RU2654284C1 - Method of reflexotherapy of vibration disease - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to the field of reflexology, neurology, occupational pathology, and can be used to treat a vibrational disease associated with exposure to local vibration. To do this, the introduction of steel acupuncture needles in the corporal points for 30 minutes and in the auricular points for 40 minutes is carried out. Therapeutic course is 10 procedures. During the first procedure, the points of general action are used: corporal points GJ₁₀₍₂₎ (Shou San Li), E₃₆₍₂₎ (Zu San Li) and auricular points: AT₅₅ (Shen Men), AT₃₄ (of cerebral cortex), AT₂₅ (brain stem). Auricular points are used in each session. During the second procedure, the points T₁₄ (Da Zhui), the central common junction point of all the Yang meridians, V₁₁₍₂₎ (Da Zhu) + V₆₃₍₂₎ (Chin Men) are used. During the third procedure, the points of the extraordinary meridian Du Mai IG₃₍₂₎ (Hou Xi) – V₆₂₍₂₎ (Shen Mai) are used. During the fourth procedure, the points of the extraordinary meridian Yang Qiao Mai V₆₂₍₂₎ (Shen Mai) – IG₃₍₂₎ (Hou Xi) are used. During the fifth procedure, the points of the extraordinary meridian (Yang Wei Mai) Tr₅₍₂₎ (Wai Guan) – VB₄₁₍₂₎ (Zu Lin Qi) are used. During the sixth procedure, the points of the extraordinary meridian Dai Mai VB₄₁₍₂₎ (Zu Lin Qi) – Tr₅₍₂₎ (Wai Guan) are used. During the seventh procedure, the points of the extraordinary meridian Yin Wei Mai MC₆₍₂₎ (Nei Guan) – RP₄₍₂₎ (Gun Sun) are used. During the eight procedure, the points T₁₄ (Da Zhui), the central common junction point of all the Yang meridians, V₂₃₍₂₎ (Shen Shu) + V₆₀₍₂₎ (Kun Lun) are used. During the ninth procedure, transporting points of 12 principal meridians V₁₃₍₂₎, V₁₄₍₂₎, V₁₅₍₂₎, V₁₈₍₂₎, V₁₉₍₂₎, V₂₀₍₂₎, V₂₁₍₂₎, V₂₂₍₂₎, V₂₃₍₂₎, V₂₅₍₂₎, V₂₇₍₂₎, V₂₈₍₂₎ and the primary point "capital bone" (V₆₄₍₂₎). During the tenth procedure, corporal points GJ₁₀₍₂₎ (Shou San Li), E₃₆₍₂₎ (Zu San Li) and auricular points AT₅₅ (Shen Men), AT₃₄ (of cerebral cortex), AT₂₅ (brain stem) are used.

EFFECT: method ensures the improvement of neurophysiological and psychological indicators, reducing of chronization of the disease process, improvement of the general state by improving the state of the peripheral nervous system and restoring the functional state of the patient's central nervous system.

3 cl, 3 ex

Description

The invention relates to medicine, to the field of reflexology, neurology, occupational pathology.

Non-drug treatment methods allow, with minimal means, without using expensive medications and equipment, to achieve a significant therapeutic effect without the complications and side effects inherent in drug therapy. Reflexotherapy belongs to such methods, the advantages of which include the comparative simplicity of the method, profitability, the absence of allergic reactions or any other serious complications [5, 9]. Currently, the method has gone beyond its use in functional diseases of the nervous system. Reflexology is becoming an important treatment method in almost all areas of clinical medicine. So, in the treatment of vibrational disease, in particular, one of its main manifestations - distal polyneuropathy, a complex of therapeutic measures is used, including drug therapy in combination with various physical factors (galvanization, electrophoresis, baths, heat therapy). The disadvantages of these methods are contraindications to the use of physical factors, difficulties in avoiding polypharmacy in drug therapy, lack of effectiveness of existing treatment methods. A known method for the treatment of vibrational disease by the method of acupuncture, proposed by V.D. Barsky et al. [12]. In their work, the authors enhanced the therapeutic effect of reflexology by combining the effects on the acupuncture points of the body and the auricle and due to additional irritation of the muscle tissue and periosteum in the area of painful local acupuncture points. A known method of treatment of vibrational disease Kartamysheva I.P. et al. [6]. The method consisted in an acupuncture effect on corporal points, taking into account the data of acupuncture diagnostics of the CITO test and palpation examination of channel points. Points were selected on interested channels. The proposed treatment method increased the efficiency of restoring the speed of excitation propagation along the motor and sensory fibers of the peripheral nerves of the upper and lower extremities.

