RU2801025C2 - Method of treatment of delayed psycho-speech and motor development in children with neuro-mental diseases - Google Patents

Abstract

FIELD: medicine; neurology; reflexology.

SUBSTANCE: invention can be used to treat delayed psycho-verbal and motor development in children with neuropsychic diseases. BAP is measured according to the Ryodorak method and the BAP is exposed to a current of 40 μA to 100 μA for 60–120 s by introducing a medicinal substance into the BAP by microelectrophoresis with electrical conductivity control at points for 60–120 s. At the same time, the sedative effect is carried out according to the program of inhibition on the control and extra-meridian BAPs with pulses of positive and negative polarity. On the meridian BAP with a direct current of negative polarity at a current strength of 60–100 μA, and a tonic effect is carried out by alternately applying pulses of positive and negative polarity with a duration of 10 s. Medscanner BIORS hardware-software complex is used as a device for the treatment of delayed psycho-speech and motor development in children with neuropsychiatric diseases.

EFFECT: method provides increased effectiveness of treatment of delayed psycho-speech and motor development in children with various neuropsychiatric diseases by using reflex mechanisms of action on the areas of the cerebral cortex and BAP.

2 cl, 4 ex, 1 tbl

Description

SUBSTANCE: invention relates to medicine, namely to neurology and reflexology, and can be used to treat delayed psycho-verbal and motor development in children with neuropsychic diseases. [IPC A61H 39/00]

From the prior art known METHOD FOR THE TREATMENT OF DELAYED SPEECH DEVELOPMENT IN NERVOUS-MENTAL DISEASES [Luvsan Gavaa. Traditional and Modern Aspects of Oriental Medicine, JSC "Moscow Textbooks and Cartolithography", 2000, p. 202-204], which includes examination of the patient with a choice of scalp therapy zones depending on the identified speech disorder and the implementation of a therapeutic effect on the selected zones through acupuncture.

The disadvantage of this method is that acupuncture is an invasive and very painful procedure, especially undesirable in the treatment of children.

Also known from the prior art is a METHOD FOR THE TREATMENT OF DELAYED PSYCHO-SPEECH DEVELOPMENT IN NEURO-MENTAL DISEASES [RU2305537C2, publ. 09/10/2007], including examination of the patient, selection of cranial zones in the form of projections of the frontal and temporal areas of the cerebral cortex on the patient's scalp, application of a therapeutic electrode to the selected zones and the implementation of therapeutic exposure to electric current, characterized in that an additional measurement is carried out according to the Nakatani method of electrical conductivity biologically active points (BAP) of the classical meridians with a predominant assessment of the state of the meridians C, VB, IG, TR, GI, RP, V, F and the identification of elements of the pathogenesis of delayed psychoverbal development and background neuropsychiatric disease, the therapeutic effect on the identified elements of pathogenesis is carried out through controlling BAPs of the classical meridians, the cranial zones additionally include the projections of Wernicke's zones, Brokk's zones and the zones of initiative on the patient's scalp, and the therapeutic effect on the selected cranial zones is carried out through extrameredian BAPs located in the center of the corresponding projection of the area or zone of the brain, while with hyperfunction of the meridian C, indicating residual effects of perinatal hypoxia of the cerebral cortex, the therapeutic effect is carried out in the mode of indirect sedation, with hyper- or hypofunction of the VB meridian, indicating a violation of the blood supply to the cerebral cortex as a result of dystonia of its vessels, the therapeutic effect is carried out in the mode of mediated sedation, respectively. or indirect and direct tonic effects, with hypofunction of the IG, TR, GI meridians, indicating a decrease in the activity of the endorphin system due to a stressful situation, the therapeutic effect is carried out in the mode of indirect and direct tonic effects, with hyper- or hypofunction of the RP and / or V meridians , indicating a violation of liquorodynamics, the therapeutic effect is carried out in the mode of indirect sedative effect in case of their hyperfunction and indirect and direct tonic effect in case of their hypofunction, and in case of hyperfunction of the meridian F, indicating dysfunction of the subcortical structures, the therapeutic effect is carried out in the mode of indirect sedative effect, moreover, sedative therapeutic effect on the control and extra-meridian BAPs is carried out with a direct current of negative polarity, and a tonic effect is carried out by alternately supplying pulses of positive and negative polarity.

The disadvantage of this method is the limitation of the range of treated diseases on the basis of speech disorders. In addition, the known method of electroreflexotherapy is quite laborious.

Also known from the prior art is a METHOD FOR THE TREATMENT OF DELAYED PSYCHO-SPEECH DEVELOPMENT IN NEURO-MENTAL DISEASES ACCOMPANIED BY MOTOR DISORDERS [RU2122443C1, publ. November 27, 1998], including examination of the patient, massage and functional biocontrol of the affected muscle groups with feedback to correct muscle tone, application of an electrode with a contact surface area of 100-600 mm2 on the projections of the frontal and parietal areas of the patient's cerebral cortex for the treatment of movement disorders and on the projection of the frontal and temporal areas of the cortex for the treatment of psychoverbal disorders and the implementation of transcranial micropolarization with a direct electric current of 50-800 μA.

The disadvantage of this method is the limitation of the range of treated diseases on the basis of the presence of movement disorders with the main focus on the correction of muscle tone. Treatment of psychoverbal disorders is concomitant.

Also known from the prior art METHOD OF TREATMENT OF PATIENTS [RU2173132C2, publ. 10.09.2001], which includes diagnosing according to the Nakatani method using a Bioscope measuring device and the impact on biologically active points in accordance with the established diagnosis by introducing a biostimulator into them by the method of microelectrophoresis. The biostimulator is injected within 1.0-2.0 minutes and the current value is not more than 0.5 mA with the control of electrical conductivity at the points exposed to the effects, according to the results of which biologically active points are selected for treatment. In the process of ongoing treatment, points are identified at which the electrical conductivity changes, which gives reason to adjust the ongoing treatment along its course.

The disadvantage of this analog is that it does not provide for a differentiated effect on various mental and speech zones of the frontal and temporal areas of the cerebral cortex, which is necessary for a selective approach in the treatment of mental and speech disorders, mainly in children, which excludes the reflex mechanism of impact on zones and areas cerebral cortex. The known method involves the treatment of microelectrophoresis using only one biostimulant made from peat. Those. has reduced functionality.

The closest in technical essence is a METHOD FOR THE TREATMENT OF DELAYED PSYCHO-SPEECH DEVELOPMENT AND MOTOR DISORDERS IN NEURO-MENTAL DISEASES OF PATIENTS [RU2646571C2, publ. 03/05/2018], which includes diagnosing according to the Nakatani method and the impact on biologically active points in accordance with the established diagnosis by introducing a medicinal substance into them by microelectrophoresis with control of electrical conductivity at the points exposed, and the choice of biologically active points for treatment, characterized in that for treatment, off-meridian biologically active points are selected, located in the center of the corresponding projections of the craniotherapy zones on the patient's scalp, affecting the areas of the cerebral cortex, depending on the patient's diagnosis, and on the trigger zones of pathological muscle tone, treatment is carried out by introducing a biostimulant selected as a medicinal substance , in the mode of tonic microelectrophoresis or by introducing a sedative selected as a medicinal substance, in the mode of sedative microelectrophoresis.

In the known method, in case of mental retardation, the therapeutic effect is carried out on the projection area of the frontal lobes of the brain responsible for mental development by direct tonic microelectrophoresis with nootropic drugs, vitamins B1 and B6 and alloplant. In case of violations of coordination, the therapeutic effect is carried out on the projection area of the cerebellum, which is responsible for the coordination of movements, by direct sedative microelectrophoresis with sedative herbs. In the mode of sedative microelectrophoresis, the sedative therapeutic effect on the control and extra-meridian BAPs is carried out with a direct current of negative polarity. In the mode of tonic microelectrophoresis, the tonic effect is carried out by alternately applying pulses of positive and negative polarity. With a sedative and tonic effect of microelectrophoresis on the control and extra-meridian BAPs, the short-circuit current is 40-120 μA. The duration of pulses of positive and negative polarity with a tonic effect by microelectrophoresis is 3-6 seconds. The area of the contact surface of the electrode is chosen equal to 0.2-12.0 mm2. The exposure time for each BAP is 35-90 seconds. The therapeutic effect is carried out daily with a duration of one session of 25-60 minutes and a total number of sessions of 10-20 per course of treatment.

