RU1816448C - Glossalgia treating method - Google Patents

Abstract

The invention relates to medicine, namely to dentistry, and can be used in the treatment of glossalgia. The purpose of the invention is to shorten the treatment time. The method is carried out by applying a positive polarity pulsed electric current through inserted needles to the auricular acupuncture points bilaterally and to the scalp zones, the duration of the session is 7-10 minutes, for a course of 5 sessions. Z.p. f-ly.

Description

The invention relates to medicine, in particular to dentistry, and can be used in the treatment of glossalgia.

The purpose of the invention is to shorten the treatment time.

This goal is achieved by simultaneously applying needles to the corporeal and auricular points of the acupuncture and scalp zones, while the inserted needles are stimulated with a rectangular pulse current of positive polarity, a frequency of 7-15 Hz, with a fixed duty cycle of 2 , with a voltage of 7–9 V, a current of 15–25 μA, followed by an increase of 5–7 μA in each session, lasting 7–10 min, per course of 5–6 sessions. Electroacupuncture is carried out bilaterally at auricular points: 4.51.55.82 and scalp areas: rhinopharyngeal, sensitivity zone (lower 2/5 zones), and during the session, the current in strength and frequency gradually increases in the indicated limits. Thus, therapeutic reflex effects are exerted on the cerebral cortex, subcortical and segmental structures, which will lead to the parallel formation of several therapeutic dominants and the active suppression of pathological impulses at different levels of the nervous system at the same time. To enhance excitation of dominant foci, they act on biologically active areas of the scalp directly associated with brain structures and sympathetic ganglia (D.N. Stonovsky. Reflexotherapy, Handbook edited by S.M.Zolnikov, Kishenev, 1987, p. 299), as a result of which the duration of the treatment course is reduced to 5-6 sessions. The ongoing therapeutic effect is adequate to the multi-link pathogenesis of glossalgia and is aimed at the destruction of both central and peripheral links. It should be noted that in the proposed method for the treatment of glossalgia, pharmacological preparations are not used, and the parameters of the electric current used are strictly determined, due to which the clinical use of the method is not accompanied by complications. In the proposed method of treatment, the principle of the place of irritation is observed, which makes it possible to exert a pathogenetic reflex therapeutic effect on various levels of the nervous system and

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suppress pathological impulses both in the central and peripheral parts of the development mechanism of glossalgia. The current used for electrical stimulation differs in physiologically determined parameters. The use of a pulsed current of a rectangular shape prevents the development of adaptation to the stimulus, which allows a steady flow of afferent pulsation, forming persistent therapeutic dominants, to prevent the development of galvanosis of ecupuncture needles throughout the entire session. The current strength is determined in accordance with the principle of physiologically reasonable sufficiency, according to which the current strength for acting on auricular points should be about 50 μA, and for corporal points about 250 μA. The increase in current strength in each subsequent session enhances the therapeutic reflex effect, and also prevents adaptation to a current of stable strength. Moreover, in absolute terms, the current does not exceed physiological limits. The duration of the electroacupuncture session is designed to achieve optimal braking effect.

The maximum normalizing effect on the duration of the central nervous system is exerted by pulses with a frequency of 10-12 Hz, i.e. with the frequency of the alpha rhythm of the cerebral cortex. Moreover, a smooth change in the pulse repetition rate during the session allows a sufficient therapeutic effect on various parts of the nervous system, providing a pronounced pathogenetic effect, which can significantly reduce the treatment time for patients with glossalgia.

The method is carried out as follows.

The patient is placed in a dental chair in a reclining position. The acupuncture points to be treated are treated with 2.5% alcohol solution of iodine and 70 ° alcohol. The treatment is carried out using standard steel needles and an electroacupuncture device. For exposure, corporal acupuncture points are used: G14, E26, RP5, segmental and local points: G1-18, E6, BM-9, BM21, auricular points: 4.51.55.82 and scalp zones: Cl-1 Rhinosopharyngeal SCT P-zone of sensitivity (below 2/5 of the zone). In this case, a combination of points in the sessions is used as follows:

Claims (2)