A known method of treating vibrational disease using a device containing removable rollers made of hard rubber, steel, copper, aluminum, wood [11].

Closest to the claimed solution is a method of treating a vibrational disease of the authors of Lahman, OL and Tornoeva V.Ch. [8]. The method is based on the introduction of acupuncture needles into corporal and auricular points. The points of general action that regulate the neuroendocrine one were used. immune system, as well as superficial acupuncture mei-hua-zhen. Treatment with this method contributed to the normalization of the immune system, the level of hormones in the peripheral blood, and the functional state of the peripheral nerves.

The objective of our proposed method of therapy is to expand the arsenal of methods for treating vibrational disease and increase the effectiveness of drug-free treatment of vibrational disease associated with local vibration. The technical result is achieved through the use of corporal and auricular points that contribute to improving the condition of not only the peripheral nervous system, but also restore the functional state of the central nervous system. For this, patients are daily injected with steel acupuncture needles in corporal (for 30 minutes) and auricular (for 40 minutes) points according to the proposed recipes for 10 days. Points along the wonderful meridians were used depending on the individual complaints of the patients. To enhance the effect of reflexology after each session, use a Lyapko roller paravertebrally for 10 minutes.

The method is as follows:

1 day. Treatment begins with points of general action: corporal (GJ _{10 (2)} (show san-li), E _{36 (2)} (tsu-san-li)) - belong to the group of general strengthening and auricular (AT ₅₅ (Shen-Men) - has analgesic, sedative, hypnotic effect, normalizes vascular tone, relaxes involuntary muscles; AT ₃₄ (cerebral cortex) - increases mental balance, normalizes sleep, relieves pain; AT ₂₅ (brain stem) - are used for all neurological diseases;

2 day. The magic triangle is used: T ₁₄ (da-jui) - the central common point of connection of all the Yang meridians, V _{11 (2)} (da-ju) + V _{63 (2)} (jin-men) + AT ₅₅ , AT ₃₄ , AT ₂₅ ;

3 day. Wonderful Meridian (do-may) (IG _{3 (2)} (hou-si) - V _{62 (2)} (Shen-May) + AT _55, AT ₃₄ , AT _25. Depending on complaints, use points along the meridian: T ₄ (min-men), and / or T ₅ (xuan-shu), and / or T ₇ (chjung-shu), and / or T ₁₂ (shen-chu), and / or T ₁₃ (tao-tao) ), and / or T ₂₀ (buy-hui), and / or the analgesic point V _{59 (2)} (fu-yang);

4 day. Wonderful Meridian (yan-jiao-may) (V _{62 (2)} (sen-may) - IG _{3 (2)} (hou-si)) + AT ₅₅ , AT ₃₄ , AT ₂₅ . Depending on complaints and pathology, points along the meridian are used: V _{61 (2)} (tsu-shen), and / or V _{59 (2)} (fu-yang), and / or GI _{15 (2)} (jian-yu) , and / or GI _{16 (2)} (ju-gu), and / or VB _{20 (2)} (feng chi);

5 day. Wonderful Meridian (Yang-Wei-May) (Tr _{5 (2)} (Wai-Guan) - VB _{41 (2)} (Zu-Lin-qi) + AT ₅₅ , AT ₃₄ , AT _25. Depending on complaints and pathology, use points along the meridian: V _{64 (2)} (jin-gu), and / or VB _{34 (2)} (yang-ling-quan), and / or VB _{31 (2)} (feng shi), and / or VB _{30 (2)} (huan-tiao), and / or GI _{14 (2)} (bi-nao), and / or Tr _{13 (2)} (nao-hui), and / or Tr _{15 (2)} (tian-liao ), and / or VB _{21 (2)} (jian-jing), and / or IG _{10 (2)} (nao-shu), and / or VB _{19 (2)} (nao-kun);

6 day. Miraculous Meredian (dai-may) (VB _{41 (2)} (tsu-lin-qi) - Tr _{5 (2)} (wai-guan)) + AT ₅₅ , AT _34, AT _25. Depending on complaints and pathology, use the point along the meridian: VB _{35 (2)} (yang-jiao);

