RU2141854C1 - Method of treatment of nail fungus diseases - Google Patents

Abstract

FIELD: medicine. SUBSTANCE: method includes removal of nail plate, antibacterial treatment of nailbed and its therapy. Nailbed is coated with dilixide-containing compound with alternation of its composition. Area of growing nail rear wall and root is exposed to supersonic- frequency currents. Generally-strengthening and antimycotic therapy is selected by means of electric puncturing diagnostics by method of R.Foll. Type of fungous infection is determined by nosodes. Then bioresonance therapy is carried out with aid of homeopathic and organic preparations. EFFECT: reduced terms of treatment. 3 cl, 1 ex

Description

 The invention relates to medicine and can be used to treat fungal diseases of the nails of the feet and hands.

 Fungal diseases of the nails (onychomycosis) are epidemiologically unfavorable, and, according to the WHO, approximately every fifth inhabitant of the Earth suffers from this disease. Effective treatment of ichychomycosis is an important and urgent problem, which also helps to prevent allergic, bacterial and viral complications.

 There are two main methods of treating this ailment: systemic and complex. Systemic treatment is based on the use of drugs, for example, from the group of triazoles (Orungal), but it is not free from side effects. Comprehensive treatment includes removal of nails or their treatment with appropriate drugs, mainly external. The choice of the latter is determined by the type of fungus and the degree of damage. Thus, from the publication of the invention (WO 9636311, A 1, Hoechst Akt., A 61 K 7/43, 11/21/96) there is a known method for treating onychomycosis using varnish with glycerol triacetate to create a plate on the nail. However, thermostat conditions are created under the film, which disrupts the metabolism and leads to the multiplication of spores of other types of fungi. In another invention (WO 9625162, A 1, Boehringer., A 61 K 31/505, 08/22/96), the use of pyromidine halogenate is recommended. However, this substance is toxic and does not provide a sufficiently deep penetration into the tissues. The gel form of thioconazole (EP 0711140, A1, Pfizer Inc., 05/15/96) does not have a broad effect on yeast species of fungi and has a very weak effect on the main dermatophyte (red trichophyton).

 There is a method of treating onychomycosis, including removing the affected nail plate under local anesthesia, separating and removing horny layers from the nail bed, treating the nail bed with antimycotic and antiseptic properties and treating the nail bed mycosis with antifungal drugs (see invention SU 1011115 A, Bormotov et al. .A 61 B 17/00, 04/15/83). In this method, the nail plate is softened with a fungicidal-keratolytic patch, and local anesthesia is performed by anesthesia of the entire finger with the application of a tourniquet. A modification of this method is described with the removal of the affected nail nonsurgically with local anesthesia. Anesthesia is carried out by chipping a nail plate from four angles, and then a specially prepared hemostatic collagen sponge is applied to the nail bed. Antifungal agents (for example, undencinic acid), as well as wound healing preparations (methyluracil) can be introduced into the sponge (see summary of patent application RU 92007102, Bormotov, A 61 K 38/39, 02.20.95; Bormotov V.Yu. Outpatient treatment of patients with onychomycosis due to red trichophytone, abstract of Cand. diss., CCVI Ministry of Health of the USSR, M., 1983, p. 12-14).

 The closest analogue of the patented invention in technical essence and the achieved result is a method of treating onychomycosis (Postnikova O.A., Bormotov V.Yu., Samokhin A.V. Combined use of homeopathy, bioresonance therapy and allopathic systemic drugs in the treatment of onychomycosis, III International Conference "Theoretical and clinical aspects of the use of adaptive bioresonance and multiresonant therapy." Abstracts and reports. - M .: Imedis, 1997, p. 246 - 252).

 The method involves removal of the nail plate, cosmetic cleaning and treatment of nail bed mycosis using antifungal compositions, conducting electropuncture diagnostics according to the R. Voll method to identify meridians corresponding to the localization of affected nails, and choosing drugs for general strengthening and anti-inflammatory therapy, confirming the type of fungal infection by nosodes while general strengthening and anti-inflammatory therapy is carried out by the method of bioresonance therapy with exposure to the points identified meridians with nosodes corresponding to the type of fungal infection, homeopathic preparations and organ preparations until the restoration of the function of the meridians and the associated trophism of the nail plates.

 However, the effectiveness of the known method can be increased, and the duration of outpatient treatment of onychomycosis is reduced, which is the technical result of the invention.

