RU2110248C1 - Method and device for correcting cardiac arrhythmia not related to organic injuries - Google Patents

Abstract

FIELD: medical engineering. SUBSTANCE: method involves applying electromagnetic radiation in the form of modulated rectangular pulses and infrared bandwidth radiation to auricular acupuncture points. Treatment modes and points selection are selected depending on arrhythmia form. Stimulation type action applied to kidney or urinary bladder channels is selected in the cases of tachycardia. Inhibitory type action applied to points related to cardiac channels. In cases of bradycardia, stimulating type action is applied to points related to cardiac channels. Inhibitory action is applied to points related to kidney or urinary bladder channels. Reflexogenic therapy device has casing, physiological parameter transducer 1 connected to control unit 2, commutation unit 3, two pulse generators 4, at least two radiators 6 of infrared radiation and timer 5. The physiological parameter transducer is pulsating blood circulation phototransducer-photoreceiver pair for recording the number of heart beats when mounted on the concha of auricle. EFFECT: enhanced effectiveness of treatment. 2 cl, 4 dwg

Description

 The invention relates to medicine, namely to therapy, and can be used in the treatment of cardiac arrhythmias such as tachy- or bradycardia, not associated with pronounced organic changes in the heart.

 Known methods of treating cardiac arrhythmias associated with a sharp drop in heart rate by applying electrical impulses to the heart, for example, from an implanted pacemaker, while an artificial rhythm is imposed. In the presence of tachycardia, super-frequent stimulation or defibrillation is used, for example, from an implanted cardiovertor. The most commonly used pacemakers operating in the “on demand” mode (V.A. Frolov et al. Pathophysiological basis of therapeutic pacemaker. - M.: from the Peoples' Friendship University, 1986). Such a device consists of a physiological parameter sensor that records an ECG from the heart. The electrocardiogram-based control unit estimates the number of heartbeats (heart rate), and when the heart rate is above the critical level, the whole device works in observer mode, and when the heart rate drops below the critical level, the control unit activates a pulse generator, which sends electric pulses to the heart, makes it work with a given heart rate. However, the use of these methods of electrical exposure requires surgical intervention for the implantation of a pacemaker, which is associated with the risk of heart surgery.

 A known method of treating cardiac arrhythmias by exposure to needles on auricular acupuncture points (G. Luvsan. Traditional and modern aspects of Eastern reflexology. - M .: Nauka, 1986, p. 403). This method is taken as a prototype in part of the method.

 As a prototype, in the device part, a reflexotherapy device was taken, comprising a body, an element for influencing auricular biologically active points, a physiological parameter sensor connected to the control unit output, a needle and a needle holder (SU, copyright certificate 1018637, class A 61 H 39/00 , 1989).

 The method is as follows.

 Certain acupuncture points are affected by electromagnetic, modulated rectangular pulses, infrared radiation with a wavelength of 780-2500 nm, while the action is carried out on auricular acupuncture points with a constant frequency until the rhythm normalizes. With tachycardia, they have a stimulating effect on points associated with the canals of the kidneys or bladder, for example AP 95, 92, 23, and inhibitory effects on points associated with the heart channels, for example AP 100, 21, and with bradycardia they have a stimulating effect on points associated with the channels of the heart, for example AP 100, 21, and the effect of the inhibitory type on points associated with the channels of the kidneys and bladder, for example AP 95, 92, 23.

 All effects are carried out at a fixed frequency, and the stimulating effect is carried out in the frequency range of 15-30 Hz, mainly at 26-28 Hz, and the inhibitory effect is carried out in the frequency range of 6 to 9 Hz, while the stimulation is carried out in the mode of: 5-15 s - exposure and 30 s - a break, and the inhibitory effect is carried out in a continuous mode until the rhythm normalizes.

The average radiation power is 100-150 mW / cm ² .