1 session: G1-4 / 2 /, AT: 4/2 /, 55/2 /. 2 session: E36 / 2 /, E6 / 3 /. BM19, AT: 51/2 / SKVT P / lower 2/5 zones / 2 /. 3 session: RP5 / 2 /, BM21, AT: 4/2 /, 82/2 /, SKL1. 4 session: G118 / 2 /, E6 / 2 /, AT: 4/2 /, 55/2 /, SKL1. 5 session: RP / 5/2 /, BM19, BM21, AT: 4/2 /, 55/2 /, SKL1. 6 session: G14 / 2 / .AT51 / 2 /, SKVT P / lower 2/5 / zone / 2 /. With the insertion of needles, thi, i.e. deliberate sensations in the form of a slight feeling of bursting, heat, the passage of current. Then the electrodes are connected and the needles are stimulated with a rectangular pulse current of positive polarity, a frequency of 7-15 Hz, with a fixed duty cycle of 2, a voltage of 7-9 V, a current of 15-25 μA, followed by an increase of 5-7 μA in each session, lasting 7-10 minutes. Sessions are held daily. PRI me R 1. Sick M., 61 years old. The patient complains of burning and tingling in the tip of her tongue, left cheek, lower lip, dry mouth, dull taste, sleep disturbance, fatigue. He considers himself a patient for about 4 years. Previously, she was treated several times for glossalgia (tranquilizers, antipsychotics, local anesthetics, prosthetics, physiotherapy, hypnosis), but the effect was short-lived. Objectively: the oral cavity is sanitized, the prostheses are functionally complete, there are no galvanic phenomena, microtrauma of the oral mucosa. The mucous membrane of the mouth is pale pink, moderately moist, there is a slight varicose vein on the lower surface of the tongue. Clinical tests of blood and urine, blood tests for sugar and serum iron - without features. The method from the language to the fungus is negative. A course of electroacupuncture therapy was conducted with the following parameters of electrical stimulation; pulse current, rectangular, positive polarity, frequency 7.0 Hz, fixed borehole, equal to 2, voltage 7 V, current strength 15 μA, followed by an increase of 5 μA in each session. The duration of the session is 7 minutes. For insertion of standard steel needles, corporal, auricular points and scalp zones were used according to the above recipe. The criteria for evaluating the effectiveness of treatment were data from a subjective and objective study. According to a subjective study, a noticeable weakening of unpleasant sensations in the oral cavity, improvement in salivation and night sleep, the patient noted after the 3rd session. The complete absence of complaints was ascertained after the 6th session. According to objective control, in comparison with background measurements, a stable increase in the temperature of the mucous membrane of the tongue, cheek in the foci of pain and paresthesia (by 0.4 ° C) was noted after the 3rd session; indicators of rheography of blood vessels of the brain and tongue revealed a reliable tendency to normalize after the 4th session. A noticeable normalization of rheograms by qualitative and quantitative characteristics was noted after the 6th session. Similar data were obtained with respect to taste and discriminatory sensitivity. As shown by dynamic monitoring of the patient, after 3 years, no relapse. PRI me R 2. Sick Ch., 45 years. Complaints during treatment: burning pains and soreness within 2/3 of the tongue, saliva in the mouth, mild irritability. During a meal, unpleasant sensations disappear. Sick about 2.5 years. Previously received medication and physiotherapy, noted a short-term improvement. Objectively: no pathologies from the teeth and oral mucosa were detected, blood and urine tests were without features, scraping from the tongue to the fungus was negative. An electroacupuncture course was conducted with the following parameters of electrostimulation of needles inserted into acupuncture points according to the above recipe: pulse current, rectangular, positive polarity, frequency 15 Hz, duty cycle is fixed, equal to 2, voltage 9 V, current strength 25 μA s a subsequent increase of 7 μA in each session. The duration of the session is 10 minutes. According to a subjective study, a decrease in pain and paresthesia was noted after the 2nd session. Noticeable shifts in rheographic indices were recorded after the 4th session, and the temperature of the mucous tongue after the 3rd session. The complete absence of complaints was ascertained after the 5th session. The patient was well tolerated. No complications were noted. The beneficial effect lasts for 35 months. Example 3. Patient B, 57 years old, complained of severe burning in her mouth and lips, aggravated after unrest or a long conversation, dry mouth with thick saliva, poor sleep. These sensations completely disappear with food. Suffers for 3 months. Conducted drug treatment - no effect. Objectively: the oral cavity is sanitized, the mucous membrane is pale pink in color, moderately moisturized, tooth prints are visible along the edge of the tongue. Clinical blood and urine tests, biochemical blood tests for sugar and serum iron are within normal limits, scraping from the tongue to the fungus is negative. The patient underwent a course of electroacoustic puncture therapy from 5 sessions. For introducing standard steel needles, corporal, auricular acupuncture points and scalp cores were used. The electrostimulation of the inserted needles was carried out5 by a pulse current of a rectangular shape, positive polarity, a frequency of 11 Hz, with a fixed duty cycle of 2, a voltage of 8 V, a current of 20 μA, followed by an increase of 6 0 μA in each session. Session duration - 8.5 minutes. The patient noted a decrease in pain and unpleasant sensations in the oral cavity immediately after the end of the first session, after the fourth session of complaints the patient did not 5 presentation, normalized night sleep. A fifth session was performed to fix the effect. Clinical indicators correlated with data from objective research methods. Significant increase 0 temperatures in the foci of paresthesia were noted after the 2nd session, the rheogram indices returned to the 4th procedure. A noticeable 5th increase in gustatory and discriminatory sensitivity was established after the 4th session after the 5th session of thermal asymmetry on the skin of the lips and mucous tongue 0 you entered. Positive follow-up was observed over three years. Thus, the mode of electrical stimulation of the needles inserted into acupuncture points according to the proposed method of treatment 5 allows stable remission in patients with glossalgia for 5-6 sessions without side effects and complications. FORMULA AND ZOBRETIN 0 1. A method for treating glossalgia, comprising applying an electric current to the auricular acupuncture points through inserted needles, characterized in that. in order to shorten the treatment time. 5 additionally affect the scalp zones, while stimulating them with a rectangular pulse current of positive polarity with a frequency of 7-15 Hz, with a fixed duty cycle of 2, voltage of 7-9 V, current strength of 15-25 μA with a subsequent increase 5-7 μA in each session, the duration of the session is 7-10 minutes, the course of 5-6 sessions. 71816448 8 2. The method according to claim 1, on the basis of 51, AT-55 and AT-82 and on the scalp rhinotem, that the electroacupuncture is carried out bilasacopharyngeal and the zone is sensitively terally at the auricular points of AT- 4, AT-STI.