The technical result is ensured by the fact that after removal of the nail plate, antibacterial treatment of the nail bed is carried out, and the antifungal composition includes three compounds in which the dimexide content decreases from the first to the third, the compositions alternate weekly with the following components, wt.%:
The composition of the first composition
Dimexide - 62.0 - 65.0
Pyrogallol - 10.0 - 15.0
Salicylic Acid - 8.0 - 12.5
Distilled Water - Else
The composition of the second composition
Dimexide - 55.0 - 60.0
Crystalline phenol - 7.5 - 12.0
Amyl acetate - 4.5 - 6.0
Tricresol - 8.0 - 10.0
Distilled Water - Else
The composition of the third composition
Dimexide - 40.0 - 50.0
Resorcinol - 6.0 - 8.5
Undecylenic acid - 7.5 - 13.0
Boric acid - 1.0 - 1.5
Acetone - 4.5 - 5.5
Ethyl alcohol - 8.0 - 12.0
Amyl acetate - 4.5 - 5.0
Distilled Water - Else
At the same time, supratonal frequency currents from the Ultraton-AMP apparatus are additionally applied by means of a surface electrode applied to the area of the posterior roller and the root of the nail through a gauze layer, the effect is carried out for 2-3 minutes on each nail bed, three courses of 10 sessions are carried out each with a break between courses of 1 month.

 The method may be characterized in that the antibacterial treatment of the nail bed after removal of the nail is carried out by applying a hemostatic collagen sponge to the nail bed.

The method can also be characterized by the fact that the antibacterial treatment of the nail bed after removing the nail is carried out by lubrication with Fukortsin solution, followed by filling with powder, with the following components, wt.%:
Chinosol - 2.0 - 3.0
Dermatol - 7.0 - 8.0
Streptocide - Other
The basis of the invention are the following premises. As established as a result of long-term in-house research, the largest percentage of fully recovering while reducing trauma is provided by a patented complex of medical procedures, selection of medications and treatment strategies. The invention proposes a new set of features that allows to reduce the drug load inherent in allopathic treatment, using both external means (powders and solutions), and means detected by electroacupuncture diagnostics according to the R. Voll method. These include nosodes, organ preparations, homeopathic medicines. A set of signs is complemented by physiotherapy with currents of supratonal frequency.

 So, the patented method provides for the implementation of several teaching methods.

 First, a physiotherapeutic effect is carried out with supratonal frequency currents (ultratonotherapy) using, for example, the Ultraton-AMP apparatus (see Yu.V. Gavinsky, Ultratonotherapy, Biysk, 1993). The exposure is carried out by mild or moderate heat by means of a surface electrode superimposed on the area of the posterior roller and the root of the nail.

 To stabilize the gap between the electrode and the patient’s body in the area of the occurrence of the corona discharge (discharge gap), a gauze layer is used. The specified mode allows you to activate the process of tissue regeneration, to provide local effects on the fungal infection, as well as to activate the growth of a new nail plate.

 Secondly, the diagnosis by the method of R. Voll allows us to identify pathological values of the measuring level on the meridians corresponding to the localization of the affected nails, especially with persistently recurring mycoses. In addition, R. Foll’s diagnosis allows testing the patient’s individual susceptibility to prescribed antimycotic prescriptions, as well as selecting the necessary nosodes, organ preparations and homeopathic remedies that enhance the patient’s immune status (see, for example, the manual “Nosodes - the most important therapeutic agent”, per from German, IPC of the Ministry of Health of the Russian Federation, Department of Electropuncture Medicine and Homeopathy, Hephaestus Publishing House, Rostov-on-Don, 1992 / on the cover of 1993 /).

 Bioresonance therapy (BRT) can be successfully used if the nosode detected by the R. Voll method is prescribed by BRT.

Thirdly, after removal of the nail plate, two options for processing the nail bed are used, completely excluding the development of wound infection:
a) with the application of a hemostatic collagen sponge, for example, the brand “Kambutek-2” (M. D. Mashkovsky, Medicines, vol. 2, M .: Medicine, 1993, p. 98);
b) with treatment with Fukortsin solution (see ibid., p. 470) and subsequent filling of the nail bed with bactericidal-fungicidal powder based on quinosol, dermatol and streptocide.

 Example. Patient L., 36 years old, turned to the office about a change in the nails of the feet and hands. Clinical examination: on the limbs there are flaccid bubbles the size of a penny coin of a pale pink color, on the feet flaking of the soles with areas of hyperkeratosis, the nail plates are thickened, deformed, yellow, pronounced subungual hyperkeratosis. Microscopic examination of the nails revealed filaments of mycelium, a culture-red trichophyton. The treatment was carried out according to the claimed method with the removal of the nails of the feet.