 Specific exposure points associated with these channels are selected individually, based on the results of testing, for example, according to the text of Akabane (Portov F.G. Electropuncture reflexology, Riga, Zinatra, 1983, p. 103). Its essence lies in the fact that a specific point of each channel is affected by a point heat source, which sends heat pulses, for example, in time with the number of heartbeats. The number of such impulses from the beginning of exposure to a biologically active point (BAP) to the occurrence of the first pain sensations depends on the perception of BAP of a given channel and is representative of the energy and functional state of each channel.

 The method is based on the author’s studies, which showed that according to the Akabane test in patients with cardiac arrhythmias, there is an imbalance in the channels of the kidneys, bladder and heart, while tachycardia has a hyperfunction of the heart channels due to the weakening of the inhibitory effect from the kidney channels through destructive connections and with bradycardia, on the contrary, the heart channels are in hypofunction, and the channels of the kidneys or bladder are in hyperfunction.

 So, for example, with tachycardia caused by WPW syndrome and other reciprocal tachycardia according to the "reently" mechanism, the presence of hyperfunction of the heart channels is characteristic due to the weakening of the inhibitory effect on the destructive connections of the kidney channels, which control the main state of the hormonal systems of the body and are located in these patients in a hypofunctional state. Therefore, in treatment, in order to correct such an “energy imbalance”, it is necessary to slow down the heart channel and excite the channels of the kidneys or bladder.

 In bradycardia, caused, for example, by sinus weakness syndrome, studies using the Akabane test showed the opposite situation. So, the channels of the kidneys and bladder are in a state of hyperfunction and, according to destructive connections, have a pronounced inhibitory effect on the heart channels, leading them to hypofunction with low energy according to the test and bradycardia in the clinic. In these conditions, to normalize the condition, it is necessary to stimulate certain channels of the heart and inhibit the channels of the kidneys or bladder.

 It should be noted that according to modern concepts, along with corporate acupuncture points, which are, as a rule, classic channel points, there are duplicate points combined into certain microcircuits. For example, the point system on the foot has access to all organs and classical channels, which are widely used in stop therapy. A similar system of active points on the hands is used in Su-Jok therapy. Auriculotherapy is based on the impact on the ear points, which also have direct connections with the main organs and physiological systems and their channels. Thus, all these microsystems, as it were, duplicate the main channel macro-system, presenting the possibility of additional entry into it through the most accessible parts of the body (ears, hands, feet), which are least protected from various natural factors. In this case, for example, the auricular BAP AP 23 (i.e., the ovary) is involved in the regulation of sex hormones and is therefore associated with the channel of the bladder (V), which has a similar regulation function and is included in the heading “water”. Thus, this auricular point can be used as a point of influence on a given channel and its hormonal function.

 Examples of specific performance of the method.

 Example 1. Patient K., born in 1948 Diagnosis: sick sinus syndrome, brady form. Sick for 3 years. Complaints of a rare pulse up to 40 beats / min, accompanied by weakness and dizziness. EFI from 10/06/92 - sinus rhythm with a heart rate of 50 beats / min. VVFSU - 1550 Moscow time., KVVFSU - 350 Moscow time. Wenckenbach melancholy - 130 imp / min. ECHO-KG: left atrium - 3.6 cm, Ec = 38%, Ep = 69%, moderate myocardial hypertrophy.

 Against the background of complaints of weakness, dizziness and a rare heart rate of 40-45 beats / min, the Akabane background test was conducted with subsequent exposure (see table. 1).