The main technical problem of the prototype is that the device, which affects the projection of craniotherapy zones on the patient's scalp and muscle trigger zones, uses a single-channel exposure system, not allowing exposure to alternating current - the effect is monopolar. Those. the drug in the course of the current penetrates directly to the point, does not connect the zones of the cerebral cortex to each other. In this case, only the function of this zone improves (for example: only speech), but there is no organized simultaneous work of the frontal lobes with other zones of the cerebral cortex. The zones of the cerebral cortex must interact with each other through neuronal connections between the zones. This method allows neurons to interact with each other within only one zone, intensive work of only simple zones of the cerebral cortex occurs, the formation of connections only within simple zones, but not simultaneously between different zones of the cerebral cortex. Thus, by influencing pointwise, a child may develop speech, but it will be unconscious if the child has no understanding or insufficient understanding of the addressed speech, since there is no control of the frontal lobes over the work of other areas of the cerebral cortex. Influencing the muscles, the trabeculae along the entire muscle cannot be saturated with the drug, only a part of the muscle is affected. This device does not allow to influence bipolar, that is, it does not allow to act simultaneously on several areas of the cerebral cortex. There is no alternating effect of negative and positive polarity (at the moment when the negative polarity changes to positive, only then does the excitation of receptors on BAP occur). A single-channel exposure system is used, which does not allow exposure to craniotherapy zones on the scalp, as well as to muscle trigger zones by microelectrophoresis using alternating current from "-" to "+".

The objective of the invention is to eliminate the disadvantages of the prototype.

The technical result of the invention is to increase the effectiveness of the treatment of delays in psycho-speech and motor development in children with various neuropsychiatric diseases by using reflex mechanisms of action on the areas of the cerebral cortex and BAP.

The specified technical result is achieved due to the fact that the method of treating delayed psycho-speech and motor development in children with neuropsychiatric diseases is characterized by the initial measurement of BAP according to the Riodorak method, the implementation of a therapeutic effect through the BAP with a current of 40 μA to 100 μA for 60 - 120 s by introducing a medicinal substance into the BAP by means of microelectrophoresis with control of electrical conductivity at points for 60 - 120 s, while sedation is carried out according to the program of inhibition on the control and extra-meridian BAP with impulses of positive and negative polarity, on the meridian BAP with a direct current of negative polarity at current strength of 60-100 μA, and the tonic effect is carried out by alternately applying pulses of positive and negative polarity with a duration of 10 s, namely, microcurrent reflexology is applied to the C7 helper point in the sedative mode and to the RP3 and V64 helper points in the tonic mode, and also using the drug Aescusan on the accomplice point RP3 in the tonic mode and decoction of lingonberry leaf on the accomplice point V64 in the tonic mode, acting on the points of the collar zone VB20, VB21, V11, GI15 and the auricular points AT55, AT51 by microelectrophoresis of sedative herbs - motherwort and pion in sedative mode, by microelectrophoresis in the tonic mode, a lingonberry leaf decoction, ceraxon, gliatilin are used; also, when exposed to microelectrophoresis, mydocalm, thiamine, pyridoxine, prozerin are used.

In particular, initially, according to the Ryodorak method, the level of electrical conductivity in the meridians P, MC, C, IG, TR, GI, RP, F, R, V, VB, E is calculated.

In particular, the therapeutic effect is carried out through controlling BAPs, segmental BAPs, local BAPs, symptomatic BAPs, specific BAPs, auricular BAPs, general strengthening BAPs.

In particular, the therapeutic effect on BAP for microelectrophoresis during sedation is used in tinctures of peony or motherwort or bromine solution.

In particular, the specified technical result is achieved through the use of the hardware-software complex "Medscanner" BIORS as a device for the treatment of delayed psycho-speech and motor development in children with neuropsychiatric diseases.

Implementation of the invention.

The claimed invention is used to treat the following conditions:

1) Delays in the development of speech:

- Delayed speech development (SRR);

- Mental retardation (MPD);

- Delayed psycho-speech development (ZPRR);

- Motor alalia and sensorimotor alalia;

- Pseudobulbar dysarthria;

- Mixed dysarthria;

2) Delays in the development of the autism spectrum:

- Auto-like behavior;

- Organic autism;

- Kanner's syndrome, Asperger's syndrome;

- Early Childhood Autism (RDA);

- Autism Spectrum Disorders;

3) Perinatal damage to the central nervous system:

- Delayed psychomotor development;

- Increased muscle tone;

4) Developmental delays against the background of damage to the visual and auditory analyzers:

- Partial atrophy of the optic nerves (POA);

- Retinopathy of prematurity;

- Sensorineural hearing loss;

5) Developmental delays in genetic and metabolic diseases, including:

- Celiac disease (allergy to gluten);

- Phenylketonuria (PKU);

- Down syndrome;

6) Delays in motor and speech development in children with cerebral palsy:

- cerebral palsy, hemiparesis;

- cerebral palsy, spastic diplegia;

- cerebral palsy, double diplegia;

- cerebral palsy, atonic-astatic form;

- cerebral palsy, hyperkinetic form;

- cerebral palsy, spastic tetraparesis;

- Consequences of traumas of the brain and spinal cord;

- Attention deficit hyperexcitability syndrome;

- Enuresis.

7) Specific developmental disorders of learning skills:

- Dyslexia, dysgraphia, dyscalculia.

Contraindications for receptor microcurrent reflexology are:

- chronic diseases in the stage of decompensation;

- malignant and benign neoplasms;

- inflammatory diseases.

To implement the method under study, the doctor launches and enters the computer program of the hardware-software complex "Medscanner" BIORS, the item "Electropuncture" and "Rehabilitation Therapy" and using individual programs and drugs that are loaded into the device, affect the BAP according to an individual treatment regimen patient, depending on the child's diagnosis, using probe electrodes, probe tips, and a cylindrical electrode.

Before therapy, BAP is measured according to the Riodorak method with a predominant assessment of the state of the meridians MC, C, IG, TR, GI, F, VB, RP. The therapeutic effect is carried out through the controlling BAP of the classical meridians. Also carry out the introduction of the medicinal substance in these points by microelectrophoresis with the control of electrical conductivity at the points. During microelectrophoresis, a cotton ball is impregnated with the necessary drug.

To conduct receptor microcurrent reflexology, a probe is used, which is moistened with water to increase electrical conductivity.

Therapeutic mode is used in two directions:

- tonic - used to stimulate paretic and atrophied muscles, increase the functional activity of the brain zones (speech zones), restorative and control points;

- sedative - to reduce the function of the brain zones (stem line, EGO zone), to achieve a sedative, local anti-inflammatory and spasmodic effect.

The sedative effect is carried out according to the program of inhibition on the control and extra-meridian BAPs with pulses of positive and negative polarity, on the meridian BAPs with direct current of negative polarity at a current strength of 60-100 μA, and the stimulating effect in the tonic mode is by alternately applying pulses of positive and negative polarity (biopolar).

The type of phoresis depends on the charge of the drug.

It turns out that the effect is on helper points, group Lo-points, and connection points. Auxiliary points are located close to tonic or sedative points, when exposed to them, the desired effect is enhanced or stabilized. Lo-points, also called passage currents, are used to enhance the desired effect due to the redistributed energy of the meridians. Connection points are located at the intersection of the meridians.

In the mode of sedative microelectrophoresis, sedative therapeutic effect is carried out with a direct current of negative polarity.

In the mode of tonic microelectrophoresis, the tonic therapeutic effect is carried out by alternately applying pulses of positive and negative polarity.

