RU2071760C1 - Method for treatment of bronchial asthma - Google Patents

Abstract

FIELD: medicine, pulmonology, non-medicamental therapy. SUBSTANCE: first pulmonologist determines, whether right or left lung is predominantly affected with pathologic changes. Next zones on affected side of lung are subjected to externally applied pain-inflicting action by successively and alternately pressing onto them by fingers with force which is not less than force causing painful syndrome, but which does not exceed maximum level of patient's tolerance to pain. It is recommended to use, as said biologically active zones, paravertebral and interosseal zones of cervico-thoracic compartment of spine, as well as intercostal and scapulo-humeral zones on right and left sides of body from back. Each procedure is carried out for 1-3 s from 1 to 5 times to cause local strain of muscles in response to pain-inflicting action. It is important that infliction of pain be simultaneously accompanied with breath retention. Procedures are repeated every other day in total number of 8-12 per treatment course. Whenever impossible to determine, which side is predominantly affected, therapeutic action is taken on any side, continuing procedure on other side or passing to other side depending on assessing dynamics of patient's condition. EFFECT: higher efficiency.

Description

 The invention relates to medicine, more specifically to pulmonology and non-drug therapy, and can be used both in an inpatient setting and as an outpatient in the treatment of bronchial asthma in adults and children.

 Unfortunately, we have to admit that the relevance of the problems associated with bronchial asthma has not diminished over the past decades. Recent statistics show an alarmingly rapid increase in chronic non-specific lung diseases (including bronchial asthma), which began to double every ten years. Chronic non-specific lung diseases in their importance in disability and mortality (about 2 million people die each year) in many countries of the world are in third place after cardiovascular and malignant diseases. Studies in different parts of the world have shown that 3% of humanity suffers from bronchial asthma. In the former Soviet Union, the incidence was about 1% of the total population. In the North-West region, about 5.5% of women with bronchial asthma are more likely to be sick (59.3%) than men (40.7%). The disease develops at any age, but in 50% of cases it occurs in children and in 30% under the age of 40 years. In this regard, the problem of treatment should be given a new quality.

 Conventionally, all available treatment methods can be divided into drug and non-drug. Of the huge number of drugs proposed to eliminate the main symptoms of bronchial asthma (cough, paroxysmal shortness of breath caused by obstruction of the bronchi due to spasms of the smooth muscles of the bronchioles, small and medium bronchi, resulting in increased secretion of mucus and swelling of the bronchial mucosa), the most effective drugs of four groups: adrenergic (sympathomimetics) agents, theophylline derivatives, steroid drugs (including corticosteroids) and chromoglycate derivatives (see Ado A. D. Pathogen issues esa in the classification of clinical forms of bronchial asthma. In the book. Bronchial asthma, M. 1969, S. 39-49).

 It should be noted that drug therapy for this disease is long, often continuous and, along with a temporary positive effect, ultimately leads the patient to drug, physical and psychological dependence, leads to the development of side effects and complications. So, the use of hormonal drugs leads to an improvement in the condition, but this improvement is temporary (as long as the drug is active), while long-term use of these drugs leads to irreversible changes in the body (epileptiform convulsions, psychoses, ulcerations of the gastrointestinal tract, fluid retention in the body, the development of Cushing's syndrome, diabetes mellitus): the endocrine glands themselves atrophy, all types of metabolism in the body are disturbed. This makes it impossible to recover the body in the future, since irreversible changes in the endocrine system prevent the restoration of an adequate reaction of the nervous system to stimuli. Therefore, the wide transfer of patients to hormone replacement therapy in order to obtain a quick effect seems to us vicious.

 The use of aminophylline is accompanied by dizziness, nausea, extrasystole, provokes the development of severe forms of arrhythmias (see Sorokina T. A. Asthmatic status in bronchial asthma. Riga, Zinatne, 1987, pp. 131-134, as well as Portnov F. G. Electropuncture reflexotherapy. Riga, Zinatne, 1988, p. 128 132).

 Acupuncture, barotherapy, spa treatment, aeroionotherapy, bee sting treatment, speleotherapy, RDT technique, various breathing techniques, and massage are widely used among non-drug treatment methods. However, most researchers note the need to use them in combination with drug therapy.

