RU2327443C1 - Method of nonpsycophathic depression therapy - Google Patents

Abstract

FIELD: medicine; psychiatry.

SUBSTANCE: tranquilizers, antidepressants, homeopathic agents of sedative and antidepressant action. Autogenic training, rational, hypnosuggestive family and sexual psychotherapy are applied. Surface multi-needle acupuncture, transdermal electric stimulation of nerves, pressure point and deep massage of cervicocollar area, back, lumbosacral and gluteal region, abdomen and anterior chest are applied. Acupuncture, thermal and infrared light puncture to auricular and corporeal median points of heart, lungs, pericardium, liver, pancreatic gland, small and large intestine, triple heater, gallbladder, anterior and posterior median meridians is performed considering modifications detected by pulse and acupuncture diagnostics. Corporeal points are magnet laser punctured. Colour and musical therapy are applied.

EFFECT: reduced therapy time and prolonged remission.

2 ex

Description

The present invention relates to medicine, namely to psychotherapy and psychiatry, can be used in the treatment of borderline mental disorders in adults.

The relevance of the invention follows from the analysis of the prevalence of depression in the population (3.2% in women and 1.9% in men) and in general medicine (22-23%), its conjugation with the risk of suicide (15%), a significant impact on the quality of life and adaptive capabilities of patients (Smulevich AB Depression in somatic and mental diseases. - M., 2003. - S.14-17). About 340 million people suffer from depression in the world (Ruch AJ Vagus nerve stimulation (VNS) for treatment - resistant depression: a multicenter study // Biol. Psychiatry / - 2000 / - Vol.47. - No. 2. - P.276-282 ) According to J. Costa-e-Silva (Facing depression // Editorial. WPA Teaching Bulletin on Depression. - 1993. - No. 1. - P.11), from 60 to 90% of patients with depression turned to internists and increased the number of "difficult" patients who underwent numerous expensive and repeated examinations and consultations of various specialists, prolonged and ineffective treatment.

Depression worsens the course of somatic diseases and can provoke their occurrence (Smulevich AB, 2003. - P.18). The effectiveness of the treatment of this pathology, according to most authors, is insufficient and depending on the type of antidepressant is 63.9-93.8%.

A known method of treating depression of a non-psychotic level with deprim (Tochilov V.A. Experience in treating depression with deprim. // Journal of Neurology and Psychiatry. - 2000. - No. 3. - P.63-64).

The disadvantage of this method is the lack of effectiveness (significant improvement - 59.4%, moderate improvement - 34.4%, overall positive result - 93.8%), long periods of treatment (6 weeks) and the presence of complications in 21.9% of patients.

Closest to the claimed is a method of treating depression with acupuncture (Georges Soulier de Moran Chinese acupuncture: Translated from English. - M .: "Balbe", 2005. - T.V. - P.90). Referring to ancient Chinese authors, he gives the following acupuncture points: IG-2, IG-3, GI-11, P-5, TR-10, TR-12, V-63, F-2, E-41, R- 1, RP-8, V-56, VB-36, T-18 (according to the international classification - T-19), T-14 (T-15), VB-19, V-5, IG-18, T- 23, T-7, VG-1.

The author also gives points for the treatment of individual symptoms of depression: frequent groans - C-5; instability, fall - VB-17; indignation, vomiting - VG-18 (VG-19); loss of voice - IG-18; internal headache - V-53; increased irritability - T-20, VB-20, V-10, VB-21; V-38; J-15; C-1; desire for silence - E-14; desire to retire - R-6; indifference to loved ones - R-45; sadness - VG-25 (VG-26), R-3; sadness - S-9, T-18; fear - C-9, C-5; tears - MS-7, E-41; sobbing - P-5, VB-15, RP-15; desire to kill oneself - V-13, T-15; desire to die - F-2, J-6.

The disadvantage of this method is the lack of a specific treatment regimen for depression, data on the number of treated patients, immediate and long-term treatment results.