During the initial testing, a high degree of hypofunction with asymmetry along the heart channel on the right (Co) in the presence of hyperfunction of the left kidney channel (P) attracted attention. Similar typical for this patient changes in the tests were observed with other similar bradycardic crises. The therapeutic effect of modulated incoherent IR radiation with a wavelength of 750-2500 nm at a power density of 100 mW / cm ^{2 of the} exciting type was carried out through the left ear on the AP 100 (i.e. heart) with a modulation frequency of 28 Hz in 5 s mode - exposure and 30 s - a break. At the same time, on the left ear, a braking effect on the channel point was almost (AP-95), similar to an IR emitter at the same power, but at a modulation frequency of 9 Hz constantly. After 4 minutes, heart rate reached 55 beats / min and exposure was discontinued. After 15 minutes - heart rate 62 beats / min. HELL 135/80 mm Hg In the control test, the indicators of the kidney and heart channels on the right and left sides leveled off. After this exposure, a steady heart rate of at least 60 beats / min was observed for 20 hours.

 Example 2. Patient C., 37 years old. Complaints of periodic heartbeats for 2 years. Diagnosis: Hidden Wolf-Parkenson-White Syndrome (WPW). Orthodromic tachycardia, mitral valve collapse. Electrophysiological studies of the heart: Wenkenbach point - 166 imp / min, additional conducting along the Kent beam ECHO-KG PL - 3.8 cm, RV - 4.3 cm, Eph - 75%. According to Holter monitoring, against the background of heart rate of 60-70 beats / min, paroxysms of orthodromic reciprocal tachycardia with heart rate of 180-210 beats / min, lasting 30-60 s are noted.

 In the morning, short paroxysms of tachycardia were noted. At 10 hours and 30 minutes against the background of these attacks, the Akabane test was performed, and then the therapeutic effect (see table. 2).

According to preliminary testing, before exposure, there was a hyperfunction with asymmetry in the left channel of the heart (C) and pericardium (MC) in the presence of severe hypofunction in the left channel of the kidneys (R) and the bladder (V). A similar situation according to the data of earlier dynamic testing was with previous crises. The exposure was carried out on the inhibitory left ear on AP-21 (a point of the cardiovascular system associated with the pericardial canal on the left) and on AP-100 (the left point of the heart) with incoherent infrared radiation with a wavelength of 780-2500 nm with a constant modulation frequency of 6 Hz in continuous operation with a power density of 100 mW / cm ² . The stimulating effect was performed on the kidney point (AP-95 on the left) and the ovary point (AP-23 on the left), connected to the bladder channel by a similar IR diode at a power of 150 mW / cm ² , at a modulation frequency of 26 Hz in the mode: 15 s - exposure and 30 s - a break. According to ECG monitoring, no paroxysms have been observed since the start of the procedure. With a decrease in heart rate below 65 beats / min, the effect was stopped. Its total duration was 8 minutes. The absence of paroxysms was noted within 5 hours. According to the control test Akabane 15 minutes after the cessation of exposure, alignment of the right and left indicators of the heart channels, pericardium of the bladder and kidneys was noted, which leads to the resulting clinical effect.

 To implement the method, a device is proposed in the form of a clip mounted on the ear, which includes a pulse sensor unit, a control unit, a switching unit, two generators for fixed frequencies and two emitters located opposite the selected points, as well as a timer. The pulse sensor unit is made in the form of a pulse blood supply photodetector-photodetector pair mounted on the auricle for recording the number of heartbeats connected to the control unit input, while the input of the switching unit is connected to the outputs of the control unit, pulse generators and timer, and the output of the switching unit is connected to IR emitters.

 The device operates in automatic mode on the principle of feedback with a heart rate sensor (HR) for pulse blood circulation of the earlobe and IR emitters installed opposite the selected auricular points.

 The device implements the "on demand" operating mode and can be programmed for a specific operating mode.

 The fundamental difference between the proposed device and the known one is that implantation of the heart rate sensor in the patient’s heart is not required. The device works by registering a pulse blood supply to the kidney of the ear.

 In FIG. 1 and 2 schematically represent models of the relationship of the channels with tachy and bradycardia; in FIG. 3 is a block diagram of the proposed device; in FIG. 4 - the same, in the form of a decorative clip and placement on the patient’s ear.