7 day. Wonderful Meridian (Yin-Wei-May) ((MS _{6 (2)} (Nei-Guan) - RP _{4 (2} ) (Gun-Sun) + AT _55, AT _34, AT ₂₅ ;

8 day. Magic triangle: T ₁₄ (da-chui) - the central common point of connection of all the Yang meridians, V _{23 (2)} (shan-shu) + V _{60 (2)} (kun-lun) + AT _55, AT _34, AT ₂₅ ;

9 day. The sympathetic points of the 12 main meridians are used: V _{13 (2)} (fei-shu), V _{14 (2)} (jue-yin-shu), V _{15 (2)} (hsin-shu), V _{18 (2)} (gan- shu), V _{19 (2} ) (dan-shu), V _{20 (2)} (pi-shu), V _{21 (2)} (wei-shu), V _{22 (2)} (san-chiao-shu), V _{23 (2)} (shen-shu), V _{25 (2)} (da-chan-shu), V _{27 (2)} (xiao-chan-shu), V _{28 (2)} (pan-guan-shu), V _{64 (2)} (jin-gu) + AT _55, AT _34, AT ₂₅ ;

10 day. The treatment is completed with general action points: corporal GJ _{10 (2)} (show san-li), E _{36 (2)} (tsu-san-li) + APT AT ₅₅ (Shen-Men), AT ₃₄ (cerebral cortex), AT ₂₅ (brain stem).

To enhance the effect of reflexology, after each session, use a Lyapko roller paravertebrally for 10 minutes.

Common with the prototype is the use of corporal and auricular points and the duration of exposure to the points. Distinctive features of our proposed method from the prototype is: the use in the treatment of points of wonderful meridians, corporal points of wonderful meridians, depending on complaints and pathology of patients, the use of the Lyapko roller.

It is known that vibrational disease is characterized by the polymorphism of clinical symptoms, not only the peripheral, but also the central nervous system is involved in the pathological process [10]. When physical factors (vibrations) act on the body, changes occur in the central nervous, peripheral nervous systems, which leads to a mismatch of cortical-subcortical interconnections, the formation of foci of stagnant excitation, including in the spinal cord, the inhibitory effect of the brain stem increases and the sensory entry, which in turn leads to changes in the peripheral nervous system. As a result of changes, a vicious circle arises, which leads to a long and persistent course of occupational diseases [3, 4, 7]. Based on this, corporal and auricular points of general action are used in the first procedure, and auricular points are repeated in each session, wonderful meridians (FM) are used in subsequent sessions, which allows to expand the area of influence on the body.

In reflexology, FMs are used only for chronic diseases or prolonged non-stopping pain syndromes. With a slight mild pathology, FM does not work. FM treatment usually begins when the application of the selection of points of permanent meridians is ineffective. In our case, patients who were treated using the method of acupuncture, had a diagnosis of “vibrational disease associated with local vibration” of 1 or 1-2 degrees (mild or moderate vegetative-sensory polyneuropathy of the hands), with complaints of constant aching pain in hands, numbness of hands, paresthesia, decreased strength in the hands. They point out according to the scheme: the command point of the selected FM, then the points included in the trajectory of the given meridian (the most painful on palpation), then the connecting point. All points used must be in the path of the energy of the meridian that we are healing. Each FM is associated with certain organs: du-may - with the diencephalic region of the brain and spinal cord; yang-jiao-may - with the diencephalic spinal cord; yang-wei-may - with the brain, adrenal glands, musculoskeletal system; Dai May - with musculoskeletal system; yin-wei-may - with the vascular system. Thus, the proposed method allows to weaken the chronicity of the pathological process, the patient’s departure to the disease, to improve the quality of life of people in contact with adverse physical factors in the workplace.

Using the points of magic triangles, they influence the cervical spine (on the 2nd day) and the lumbar region (on the 8th day). Indications for the use of sympathetic points: diseases of the lower back, back, disorders of the nervous system (9th day).

The use of the Lyapko roller improves blood circulation, which, in turn, has a beneficial effect on the functioning of internal organs, thanks to the pressure of the needles on the areas where the nerve endings are located, and on the skin itself, in particular. In addition, each needle is made of several metals: iron, gold, silver, copper, etc. When the needles come in contact with the skin, the formation of electric charges occurs, due to which metal ions are able to penetrate into the cells of the body and integrate into biochemical processes. This effect helps to replenish the supply of necessary trace elements.