 For example, a classic massage is performed in the interictal period at normal temperature and ESR and in combination with oxygen therapy, exercise therapy, inhalation with interferon (see, for example, V. Dubrovsky. All types of massage. M. Young Guard, 1993, pp. 167-170 ; Kunichev L.P. Therapeutic massage. Kiev. Visha school, 1984, p. 231, 232).

 The use of various methods of electrotherapy is carried out mainly with a mild course and moderate severity in a phase of mild exacerbation; in more complex cases, electrophoresis of SMT with euphyllin is used (see Yasnogorodsky V.G. Electrotherapy, M. Medicine, 1987, p. 208-211).

 Acupuncture certainly improves the condition of patients both in complex therapy and when using it “in its pure form”, although the percentage of good results varies widely according to various authors (Nezabudkin S. N. Pathological aspects of acupuncture of atopic bronchial asthma in children. Abstract. Candidate of Diss. L. 1982). However, these are mainly patients with mild to moderate severity of the disease. Therefore, today the indications for the use of acupuncture are bronchial asthma of the first stage and predastma. If there are phenomena of pulmonary heart failure, persistent morphological changes in the lungs (emphysema, pneumosclerosis), long-term use of corticosteroid drugs, the use of the method is considered impractical, i.e. treatment is often unsuccessful or with a short-term effect (Skurlatova Z. S. Use of acupuncture in complex treatment of patients with bronchial asthma. In the book. Morphology. Physiology and pathology of the respiratory system. L. 1 LMI, 1968, pp. 184-187; Stoyanovsky D. N. Private reflexology: A guide. Chisinau. Cartya Moldovenya ske, 1990, pp. 27-29).

 Respiratory techniques are also accompanied by medication and the development of a number of complications: for example, K.P. Buteyko (1983), the method of volitional elimination of deep breathing (VLGD), does not sufficiently take into account the etiopathogenesis of bronchial asthma. since with a combination of various forms of chronic non-specific lung diseases, the state of existing hypoxia is aggravated; the technique works too "selectively", in other words rarely.

 Breathing according to the method of A. N. Strelnikova (1974) is aimed at training the muscles that breathe in, but now not in a free state, but with resistance, causing great fatigue for a sick person. With obstructive changes in the lung tissue, complications such as hemoptysis and even bleeding can occur. Therefore, Strelnikova’s methodology should be of very limited use (see Kalyakina E.A. Moskaleva L.V. Physical rehabilitation for respiratory diseases. Como method. Rostov-on-Don, 1991, pp. 26-30).

 As for other treatment methods (barotherapy, spa treatment, hypnosis, etc.), they can be used only in the complex therapy of bronchial asthma and do not find in mind the low efficiency of self-administration (Bulatov P.K. Uspenskaya E.P. Treatment patients with bronchial asthma in a pressure chamber. "Ter. arch.". 1974. N 5, p. 125 -128; Guvakov I. A. Okhotsky B. A. The experience of treating bronchial asthma with stinging bees in combination with climatotherapy. "Doctor. "1972. N 1, s, 108-111; Maksomov S. D. Influence of the microclimate of Solotvinsk salt mines on the lung th respiration of patients with bronchial asthma. Abstract. PhD. Thesis. Uzhgorod, 1975).

 The closest in technical essence and the achieved result is a method of treating bronchial asthma, including a diagnostic examination, the impact on the paravertebral and reflexogenic areas of the chest, massage of the diaphragm, lungs, heart and other areas, combined with breathing (see V. Dubrovsky All types Massage. M. 1993, p. 167-170).

 The problem to which the present invention is directed, is the creation of an independent drug-free method for the treatment of bronchial asthma, using hidden reserves of the body.

 This problem is solved by the fact that the method of treatment of bronchial asthma affect biologically active zones and points associated with the work of the lungs. Depending on the diagnostic results of the predominant side of the lesion, the effect is carried out on the right or left lung by successively alternating pressure with the fingers of the hands with an effort of not less than the force that causes the onset of pain and response muscle tension, not more than the maximum pain tolerance (tolerance) of the patient for 1-3 seconds from 1 to 5 times and repeated every other day for 8-12 sessions, monitoring the patient's condition before and after the procedure.

