tablets / day 1-3 months intermittently 5 9 Post-traumatic stress disorder +12 sessions +12 sessions The 1st, 6th and 11th days to the corporal points IG-8, J-17 - by the sedative method, on the 2nd, 7th, 14th days to the points F-8, J-4, R -12 - tonic method, 12 sessions Valdoxan 25 mg / day in the evening for 6 weeks, Tenoten 1-6 tablets / day 1-3 months

The dynamics of psychophysiological parameters in patients using this method (n-53)

Methodologies Indicators Before therapy (M ± m) After therapy (M ± m) SAN C - well-being 3.21 ± 0.12 4.34 ± 0.11 * A - activity 3.06 ± 0.14 4.20 ± 0.10 * N - mood 2.53 ± 0.12 4.26 ± 0.11 * UNP Neurotic level 38.35 ± 2.32 30.60 ± 2.05 * Spielberger-Hanin Test Reactive anxiety 39.2 ± 0.11 27.1 ± 0.16 * Reaction to a moving object Integral indicator 0.462 ± 0.05 0.541 ± 0.03 Complex sensorimotor reaction Average reaction time 0.541 ± 0.11 0.470 ± 0.10 * - significance of differences in indicators (p <0.05)

The dynamics of the quality of life of patients during this method (n-52)

Indicators Before treatment After treatment (points) (M ± m) (M ± m) Energy 59.8 ± 2.2 67.5 ± 1.9 * Pain 83.2 ± 2.1 35.6 ± 2.2 * Emotional reactions 57.2 ± 1.3 61.8 ± 1.1 Sleep 44.1 ± 2.3 59.2 ± 2.2 * Physical activity 80.4 ± 2.5 97.3 ± 2.3 * * - significance of differences in indicators (p <0.05)

The results of a comparative analysis of health status indicators in the follow-up at the outpatient stage of rehabilitation

Health indicators KG (abs /%) Exhaust gas (abs /%) Health status improved 3 / 8.6 32/80 Health status has not changed 5 / 14.3 6/15 Health condition has worsened 19 / 54.3 1 / 2.5 Sharp deterioration in health 8 / 22.8 1 / 2.5 Total: 35 / 100.0 40 / 100.0

Duration of temporary disability of patients rehabilitated according to the standard and modified in a new way program

Rehab treatment. technologies Wed the duration of temporary loss of work. (days) Duration of temporary disability during treatment for different programs (%) Ambulatory stage Stationary stage Control N = 35 40.67 ± 8.10 8.49 ± 6.43 66.03 ± 14.20 The developed method N = 78 22.28 ± 6.65 ** 11.42 ± 7.72 17.70 ± 7.81 ** ** reliability (p <0,01)

The method is simple and affordable, does not require expensive equipment, can reduce the intake of psychotropic drugs of synthetic origin and, accordingly, minimize side effects, improve the quality of life. The complex multimodal effect on the body of physiopsychocorrection, mechano-therapeutic, aromatherapy factors, supplemented by relaxing music compositions, provides for activation of the hypothalamic-pituitary system and mobilization of adaptive and adaptive resources of a person, which makes this method highly effective, reduces the treatment time for this contingent by an average of 20%, and reaches persistent remission during the year, to increase the overall effectiveness of the treatment and rehabilitation process to 82%.

Claims (1)

A method for the treatment of adaptation disorders, including transcranial electrical stimulation of the brain (TES) and trance guidance by indirect suggestion of peace and relaxation against aromatherapy and relaxation music, characterized in that the patient is preliminarily undergoing bioresonance testing (BRT) of the functional state using Vitatest, then lying down TES and trance guidance are performed simultaneously on the back against the background of aromatherapy and relaxation music for 20-25 minutes, after which painful zones on the hands and the groin and conduct a reflexotherapy effect on the identified areas until the pain disappears, then, depending on the disorders detected during BRT, they affect: with dominant astheno-depressive manifestations - on points and zones of influence on the projection of the brain of antidepressant orientation on the pads of the distal phalanx of the feet according to the Su-jok correspondence system, they conduct reflexology of corporal points of VC14 ju-tsuje 1.5 tsun below the xiphoid process of the sternum, on the midline of the abdomen and take herbal preparations eniya antidepressant orientation within a month from the beginning of the cycle of procedures; for asthenic and vegetovascular manifestations, reflexology is performed on the projection points of the heart on the palms and little fingers of the feet, corporal points C4 of the lin-tao are higher than the proximal wrist fold, C9 is shao-chung at the radial edge of the nail bed of the fifth finger and stimulants are taken - bioadaptogens 1-2 months; in case of anxiety-phobic disorders, they stimulate the R1 yun-chuan points in the center of the sole, in the fossa between the II and III metatarsal bones, and take sedative herbal preparations 1-3 months; in case of chronic fatigue syndrome, the effect is exerted on the corporal points of TR1 guan-chong on the ulnar side of the fourth finger 0.3 cm from the nail bed, they perform acupressure and deep massage of the cervical-collar zone and take neuroprotectors - essential amino acids from 1 to 3 months to complete disappearance of symptoms;
in post-traumatic stress disorder, reflexotherapy is carried out on the 1st, 6th and 11th days to the corporal points IG-8, J-17 - by the sedative method, on the 2nd, 7th, 14th days to points F -8, J-4, R-12 - by the tonic method and take allopathic and homeopathic preparations of a sedative orientation for 1-3 months.