 FIG. 3 is a block diagram of the proposed device, which contains a heart rate sensor unit 1, the signal from which is fed to a control unit 2 connected to a switching unit 3, to which generators 4, a timer 5 and IR emitters 6 are mounted opposite the selected auricular points.

 The device operates as follows. A device made in the form of a decorative clip (Fig. 4) is placed on the earlobe, in which a number of blocks are placed. The heart rate sensor unit 1 can be performed, for example, on the basis of a photosensor of pulse blood supply to the earlobe and consists of a light source in the form of a light bulb mounted on one side of the earlobe and a photodetector, for example, based on a photodiode. During the pulse blood filling of the lobe, its optical transparency changes and, therefore, the current passing through the LED changes, which leads to the operation of the comparator or Schmitt trigger, which sends signals to control unit 2 in time with the heart rate. In control unit 2, these signals are analyzed in frequency. The norm corridor can be set in the range from 60 to 90 beats / min. If the heart rate exceeds 90 beats / min, a command is sent to switch 3, by which a transition from the monitoring mode to the exposure mode with the inclusion of generators 4 occurs. Moreover, in this situation, the generator 4 of the exciting effect with a frequency, for example, 26 Hz, is connected to switch 3 The IR LED 6, which is placed against the point AP 95 (channel of the kidneys) and starts to work according to a specific program (15 s - stimulation, 30 s - break), which is set by timer 5. The brake generator with a radiation frequency of 7 Hz in this case is loaded on sv todiod 6 disposed against point AP 100 (Heart point) and operates constantly, providing a sedative effect on heart rhythm normalizing channel to a boundary specified frequency range.

 In the case of bradycardia with a heart rate of 60 beats / min, to normalize the condition, it is necessary to stimulate the heart channel, for example, through point AP 100, and inhibit the kidney channel, for example, through point AP 95. Therefore, when heart rate is less than 60 beats / min, control unit 3 gives another command , in which the stimulating generator is loaded on the LED located opposite the AP 100, and the braking effect is carried out by the LED on the point AP 95.

 The location of the device and the choice of specific points are determined by the results of preliminary testing and depend, as a rule, on the specific form of the disease. So, with tachycardia caused by P syndrome, according to our data, it is advisable to affect the left ear, since on the left there is a big difference in the performance of the heart and kidney channels. The device operates in the "on demand" mode and may have micro-connectors for its reprogramming to other modes. IR LEDs are installed on flexible wire bases, which allows you to change their location, adjust to the individual contours of the ear.

Claims (2)

1. The method of correction of cardiac arrhythmias, not associated with organic disorders, by exposure to auricular biologically active points, characterized in that the exposure is carried out by electromagnetic, modulated by rectangular pulses, infrared radiation with a wavelength of 780 - 2500 nm at a power density of 100 - 150 mW / cm ² with a constant frequency of exposure until the rhythm normalizes, while with tachycardia, a stimulating effect is exerted on the points associated with the channels of the kidneys or bladder, and the action of the inhibitory type on points associated with the channels of the heart, and with bradycardia, a stimulating effect on the points associated with the channels of the heart and the effect of the inhibitory type on the points associated with the channels of the kidneys or bladder, with a stimulating effect in the range of 15-30 Hz in the mode of 5 - 15 s exposure and 30 s break, and the inhibitory effect is carried out in the frequency range of 6 - 9 Hz in the mode of constant exposure until the rhythm normalizes.  2. Device for reflexology, comprising a housing, an element for influencing auricular biologically active points, a physiological parameter sensor connected to the input of the control unit, characterized in that it additionally contains two pulse generators, at least two infrared emitters and a timer, the physiological parameter sensor is made in the form of a pair of a photosensor - a pulse blood filling photodetector installed on the auricle to record the number of heart contractions, the the switching unit is connected to the outputs of the control unit, pulse generators and a timer, and the output of the switching unit is connected to infrared emitters.

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