The invention allows to achieve a therapeutic effect: improving the general condition of the patient, neurophysiological and psychological indicators.

Example 1

Patient L., born 1966 Diagnosis: Vibration disease of the 1st (first) degree associated with exposure to local vibration (mild vegetative-sensory polyneuropathy of the hands).

Work experience in contact with local vibration for 11 years, continues to work to this day collector-riveter at an aircraft factory.

The attitude to the study is positive, and is set up for cooperation.

Received complaints: constant aching pain in the hands, numbness of the hands, paresthesia, decreased strength in the hands, mood swings, periodic sleep disturbances due to pain, numbness at night.

Status nevrosus: Smell not disturbed. Pupils D = S, pupil reaction to light preserved, convergence preserved; the nasolabial fold is symmetrical, there is no nystagmus, hearing is reduced in both ears, the tongue is in the midline, there is no atrophy or fibrillary twitching. Hand reflexes D = S; knee D = S, Achilles living, no pathological reflexes. Distal hypalgesia, hyperhidrosis on the upper limbs is not clearly expressed, (+) symptom of Palya, “white spot”. In the Romberg position is steady. Finger-nasal test performs accurately. There is no soreness on palpation along the spinous processes of the spine. Symptoms of tension are negative. Emotionally reduced, asthenized.

The patient was treated:

1 day. GJ _{10 (2)} , E _{36 (2)} - 30 minutes + AT ₅₅ , AT _34, AT ₂₅ ; - 40 minutes + Lyapko roller paravertebrally for 10 minutes.

2 day. T ₁₄ , V _{11 (2)} , V _{63 (2)} - 30 minutes + AT _55, AT _34, AT ₂₅ - 40 minutes + Lyapko roller paravertebral for 10 minutes.

3 day. IG _{3 (2)} , V _{62 (2)} - 30 minutes + AT _55, AT _34, AT _25. - 40 minutes + Lyapko roller paravertebral for 10 minutes.

4 day. V _{62 (2)} , IG _{3 (2)} - 30 minutes + AT _55, AT _34, AT _25. - 40 minutes + Lyapko roller paravertebral for 10 minutes.

5 day. Tr _{5 (2)} , VB _{41 (2)} ^_ 30 minutes + AT _55, AT _34, AT _25. - 40 minutes + Lyapko roller paravertebral for 10 minutes.

6 day. VB _{41 (2),} Tr _{5 (2)} - 30 minutes + AT _55, AT _34, AT _25. - 40 minutes + Lyapko roller paravertebral for 10 minutes.

7 day. MS _{6 (2),} RP _{4 (2)} - 30 minutes + AT _55, AT _34, AT ₂₅ - 40 minutes + Lyapko roller paravertebral for 10 minutes.

8 day. T _14, V _{23 (2),} + V _{60 (2)} - 30 minutes + AT _55, AT _34, AT ₂₅ - 40 minutes + Lyapko roller paravertebral for 10 minutes.

9 day. V _{13 (2)} , V _{14 (2)} , V _{15 (2)} , V _{18 (2)} , V _{19 (2)} , V _{20 (2)} , V _{21 (2)} , V _{22 (2)} , V _{23 (2)} , V _{25 (2)} , V _{27 (2)} , V _{28 (2)} , V _{64 (2)} - 30 minutes + AT _55, AT _34, AT ₂₅ - 40 minutes + Lyapko roller paravertebrally for 10 minutes .

10 day. GJ _{10 (2)} , E _{36 (2)} - 30 minutes + AT _55, AT ₃₄ , AT ₂₅ - 40 minutes + Lyapko roller paravertebral for 10 minutes.

After the treatment with acupuncture, positive dynamics were noted: pain in the hands decreased, strength in the hands appeared, numbness was less of a concern, sleep improved, mood improved. In addition, there was a positive trend in all conducted neurophysiological research methods.

Electroencephalography: positive dynamics was noted in the form of a decrease in the degree of disorganization of bioelectric activity from pronounced to moderate. An increase in α-activity from 20% to 32% was noted, a decrease in the δ-index from 40% to 33%.

Visual evoked potentials: P200 latency shortened from 228 ms to 209 ms.

