RU2266759C2 - Method for treating tobacco addiction - Google Patents

Abstract

FIELD: medicine, psychotherapy.

SUBSTANCE: the method combines an interrogation and psychotherapeutic discussion. Then, at the first stage a patient has got a habit to breathe at signals at their length corresponding to signal of respiratory training equipment: inhalation 2-3 sec, expiration 3-4 sec and pause 3-4 sec. From training to training it is necessary to decrease air volume used for inhalation. On training the algorithm of patient's breathing it is necessary to carry out the second stage in case of patient's comfort state. It should last for about 3 h daily. During the second stage one should decrease air volume necessary for inhalation-expiration cycle up to 0.2-0.1 l. At achieving the duration of control pause of respiration being 60-90 sec it is necessary to start the third stage to maintain the following algorithm of respiration: inhalation 2-3 sec, expiration 3-4 sec, pause 3-4 sec. At air volume necessary for inhalation at the state of rest being 0.2-0.1 l one should conduct control pause being equal to 60-90 sec as a standard. In case of deviation trainings should be performed at the volume to restore the control value. The innovation helps to get rid of tobacco smoking due to saturating patient's blood with carbonic acid.

EFFECT: higher efficiency of therapy.

1 cl, 2 ex

Description

The method relates to medicine and can be used both independently and / or as an addition to the known methods of treating tobacco dependence.

Known methods for the treatment of tobacco dependence (smoking) based on drugs, herbal medicine, reflexology, psychotherapy (1, 2, 3,4, 5).

A disadvantage of the known methods is the lack of an alternative to smoking in relation to the compensation of hemogypocarbia, as a rule, concomitant smoking and compensated by smoking; lack of orientation of methods for preventing the onset of smoking.

The closest way to the claimed one is a method of treating tobacco dependence, including cigarette smoking, the treatment is carried out in four stages: the first stage is a survey and psychotherapeutic conversation, the second stage is a meditative trance with suggesting a negative reaction to inhalation of tobacco smoke, the third stage is extrasensory exposure to increase associative susceptibility, the fourth stage is an aversion one with smoking one cigarette with a deep breath and irrigation of the oral cavity with a special composition of medicinal products units, treatment is carried out once a day, a course of two days.

A disadvantage of the known method for treating tobacco dependence is the lack of an alternative to smoking as a method of compensating for hemogypocarbia; lack of orientation of the method for the prevention of smoking.

The objective of the proposed method for the treatment of tobacco dependence is to create a harmless alternative to smoking.

The task is realized by the fact that in a method that includes cigarette smoking, interviewing and psychotherapeutic conversation, smoking is quit on the basis of replacing the patient’s blood saturation with carbon dioxide in the process of smoking with a method of blood saturation with carbon dioxide to a physiologically sound norm by volitional elimination of deep breathing (VLD) according to a specific program in 3 stages, at stage 1, the patient is introduced to the theory and practice of VLDG, at stage 2, the training volume is brought up to 3 hours a day and completely abandon abakokureniya, when the control pause size 60-90 seconds and stable reflex breathing rhythm of the breathing exerciser proceeds to the third stage, i.e. From time to time, trainings are carried out in order to maintain the breathing algorithm provided for by the VLGD technique at the conditioned reflex level.

When using the method for the prevention of tobacco, it excludes cigarette smoking.

The method is as follows.

1. At the first stage, the patient gets acquainted with the theory of strong-willed elimination of deep breathing, comprehends the concept of hemogypocarbia as applied to his case, and forms a psychological framework for replacing the barbaric way of saturating blood with carbon dioxide as a result of smoking by an alternative, civilized method - that is, through volitional elimination of deep breathing; gets used to breathing under the signals of the breathing simulator (6), i.e. takes a breath, corresponding in duration to the simulator signal for 2-3 seconds, likewise exhales for 3-4 seconds and pauses before the next breath for 3-4 seconds, then everything is repeated until the simulator is turned off. At the first stage, smoking is allowed. The stage ends after the patient has mastered the breathing algorithm in the rhythm set by the breathing simulator when the patient is in a fairly comfortable state during the training.

2. The second stage of training is multi-stage, the amount of training per day should be about 3 hours and consists in gradually, from training to training, reducing the volume of air used for inhalation and bringing it to a volume of 0.2-0.1 liters or less in a state peace. At the second stage of training, the habit of breathing according to the algorithm is inhaled for 2-3 seconds, exhaled 3-4 seconds and a pause 3-4 seconds with a minimum amount of air used for the inhalation-exhalation cycle to the state of conditioned reflex. At the second stage, tobacco smoking is completely abandoned. Desire in smoking is compensated by breathing training. The second stage can be considered completed when the following condition is met.

The concentration of carbon dioxide in the patient's blood has reached the norm, i.e. 6.5%, which is determined empirically by the control pause, and its duration should be 60-90 seconds.

The technology for measuring a control pause is as follows. Sit on a chair directly, legs on the floor, without crossing, relax all the muscles of the body, without any preparation, i.e. without deep breaths and deep exhalations, take a regular exhale and stop breathing. Do not breathe as much as you can, but so that after this pause, the inhalation would be normal, i.e. as before the pause. How many seconds did not want to breathe without discomfort - this is a control pause. The pause time interval with a severe lack of air without deepening the inspiration is the maximum pause. If, after a pause, the patient begins to breathe frequently and deeply, this is breath holding and is strictly prohibited. With a control pause of 60-90 seconds, the carbon dioxide content in the patient's blood corresponds to the norm, i.e. 6.5%, and he can switch to supportive training, i.e. to the third stage.