The current strength when acting on the control and extra-meridian BAPs is 40-120 μA.

The duration of pulses of positive and negative polarity during the tonic effect is 10 seconds.

The area of the contact surface of the electrode is 0.2 -12.0 mm.

The exposure time for each BAP is 60 - 120 sec.

The duration of one session is 40 - 60 minutes. The number for one course of treatment is 13-16 sessions.

Examples of the implementation of the claimed method of treatment.

1. The impact on the collar region is indicated for increased excitability of the central nervous system, dysfunction of the mid-stem structures, neurosis, chronic cerebrovascular insufficiency, signs of intracranial hypertension, muscular-tonic syndromes in the cervical region. They have a sedative effect on the following BAPs: VB20, VB 21, Vll, GI 15, VB12, VG 16, TR 17. Microelectrophoresis with sedative herbs is used in the projection of these points (peony, motherwort).

2. With hyperfunction of the meridian F, indicating dysfunction of the median stem structures, a therapeutic effect is exerted on the projection zones of the brain stem by microelectrophoresis with sedative herbs.

3. In case of hypofunction of the RP meridian, which indicates atony of the venous plexuses and functional hyperproduction of cerebrospinal fluid, they affect the accomplice point RP3, and also perform microelectrophoresis with aescusan.

4. In case of hyperfunction of the RP meridian, which indicates hyperproduction of cerebrospinal fluid against the background of organic brain damage, they affect the extrameridian points of the corresponding projections of the craniotherapy zones on the patient's scalp in the sedative mode of microelectrophoresis with sedative herbs.

5. With hyperfunction of the meridian V, indicating a decrease in the adsorption of cerebrospinal fluid, they affect the accomplice point V64, and also carry out microelectrophoresis with diuretic herbs (lingonberry leaf).

6. With delays in psychoverbal development, they affect the cranial zones - the projections of the zones of the cerebral cortex on the scalp of the skull.

7. The projections of the frontal area of the cerebral cortex are affected by a decrease in intelligence. On the projection of the temporal region of the cerebral cortex

8. In the presence of speech disorders. The projection of Wernicke's area is stimulated in case of speech comprehension disorders, a decrease in attention to addressed speech, the projection of Broca's area - in violation of the development of expressive speech. The method of microelectrophoresis is also used on the cranial zones with preparations Cortexin, cogitum in a tonic mode.

9. Electropuncture treatment for cerebral palsy.

The treatment program for cerebral palsy is selected individually depending on the form of the disease and neurological deficit.

10. In forms of cerebral palsy, accompanied by motor disorders, there is an impact on the cranial zones - the motor zone (temporal parietal region of the scalp), the projection of the premotor zone, the zone of motor initiative. There is also a sedative effect on local BAPs in the projection of spastic muscles with drugs with a muscle relaxant effect, microelectrophoresis with mydocalm is used, a tonic effect on local BAPs in the projection of paretic muscles, microelectrophoresis with prozerin is used.

11. In the atonic-astatic form of cerebral palsy, the impact on the projection of the cerebellum on the scalp by microelectrophoresis with sedative herbs on the projection of the premotor zone is shown. There is also a tonic effect of BAP in the projection of atonic muscles.

12. with obsessive movements in the hands or with autism, there are many stereotypical movements. With obsessive movements in the legs with motor disinhibition, with "manege running", circling around its own axis. With obsessive movements in the trunk, in the face (smacking, licking). The therapeutic effect is carried out on extra-meridian points located in projections on the scalp of the frontal lobes (on the border of the frontal lobes with the scalp) with motherwort, as well as in the projection of Broca's area located on the motor line, above the cortical zone of motor speech, by microelectrophoresis with sedative herb, in sedative mode, as well as on BAP in the projection of the brain stem by microelectrophoresis with motherwort and peony in sedative mode.

13. with specific disorders in the development of school skills (dysgraphia, dyslexia, dyscalculia), they affect the areas of the cerebral cortex, including Wernicke's areas, where the cortical areas of writing, reading, mathematics are located, by treating selected points using microelectrophoresis in accordance with clinical manifestations , while microelectrophoresis is carried out in a tonic mode with drugs of the nootropic group, such as cortexin, cogitum, ceraxon, in accordance with the patient's age and instructions for using the drug.

Thus, the treatment of delayed psycho-speech and motor development in children with neuropsychiatric diseases is carried out as follows:

- BAP is measured according to the Ryodorak method with a predominant assessment of the state of the meridians P, MS, C, IG, TR, GI, RP, F, R, V, VB, E:

- carry out a therapeutic effect through controlling BAPs, segmental BAPs, local BAPs, symptomatic BAPs, symptomatic-local BAPs, symptomatic-remote BAPs, specific BAPs, auricular BAPs, general strengthening BAPs with a current of 40 μA to 100 μA for 60 - 120 s, moreover, the introduction of the medicinal substance into the BAP is carried out by microelectrophoresis with control of electrical conductivity at the points, while the sedative effect is carried out with direct current of negative polarity (monopolar), microelectrophoresis, also according to the inhibition program, using sedative herbs, and the tonic effect is carried out by alternately supplying pulses of positive and negative polarity with a period of 10 s.

Preparations used for microelectrophoresis used in the treatment of neurological and psychiatric diseases are presented in the table:

Medications Group Purpose Peony sedative herb Sedative microelectrophoresis Motherwort sedative herb Sedative microelectrophoresis Bromine sedative Sedative microelectrophoresis cogitum Succinic acid preparation Toning microelectrophoresis Cortexin Nootropic Toning microelectrophoresis Mexidol Succinic acid preparation Toning microelectrophoresis Cytoflavin Succinic acid preparation Toning microelectrophoresis Ceraxon Nootropic Toning microelectrophoresis Gliatilin Nootropic Toning microelectrophoresis Thiamine Vitamin B1 Peridoxine hydrochloride Vitamin B6

Rationale for achieving the technical result of the invention.

The technical result of the studied method of treatment is to increase the effectiveness of the treatment of delays in psycho-speech and motor development in children with various neuropsychiatric diseases by using reflex mechanisms of influence on the areas of the cerebral cortex and BAP.

This technical result is achieved due to the fact that the method under study is carried out using the hardware-software complex "Medscanner" BIORS.

In addition, due to the fact that:

1) measurement of BAP is carried out according to the Ryoderak method with a predominant assessment of the state of the meridians P, MC, C, IG, TR, GI, RP, F, R, V, VB, E. Measurement of BAP indicators by this method is a diagnostic procedure in order to identify mechanisms development of neurological and psychiatric pathology. The measurement is made on the points - accomplices, which reflect the state of 12 paired meridians.

Order of points when measuring:

-P9 - lung meridian

-MC7-meridian of the pericardium

-C7 meridian of the heart

-IG4 meridian of the small intestine

-TR4-meridian of three heaters

-GI5-colon meridian

-RP3-spleen meridian

-F3-liver meridian

-R3-kidney meridian

-V64-bladder meridian

-VB40 - gallbladder meridian

-E42-stomach meridian

There are three types of diagnostics:

-Monitoring diagnostics. It is carried out before each treatment session, for dynamic monitoring during the treatment process.

- Control diagnostics. It is carried out between courses of treatment. It complements the clinical picture.

-Express diagnostics. It is carried out only before the first course of treatment in order to see the "culprit meridians" before starting treatment. It is also needed to draw up a treatment regimen.

This diagnostic study allows you to calculate the level of electrical conductivity of a person, which reflects the state of the sympathetic and parasympathetic nervous system.

- Normal - the average level of electrical conductivity is from 40-80. The sympathetic and parasympathetic systems are balanced.

- From 80-100 - sympathicotonia prevails, there is excitation of the nervous system. Children may have irritability, tantrums, poor sleep, aggression.

-Above 100-gross sympathicotonia An extreme degree of arousal, several options are always present. Extreme severity of allergic reactions is possible.