Auditory evoked potentials: the peak amplitude of N1 increased from 2.5 μV to 2.8 μV

Somatosensory evoked potentials: component N11 latency decreased from 12.6 ms to 11.3 ms, N30 - from 30.9 ms to 28.7 ms; the duration of the N9-N13 intervals decreased from 1.89 ms to 1.8 ms, N11-N13 from 1.65 ms to 1.0 ms.

Electroneuromyography: the previously reduced speed of the impulse along the median nerve was restored to normal; from 47.5 m / s to 51.4 m / s. The speed of the pulse in the elbow joint increased from 44.2 m / s to 48.3 m / s. The reduced speed of the impulse conduction along the sensory component of the ulnar nerve has increased - from 45.9 m / s to 46.8 m / s. The speed of impulse conduction along the motor component of the b / w nerve has increased - from 38.4 m / s to 47.5 m / s. The pulse conduction velocity was restored upon stimulation of n.Suralis from 46.5 m / s to 50.1 m / s.

Vibration sensitivity: after the treatment, a positive trend is observed in the form of a decrease in vibration sensitivity indicators at frequencies of 63, 125, 250 Hz.

Algesimetry: during therapy, there is a decrease in the indicators of algesimetry on the protruding part of the zygomatic bone - from 0.8 to 0.7 mm, the protruding part of the elbow - from 0.9 to 0.7 mm, the phalange of the 2nd finger of the hand - from 1.1 up to 0.8 mm, the tibial tubercle - from 0.9 to 0.8 mm, the 1st toe - from 0.8 to 0.7 mm.

Psychological examination: there is an increase in the volume of operational verbal memory from 6 units. up to 8 units, productivity of long-term memorization from 4 units. to 5 units, a decrease in the levels of personal and situational anxiety on the scales “Emotional discomfort” from 9 lines to 7 lines, “Phobic component” from 7 lines to 6 lines, “Social Protection” from 8 lines to 5 lines, the presence of a sub-depressive state from 11 points to 8 points.

Example 2

Patient K., b. 1964 Diagnosis: Vibration disease of the 1st (first) degree associated with exposure to local vibration (mild vegetative-sensory polyneuropathy of the hands).

Work experience in contact with local vibration for 17 years, continues to work to this day as a riveter-assembler at an aircraft factory.

The attitude to the study is positive, and is set up for cooperation.

Received complaints: for constant aching pains in the hands, numbness of the hands, paresthesia, decreased strength in the hands, mood swings, periodic sleep disturbances.

Status nevrosus: Smell not disturbed. Pupils D = S, pupillary reaction to light of small light range, to convergence preserved; the nasolabial fold is symmetrical, there is no nystagmus, hearing is reduced, the tongue is in the midline, there is no atrophy or fibrillar twitching. Hand reflexes D = S; knee D = S, Achilles living, no pathological reflexes. Distal hypalgesia, hyperhidrosis on the upper extremities are mild, negative symptoms of Palya, “white spot”. In the Romberg position is steady. Finger-nasal test performs accurately. There is no soreness on palpation along the spinous processes of the spine. Symptoms of tension are negative. Emotionally reduced, asthenized.

The patient was treated:

1 day. GJ _{10 (2)} , E _{36 (2)} - 30 minutes + AT ₅₅ , AT _34, AT ₂₅ ; - 40 minutes + Lyapko roller paravertebrally for 10 minutes.

2 day. T ₁₄ , V _{11 (2)} , V _{63 (2)} - 30 minutes + AT _55, AT _34, AT ₂₅ - 40 minutes + Lyapko roller paravertebral for 10 minutes.

3 day. IG _{3 (2),} T ₄ , V _{59 (2),} V _{62 (2)} - 30 minutes + AT _55, AT _34, AT _25. - 40 minutes + Lyapko roller paravertebral for 10 minutes.

4 day. V _{62 (2),} V _{61 (2),} GI _{16 (2)} , IG _{3 (2)} - 30 minutes + AT _55, AT _34, AT _25. - 40 minutes + Lyapko roller paravertebrally for 10 minutes.

5 day. Tr _{5 (2),} Tr _{13 (2),} Tr _{15 (2),} VB _{41 (2)} - 30 minutes + AT _55, AT _34, AT _25. - 40 minutes + Lyapko roller paravertebrally for 10 minutes.