3. The third stage of the implementation of the method for the prevention and treatment of tobacco dependence is to maintain the concentration of carbon dioxide in the patient’s blood at a normal level, i.e. 6.5% by maintaining the breathing algorithm, inhale for 2-3 seconds, exhale for 3-4 seconds and pause for 3-4 seconds with the volume of air used for inhalation at rest, equal to 0.2-0.1 liters or less at the conditional level reflex. To do this, it is enough from time to time to measure your control pause and compare the actual breathing algorithm with the theoretical one, i.e. simulator signals. If the value of the control pause deviates from the norm (60-90 sec) to a smaller side and the breathing algorithm does not correspond to the theoretical one, they carry out maintenance training in the amount of a restoring control pause.

Replacing tobacco smoking, as a way of compensating for the lack of carbon dioxide in human blood, by a civilized way of compensating for hemogypocarbia by means of strong-willed elimination of deep breathing, significantly changes blood biochemistry and normalizes it. On this basis, metabolism is normalized and the body restores itself.

1. Clinical example.

Patient V., 52 years old, sick for 5 years, complaints of pain behind the sternum while walking at a distance of 200-300 m, smoking experience 32 years, smokes up to 1.5 packs of cigarettes per day.

According to the results of ECG monitoring and bicycle ergometry, the 2nd functional class of coronary insufficiency was confirmed. When spirographic examination revealed a moderate violation of the function of external respiration in a mixed type. The control respiration pause was 7 seconds. The patient was aware of the need to stop smoking, but could not refuse on his own.

After appropriate psychotherapeutic training, he began regular training on the voluntary elimination of deep breathing according to the described method using a breathing simulator. At the initial stage, the patient’s condition after quitting smoking was accompanied by the preservation of the 2 functional class of angina pectoris, hyperventilation syndrome, hypocarboxymia manifested itself. Antianginal therapy with β-blockers was increased. Regular training in volitional elimination of deep breathing in the 2nd stage allowed, within 3 months, to reduce the dose of antianginal drugs, completely refuse to take nitric oxide donors, suppress the manifestations of hyperventilation syndrome, the value of the control pause increased to 30 seconds. Thus, tobacco dependence was overcome against the background of an improvement in the general condition of the patient.

2. Clinical example.

Patient Sh., 48 years old, smoking experience 30 years, in recent years smokes up to 2 packs of cigarettes per day. Complaints of persistent cough with purulent sputum up to 30 ml per day, general weakness and fatigue.

An examination revealed that the patient’s condition as a whole is determined by excessive smoking, with obvious signs of hemogypocarboxy. The control pause after exhalation was 5 seconds. The patient was informed about the dangers of smoking and offered to quit smoking in a gentle manner. That is, gradually abandon smoking and switch to a civilized way of saturating one’s own blood with carbon dioxide based on the voluntary elimination of deep breathing.

On the 10th day after the start of regular training, the patient stopped smoking. After 2 months of training, the patient's condition was stable, they managed to smooth out the symptoms of bronchitis, suppress the manifestation of hyperventilation syndrome, increase the size of the control pause to 20 seconds.

Sources of information

1. N.F. Gerasimenko, A.K. Demin. Shaping tobacco policy and public health in Russia, Moscow, September 2002, 242 pp.

2. Application for RF Patent No. 2002111602. A method for the treatment of tobacco dependence, published December 10, 2003, IPC A 61 M 21/00 (prototype).

3. RF patent No. 2145888. A method for the treatment of alcoholism and / or smoking, published 2000.02.27, IPC A 61 M 21/00; A 61 H 39/00; A 61 K 31/00.

4. RF patent No. 2210396. A method for the treatment of drug and / or nicotine addiction. IPC A 61 M 21/00, published 2003

5. RF patent No. 2199329. A method for the treatment of smoking, IPC A 61 K 35/78, published 2003.02.27.

6. Utility Model Certificate No. 14445, MKI A 61 F 5/08, published July 20, 2000.

Claims (2)

1. A method of treating tobacco dependence, including a survey and psychotherapeutic conversation, characterized in that at the first stage the patient gets used to breathing under the signals, the duration of which corresponds to the signal of the respiratory simulator: inhalation 2-3 s, exhale 3-4 s and pause 3-4 s decreasing from training to training the volume of air used for inhalation, and after the patient has mastered the breathing algorithm in the rhythm set by the breathing simulator, when the patient is comfortable, the second stage is carried out, which is about three hours a day, during which The volume of air used for the inhalation-exhalation cycle is up to 0.2-0.1 L and, when the size of the control respiration pause of 60-90 s is reached, they proceed to the third stage, in which the breathing algorithm is supported: inhalation 2-3 s, exhale 3-4 s, pause 3-4 s with the volume of air used for inhalation at rest, 0.2-0.1 l, conducting a control pause equal to the norm of 60-90 s. 2. The method according to claim 1, characterized in that in the event of a deviation in the value of the control pause from the norm, training is conducted in a volume that restores the control value.