 The invention is based on the theoretical developments of the author V. Kopylov, which he described in his work: V. Kopylov, Functional abilities of the nervous system and its role in physiological processes. SCST USSR, VINITI, N 1953-85, Dep. Moscow, 1985, and in: Uglov F. G. Kopylov V. A. Pain as a stimulant of protective and reparative processes. Herald of surgery. 1985 N 6, p. 17. The method was named by the author as the method of external pain and stress (VBV).

 For the first time, scientific testing of this method of treatment took place from October 1984 to February 1985 in the clinic of surgical diseases for subordinates of the 1st LMI named after Acad. I. P. Pavlova, and later in the problematic research laboratory of non-drug therapies at the 1st LMI, on the basis of which in 1990 the Alkor research firm was established.

 The method is carried out in the following sequence. Before starting treatment, a thorough medical history, complaints are carried out, the following examination methods are performed: electrocardiographic (ECG), ultrasound (ultrasound), X-ray of the lungs, and, if necessary, laboratory methods of examination (blood, urine, sputum). Auscultation is of particular importance: a comparative auscultation of the right and left lungs is performed, in which qualitative and quantitative auscultatory signs are determined (the presence of wheezing, their prevalence on one side or the other, lack of conduct or weakening, increased breathing, presence of atelectasis sites, etc.) , measurement of blood pressure on both hands, counting heart rate, respiration, subjective sensations of the patient are taken into account. After the examination, the predominant side of the therapeutic effect is determined and the first session is carried out.

 Before the procedure, the patient is instructed on the need for local muscle tension in response to pain exposure while holding the breath. The therapeutic effect is carried out successively by alternating pressure with the fingers of the hands with an effort of not less than the force that causes the onset of pain and response muscle tension, and not more than the level of maximum pain tolerance (tolerance) of the patient. The latter is placed on the abdomen, and paravertebral and interspinous zones of the cervicothoracic spine, as well as intercostal zones of the right or left side of the body from the back, shoulder-shoulder zones, are used as biologically active zones, each exposure being carried out for 1-3 seconds from 1 to 5 times with local muscle tension in response to pain with simultaneous breath holding and is repeated every other day, monitoring the patient's condition. If the above diagnostic methods do not give a clear indication of the predominant pathology of the right or left lung, a diagnostic procedure is performed consisting of successive alternating pressure paravertebral to the right in the cervicothoracic spine. This takes into account the subjective assessment of the patient's well-being (worsening, improved breathing), changes in heart rate, respiratory rate, auscultatory picture. In the case of a decrease in heart rate and respiratory rate, a decrease in the severity of pathological symptoms, the effect continues along the interspinous zones of the cervicothoracic spine and intercostal spaces of the right side of the body. If there is no improvement in the clinical picture (after exposure paravertebrally to the right), a similar effect is performed, but on the left side.

 Further treatment tactics are based on the results of the diagnostic procedure.

 During scientific testing of this method of treatment, a group of patients with various forms, severity, age and duration of the disease was arbitrarily recruited, of which 39 were women and 19 were men. All of them had previously been treated with traditional methods, and many were treated with acupuncture (17 people), barotherapy, therapeutic fasting, and were undergoing spa treatment, however, no lasting positive effect was obtained.

 Distribution of patients by disease duration: up to 1 year 4 people. from 1 year to 5 years 23, from 5 to 10 years 16, more than 10 years 12. Distribution of patients by age: up to 15 years 18 people. from 15 to 30 years 6 people from 30 to 45 years of age 14, from 45 to 60 years of age 15, older than 60 years of age 2. Distribution of patients by the duration of taking corticosteroid drugs: up to 1 year 5 people. from 1 to 5 years 5, from 5 to 10 1.

When distributed according to the severity of the disease, the following criteria were taken into account:
with a mild disease severity, the presence of rare (up to 2-3 times a year) asthma attacks, prolonged remissions, the absence of clinical symptoms of the disease and morphological changes in the lungs, the absence of drug therapy during periods of remission;
with moderate severity, patients have frequent asthma attacks, short remissions, the need for frequent use of drugs, the presence of clinical and laboratory signs of bronchospasm, even during remission;
in severe bronchial asthma, frequent (several times a day) asthma attacks, severe morphological changes in the lungs, severe violations of ventilation abilities in the lungs, patients are forced to take medication (including hormones) due to frequent attacks or shortness of breath and a history of asthmatic statuses.