-From 40-20-parasympathicotonia. It can be quietly inhibited schoolchildren.

-Below 20 - gross parasympathicotonia. These may be children with mental retardation.

During diagnostics according to Rioderac, stable deviations of the meridians are revealed.

- Decreased indicators of the MC and C meridians indicate the presence of a vegetative-vascular component with meteosensitivity.

- An increase in the C meridian indicates residual effects of perinatal hypoxia of the cerebral cortex. Clinically, we see ZRR as a consequence of perinatal hypoxia of the cerebral cortex.

-Three meridians IG, TR, GI - allow you to identify reflex dysfunctions of the cervical segments of the spinal cord. Elevated levels of these meridians indicate an injury to the cervical spine. A decrease in the indicators of these meridians can be due to deviant behavior of schoolchildren, with psycho-physical overwork of the child, with sensorineural hearing loss, as well as with trauma of the SHOP.

- The state of the meridians RP and V reflects the presence or absence of liquorodynamic disorders, the process of production, absorption and outflow of liquor, its functional or organic hyperproduction, as well as its removal from the body.

- Meridian F - with an increased indicator, it allows us to talk about dysfunction of the mid-stem structures. A low score may indicate that the patient is using haloperidol. Such a child cannot be taken for treatment.

- Meridian R - a decrease in the indicator indicates a decrease in the threshold of convulsive readiness, as well as in children with sensorineural hearing loss. An increase in the indicator may indicate an overdose of anticonvulsants.

- Meridian VB - a decrease in the indicator may indicate hypothyroidism.

sedation is carried out according to the program of inhibition. To do this, in a sedative mode, a direct current of negative polarity is applied at a current strength of 60-100 μA and the exposure time to the treatment point is 60-120 seconds. This allows:

- create a sedative effect

- create a hypnotic effect

-create a mild local anti-inflammatory effect

-create a soothing effect

- create an antispasmodic effect on smooth and striated muscles (spastic syndrome in cerebral palsy, regurgitation, vomiting, muscle spasm).

2) Sedative effect is carried out on the collar zone, as well as on the projection area of the brain stem. The exposure time increases to 120 seconds with the severity of sympathicotonia. The set current strength depends on the age of the patient.

3) The tonic mode of exposure is carried out by the alternating supply of pulses of positive and negative polarity with a duration of 10 seconds, because within 10 seconds, BAT receptors retain their changed state and are able to transmit afferent impulses to subsequent levels of the CNS.

Toning mode is used:

- to improve the functions of the cerebral cortex, for example, the function of the speech zone

- to stimulate areas of the cerebral cortex

-to increase immunity

- to increase the tone of smooth and striated muscles (hypotension, muscle atrophy)

- for excitation of control BAPs in order to normalize diagnostic indicators according to Rioderak.

In the claimed technical solution, with bipolar exposure under the control of the frontal lobes, new functional groups are formed within simple areas of the cerebral cortex, they communicate with each other and simultaneous interaction begins, a sharp formation of new skills occurs in the patient, the areas of the cerebral cortex receive an additional impetus to continue differentiation of neuron cells within each zone. At the junction of already existing simple zones, new more complex zones are formed: reading, mathematics, conscious motor skills, etc. Then there is a differentiation of complex areas of the cerebral cortex. Subsequently, zones of simple and complex zones control the frontal lobes.

Application for a new purpose of the hardware-software complex "Medscanner" BIORS.

Hardware-software complex "Medscanner" BIORS [Manual for the operation of the hardware-software complex "Medscanner" BIORS https://www.biors.ru/static/up/files/medscanner/Manual_medscan.pdf] is used in medical, treatment and prophylactic medical institutions (polyclinics, medical units, sanatoriums, rehabilitation centers, etc.), as well as in institutions (centers) of sports medicine and is intended for:

- diagnostics of biologically active points (BAP) and zones (BAS) by various methods;

- drug testing of homeopathic and other medicines;

- diagnosis by pulse oximetry of the level of oxygen saturation of capillary blood and calculation of heart rate variability (pulse oximeter);

- assessment of the state of vascular tone, hemodynamics and functional changes in peripheral vessels (photoplethysmograph);

- measurements of the complex resistance of biological tissues (bioimpedancemeter);

- screening diagnostics of the functional state of the human body by 22 leads, (electrosomatograph);

- evaluation of cardiac activity (electrocardiograph); - treatment according to BAP and BAZ by methods of electro-, magnetic- and bioresonance therapy of diseases of various etiologies, as well as to normalize the disturbed functions of the patient's body.

Examples of treatment of delayed psycho-speech and motor development in children with neuropsychiatric diseases using the hardware-software complex "Medscanner" BIORS.

Example 1. Patient: D.M.

Date of birth: 11/02/2018 (treatment from 1.5 years)

With a diagnosis of ZPRR on the background of organic brain damage. Congenital malformations of the brain (Dandy-Walker variant): hypoplasia of the cerebellar vermis, cystic expansion of the retro-cerebellar space, internal non-occlusive hydrocephalus (compensated). Hypoplasia of the corpus callosum, white matter of the occipital and frontal lobes. Cerebral palsy syndrome. Spastic tetraparesis, moderate severity. SHOP instability? Flat feet. Convergent concomitant strabismus. Adenoids 2-3 st.

Complaints: limitation of active and passive movements in the upper and lower extremities, more on the right (the tone in the leg on the right is increased). The girl stands at the support, but does not walk or crawl. Complaints about delayed psychoverbal development, aggression (the child hit himself on the head, constantly biting his loved ones), hyperactivity. Speech: separate syllables (does not pronounce a completely simple word), baby babble (the speech did not correspond to age). The addressed speech is not understood enough. Attention to the addressed speech is limited. She can't eat on her own. Complaints about strabismus.

Anamnesis: A child from the 3rd pregnancy, against the background of IUI (intrauterine infection) during pregnancy, threats of abortion in the 1st trimester of pregnancy, chronic renal failure, edema at the end of pregnancy. The mother is a carrier of HBS Ag. Childbirth for a period of 38 weeks, by caesarean section (previous birth - caesarean section). Born with a weight of 3125 g, according to the Apgar scale - no data. Discharged for 2 days home. The convulsive anamnesis is not burdened. Anticonvulsant therapy was not carried out. There was no physiological jaundice. Breastfeeding up to 2 months. He holds his head from birth (as mom said), sits down from 6-7 months, turns over from 4-5 months, stands at the support from 1.5 years, does not walk. Gulit from 1-2 months, no words. Vaccinated by age. Does not attend kindergarten.

Neurological status: The reaction to the examination is calm. The child is calm. Enters into contact willingly. Sleep is calm, falls asleep for a long time. Cognitive interest is reduced. The head is hydrocephalic in shape, the venous pattern on the temples is moderately pronounced. St. Grefe "-". In transport does not sway. The palpebral fissures are symmetrical, S=D. The reaction to light is preserved. Converging non-permanent concomitant strabismus. There is no pain at the exit points of the trigeminal nerve. Follows the items. The volume of movements of the eyeballs is sufficient. There is no nystagmus. Swallowing is not disturbed, there is no salivation. There are no hyperkinesias. SHRs are animated, evoked from the upper and lower extremities, with the expansion of reflexogenic zones. S D. Abdominal reflexes alive. S D. Does not walk independently. High muscle tone of the upper and lower extremities: the anterior surface of the forearms, shoulders, hands, posterior thigh muscles, lower legs and feet, neck muscles and trapezius muscles. The neck is pressed to the shoulders. Decreased tone of the muscles of the anterior surface of the thigh, back. Muscle strength 3 points. Toilet skills and self-service skills are not formed.

Psycho-speech development: Speech activity is low. Speech: syllables and baby talk. Understanding and attention to the addressed speech is insufficient. She looks at pictures when she is interested. He watches the children play, he cannot adopt the games. Visual and auditory memory is sufficient.