Given the fact that depression is only a syndrome of a certain mental disorder, in order to achieve high effectiveness in its treatment it is necessary to treat the underlying disease at the same time, i.e. neurotic disorders.

The main objectives of the invention:

- development of a clear scheme for integrated therapy for depression;

- reduction of treatment time and increase its effectiveness;

- restoration of social and labor adaptation of patients with depression;

- improving the quality of life of patients.

The essence of the invention is the integral therapy of depression of a non-psychotic level, including the use of acupuncture, characterized in that daily pulse and acupuncture diagnostics determine the functional state of the body; prescribe tranquilizers, antidepressants, homeopathic drugs of sedative and antidepressant effects; they use auto-training, rational, hypnotic family and sexual psychotherapy to harmonize interpersonal relationships and sex life, as often as possible, ideally daily with an orgasm in a woman and without ejaculation in a man; produce superficial multi-needle acupuncture, percutaneous electroneurostimulation, acupressure and deep massage of the cervical-collar zone, back, lumbosacral and gluteal regions, abdomen and anterior chest; use acupuncture:

in the 1st, 6th and 11th treatment sessions to the points: IG-8, AT-25, AT-33, AT-34, AT-55 by the sedative method, and to the points RP-2, C-5, J-2, J-15, J-17, J-21, T-14, T-20, AT-97, AT-100 by the tonic method;

in the 2nd, 7th and 12th sessions - to the points TR-10, BM-28, AT-13, AT-26-a, AT-28, AT-29, AT-51, AT-96 ( on the right) by the sedative method, and to the points R-7, J-3, J-14, J-19, С-7, МС-2, Т-19 by the tonic method;

in the 3rd, 8th and 13th sessions - to the points GI-2, P-9, F-2, T-13, AT-25, AT-33, AT-34, AT-35, AT- 55 by the sedative method, and to the points F-8, J-4, J-15, J-21, T-20, AT-101 by the tonic method;

in the 4th, 9th and 14th sessions - to the points VB-41, VB-1, VB-5, VB-9, VB-19, VB-20, BM-9, TR-5, AT- 13, AT-25, AT-26-a, AT-29, AT-51 by the sedative method, and to the points C-5, J-2, J-14, J-19, T-19, AT-97 by the tonic method ;

in the 5th, 10th and 15th sessions - to the points MS-6, MS-1, BM-28, VB-3, T-16, RP-4, AT-33, AT-34, AT- 55, AT-96 (right) by the sedative method, and to the points C-8, T-20, J-4, J-15, J-21, AT-100 by the tonic method, followed by thermal and light infrared puncture to the indicated corporate points sedative and tonic method;

produce magnetic laser puncture:

in the 1st, 6th and 11th q sessions at points V-14, V-15, V-21, VB-21, T-11, VM-75;

in the 2nd, 7th and 12th sessions - to the points V-12, V-13, VM-28, T-12, T-24;

in the 3rd, 8th and 13th sessions - to the points V-11, VB-19, VB-20, V-25,

in the 4th, 9th and 14th sessions - to the points VB-21, V-10, V-23, T-15, T-24, VM-75;

in the 5th, 10th and 15th sessions - to the points V-12, V-18, V-25, T-3, VB-20 /

they use color therapy in green and blue colors, soothing music, and finish the treatment session with hypnotic suggestive therapy, alternating with autotraining every other day.

With frequent suicidal thoughts or attempts, treatment is supplemented by acupuncture:

in the 1st, 6th and 11th sessions to the point T-15 by the tonic method;

in the 2nd, 7th and 12-q sessions - to the F-2 point by the sedative method;

in the 3rd, 8th and 13th sessions - to point V-13 by the sedative method;

in the 4th, 9th and 14th sessions - to point J-6 by the tonic method;

in the 5th, 10th and 15th sessions - to the point T-15 by the tonic method,

prescribe the homeopathic preparation Aurum metallicum 6-12, 5 grains three times a day under the tongue on an empty stomach.