6 day. VB _{41 (2),} Tr _{5 (2)} - 30 minutes + AT _55, AT _34, AT _25. - 40 minutes + Lyapko roller paravertebral for 10 minutes.

7 day. MS _{6 (2),} RP _{4 (2)} - 30 minutes + AT _55, AT _34, AT ₂₅ - 40 minutes + Lyapko roller paravertebral for 10 minutes.

8 day. T _14, V _{23 (2),} + V _{60 (2)} - 30 minutes + AT _55, AT _34, AT ₂₅ - 40 minutes + Lyapko roller paravertebral for 10 minutes.

9 day. V _{13 (2)} , V _{14 (2)} , V _{15 (2)} , V _{18 (2)} , V _{19 (2)} , V _{20 (2)} , V _{21 (2)} , V _{22 (2)} , V _{23 (2)} , V _{25 (2)} , V _{27 (2)} , V _{28 (2)} , V _{64 (2)} - 30 minutes + AT _55, AT _34, AT ₂₅ - 40 minutes + Lyapko roller paravertebrally for 10 minutes .

10 day. GJ _{10 (2)} , E _{36 (2)} - 30 minutes + AT ₅₅ , AT ₃₄ , AT ₂₅ - 40 minutes + Lyapko roller paravertebral for 10 minutes.

After the treatment with acupuncture, positive dynamics were noted: pain in the hands decreased, strength in the hands appeared, numbness was less of a concern, sleep improved, mood improved. In addition, there was a positive trend in all conducted neurophysiological research methods.

Electroencephalography: positive dynamics was noted in the form of a decrease in the degree of disorganization of bioelectric activity from pronounced to moderate. An increase in α-activity from 22% to 33% was noted, a decrease in the δ-index from 42% to 35%.

Visual evoked potentials: P200 latency shortened from 229 ms to 211 ms.

Auditory evoked potentials: the peak amplitude of N1 increased from 2.5 μV to 2.9 μV

Somatosensory evoked potentials: latency of component N11 decreased from 12.5 ms to 11.4 ms, N30 - from 31.9 ms to 29.8 ms; the duration of the N9-N13 intervals decreased from 1.85 ms to 1.8 ms, N11-N13 from 1.75 ms to 1.1 ms.

Electroneuromyography: the previously reduced speed of the impulse along the median nerve was restored to normal; from 47.5 m / s to 52.4 m / s. The speed of the pulse in the elbow joint increased from 44.2 m / s to 48.5 m / s. The reduced rate of impulse conduction along the sensory component of the ulnar nerve increased from 46.9 m / s to 47.8 m / s. The speed of impulse conduction along the motor component of the b / w nerve has increased - from 38.5 m / s to 48.6 m / s. The pulse conduction velocity was restored upon stimulation of n.Suralis from 46.8 m / s to 50.2 m / s.

Vibration sensitivity: after the treatment, a positive trend is observed in the form of a decrease in vibration sensitivity indicators at frequencies of 63, 125, 250 Hz.

Algesimetry: against the background of therapy, there is a decrease in the indicators of algesimetry on the protruding part of the zygomatic bone - from 0.8 to 0.7 mm, the protruding part of the elbow - from 0.9 to 0.6 mm, the phalanx of the 2nd finger of the hand - from 1.1 up to 0.7 mm, the tibial tubercle - from 0.9 to 0.8 mm, the 1st toe - from 0.7 to 0.6 mm.

Psychological examination: there is an increase in the volume of operational verbal memory from 6 units. up to 7 units, productivity of long-term memorization from 4 units. to 5 units, a decrease in the levels of personal and situational anxiety on the scales “Emotional discomfort” from 8 lines to 6 lines, “Phobic component” from 7 lines to 6 lines, “Social Protection” from 8 lines to 4 lines, the presence of a sub-depressive state from 11 points to 9 points.

Example 3

Patient S., born in 1962, Diagnosis: Vibration disease, 1-2 (first-second) degree, associated with the effects of local vibration (moderate vegetative-sensory polyneuropathy of the hands).

Work experience in contact with local vibration for 22 years, continues to work as a riveter-collector to the present.

Attitude towards research is positive, and is set up for cooperation.

Received complaints: for constant aching pains in the hands, numbness of the hands, decreased strength in the hands, instability of mood, sleep disturbance due to pain and numbness of the hands.