- EEG dated 11/22/2019: Moderate diffuse changes in BEA of the brain. During RFS, no pathological changes were observed. Sleep EEG: Sleep is differentiated by stage. The physiological elements of sleep are presented satisfactorily. Registered pathological activity:

1. Deceleration in the rhythm of theta and delta - range in the parietal-occipital leads on the left with an amplitude of up to 200 μA.

2. Specific epileptic complexes and paroxysms are not registered.

- MRI of the brain from 09/30/2019: Congenital malformation of the brain: hypoplasia of the back and aplasia of the ridge of the corpus callosum. Hypoplasia of the white matter of the occipital lobes and, to a lesser extent, the frontal lobes. Asymmetric internal hydrocephalus. Arachnoid cysts of the poles of the temporal lobes, more pronounced on the left. Expansion of the basal cisterns. Hypoplasia of the cerebellar vermis. Variant of the Dandy Walker. Cystic expansion of the retro-cerebellar arachnoid space. Additional formation of the left half of the prepontine cistern (presumably epidermoid). There were no foci of pathological accumulation of the contrast agent in the brain structures. Adenoids 2-3 degrees.

- ENMG from 11/01/2019: Dysfunction of sensory and motor fibers of the peripheral nerves of the arms and legs in the distal and terminal areas: according to the type of axonopathy n. Ulnaris dexter, according to the type of axonopathy n. Plantaris medialis dexer, according to the type of axonopathy and mild myelinopathy n. Plantaris medialis sinister. Signs of the suprasegmental level of functional disorders in the legs.

- Radiography of the GOP, POP dated 10/24/2019: No visible anomalies in the development of the thoracic and lumbar spine were detected. 12Th, 5S, 12 pairs of edges. Physiological thoracic kyphosis is smoothed out. Physiological chest lordosis is not expressed. The sacrum is without pathology.

-Examination by a neurosurgeon dated 06.11.2019: Congenital malformations of the brain - Dandy-Walker variant, hypoplasia of the corpus callosum. Internal non-occlusive hydrocephalus in the stage of subcompensation. Formation (epidermoid) of the left prepontine cistern. There are no indications for surgical treatment. Observation, treatment by a neurologist on an outpatient basis. MRI dynamics at 12 months.

- Conclusion of the ophthalmologist dated February 20, 2020: 1. Right eye: convergent concomitant strabismus, partially accommodative, alternating, congenital. Hypermetropia avg. Astigmatism hypermetropic complex, direct. 2. Left eye: concomitant concomitant strabismus, partially accommodative, alternating, congenital. Hypermetropia avg. Astigmatism hypermetropic compound straight.

During the diagnosis according to Riodorak, the following links of pathogenesis were identified: hyperfunction of the C meridian - a sign of residual effects of perinatal hypoxia of the cortex, hypofunction of the RP and V meridians - a sign of liquorodynamic disorders, hyperfunction of the F meridian - a sign of dysfunction of the middle stem structures, hyperfunction of the IG, TR, GI meridians - symptom of cervical spine injury.

Taking into account the identified links of pathogenesis and the patient's options for excitability, mental and speech disorders, cerebellar and stem disorders, 5 courses of treatment were carried out with the complex use of microelectrophoresis and microcurrent reflexotherapy.

The individual treatment regimen included:

- the impact of microcurrent reflexology on the accomplice point C7 in the sedative mode and on the accomplice points RP3 and V64 in the tonic mode, as well as using the drug Aescusan on the accomplice point RP3 in the tonic mode and decoction of lingonberry leaf on the accomplice point V64 in the tonic mode .

- impact on points of the collar zone VB20, VB21, V11, GI15 and auricular points AT55, AT51 by microelectrophoresis of sedative herbs - motherwort and peony in sedative mode.

- impact on BAP in the projection of the brain stem by microelectrophoresis of sedative herbs - peony and motherwort in sedative mode.

- impact on BAP in the projection of the motor areas of the cerebral cortex by microelectrophoresis of the nootropic drug Cortexin in a tonic mode.

- impact on BAP in the projections of Broca's and Wernicke's zones by microelectrophoresis of the nootropic drug Cortexin and the succinic acid drug Cogitum in a tonic mode.

- impact on BAP in the projection of the frontal lobes of the brain by microelectrophoresis of the nootropic drug Cortexin in a tonic mode.

- impact on the trigger zones of muscles (muscles with increased tone) by microelectrophoresis of the centrally acting muscle relaxant drug - mydocalm in sedative mode.

- impact on muscle areas with reduced tone by microelectrophoresis of the antichalinesterase drug - prozerin (neostigmine methyl sulfate) in a tonic mode.

- impact on BAP in the projection of the cervical and lumbar segments of the spine by microelectrophoresis with B vitamins (thiamine and peridoxine hydrochloride) in sedative mode.

- impact on BAP in the projection of the cerebellum by microelectrophoresis of the nootropic drug Cortexin and drugs of the Vitamin B group: thiamine and peridoxine hydrochloride, by alternating them after 1 day in a sedative mode.

- exposure to the area of the upper eyelid and lower eyelid of both eyes by microelectrophoresis with B vitamins (thiamine and peridoxine hydrochloride) in sedative mode.

- impact on the cortical zones of sensory motor skills of the hands and feet by microelectrophoresis of the nootropic drug Cortexin in a tonic mode.

The therapeutic effect was carried out with a current of 100 μA, selected taking into account the individual skin sensitivity of the patient, with the duration of the therapeutic effect on each biologically active point of 60 seconds. The duration of pulses during microelectrophoresis in tonic mode was 10 seconds. The duration of each session was 90 minutes, with the number of sessions performed per course of treatment being 15. In total, 5 courses of treatment were performed.

As a result of the treatment: Fully normalized intracranial pressure. Aggression stopped, auto-aggression stopped, the child stopped hitting himself on the head, biting his loved ones (due to the normalization of intracranial pressure after the treatment, pain in the head stopped). Speech appeared, he speaks completely in Russian and partially in the second language - Turkish, counts up to 10. Understanding and attention of the addressed speech has been restored. He climbs from the footrest onto the sofa and climbs off on his own. She began to climb on her own on a chair, from a chair to a table (she still cannot get off the table). There is no cerebellar ataxia. In the course of all courses of treatment, motor activity was consistently restored: she began to walk independently, take up to 7-8 steps on her own, walk at the support for a long time, began to actively walk, run. Motor activity is almost restored today. Improved fine motor skills. The gaze became clear, not floating. Self-service skills appeared, she began to eat with her own hand, ask for a potty and sit on it, dress, undress. During the course of treatment: the diagnosis was changed from cerebral palsy syndrome spastic tetraparesis (moderate severity) to cerebral palsy syndrome hemiparetic form (mild severity), since the tone on the left side was completely normalized (arms, legs), on the right side it was still preserved, in Currently, the diagnosis of cerebral palsy syndrome, hemiparetic form, has been withdrawn. Disability on the diagnosis of cerebral palsy - removed. The child began to go to a regular kindergarten. Parents plan to continue treatment for the final restoration of gait on the right side.

Example 2

Patient: A.I., Date of birth: November 26, 2009 (treatment from 10.5 years)

Diagnosed with: CM of the brain: Hypoplasia of the anterior frontal, temporal lobes, corpus callosum, cerebellar vermis (Dandy-Walker variant) Cortical dysplasia. Expansion of the ventricular system. Periventricular leukomalacia, multiple foci of periventricular gliosis. Cerebral palsy syndrome. Spastic tetraparesis, moderate severity. late residual period. ZPRR with an autistic spectrum of behavior against the background of an organic brain lesion. CHAZN. SHOP instability? Flat feet. VEB carrier, HSV type 1.