The method is as follows. They carefully collect an anamnesis, identify psychogeny, starting from an early childhood, the course of a mother’s pregnancy and the presence of strong stressful states during this period, find out the material situation, marital relations, place of work and industrial relations, the presence of bad habits, and identify symptoms of the disease; produce clinical sexological research according to the method of structural analysis of sexual disorders according to G.S. Vasilchenko (1977); measure blood pressure on both hands, determine dermographism, tendon reflexes, examine the condition of the skin of the hands and feet, perform pulse and acupuncture diagnostics to determine the functional state of acupuncture meridians and internal organs.

On the day of the examination, rational, family and sexual psychotherapy is carried out with the patient and his wife, in which they discuss the issue of harmonizing interpersonal relationships; identify the role functions of each spouse and discuss the importance of proper role behavior for normal marital relations; explain the role of the spouses’s frequent, ideally daily, sexual life for harmonious family relationships, the normal psychological climate in the family, the psychological and physical health of the spouses and a quick recovery. They recommend daily sex life or masturbation with a mandatory orgasm in a woman and without ejaculation in a man.

The patient is prescribed phenazepam at a dose of 1.0 mg three times a day and amitriptyline at a dose of 12.5 mg three times a day, and at night - phenazepam 1.0 mg and imitriptyline 25 mg. At the same time, homeopathic remedies are used, but for indications: Ignation 6, Nux vomica 6, Hyosciamus 6, Platinum metallic 6 to 5-7 grains 3 times a day under the stomach on an empty stomach.

The patient is placed on a couch and a multi-needle hammer produces superficial multi-needle acupuncture and electroneurostimulation with the CHENS-2 device for 5 minutes, acupressure and deep massage of the cervical-collar zone, back, lumbosacral and gluteal regions, alternating with deep massage of the anterior abdomen and acupressure every other day. chest wall - for 15 minutes, produce acupuncture:

in the 1st, 6th and 11th treatment sessions to the points: IG-8, AT-25, AT-33, AT-34, AT-55 by the sedative method, and to the points RP-2, C-5, J-2, J-15, J-17, J-21, T-14, G-20, AT-97, AT-100 by the tonic method;

in the 2nd, 7th and 12th sessions - to the points TR-10, BM-28, AT-13, AT-26-a, AT-28, AT-29, AT-51, AT-96 ( on the right) by the sedative method, and to the points R-7, J-3, J-14, J-19, С-7, МС-2, Т-19 by the tonic method;

in the 3rd, 8th and 13th sessions - to the points GI-2, P-9, F-2, T-13, AT-25, AT-33, AT-34, AT-35, AT- 55 by the sedative method, and to the points F-8, J-4, J-15, J-21, T-20, AT-101 by the tonic method;

in the 4th, 9th and 14th sessions - to the points VB-41, VB-1, VB-5, VB-9, VB-19, VB-20, BM-9, TR-5, AT- 13, AT-25, AT-26-a, AT-29, AT-51 sedative method. and at points C-5, J-2, J-14, J-19, T-19, AT-97 - by the tonic method;

in the 5th, 10th and 15th sessions - to the points MS-6, MS-1, BM-28, VB-3, T-16, RP-4, AT-33, AT-34, AT- 55, AT-96 (right) by the sedative method, and to the points C-8, T-20, J-4, J-15, J-21, AT-100 by the tonic method. The duration of acupuncture is 15-20 minutes.

After acupuncture, thermal puncture is performed at the same corporal points by the PTP-01 apparatus for a stable method of 5 minutes each for sedative action and a pecking method for 2 minutes for toning, as well as an infrared light puncture using the AIKP-01 apparatus using the sedative method for 2 minutes per point, and for tonic - for 30 seconds.