Status nevrosus: Smell not disturbed. Pupils D = S, pupil reaction to light is alive, convergence is preserved, nasolabial fold is symmetrical, nystagmus is absent, hearing is reduced in both ears, tongue in the midline, atrophy and fibrillary twitching. Hand reflexes D = S; knee D = S, Achilles D = S, no pathological reflexes. Distal hypalgesia, hyperhidrosis on i / c, positive symptom of Palya, “white spot”. In the Romberg position is steady. Finger-nasal test performs accurately. Palpation of the spinous processes of the spine is painless. Symptoms of tension are negative. Vegetative lability.

The patient was treated:

1 day. GJ _{10 (2)} , E _{36 (2)} - 30 minutes + AT ₅₅ , AT _34, AT ₂₅ ; - 40 minutes + Lyapko roller paravertebrally for 10 minutes.

2 day. T ₁₄ , V _{11 (2)} , V _{63 (2)} - 30 minutes + AT _55, AT _34, AT ₂₅ - 40 minutes + Lyapko roller paravertebral for 10 minutes.

3 day. IG _{3 (2),} V _{59 (2),} V _{62 (2),} V _{59 (2)} - 30 minutes + AT _55, AT _34, AT _25. - 40 minutes + Lyapko roller paravertebrally for 10 minutes.

4 day. V _{62 (2),} V _{59 (2)} GI _{15 (2)} GI _{l6 (2)} , IG _{3 (2)} - 30 minutes + AT _55, AT _34, AT _25. - 40 minutes + Lyapko roller paravertebral for 10 minutes.

5 day. Tr _{5 (2),} V _{64 (2)} , VB _{34 (2),} VB _{30 (2),} VB _{41 (2)} - 30 minutes + AT _55, AT _34, AT _25. - 40 minutes + Lyapko roller paravertebral to for 10 minutes.

6 day. VB _{41 (2),} VB _{35 (2)} , Tr _{5 (2)} - 30 minutes + AT _55, AT _34, AT _25. - 40 minutes + Lyapko roller paravertebral for 10 minutes.

7 day. MS _{6 (2),} RP _{4 (2)} - 30 minutes + AT _55, AT _34, AT ₂₅ - 40 minutes + Lyapko roller paravertebral for 10 minutes.

8 day. T _14, V _{23 (2),} + V _{60 (2)} - 30 minutes + AT _55, AT _34, AT ₂₅ - 40 minutes + Lyapko roller paravertebral for 10 minutes.

9 day. V _{13 (2)} , V _{14 (2)} , V _{15 (2)} , V _{18 (2)} , V _{19 (2)} , V _{20 (2)} , V _{21 (2)} , V _{22 (2)} , V _{23 (2)} , V _{25 (2)} , V _{27 (2)} , V _{28 (2)} , V _{64 (2)} - 30 minutes + AT _55, AT _34, AT ₂₅ - 40 minutes + Lyapko roller paravertebrally for 10 minutes .

10 day. GJ _{10 (2)} , E _{36 (2)} - 30 minutes + AT ₅₅ , AT ₃₄ , AT ₂₅ - 40 minutes + Lyapko roller paravertebral for 10 minutes.

After the treatment with acupuncture, positive dynamics were noted: pain in the hands decreased, I began to sleep better, became calmer, my mood background improved.

Electroencephalography: positive dynamics was noted in the form of a decrease in the degree of disorganization of bioelectric activity from pronounced to moderate. An increase in the α-index from 18% to 25% was noted, a decrease in the δ-rhythm from 46% to 38%.

Visual evoked potentials: P200 latency shortened from 239 ms to 230 ms.

Auditory evoked potentials: the amplitude of peak N1 increased from 2.2 μV to 2.5 μV; P1 - from 1.9 μV to 2.1 μV.

Somatosensory evoked potentials: the latent period of components N11 decreased from 12.9 ms to 10.5 ms, N13 from 14.0 ms to 12.8 ms, N30 from 35.2 ms to 31.3 ms; the duration of N9-N13 intervals decreased from 3.2 ms to 2.4 ms, N11-N13 from 2.4 ms to 1.8 ms.

Electroneuromyography: the previously reduced speed of impulse conduction along the sensory component of the median nerve from 44.6 m / s to 52.4 m / s and n.Suralis from 47.5 m / s to 50.4 m / s was restored. The speed of the impulse conduction along the motor impulse increased from 45.4 m / s to 47.5 m / s and sensory from 45.4 m / s to 49.8 m / s to the components of the ulnar nerve.

