RU2101024C1 - Method to treat female hypothalamic syndrome - Google Patents

Abstract

FIELD: medicine, gynecology. SUBSTANCE: therapy is the following: beginning from the first day of starvation phytotherapy is conducted by taking into account biological hours of functional activity of the main body systems. Moreover, to influence upon gastrointestinal tract it is necessary to use water removal of medicinal plants such as camomile, sage, mint, origanum and bur marigold at 4:2:2:1:1 ratio. For an impact upon cardiovascular system valerian and leonorus roots, hawthorn fruits were used at 1:1:1 ratio. To affect urinary system one should use knot weed, St. John's wort and birch buds at 6:2:1 ratio during the first week, common horsetail, St. John's wort, calendula at 5:2:1 ratio during the second week, mountain cranberry leaf, St. John's wort, oak-tree bark at 5:2:1 ratio during the third week and black elder flowers, St. John's wort, linden flowers at 5:2:1 ratio during the fourth week. For an action upon pericardium it is useful to apply leonorus, valerian root and hawthorn fruits at 1:1:1 ratio. To have an impact upon liver and gallbladder one should take sweet flag root. EFFECT: higher efficiency of treatment including curative starvation, acupuncture and phytotherapy due to exclusion of psychotropic substances, decreased number of side effects, improved therapeutical action.

Description

 The invention relates to medicine, in particular to gynecology.

 A known method of treating hypothalamic syndrome in women, including dosed therapeutic fasting, acupuncture, the introduction of psychotropic drugs and herbal medicine in between treatments, affecting mainly one or another functional system (1).

 The disadvantage of this known technical solution is the relatively low efficiency and side effects associated with the use of psychotropic substances, in particular, the possibility of getting used to them.

 The objective of the invention is to reduce side effects and increase the therapeutic effect. This problem is solved by a method that includes dosed therapeutic fasting, acupuncture and herbal medicine, affecting mainly one or another functional system, the distinctive moment of which is to conduct phytotherapy from the first day of fasting, taking into account the biological clock of the functional activity of the main body systems, while the gastrointestinal tract uses aqueous extracts of medicinal plants: chamomile, sage, mint, oregano and a string at a ratio of 4: 2: 2: 1: 1, for effects on the cardio -vascular system, valerian root and motherwort, hawthorn fruits at a ratio of 1: 1: 1, for influencing the urinary system, knotweed, St. John's wort and birch buds at a ratio of 6: 2: 1 in the first week, field horsetail, St. John's wort in the 2nd week , calendula at a ratio of 5: 2: 1, in the 3rd week lingonberry leaf, St. John's wort, oak bark at a ratio of 5: 2: 1, in the 4th week, elderberry flowers black, St. John's wort, linden color at a ratio of 5: 2: 1 , for exposure to the pericardium - motherwort, valerian root, hawthorn fruits at a ratio of 1: 1: 1, for exposure to the liver and gall The second bubble is the root of calamus swamp.

 Water extracts were prepared in the usual manner accepted for plant materials.

Preparation Example:
1 tbsp. a spoonful of finely ground plant material is poured into a glass of water. The resulting mass is boiled in an enameled container with a lid closed and then insisted for 20-30 minutes. After straining, take at the indicated dosage.

 It was recommended to take water extracts at time intervals of daily functional activity of those systems to which they were mainly addressed by the spectrum of their action.

 So, for exposure to the stomach, extraction was prescribed for 7 9 hours, on the heart 11 13, on the bladder and kidneys 16 18, on the pericardium 19 21, on the liver and gall bladder before bedtime.

 Extracts were given in a dose of 50 to 100 ml from 1 bottom of the "entry" into hunger until the end of the treatment cycle.

 Dosed therapeutic fasting (DLH) was started after the end of the clinical and laboratory examination according to the following scheme: three days of "entry" into hunger, "complete hunger", "exit" from hunger. The duration of DLH was determined individually and ranged from 8 to 46 days.

 Acupuncture (IRT) was carried out for all patients with individual sterile steel needles (needle numbers 4 to 6).

The conduct of ИРТ had three target components:
1. Prevention and (or), if necessary, relief of a peculiar syndrome that naturally occurs in response to the exclusion of food. In addition to a number of autonomic abnormalities (blood pressure lability, headaches, discomfort in the epigastrium and intestines, nausea, vomiting, weakness, dizziness, drowsiness, sweating, chills, etc.), there are spontaneous bursts of a number of biological motivations caused by hunger thirst, etc. For this purpose, as an algorithm for choosing an acupuncture recipe (a combination of acupuncture points), a functional systemic or symptomatic approach was used, taking into account the provisions and rules of traditional acupuncture, as well as the symptoms of indications for using acupuncture points.

 2. Normalization of circadian rhythms of activity of the main functional systems of the body.

 In accordance with the instructions of traditional acupuncture, about the time of optimal exposure to the points of meridional affiliation of one or another "main organ", acupuncture was performed at the acupuncture points of the meridian, the activity time of which corresponded to the time of day of the procedure.