The "Wave" apparatus produces magnetic laser puncture for 2 minutes:

in the 1st, 6th and 11th sessions to the points V-14, V-15, V-21, VB-21, T-11, VM-75;

in the 2nd, 7th and 12th sessions - to the points V-12, V-13, BM-28, T-12, T-24;

in the 3rd, 8th and 13th sessions - to the points V-11, VB-19, VB-20, V-25;

in the 4th, 9th and 14th sessions - to the points VB-21, V-10, V-23, T-15, T-24, VM-75;

in the 5th, 10th and 15th sessions - to the points V-12, V-18, V-25, T-3, VB-20.

For color therapy, glasses with blue and green filters for 30 minutes are used. The entire treatment session is carried out against a background of soothing spiritual music of low volume and the works of classical composers. The treatment session is completed with hypnotic suggestive psychotherapy, alternating with autotraining every other day. Duration of sessions - 40 minutes.

With frequent suicidal thoughts or attempts, treatment is supplemented by acupuncture:

in the 1st, 6th and 11th sessions to the point T-15 by the tonic method;

in the 2nd, 7th and 12th sessions - to the F-2 point by the sedative method;

in the 3rd, 8th and 13th sessions - to point V-13 by the sedative method;

in the 4th, 9th and 14th sessions - to point J-6 by the tonic method;

in the 5th, 10th and 15th sessions - to the point T-15 by the tonic method; prescribe the homeopathic medicine Aurum Metallicum 6 5 grains three times a day under the tongue on an empty stomach.

1. A clinical example of a nonpsychotic level depression with a suicidal effect. Patient P., 36 years old, accountant, turned to a psychotherapist on 05.07.2005, complaining of a severe headache in the occipital region, insomnia, a significant decrease in mood, “heaviness and a stone on the soul”, lack of interest in public life, television programs, books and newspapers, decreased interest in a daughter taking an exam at a medical school, general weakness, increased fatigue, increased irritability, suspiciousness, tearfulness, anxiety, fears, pain in the heart, in the interscapular and lumbosacral areas. Sick about three years. He works as an accountant and is studying in absentia in the 4th year at a university for an economist. Married since 18 years. The husband is a surgeon of the district hospital, cheating on his wife over the past 5 years and does not hide it. The mental and somatic health of the patient gradually worsened. Against the background of severe depression without psychotic symptoms, the patient 06.06.2005, at 11.00., Being alone in the apartment, hit herself with a kitchen knife in the middle abdomen in the upper abdomen. After 2 hours, she was operated on in the surgical department of the Temryuk Central District Hospital. An upper midline laparotomy, revision, and abdominal toilet were performed. No damage to internal organs. The postoperative period is smooth, primary healing.

Relations with her husband over the past 5 years are bad. Intends to sue for divorce. Sex life was 1-2 times a week, orgasm in 50% or less. The last 6 months have not lived a sexual life since she left her husband for her parents. Delivery - 1, abortion - over 20.

At the reception of a psychotherapist, the patient is in a state of sadness. Facial expressions are poor. The face is pale. Speech is slow, interrupted by tears. Oriented in the environment, does not produce delusional symptoms. The memory is saved. It is fixed on its own painful sensations and experiences. The skin of the hands and feet is cold and wet. Blood pressure on the right hand is 150/90 mmHg, on the left hand is 145/85. With pulse diagnostics, the pulses of the heart, lungs, pericardium, kidneys, liver, small and large intestines, bladder and “triple heater” meridians are normal in the “emptiness”, stomach and pancreas, and the gallbladder pulse is significantly increased. In the midline of the abdomen from the xiphoid process to the navel is a fragile postoperative keloid scar. Palpation of the abdomen is slightly painful.

Diagnosis: hysterical neurosis, astheno-anxiety-phobic disorder, severe depressive episode without psychotic symptoms with suicidal action, somatoform autonomic dysfunction of the heart and cardiovascular system, gastrointestinal tract, urogenital system, chronic somatoform pain disorder, condition after upper surgery mid laparotomy, revision and toilet of the abdominal cavity (06/06/2005) due to penetrating stab wound of the abdomen.