Vibration sensitivity: after the treatment, a positive trend is observed in the form of a decrease in vibration sensitivity indicators at frequencies of 63, 125, 250 Hz.

Algesimetry: during therapy, a decrease in algesimetry on the protruding part of the zygomatic bone from 0.9 mm to 0.8 mm, the protruding part of the elbow from 0.9 mm to 0.8 mm, the phalanx of the 2nd finger of the hand from 1.1 mm to 0.9 mm, the protruding part of the inner ankle from 0.8 mm to 0.7 mm, the 1st toe from 0.8 mm to 0.6 mm.

Psychological examination: there is an increase in the volume of operational verbal memory from 5 units. up to 7 units, productivity of long-term memorization from 4 units. up to 5 units, a decrease in the levels of personal and situational anxiety on the scales “Asthenic component of anxiety” from 7 steine to 2 steine, “Phobic component” from 7 steine to 1 steine, “Social Protection” from 8 steine to 5 steine, subdepressive state with 13 points to 6 points.

Thus, after conducting sessions of acupuncture, positive dynamics was noted both in subjective and objective examination of patients.

Literature

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3. Vlasov V.N. The reaction of the cardiovascular system to the combined effect of chemical and physical factors of low intensity. // Occupational medicine and industrial ecology, 2007. No. 1. S. 29-34.

4. The results and prospects of scientific research on the problem of the formation of sensory conflict when exposed to noise and vibration in the production environment / Rukavishnikov B.C., Pankov VA, Kuleshova MV et al. // Occupational medicine and industrial ecology. 2009. No1. S. 1-5.

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Claims (11)

1. A method of treating a vibrational disease associated with local vibration by introducing acupuncture needles into corporal and auricular points: into corporal points - steel needles for 30 minutes; in auricular - steel needles for 40 minutes, for a course of 10 procedures, characterized in that the first procedure uses general action points: corporal: GJ _{10 (2)} (show san-li), E _{36 (2)} (zu-san -li) and auricular: AT ₅₅ (Shen-Men), AT ₃₄ (cerebral cortex), AT ₂₅ (brain stem), and auricular points are used in each session; the second procedure uses points: T ₁₄ (da-jui) - the central common point of connection of all the Yang meridians, V _{11 (2)} (da-ju) + V _{63 (2)} (jin-men); in the third procedure, the points of the wonderful du-may meridian are used: IG _{3 (2)} (hou-si) - V _{62 (2)} (Shen-May); in the fourth procedure, use the points of the wonderful meridian yang-jiao-may: V _{62 (2)} (sen-may) - IG _{3 (2)} (hou-si); the fifth procedure uses the points of the wonderful meridian yang-wei-may: Tr _{5 (2)} (wai-guan) - VB _{41 (2)} (tsu-lin-qi); in the sixth procedure, use the points of the wonderful dai-may meridian: VB _{41 (2)} (tsu-lin-qi) - Tr _{5 (2)} (wai-guan); in the seventh procedure, use the points of the miraculous yin-wei-may meridian: MS _{6 (2)} (ne-guan) - RP _{4 (2)} (gun-sun); In the eighth procedure, the points are used: T ₁₄ (da-chui) - the central common point of connection of all Yang meridians, V _{23 (2)} (shan-shu) + V _{60 (2)} (kun-lun); in the ninth procedure, the sympathetic points of 12 main meridians are used: V _{13 (2)} , V _{14 (2)} , V _{15 (2)} , V _{18 (2)} , V _{19 (2)} , V _{20 (2)} , V _{21 (2 )} , V _{22 (2)} , V _{23 (2)} , V _{25 (2)} , V _{27 (2)} , V _{28 (2)} , and the source point is “main bone” (V _{64 (2)} ); in the tenth procedure, corporative points GJ _{10 (2)} (show san-li), E _{36 (2)} (tsu-san-li) and auricular points are used: AT ₅₅ (shen-men), AT ₃₄ (cerebral cortex), AT ₂₅ (brain stem); 2. The method according to p. 1, characterized in that in the third, fourth, fifth, sixth and seventh procedures along the wonderful meridians, the most painful points are additionally used; 3. The method according to p. 1, characterized in that after each session using the Lyapko roller paravertebrally for 10 minutes.