 Medical preparation of the patient was carried out, the affected nail plate and periungual tissue were treated with a weak iodine solution. Local anesthesia was performed, anesthetic (lidocaine) was introduced at four corner points around the nail. After the onset of anesthesia, the affected nail plates were removed along with the root by introducing the lower jaw of the anatomical tweezers under the nail plate and lifting its proximal angles. Then on the nail bed impose hemostatic collagen sponge "Kambutek-2". The sponge was left for seven days, and after its removal, the mycosis of the nail bed was treated by applying antifungal compositions of the indicated compositions to it, periodically replacing them weekly according to the above scheme and cleaning the root bed.

 At the same time, a physiotherapeutic effect is prescribed by supratonal frequency currents directly on the area of the posterior roller and nail bed using the Ultraton-AMP apparatus. The exposure is carried out sequentially for each of the treated nail beds for 2 minutes. Three courses of 10 procedures were conducted with a break between courses of one month.

 Using testing by the method of R. Voll, abnormal indicators were determined: on the endocrine meridian, point 1c (pancreas) on the left. In addition, “low” indices were found on the meridians of the large intestine, nervous degeneration, blood circulation, allergies, EPD, and gall bladder. "High" values are determined on the meridians of connective tissue degeneration, kidney and bladder.

 For BRT, corporal and distal points of the meridians corresponding to the affected nail plates of the feet and hands were used to correct disorders diagnosed by the R. Voll method (the leading meridian in this patient is the endocrine system meridian). The method of multiple loads using disharmonic vibrations (D-vibrations) with the Trichophyton ruber nosode recorded from the Imedis cassette was used. The medicinal product was recorded against the background of the abolition of D-oscillations. Homeopathic preparations recorded on a carrier were used in the treatment: Calcarea carbonic 6 in alternation with Calcium fluoric 6, Alumin 6, Arsenicum album 6, organ preparation "Tumor" by Heel. As a result of the combined treatment, peeling on the skin of the feet disappeared, the nails grew dense, even. During the control study of nails and skin, the foot elements of the fungus were not found.

 The patented method for the combined treatment of onychomycosis with several factors, including the described treatment of nails and nail beds with medicinal substances in combination with drug therapy according to the R. Voll method and the physical effect of ultratonotherapy, is characterized by a new set of features and satisfies the conditions of patentability, since a causal effect has not been disclosed in known sources connection "distinctive features - the achieved result."

Claims (3)

1. A method for the treatment of fungal diseases of the nails, including removal of the nail plate, cosmetic cleaning and therapy of mycosis of the nail bed using antifungal compositions, conducting electropuncture diagnostics according to the R. Voll method to identify meridians corresponding to the localization of affected nails, and choosing drugs for general strengthening and anti-inflammatory therapy , confirmation of the type of fungal infection by nosodes, while general strengthening and anti-inflammatory therapy is carried out by the method of bioresonance tera FDI with exposure to the points of the identified meridians with nosodes corresponding to the type of fungal infection, homeopathic preparations and organ preparations until restoration of the function of the meridians and the associated trophism of the nail plates, characterized in that after removing the nail plate, the antibacterial treatment of the nail bed is carried out, and the antifungal composition includes three compositions in which the content of dimexide decreases from the first to the third, the compositions alternate weekly with the following content of components, wt.%:
The composition of the first composition
Dimexide - 62.0 - 65.0
Pyrogallol - 10.0 - 15.0
Salicylic Acid - 8.0 - 12.5
Distilled Water - Else
The composition of the second composition:
Dimexide - 55.0 - 60.0
Crystalline phenol - 7.5 - 12.0
Amyl acetate - 4.5 - 6.0
Tricresol - 8.0 - 10.0
Distilled Water - Else
The composition of the third composition:
Dimexide - 40.0 - 50.0
Resorcinol - 6.0 - 8.5
Undecylenic acid - 7.5 - 13.0
Boric acid - 1.0 - 1.5
Acetone - 4.5 - 5.5
Ethyl alcohol - 8.0 - 12.0
Amyl acetate - 4.5 - 5.0
Distilled Water - Else
at the same time, they carry out additional exposure to supratonal frequency currents from the Ultraton-AMP apparatus by means of a surface electrode applied to the area of the posterior roller and the root of the nail through a layer of gauze, the effect is carried out for 2 to 3 minutes on each nail bed, three courses of 10 sessions are carried out each with a break between courses of 1 month.  2. The method according to claim 1, characterized in that the antibacterial treatment of the nail bed after removing the nail is carried out by applying a hemostatic collagen sponge to the nail bed. 3. The method according to claim 1 or 2, characterized in that the antibacterial treatment of the nail bed after removing the nail is carried out by lubrication with a solution of "Fukortsin", followed by filling with powder at the following components, wt.%:
Chinosol - 2.0 - 3.0
Dermatol - 7.0 - 8.0
Streptocide - Else