Complaints: restriction of active and passive movements in the upper and lower extremities, change in gait, delayed psychoverbal development. Speech: Baby talk, sometimes slurred words appear. Most often whispers. Repeats short phrases from cartoons. Laughs unreasonably. He understands spoken speech poorly. Complaints of restlessness, anxiety, hyperactivity. Complaints about unreasonable screams, pronounced tantrums, aggression and auto-aggression (bites his hands, scratches his face, leaving deep open wounds on his face). Irritable. Complaints about the limitation of attention to the addressed speech. Complaints about stereotyped movements in the arms and legs. Wandering gaze, lack of eye contact. No pointing gesture, does not respond to his name. Complaints about the lack of contact with peers. Complaints about sleep disturbance, falls asleep quickly, wakes up at night, after that he can not sleep for 4-5 hours. Complaints about the gradual decline in intellectual development over the past 2.5 years.

Anamnesis: Child from 4th pregnancy, on the background of SARS in the 1st trimester of pregnancy, mild anemia. Childbirth for a period of 32 weeks, independent. He was born weighing 1940 gr., according to the Apgar scale 5-6 points. Discharged on the 6th day, transferred to the OPN. Convulsive history: in April 2017, convulsive seizures for an hour, was transferred to the intensive care unit. Anticonvulsant therapy after discharge was prescribed but not administered by the parents. There was no physiological jaundice. After being discharged for 6 months, the child's condition drastically deteriorated: speech completely disintegrated, understanding and attention of addressed speech disintegrated, eye contact was lost, auto-aggression appeared, obsessive movements in the hands appeared, gaming activity ceased, memory and analytical thinking disintegrated. There was a senseless muttering under his breath, incomprehensible babble, vocabulary disappeared. He stopped fulfilling requests and instructions, cognitive interest in toys, books, children and adults disappeared. The pointing gesture disappeared, stopped responding to his name. Breastfeeding up to 7 months. He holds his head from 3 months, sits from 15 months, turns over from 7-8 months, stands from 3 years, walks from 4 years. Gulit from 2-3 months, the first words from 1.5 years, no phrasal speech. Not vaccinated due to age, due to mother's refusal. Didn't attend kindergarten. Does not attend school. Is on individual training.

Neurological status: The reaction to the examination is calm. The child is calm. Reluctant to make contact. Sleep is restless, falls asleep for a long time, wakes up very early, then may not sleep. Cognitive interest is reduced. The head is rounded, the venous pattern on the temples is moderately pronounced. St. Grefe "-". In transport does not sway. The palpebral fissures are symmetrical, S=D. The reaction to light is preserved. Divergent non-permanent concomitant strabismus. There is no pain at the exit points of the trigeminal nerve. Follows the items. The volume of movements of the eyeballs is sufficient. There is no nystagmus. The voice is loud, whispers more often, swallowing is not disturbed, there is no salivation. Deviation of the tongue to the right. There are no hyperkinesias. SHRs are animated, evoked from the upper and lower extremities, with the expansion of reflexogenic zones. S D. Abdominal reflexes are reduced. S D. Walks independently. High muscle tone of the upper and lower extremities: the anterior surface of the forearms, shoulders, hands, posterior thigh muscles, lower legs and feet, neck muscles and trapezius muscles. Decreased tone of the muscles of the anterior surface of the thigh, back. Muscle strength 3-4 points. “Lax shoulders”, round back, recurvation of the joints on the left. Toilet skills and self-service skills are partially formed.

Psycho-speech development: Speech activity is low. Speech: simple sentences, short phrases from cartoons. The words are spoken indistinctly, indistinctly. Echolalia is present. Vocabulary is limited. Understanding and attention to addressed speech is limited. He looks at pictures when he is interested. Listens to books up to 5 minutes. He does not try to contact his peers, children do not play with him. He does not watch the children play, he cannot adopt the games. Visual memory is sufficient. Drawing: strikes. Toilet skills and self-service skills are partially formed.

- EEG from 06/27/2020: During wakefulness, occipital dominant rhythms of a certain average amplitude mix. EEG activity of high amplitude 9-10 Hz. Discontinuous alpha frequencies of 8-9 Hz are recorded. Frequencies are formed from alpha waves. The activity is symmetrical, blocked by the opening of the eyes. The frequency amplitude of the gradient is normal. During rest and sleep, an age-appropriate sleep architecture is observed. Normalized cortical rhythms are replaced by generalized low-frequency high-amplitude rhythms and normal electrophysiological components of short-term sleep. Rhythmic photostimulation is not effective. Found: There is biparieto-occipital acute activity at intervals. Results: Matched with activity, epileptiform activity in the occipital lobe. Occipital focal epilepsy.

- CT of the brain: Periventricular leukomalacia, multiple foci of periventricular gliosis, hypoplasia of the anterior frontal, temporal lobes, corpus callosum, cerebellar vermis (Dandy-Walker variant). Cortical dysplasia. Expansion of the ventricular system.

- The conclusion of the oculist: The defeat of the visual pathways. Strabismus non-permanent friendly alternating divergent. Hypermetropic astigmatism. Amblyopia high.

During the diagnosis according to Riodorak, the following links of pathogenesis were identified: hyperfunction of the C meridian - a sign of residual effects of perinatal hypoxia of the cortex, hypofunction of the RP and V meridians - a sign of liquorodynamic disorders, hyperfunction of the F meridian - a sign of dysfunction of the middle stem structures, hyperfunction of the IG, TR, GI meridians - symptom of cervical spine injury.

Taking into account the identified links of pathogenesis and the patient's options for excitability, mental and speech disorders, cerebellar and stem disorders, 4 courses of treatment were carried out with the complex use of microelectrophoresis and microcurrent reflexotherapy.

The individual treatment regimen included:

- the impact of microcurrent reflexology on the accomplice point C7 in the sedative mode and on the accomplice points RP3 and V64 in the tonic mode, as well as using the drug Aescusan on the accomplice point RP3 in the tonic mode and decoction of lingonberry leaf on the accomplice point V64 in the tonic mode .

- impact on points of the collar zone VB20, VB21, V11, GI15 and auricular points AT55, AT51 by microelectrophoresis of sedative herbs - motherwort and peony in sedative mode.

- impact on BAP in the projection of the brain stem by microelectrophoresis of sedative herbs - peony and motherwort in sedative mode.

- impact on BAP in the projection of the motor areas of the cerebral cortex by microelectrophoresis of the nootropic drug Cortexin in a tonic mode.

- impact on BAP in the projections of Broca's and Wernicke's zones by microelectrophoresis of the nootropic drug Cortexin and the succinic acid drug Cogitum in a tonic mode.

- impact on BAP in the projection of the frontal lobes of the brain by microelectrophoresis of the nootropic drug Cortexin in a tonic mode.

- impact on the trigger zones of muscles (muscles with increased tone) by microelectrophoresis of the centrally acting muscle relaxant drug - mydocalm in sedative mode.

- impact on muscle areas with reduced tone by microelectrophoresis of the antichalinesterase drug - prozerin (neostigmine methyl sulfate) in a tonic mode.

- impact on BAP in the projection of the cervical and lumbar segments of the spine by microelectrophoresis with B vitamins (thiamine and peridoxine hydrochloride) in sedative mode.

- impact on BAP in the projection of the cerebellum by microelectrophoresis of the nootropic drug Cortexin and drugs of the Vitamin B group: thiamine and peridoxine hydrochloride, by alternating them after 1 day in a sedative mode.

- exposure to the area of the upper eyelid and lower eyelid of both eyes by microelectrophoresis with B vitamins (thiamine and peridoxine hydrochloride) in sedative mode.

- impact on the cortical zones of sensory motor skills of the arms and legs by microelectrophoresis of the nootropic drug Cortexin and sedative herb motherwort in sedative mode.

The therapeutic effect was carried out with a current of 100 μA, selected taking into account the individual skin sensitivity of the patient, with the duration of the therapeutic effect on each biologically active point of 60 seconds. The duration of pulses during microelectrophoresis in tonic mode was 10 seconds. The duration of each session was 90 minutes, with the number of sessions performed per course of treatment being 15. A total of 4 courses of treatment were performed.