 In accordance with this classification, patients according to the severity of the disease were distributed as follows: mild, 9 people, medium 21, severe 25. Thus, the majority of patients were patients with moderate and severe severity of bronchial asthma, 11 of them. were patients who took corticosteroids for a long time.

 The treatment method implies the possibility of simultaneous separation from drug therapy, which was possible in almost all patients, with the exception of a small part of patients taking hormonal drugs, in which the dose reduction of corticosteroids was carried out gradually. Sessions were held every other day in the amount of 10-12 and further, depending on the severity of the disease. All patients underwent the necessary laboratory and radiological examinations, ECG before and after treatment. A study of pulmonary ventilation was conducted in 44 people for a more rigorous objective assessment of the effectiveness of this treatment method. Criteria for assessing the degree of impaired bronchial obstruction were taken from the relevant medical guidelines (guidelines for practical exercises on internal medicine (analysis of a patient with chronic bronchitis). Edited by G. B. Fedoseyev, V. V. Stavskaya, V. A. Almazova , G.G. Zubtsovskaya, E.P. Uspenskaya. L. 1st LMI, 1980). Studies of pulmonary ventilation functions were carried out in the laboratory of the Department of Hospital Therapy of 1 LMI using the spirographic method and the general plethysmography method on the Respiratory System 2300 apparatus of Ohio Company (USA), as well as in Clinic N 85 of St. Petersburg using the spirographic method and pneumotachometry. It should be noted here that most of the patients before the course of treatment could undergo a functional examination of pulmonary ventilation, only being on drug therapy, and some patients could not be examined at all because of the severity of the condition. In addition, this examination was not conducted in young children because of the impossibility of the correct performance of functional tests by them.

 As a rule, subjective improvement in well-being was noted by patients immediately after the first session. In some patients, during the treatment process, often by the 5-7th session, there was some exacerbation of the disease (increased cough, increased sputum, the appearance of asthma attacks, fever), which soon passed on its own, the administration of drugs was not required and did not resume.

 The improvement was confirmed by objective and clinical data: asthma attacks completely disappeared, shortness of breath, breathing became free, decreased, and then dry rales, coughing disappeared, ECG indices improved (tachycardia decreased, the load on the right heart was removed), and pulmonary ventilation improved.

 Example 1. Patient M., 15 years old, was admitted to the hospital with a diagnosis of infectious-allergic bronchial asthma, severe condition. From the anamnesis it is known that she was sick from the age of 9 when, after acute bronchitis, attacks of suffocation began to occur, often turning into asthmatic conditions. She was treated repeatedly in hospitals. Due to the severity of the condition, I received prednisone intravenously and orally.

 Upon receipt, a moderate condition. Complains of constant attacks of suffocation several times a day, shortness of breath at rest, weakness, cough with a sparse amount of sputum. Objectively: the forced position of the body, the exhalation is difficult, lengthened, breathing is noisy, wheezing, heard from a distance. Shortness of breath at rest up to 36 per minute. Cyanosis of the lips. Pulse up to 100 bpm HELL 120/70 mm RT. Art. Percussion: sound with a box-like shade, auscultation: hard breathing with an abundance of buzzing wheezing, mainly over 6, 7, 8 segments of the right lung. Unproductive cough with vitreous sputum. Maintenance therapy: aminophylline 2 tablets per day (0.3 g), astmopent. There are no "bright" gaps during the day.

 Due to a sharp change in climate when moving to St. Petersburg with inadequate maintenance therapy, a rapid deterioration of the condition occurred, in this regard, could not even undergo a functional examination of the lungs. Soon the patient was transferred to the intensive care unit in a state of asthmatic status. Immediately after withdrawal from asthmatic status, she was accepted for treatment by the method of VVV.