 3. Induction, stimulation of ovulation, acupuncture, respectively, the phases of the menstrual cycle.

 With dysfunctional uterine bleeding, an additional formulation was used aimed at the reflex termination of bleeding from the genital tract.

 Clinical trials were conducted on the basis of the Scientific Center for Obstetrics, Gynecology and Perinatology. In a group of 42 hospitalized women aged 13 to 38 years, all were characterized by an average weight gain of 53.6% relative to height and age and can be attributed to the second or fourth degree of obesity. All examined had severe menstrual dysfunction; on EEG, all recorded changes indicating pathofunctional disorders of the mesodiencephalic structures of the brain. During the diagnostic process, the formation of secondary polycystic ovary in these patients was revealed.

 As a result of treatment by the proposed method, weight loss occurs and anthropometric indicators of patients from course to course (calendar time of 1 8 months) are becoming more feminine values. So, the mass after treatment decreased by 20.3 kg.

 Significantly decreased the circumference of the neck (by 4.9 cm), breasts at the level of the nipples of the mammary glands (by 10.6 cm), breasts at the level of the lower base of the mammary glands (by 11.2 cm), waist (by 18.4 cm), hips (by 16.8), shoulders (by 6.0 cm), hips (by 11.2 cm).

 After treatment according to the method of the invention, among the studied levels of blood hormones, a significant increase in the content of extradiol and progesterone and a decrease in the concentration of cortisol and testosterone are noted. A decrease in the ratio of LH / FSH from 5.3 to 2.4, an increase in the content of estradiol, progesterone and a simultaneous decrease in ACTH, cortisol and testosterone is accompanied by a normalization of menstrual function.

 The following example illustrates the method of the invention.

 Patient N., 27 years old, was under observation with a diagnosis of hypothalamic syndrome, oligomenorrhea, infertility 1.

 Condition before treatment: height 165 cm, weight 83 kg, proper physique, excess nutrition.

 Complaints of rare menstruation (2 to 3 times a year), overweight, lability of the autonomic nervous system (weakness, fatigue, frequent headaches, instability of blood pressure, etc.), lack of pregnancy.

 From the anamnesis: considers herself a patient from 8 years old, from the moment the first signs of puberty began. Marks a rapid increase in weight by 7 10 kg in one year. At the same time, headaches of the type of migraine (more often in the right temporal region) and striae appeared on the skin of the hips, buttocks, and abdomen. Menses from 11.5 years have not been established, 3-5 times a year, painful in the first 2 days, profuse for 5-7 days. Sexual life since 17 years old, married since 21 years old, there were no pregnancies, she was not protected from pregnancy. My husband is 29 years old, healthy.

 Examined: anovulatory cycles, tubes passable, ovaries and uterus without features. Repeatedly treated in hospitals and on an outpatient basis: hormone therapy, physiotherapy, ovulation stimulants. Against the background of treatment, I noted an increase in weight of 9 kg. At the time of admission, the patient had 138 days of the cycle; during the first course of KNMT, we considered the main tasks to be reducing body weight, stimulating the hormone-producing function of the ovaries, obtaining ovulation and the regular onset of menstruation.

 DLH (dosed therapeutic fasting) was carried out after the end of the clinical and laboratory examination according to the following scheme: three days of “entry” into hunger “complete hunger” lasting 23 days, three days of “exit” from hunger, followed by a special diet for two weeks.

"Entrance" to hunger:
1 day fruits, vegetables juices. The amount of fruits and vegetables at the discretion of the patient, preference was given to fresh apples, pears, cucumbers, tomatoes, boiled beets, baked potatoes so that a significant amount of fiber-rich food passes through the gastrointestinal tract. Juices needed to drink at least 2 liters.

 2 day juices 2-3 liters.

 3 day diluted juices (1 part water, 1 part juice).

4 day 1 day of absolute hunger and the beginning of biorhythmic herbal medicine according to the scheme:
on the first day of hunger, from 7 a.m. to 9 a.m., the patient received 100 ml of chamomile infusion: sage: mint: oregano: strings at a ratio of 4: 2: 2: 1: 1, from 11 a.m. to 1 p.m. 100 ml of motherwort infusion: root valerian: hawthorn berries with a ratio of 1: 1: 1, from 16 h to 18 h 30 min 1 week of 100 ml of knotweed infusion: hypericum: birch buds at a ratio of 6: 2: 1, in the 2nd week of 100 ml horsetail infusion: St. John's wort at a ratio of 5: 2: 1, in the 3rd week, 100 ml infusion of lingonberry leaf hypericum oak bark at a ratio of 5: 2: 1, in the 4th week, 100 ml of infusion of elderberry flowers l nN at a ratio of 5: 2: 1, from 19 to 21 h 100 ml infusion Leonurus valerian root hawthorn berries at a ratio of 4: 4: 4, and bedtime 100 ml infusion calamus root.

Mandatory requirements for the patient during absolute hunger were:
1) cleansing enemas twice a day (morning and evening) in a volume of 0.7 - 2.0 l;
2) heavy drinking of at least 3 liters of fluid.

 Raw spring water or Borjomi without gas was offered as a drink.