Given the fact that the patient left her husband, in order to quickly recover, she was recommended daily masturbation with orgasm. Psychopharmacotherapy was prescribed: phenazepam at a dose of 1.0 mg three times a day, amitriptyline - at a dose of 12.5 mg three times a day, and at night - phenazepam - 1.0 mg, amitriptyline - 25 mg. At the same time, it is recommended to take homeopathic medicines: Ignation 6, Platinum metallic 6, Aurum metallic 6 - 5 grains three times a day on an empty stomach under the tongue.

The patient underwent superficial multi-needle acupuncture with a multi-needle hammer and percutaneous electroneurostimulation with the CHENS-2 apparatus for 5 minutes, acupressure and deep massage of the cervical-collar zone, back, lumbosacral and gluteal areas lasting 15 minutes.

After that, acupuncture was applied to the points: IG-8, AT-25, AT-33, AT-34, AT-55 by the sedative method, and to the points RP-2, C-5, J-2, J-15, J- 17, J-21, T-14, T-15, T-20, AT-97, AT-100 by the tonic method.

To enhance the effect of acupuncture at the above corporal points, a thermal puncture was performed using the PTP-01 device in a stable way for 5 minutes for a sedative effect and a pecking method for 2 minutes for a tonic effect and light infrared puncture with a AIKP-01 device for 2 minutes for a sedative effect and 30 sec for tonic effect.

The "Wave" device produced magnetic laser puncture at points V-14, V-15, V-21, VB-21, T-11, BM-75.

For color therapy, glasses with blue and green filters for 30 minutes were used.

All the healing procedures resembled a background of quiet sacred music and the soothing music of classical composers. The treatment session ended with hypnotic suggestive psychotherapy accompanied by soothing music. The entire treatment session lasted 5 hours 30 minutes.

At the end of the treatment session, complaints of pain disappeared, mood improved, anxiety significantly decreased. General weakness persisted. After the 1st session, night sleep recovered. From session to session, the patient's condition continuously improved. After the 10th session, phenazepam and amitrintiline were canceled, and homeopathic preparations Ignatia 6, Platinum m metallicum 6, Autum metallicum 6 were recommended to take 5 grains three times a day for two months.

The 6th and 11th treatment sessions were carried out according to the methodology of the 1st session.

Acupuncture in the 2nd, 7th and 12th sessions was performed at the points TR-10, BM-28, F-2, AT-13, AT-26-a, AT-28, AT-29, AT-51 , AT-96 (right) by the sedative method, and to the points R-7, J-3, J-14, J-19, C-7, MS-2, T-19 by the tonic method;

in the 3rd, 8th and 13th sessions - to the points GI-2, P-9, F-2, V-13, T-13, AT-25, AT-33, AT-34, AT- 35, AT-55 by the sedative method, and to the points F-8, J-4, J-15, J-21, T-20, AT-101 by the tonic method;

in the 4th, 9th and 14th sessions - to the points VB-41, VB-1, VB-5, VB-9, VB-19, VB-20, BM-9, TR-5, J- 6, AT-13, AT-25, AT-26-a, AT-29, AT-51 by the sedative method, and to the points C-5, J-2, J-14, J-19, T-19, AT -97 tonic method;

in the 5th, 10th and 15th sessions - at the points of MS-6, MS-1, VM-28, VB-3, T-15, T-16, RP-4, AT-33, AT- 34, AT-55, AT-96 (right) by the sedative method, and to the points C-8, T-20, J-4, J-15, J-21, AT-100 by the tonic method, followed by thermal and light infrared puncture to the indicated corporal points by the sedative and tonic method.

Magnetolaser puncture in the 6th and 11th sessions was performed on the 1st day;

in the 2nd, 7th and 12th sessions - to the points V-12, V-13, VM-28, T-12, T-24;

in the 3rd, 8th and 13th sessions - to the points V-11, VB-19, VB-20, V-25;

in the 4th, 9th and 14th sessions - to the points VB-21, V-10, V-23, T-15, T-24, VM-75;

in the 5th, 10th and 15th sessions - to the points V-12, V-18, V-25, T-3, VB-20.