 The examination revealed a lesion mainly of the right lung, and therefore the treatment was carried out as follows. Before the procedure, the patient was instructed about the need for local muscle tension in response to pain exposure while holding the breath. The therapeutic effect was carried out successively by alternating pressure with an effort of not less than the force causing the appearance of pain and response muscle tension, and not more than the level of maximum pain tolerance of the patient, and each effort was carried out for 1-3 seconds from 1 to 5 times. The patient was laid on her stomach, and paravertebral and interspinous zones of the cervicothoracic spine, shoulder-scapular zones, and also intercostal zones of the right side of the body from the back were used as biologically active zones. After the first session, the patient felt better breathing, respiratory rate decreased to 26 per minute, cyanosis disappeared, pulse to 80 beats / min, blood pressure 130/60 mm RT. Art. Auscultatory: dry rales significantly decreased, no noisy breathing. The further course of treatment took place with a predominant effect on the right lung, amounted to 12 sessions. Well-being began to improve rapidly. After a month-long course of treatment of complaints of asthma attacks, there was no difficulty breathing. A clinical examination of shortness of breath, no cyanosis. In the lungs, vesicular breathing, no wheezing. The performed study of pulmonary ventilation functions revealed the normalization of indicators: VC 2772 ml (110%), FEV-1 2.44 l (112%), Tiffno test 91% FOE 2777 ml, OOL 1226 ml (109%), OEL 3998 ml 91% bronchial resistance 3.08, specific conductivity 0.117. Currently, she feels well, there are no asthma attacks, and she does not use drugs.

 In patients with a mild course of the disease, only a few sessions were enough to get a lasting positive effect.

 Since a functional study of pulmonary ventilation was not possible in all patients, the evaluation of the final results was carried out according to the subjective condition and the data of objective and clinical examination. Evaluation of the results of treatment of bronchial asthma was carried out according to a 3-point system: good, satisfactory, unsatisfactory.

 Good results meant the complete disappearance of asthma attacks, as well as shortness of breath, the disappearance of the clinical signs of the disease (wheezing, shortness of breath, dry rales, cough with vitreous sputum).

 Satisfactory results included those observations when asthma attacks disappeared, however, episodes of labored breathing continued on their own, the number of dry wheezing in the lungs significantly decreased, coughing decreased or disappeared, and sputum was easier to pass.

 All patients with no effect of treatment were attributed to unsatisfactory results.

 Patients who took corticosteroids on the day the treatment was started with this method were allocated to a separate group, and the results were evaluated according to a different classification from the previous classification.

 With a good result, there was a complete “separation” of patients from corticosteroids, asthma attacks disappeared, clinical indicators improved, and there was no need for drug therapy.

 Satisfactory results included observations with a margin from corticosteroid drugs, the disappearance of asthma attacks, however, episodes of labored breathing persisting on their own, cough with sputum discharge without difficulty, and lack of drug therapy.

 The unsatisfactory results included all patients who could not do without horizontal replacement therapy.

 Given the above criteria, the treatment results are presented in table. one.

 Analyzing the immediate results of treatment, we can say that a clear improvement was achieved in almost all patients (54 out of 55), while good results were obtained in 46 of them, including 8 of 11 patients taking corticosteroids. All 54 people managed to achieve the complete abolition of any drug therapy in the early stages of treatment.

 The data of a functional study of pulmonary ventilation in 44 patients are presented in table. 2.

 In general, an improvement in pulmonary ventilation was detected in 38 of the 44 examined patients, including in 27 patients pulmonary ventilation function was fully restored. In the literature, there are no similar results on the possibility of restoration of ventilation in patients with severe bronchial asthma, especially when taking hormonal drugs.

 As for the unsatisfactory result or observations when the pulmonary ventilation function has not been restored, this occurs in patients who initially had signs of severe outcomes of chronic pneumonia (emphysema, pneumosclerosis) or with severe changes in the endocrine system against the background of long-term use of hormonal drugs. This is confirmed by the data of many years of research by various authors. They proved that with prolonged hormonal therapy (more than one year), atrophy of the adrenal cortex develops (Lobanenko A. F. Pathology of the adrenal glands of people with corticosteroid therapy. Author. Cand. Dis. Lvov. 1971).

 Observations of patients with bronchial asthma, who received various doses of hormonal drugs before receiving treatment with the method of VVB, showed that their course of the disease and prognosis sharply worsen. The use of hormones inevitably leads to a decrease in the function and then atrophy of the endocrine glands: the pituitary, adrenal glands, and sex glands, which reduces the patient's overall resistance to adverse factors, makes him practically helpless, and all other types of treatment turn out to be little or completely ineffective.

 Only by means of VBV with enormous difficulties for most patients where complete atrophy of the endocrine glands has not yet occurred, not only complete abolition of hormones was achieved, but also a significant improvement (cessation of attacks, lack of difficulty in breathing) and then complete normalization of pulmonary ventilation function.