As a result of treatment: Speech became scarce, but phrasal, clear and intelligible. Speech is mostly conscious. Vocabulary replenished (many one-syllable and two-syllable words). Decreased whispering and mumbling. Improved understanding and attention of the addressed speech. I started reading and learned the alphabet. Stereotypical movements in the arms and legs have decreased. There was eye contact. He stopped scratching himself, aggression disappeared. Became calm. Hysterics have practically disappeared (1 tantrum in 2 months). Tries to contact brothers and sisters, wondering where they went and so on. A pointing gesture appeared, responding to his name. Answers questions and asks questions himself. Emotions, feelings of love and affection for loved ones, especially for my mother, appeared. Parents plan to continue treatment.

Example 3

Patient, T.I., Date of birth: April 25, 2016 (treatment from 2 years 2 months)

Diagnosis: ZPRR on the background of RC ON. Cerebral palsy syndrome. Spastic tetraparesis, late residual period. Medium severity. Convergent concomitant strabismus.

Complaints: limitation of active and passive movements in the upper and lower extremities, more on the right (the tone in the leg on the right is increased). Does not crawl, does not stand at a support, does not walk, rolls over on his stomach in a supine position with difficulty. Complaints about delayed psychoverbal development. Speech: baby talk (speech does not correspond to age). The addressed speech is not understood enough. Attention to the addressed speech is limited. She can't eat on her own. Complaints about strabismus.

Anamnesis: The child from the 1st pregnancy proceeded with the threat of termination of pregnancy in the 2nd trimester of pregnancy. Birth at 39.5 weeks by caesarean section. He was born weighing 2800 grams, according to the Apgar scale - 5-6 points. Discharged for 6 days home. The convulsive anamnesis is not burdened. Anticonvulsant therapy was not carried out. There was no physiological jaundice. Breastfeeding up to 4 months. He holds his head from 1.5 months, does not sit down, turns over from 10 months, does not crawl, does not walk. Gulit from 1-2 months, no words. Vaccinated by age. Does not attend kindergarten.

Neurological status: The reaction to the examination is calm. The child is calm. Enters into contact willingly. Sleep is calm, falls asleep for a long time. Cognitive interest is reduced. The head is hydrocephalic in shape, the venous pattern on the temples is moderately pronounced. St. Grefe "-". In transport does not sway. The palpebral fissures are symmetrical, S=D. The reaction to light is preserved. Converging non-permanent concomitant strabismus. There is no pain at the exit points of the trigeminal nerve. Follows the items. The volume of movements of the eyeballs is sufficient. There is no nystagmus. Swallowing is not disturbed, there is no salivation. There are no hyperkinesias. SHRs are animated, evoked from the upper and lower extremities, with the expansion of reflexogenic zones. S D. Abdominal reflexes alive. S D. Does not walk independently. High muscle tone of the upper and lower extremities: the anterior surface of the forearms, shoulders, hands, posterior thigh muscles, lower legs and feet, neck muscles and trapezius muscles. When trying to put on his feet, he stands on his toes. The neck is pressed to the shoulders. Decreased tone of the muscles of the anterior surface of the thigh, back. Muscle strength 3 points. Toilet skills and self-service skills are not formed.

Psycho-speech development: Speech activity is low. Speech: baby talk. Understanding and attention to the addressed speech is insufficient. Pictures are viewed with interest. He watches the children play, he cannot adopt the games. Visual and auditory memory is sufficient.

- NSG dated May 26, 2016: ventriculomegaly of the lateral ventricle on the right. Signs of intracranial hypertension.

- EEG from 04/29/2017: BEA of the brain is moderately reorganized. No specific epileptic and paroxysmal activities were registered. No paroxysmal seizures were noted during the study.

- MRI of the brain dated April 30, 2017: Signs of intracranial hypertension.

- Radiography of the GOP, POP dated April 24, 2017: No visible anomalies in the development of the thoracic and lumbar spine were detected. 12Th, 5S, 12 pairs of edges. Physiological thoracic kyphosis is smoothed out. Physiological chest lordosis is not expressed. The sacrum is without pathology.

- Ultrasound shop: instability in segments C2-C3, C3-C4.

- Ultrasound of the neck vessels: Deceleration of blood flow in the left PA.

- Conclusion of the ophthalmologist dated May 15, 2017: 1. Right eye: concomitant concomitant strabismus, partially accommodative, alternating, congenital. Mild hypermetropia. 2. Left eye: concomitant concomitant strabismus, partially accommodative, alternating, congenital. Mild hypermetropia.

During the diagnosis according to Riodorak, the following links of pathogenesis were identified: hyperfunction of the C meridian - a sign of residual effects of perinatal hypoxia of the cortex, hypofunction of the RP and V meridians - a sign of liquorodynamic disorders, hyperfunction of the F meridian - a sign of dysfunction of the middle stem structures, hyperfunction of the IG, TR, GI meridians - symptom of cervical spine injury.

Taking into account the identified links of pathogenesis and the patient's options for excitability, mental and speech disorders, cerebellar and stem disorders, 4 courses of treatment were carried out with the complex use of microelectrophoresis and microcurrent reflexotherapy.

The individual treatment regimen included:

- the impact of microcurrent reflexology on the accomplice point C7 in the sedative mode and on the accomplice points RP3 and V64 in the tonic mode, as well as using the drug Aescusan on the accomplice point RP3 in the tonic mode and decoction of lingonberry leaf on the accomplice point V64 in the tonic mode .

- impact on points of the collar zone VB20, VB21, V11, GI15 and auricular points AT55, AT51 by microelectrophoresis of sedative herbs - motherwort and peony in sedative mode.

- impact on BAP in the projection of the brain stem by microelectrophoresis of sedative herbs - peony and motherwort in sedative mode.

- impact on BAP in the projection of the motor areas of the cerebral cortex by microelectrophoresis of the nootropic drug Cortexin in a tonic mode.

- impact on BAP in the projections of Broca's and Wernicke's zones by microelectrophoresis of the nootropic drug Cortexin and the succinic acid drug Cogitum in a tonic mode.

- impact on BAP in the projection of the frontal lobes of the brain by microelectrophoresis of the nootropic drug Cortexin in a tonic mode.

- impact on the trigger zones of muscles (muscles with increased tone) by microelectrophoresis of the centrally acting muscle relaxant drug - mydocalm in sedative mode.

- impact on muscle areas with reduced tone by microelectrophoresis of the antichalinesterase drug - prozerin (neostigmine methyl sulfate) in a tonic mode.

- impact on BAP in the projection of the cervical and lumbar segments of the spine by microelectrophoresis with B vitamins (thiamine and peridoxine hydrochloride) in sedative mode.

- impact on BAP in the projection of the cerebellum by microelectrophoresis of the nootropic drug Cortexin and drugs of the Vitamin B group: thiamine and peridoxine hydrochloride, by alternating them after 1 day in a sedative mode.

- exposure to the area of the upper eyelid and lower eyelid of both eyes by microelectrophoresis with B vitamins (thiamine and peridoxine hydrochloride) in sedative mode.

- impact on the cortical zones of sensory motor skills of the hands and feet by microelectrophoresis of the nootropic drug Cortexin in a tonic mode.

The therapeutic effect was carried out with a current of 100 μA, selected taking into account the individual skin sensitivity of the patient, with the duration of the therapeutic effect on each biologically active point of 60 seconds. The duration of pulses during microelectrophoresis in tonic mode was 10 seconds. The duration of each session was 90 minutes, with the number of sessions performed per course of treatment being 15. A total of 4 courses of treatment were performed.

As a result of the treatment: Phrasal speech appeared, clear and intelligible. There was an ordinal score from 1 to 14 and back. Learned the alphabet, reads simple words syllable by syllable. The understanding and attention of the addressed speech was restored. In the course of all courses of treatment, physical activity was consistently restored: he began to crawl, take up to 4-5 steps on his own, walk at the support for a long time, and began to walk independently. Improved fine motor skills. The gaze became clear, not floating. Self-service skills are formed according to age. During the course of treatment: the diagnosis was changed from cerebral palsy syndrome spastic tetraparesis (moderate severity) to cerebral palsy syndrome spastic tetraparesis (mild severity). There is practically no strabismus.