 IRT (acupuncture) was carried out for 1 session per day, 5 days a week, for 4 weeks. Used domestic steel needles NN 4 6.

 The first 7 procedures were carried out in order to induce ovulation: the acupuncture points (TA) of the “wonderful conception meridian” P 7 (d. S.) “+” 2,3,4,5,6,7,9 12,15,16,17,22,23 "+"; P6 (d.S.) "-"; meridians of the lungs (P), large intestine (gY), stomach (E), spleen - pancreas (PP). Dispersion ("-" exposure) was carried out in the TA of the meridians of the "miraculous controlling" Ig3 (dS) "+", T 20,14,13,12,11,10,9,8,7,6,5,4,3 " - "; 62 (d.S. "-"), kidney, bladder, liver, gall bladder. By the 8th session of the IRT (12th day of absolute hunger, 9th day of biorhythmic herbal medicine), ovulation was noted in the rectal therapy test. Further, IRT was carried out taking into account the second phase of the menstrual cycle: toning of the meridians of the "wonderful inner heel" P6 (d.S. "+"), ΝI (d.S. "+"), P7 (d.S. "-"); kidneys, liver. It had a dispersive effect ("-") on the points of the meridians: lungs, large intestine, stomach, spleen of the pancreas.

 IRT for corporal TA was performed simultaneously with exposure to auricular TA (alternately of the right and left auricles) taking into account the sign of interaction of the "main organs" of the meridians (tonization or dispersion).

 So, in the first phase of the menstrual cycle (1 7th day of ИРТ) "+" the exposure was carried out on the following auricular points: lungs (101), spleen (98), pancreas (96), stomach (87), lower abdomen (109), uterus (58), genital glands of the ovaries (23). Dispersion ("-" effect) to the points of the kidneys (95), bladder (92), liver (97), gall bladder (96), cervix (56), cerebral cortex (34). In the second phase of the menstrual cycle, toning of the points of the auricles: kidneys (95), liver (97), ovaries (23) and variance: Shen-Men (55), heart (100), stomach (87), large intestine (91), spleen (98), pancreas (96).

 Regardless of the phases of the menstrual cycle, against the background of DLH, the auricular points of thirst (17) and hunger (18) were dispersed only when these symptoms were especially withdrawal.

 After 1 course of KNMT (complex non-drug therapy) for 23 days of absolute hunger, the patient lost 18 kg.

 The way out of hunger was carried out as follows (cleansing enemas were stopped).

1 day diluted juices 1: 1 (juice water);
2 day juices (not less than 2 l);
3 day fruits, vegetables, juices.

Then, daily, “new” products were introduced into the patient’s diet with the condition that the menu of the previous day could be eaten:
4 day oatmeal porridge, boiled on water without salt ("+" menu 3 days - fruits, vegetables, juices);
5 day rice porridge, boiled in water without salt;
6 day buckwheat porridge, boiled in water without salt;
7 day lean meat broth without salt;
8 day lean meat broth without salt with meatballs;
9 day cereal in milk without salt;
10 day table 2 for a week.

 After the "exit" from hunger, the patient within 1 month gained one third of the lost weight. During the control weighing of the patient 1.5 months after the end of the 1st course, KNMT weighed 71 kg. At the same time, biochemical and hormonal blood counts improved significantly, menstrual function normalized (menstruation after 29 days, 5 days, painful, with a rise in rectal temperature on the 16th day of the cycle).

 The II course of KNMT was carried out according to the method described above, but with a shorter period of complete hunger (15 days). The patient lost 12.5 kg in weight. After the "exit" from the DLG, its weight was 62 kg. It was recommended to conduct regular sex life, taking into account the day of ovulation. Pregnancy occurred in the next, after the second course of KNMT, menstrual cycle. During pregnancy, the patient was recommended to continue biorhythmic herbal medicine and a salt-free diet rich in fruits, vegetables and herbs. Pregnancy and "urgent" childbirth proceeded without complications. A live full-term girl was born weighing 3100 g, height 51 cm.

 Clinical trials of the proposed method for 42 patients showed its higher therapeutic efficacy and the absence of side effects.

Claims (1)

 A method of treating hypothalamic syndrome in women, including dosed therapeutic fasting, acupuncture and phytotherapy affecting the functional systems of the body, characterized in that from the first day of fasting, phytotherapy is carried out taking into account the biological clock of the functional activity of the main systems of the body, with the effect on the gastrointestinal the path is used for the aqueous extraction of medicinal plants: chamomile, sage, mint, oregano and a string at a ratio of 4 2 2 1 1, for effects on cardiovascular system Thread valerian root and motherwort, hawthorn at a ratio of 1 1 1, to act on the urinary system, in the first week knotweed, Hypericum and birch buds at a ratio of 6 1 1, during the second week horsetail, St. John's wort and marigold at a ratio 5 2 1; in the third week, lingonberry leaf, St. John's wort and oak bark at a ratio of 5 2 1, in the fourth week black elderberry, St. John's wort and linden flowers at a ratio of 5 2 1, to affect the pericardium motherwort, Valerian root and hawthorn fruits at a ratio of 1 1 1, for exposure to the liver and gall bladder, calamus root.