 Example 2. Patient Sh. 16 years old, was admitted to the hospital with a diagnosis of infectious-dependent bronchial asthma, severe. From the anamnesis it is known that in infancy suffered acute pneumonia, after which the annual exacerbation of the disease. From the age of three, asthma attacks appeared on the background of exacerbation of pneumonia, which tended to worsen in each subsequent case. From the age of 6, due to the severity of the condition, prednisolone, which was subsequently replaced by polcortolone, was transferred to oral corticosteroid drugs.

 Upon receipt, complains of shortness of breath, weakness, asthma attacks several times a day. Cough with a sparse amount of sputum that cannot be easily separated. The state of moderate severity. The chest is barrel-shaped, there are areas of its deformation, kyphiscoliosis. Forced body position. The exhalation is significantly elongated. Wheezing is heard from a distance. Shortness of breath at rest up to 26 breaths per minute. Cyanosis of the lips. Pulse 120 bpm HELL 110/60 mm RT. Art. Percussion: above the lungs a boxy tone. Auscultatory: hard breathing with a lot of dry rales (6, 7, 8 segments on the right and left). Maintenance therapy: 1 mg of polcortolone per day, novodrin (inhalation) several times a day. The performed examination of the function of external respiration reveals sharp violations: VCI 3168 ml (77%), OOL 2387 ml (158%), OEL 5555 ml (98%), bronchial resistance 5, specific conductivity 0.051.

 The treatment was carried out in 2 stages with a total duration of 3.5 months. As a result of the examination, no primary lesion of the left or right lung was revealed. Therefore, exposure to the method of VBV began with a diagnostic procedure: before the procedure, the patient was instructed on the need for local muscle tension in response to pain exposure with a simultaneous holding of breath. The therapeutic diagnostic effect was carried out successively by alternating pressure with an effort of not less than the force causing the appearance of pain and response muscle tension, and not more than the level of maximum pain tolerance of the patient. The latter was placed on the stomach, and the paravertebral and interspinous zones of the cervicothoracic spine on the right were used as biologically active zones. The patient did not notice any improvement after paravertebral right exposure (pulse rate, respiratory rate did not change). Symptoms have not improved. It was decided to continue the impact of the WBV method on biologically active zones paravertebrally and intercostal zones of the left side of the body from the back. At the same time, the patient felt better breathing, breathing became more free, shortness of breath decreased and asphyxiation disappeared. There was significantly less wheezing in the lungs. Shortness of breath decreased to 20 per minute, cyanosis disappeared, the pulse became 90 beats / min, pressure 120/70 mm RT. Art. Further treatment tactics consisted of exposure to the VBV method mainly on the left side. 2 courses of 15-17 treatment procedures were carried out. In the first sessions, there was a need (against the background of a decrease and cancellation of oral drugs) to add intravenous prednisone, which was then also noted. At discharge, the patient's condition is satisfactory, there is no shortness of breath even with physical exertion, there are no clinical data for bronchospasm. In the lungs: vesicular breathing; no wheezing. The pulmonary ventilation function also underwent significant dynamics: bronchospastic disorders completely disappeared, VC 3168 ml (77%), FEV-1 2.21 l (79%), OOL 1414 ml (93%), OEL 4582 ml (80%), bronchial resistance 3.27, specific conductivity 0.109; restrictive restrictions on the mobility of the ribs persisted due to pneumosclerosis and ossification of the costal cartilage due to rickets transferred in childhood and therefore irreversible.

 She is currently feeling well, asthma attacks, no episodes of difficulty breathing, and does not use medication.

 Most of our patients were patients with bronchial asthma of an infectious-allergic genesis (80% noted the occurrence of the first asthma attacks after exacerbation of chronic pneumonia), but the method has proven itself in people with purely atopic bronchial asthma.

 Example 3. Patient A., 6 years old, suffers from attacks of bronchial asthma from 3 years old when he visited Georgia in the summer. There is no history of inflammatory lung disease. Exacerbation of the disease in the autumn-spring time, as well as when entering cold air, with physical exertion. Constantly received amufillin, especially before going out. A decrease in pulmonary ventilation was noted. Upon admission to treatment complained of shortness of breath, weakness, asthma attacks several times a day, unproductive cough with vitreous sputum. The exhalation is significantly lengthened, wheezing, shortness of breath at rest up to 28 per minute, lip cyanosis, pulse 125 beats / min, pressure 100/50. Percussion: sound with a boxy tint, auscultation: hard breathing with an abundance of dry, buzzing wheezing on the left. The examination revealed a lesion mainly of the left lung, so the treatment was carried out as follows.