Example 4

Patient B.A., Date of birth: 02/06/2015 (treatment from 3.5 years old)

Diagnosis: ZPRR with an autistic spectrum of behavior on the background of RCI. HGS in the stage of subcompensation. Shop instability in C3-C4 segments. myotonic syndrome. ADHD. CMV carrier, VEB.

Complaints: delayed psychoverbal development. Speech: baby talk. Autoaggression and aggression. Hyperactivity. No eye contact. There is no contact with peers, there is no play activity. Understanding of addressed speech and attention of addressed speech is limited. There is no pointing gesture. Attachment only to the phone. Attachment and feelings to close people there. Irritability. Tantrums are long-term 1-2 hours if they took the phone. Stereotypical movements in the arms and legs. Complaints about sleep disturbance, falls asleep for a long time, moves around the bed.

Anamnesis: Child from the 2nd pregnancy, without features. Childbirth for a period of 38.5 weeks, independent. He was born weighing 3400 grams, according to the Apgar scale - 8-9 points. Discharged for 5 days home. The convulsive anamnesis is calm. Anticonvulsant therapy was not carried out. There was no physiological jaundice. Breastfeeding up to 1 year 8 months. He holds his head from 2 months, sits from 6 months, turns over from 4-5 months, stands from 10-11 months, walks from 11 months. Gulit since 2 months, no words. Vaccinated by age. Does not attend kindergarten.

Neurological status: inadequate reaction to examination, irritable, capricious, whiny. It makes bad contact. Sleep is restless, moves around the bed. Cognitive interest is reduced. The head is hydrocephalic in shape, the venous pattern on the temples is moderately pronounced. St. Grefe "-". In transport does not sway. The palpebral fissures are symmetrical, S=D. The reaction to light is preserved. There is no squint. Follows the items. The volume of movements of the eyeballs is sufficient. There is no nystagmus. The voice is loud, swallowing is not disturbed, there is no salivation. There are no hyperkinesias. SHR are brisk, evoked from the upper and lower extremities. Diffuse muscle hypotonia of the muscles of the upper and lower extremities. Muscle strength is reduced. Pterygoid scapulae, "flaccid shoulders", joint recurvation. The tone of the cheeks, lips, tongue is reduced. Toilet skills and self-service skills are partially formed.

Psycho-speech development: Speech activity is low. Speech: baby talk. Understanding and attention to addressed speech is limited. Cognitive activity is reduced, he looks at pictures when he is interested, imitates reading. Listens to books up to 5 minutes. He does not try to contact his peers, children do not play with him. Watches children play, does not adopt games. Lines up construction set and animal toys. Visual memory is good. Drawing: strikes. Toilet skills and self-service skills are partially formed.

- EEG from 09/02/2017: Physiological rhythms both during sleep and during wakefulness were recorded. The main activity is relatively preserved. During active and passive wakefulness, PIR waves were recorded with an amplitude predominance of the anterior parts of the brain, with continued deceleration by high-amplitude waves with an emphasis in the frontotemporal region on the right. Typical pathological activity was not registered. No paroxysmal conditions were observed during the study.

- ECHO-EG from 07/10/2017: ECHO-graphic signs of ICP.

- CT scan of the brain dated August 15, 2017: There were no signs of organic changes in the brain structures.

- Blood test by ELISA for HSV, CMV, EBV: CMV and EBV - positive.

During the diagnosis according to Riodorak, the following links of pathogenesis were identified: hyperfunction of the C meridian - a sign of residual effects of perinatal hypoxia of the cortex, hypofunction of the RP and V meridians - a sign of liquorodynamic disorders, hyperfunction of the F meridian - a sign of dysfunction of the middle stem structures, hyperfunction of the IG, TR, GI meridians - symptom of cervical spine injury.

Taking into account the identified links of pathogenesis and the patient's options for excitability, mental and speech disorders, cerebellar and stem disorders, 4 courses of treatment were carried out with the complex use of microelectrophoresis and microcurrent reflexotherapy.

The individual treatment regimen included:

- the impact of microcurrent reflexology on the accomplice point C7 in sedative mode and on the accomplice points RP3 and V64 in tonic mode.

- impact on points of the collar zone VB20, VB21, V11, GI15 and auricular points AT55, AT51 by microelectrophoresis of sedative herbs - motherwort and peony in sedative mode.

- impact on BAP in the projection of the brain stem by microelectrophoresis of sedative herbs - peony and motherwort in sedative mode.

- impact on BAP in the projection of the motor areas of the cerebral cortex by microelectrophoresis of the nootropic drug Cortexin in a tonic mode.

- impact on BAP in the projections of Broca's and Wernicke's zones by microelectrophoresis of the nootropic drug Cortexin and the succinic acid drug Cogitum in a tonic mode.

- impact on BAP in the projection of the frontal lobes of the brain by microelectrophoresis of the nootropic drug Cortexin in a tonic mode.

The therapeutic effect was carried out with a current of 100 μA, selected taking into account the individual skin sensitivity of the patient, with the duration of the therapeutic effect on each biologically active point of 60 seconds. The duration of pulses during microelectrophoresis in tonic mode was 10 seconds. The duration of each session was 45-50 minutes with the number of sessions performed per course of treatment - 15. In total, 4 courses of treatment were performed.

As a result of the treatment: Speech: phrasal, clear and intelligible. There was an ordinal count up to 25. I learned the alphabet, learned to read. Restored understanding and attention to the addressed speech. Eye contact is normal. Contacts with peers, watches the game, adopts games, role-playing games. He became calmer, he reacts adequately and calmly to the phone, there is no attachment to the phone. He became emotional, feelings of love, affection and tenderness appeared for people close to him in the family, especially for his mother. Stereotypical movements in the arms and legs disappeared. Self-service skills are formed according to age. Based on the results of the courses of treatment, the child's diagnosis to date is: Withdrawal from the ZPRR with an autism spectrum against the background of RCI. Neurologically healthy. The child has passed PMPK. Goes to the 1st grade, education according to the general education program is standard.

Claims (2)

1. A method for the treatment of delayed psycho-speech and motor development in children with neuropsychiatric diseases, characterized by the initial measurement of BAP according to the Riodorak method, the implementation of a therapeutic effect through the BAP with a current of 40 μA to 100 μA for 60-120 s by introducing a medicinal substance in BAP by means of microcurrent electrotherapy with control of electrical conductivity at points for 60-120 s, while sedation is carried out according to the inhibition program on extra-meridian BAP with impulses of positive and negative polarity, on meridian BAP with direct current of negative polarity at a current strength of 60-100 μA, and the tonic effect is carried out by alternately applying pulses of positive and negative polarity with a duration of 10 s, namely, microcurrent electrotherapy is applied to the C7 helper point in the sedative mode and to the RP3 and V64 helper points in the tonic mode using Aescusan on the RP3 helper point in the tonic mode and decoction of lingonberry leaf on the point-accomplice V64 in tonic mode, also acting on the points of the collar zone VB20, VB21, V11, GI15 and auricular points AT55, AT51 by microcurrent electrotherapy in sedative mode with sedative herbs of motherwort and peony, by microcurrent electrotherapy with tonic mode, ceraxon, gliatilin are used, also, when exposed to microcurrent electrotherapy, Mydocalm is used, the effect of which is carried out in a sedative mode on spastic muscles, thiamine, pyridoxine hydrochloride are used in a sedative mode on the area of the eyelids, cervical and lumbar segments of the spine and the projection area of the cerebellum, prozerin is used, the impact of which is carried out in the tonic mode on the area of paretic muscles, the impact in the sedative mode and the tonic mode is carried out using the hardware-software complex "Medscanner BIORS". 2. The method according to claim 1, characterized in that initially, according to the Riodorak method, the level of electrical conductivity is calculated in the meridians P, MC, C, IG, TR, GI, RP, F, R, V, VB, E.