 Before the procedure, the patient was instructed on the need for local muscle tension in response to pain exposure while holding the breath. The therapeutic effect was carried out successively by alternating pressure with an effort of not less than the effort causing the appearance of pain and response muscle tension, and not more than the level of maximum pain tolerance of the patient, and each effort is carried out for 1-3 seconds from 1 to 5 times.

 The patient was laid on his stomach, and paravertebral and interspinous zones of the cervicothoracic spine, shoulder-scapular zones, and also intercostal zones of the left side of the body from the back were used as biologically active zones. After the first session, the patient felt better breathing, breathing rate decreased to 19 per minute, cyanosis disappeared, pulse to 90 beats / min, blood pressure 110/60 mm RT. Art. Auscultatory: dry rales significantly decreased, no noisy breathing. The further course of treatment took place with a predominant effect on the left lung, amounted to 30 sessions. After the course of treatment, the condition improved. I stopped using medications (from the very beginning of treatment), neither cold nor physical exertion provokes attacks. No breathing difficulties. In the lungs, vesicular breathing, no breathing difficulties, the rate of pulmonary ventilation is normal.

 Analyzing the generally obtained results of treatment of patients with bronchial asthma with the method of VVV, we can come to the following conclusion.

 Various clinical diagnostic studies confirm the restoration of the structural and functional characteristics of the lungs (right or left, depending on the prevailing pathology), i.e., the restoration of their spatio-temporal organization under the influence of local directed and dosed external pain.

 The method of VBV is effective for bronchial asthma of any genesis (both infectious-allergic and atopic) and for any severity of the disease, which is proved by 80% of good results in groups of patients with moderate and severe course. The most appropriate application of the method in the early stages of the disease where drug and especially hormonal therapy has not yet been used and when you can count on a quick and complete restoration of impaired functions. The method gives a clear improvement even in patients with prolonged use of hormonal drugs, allows you to completely abandon corticosteroids and is promising in terms of the possibility of eliminating any drug dependence. The method is physiological, environmentally friendly, no negative side effects have been identified.

 The method was tested on 500 patients with various forms of bronchial asthma, combined with circulatory failure, hypertension, vegetative-vascular dystonia, etc. Positive dynamics was observed in 95% of cases: either the complete disappearance of complaints, or the symptoms began to be milder (in cases that had initial signs of severe outcomes of chronic pneumonia of emphysema, pneumosclerosis).

 Along with the improvement of pulmonary ventilation and the cessation of the clinical manifestations of bronchial asthma, in parallel, an improvement in the functions of other systems and organs was noted: improved myocardial nutrition according to ECG, cessation of extrasystoles, improved general well-being, normalized sleep, increased vitality, increased working capacity, i.e., increased reserve abilities of the body, the disappearance of severe symptoms of the disease allows you to continue to lead a full-fledged lifestyle, perform normal or even increased physical Booting from complete failure of reception of drugs, which significantly distinguishes the proposed method from the known recommendations.

 Many patients have been monitored, the remission period is 5 years or more, as evidenced by medical history.

Claims (2)

 1. A method of treating bronchial asthma, including exposure to the paravertebral and reflexogenic areas of the chest, massage of the diaphragm, lungs and heart and other areas depending on the location of the lesion, combined with breathing, characterized in that pre-determine the primary pathology of the right or left lung and carry out external pain action on the zones of the affected side by successively alternating pressure with the fingers with an effort of at least the force causing the appearance of the pain syndrome, and not more its level of maximum pain tolerance (tolerance) of the patient, while paravertebral and interspinous zones of the cervicothoracic spine, as well as intercostal and shoulder-shoulder areas of the right or left side of the body from the back, are used as biologically active zones, and each effect is carried out for 1 3 s from 1 to 5 times with local muscle tension in response to pain with simultaneous breath holding, the procedure is repeated every other day.  2. The method according to p. 1, characterized in that if it is not possible to determine the preferred side of the lesion, the effect begins on either side, continuing or switching to the other side in accordance with the assessment of the dynamics of the state.

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