From the 12th treatment session, all painful sensations and experiences completely disappeared, sleep and working ability were restored. The smile didn’t leave her face, she had fun talking with other patients, made plans for the future and was very glad that her daughter entered the faculty of medicine at the Kuban State Medical Academy. Daily, on the recommendation of the attending physician, masturbated until an orgasm. At the end of treatment, blood pressure is 115/75 mm. Hg

At the control examination after a year complaints of mental and somatic health does not show. There were no suicidal thoughts. He still works as an accountant in the Temryuk Central District Hospital. He lives with his parents, divorced with her husband. Masturbates almost daily until orgasm. Blood pressure 110/70 mm. Hg

2. Clinical example. Patient N., 54 years old, teacher. I went to the doctor-psychotherapist on January 16, 2004. The complex of complaints and the treatment regimen did not differ from those described in example 1. The patient repeatedly attempted suicide by taking sleeping pills in large doses. In this regard, the treatment is supplemented by acupuncture at specific points:

in the 1st, 6th and 11th sessions to the point T-15 by the tonic method;

in the 2nd, 7th and 12th sessions - to the F-2 point by the sedative method;

in the 3rd, 8th and 13th sessions - to point V-13 by the sedative method;

in the 4th, 9th and 14th sessions - to point J-6 by the tonic method;

in the 5th, 10th and 15th sessions - to the point T-15 by the tonic method; and also prescribed homeopathic medicine Aurum metallicum 6 5 grains three times a day under the tongue on an empty stomach.

The method has passed clinical trials in the day psychotherapy hospital of the Temryuk CRH of the Krasnodar Territory over the past 15 years for 1037 patients with neurosis.

Clinical recovery was noted in 93.6%, a significant improvement in 6.4% of patients, a complete restoration of social and labor adaptation and a significant improvement in quality of life in 100.0% of patients.

In a follow-up study of 934 patients after 15 years, stable positive results were noted in 96.7% of cases.

Claims (1)

A method for the treatment of depression of a non-psychopathic level, including the use of acupuncture, characterized in that the daily pulse and acupuncture diagnostics determine the functional state of the body, prescribe tranquilizers, antidepressants, homeopathic drugs of sedative and antidepressant effects, use auto-training, rational, hypnosuggestive family and sexual psychotherapy for harmonization and sex life, as frequent as possible, ideally daily, with an orgasm in a woman and without ejaculation in a man, they produce superficial multi-needle acupuncture, percutaneous electroneurostimulation, acupressure and deep massage of the cervical-collar zone, back, lumbosacral and gluteal regions, abdomen and anterior chest, using acupuncture: in the 1st, 6th and 11th treatment sessions to the points: IG-8, AT-25, AT-33, AT-34, AT-55 by the sedative method, and to the points RP-2, C-5, J-2, J-15, J-17, J-21, T-14, T-20, AT-97, AT-100 by the tonic method; in the 2nd, 7th and 12th sessions - to the points TR-10, BM-28, AT-13, AT-26-a, AT-28, AT-29, AT-51, AT-96 ( on the right) by the sedative method, and to the points R-7, J-3, J-14, J-19, С-7, МС-2, Т-19 by the tonic method; in the 3rd, 8th and 13th sessions - to the points GI-2, P-9, F-2, T-13, AT-25, AT-33, AT-34, AT-35, AT- 55 by the sedative method, and to the points F-8, J-4, J-15, J-21, T-20, AT-101 by the tonic method; in the 4th, 9th and 14th sessions - to the points VB-41, VB-1, VB-5, VB-9, VB-19, VB-20, VM-9, TR-5, AT- 13, AT-25, AT-26-a, AT-29, AT-51 by the sedative method, and to the points C-5, J-2, J-14, J-19, T-19, AT-97 by the tonic method ; in the 5th, 10th and 15th sessions - to the points MS-6, MS-1, VM-28, VB-3, T-16, RP-4, AT-33, AT-34, AT- 55, AT-96 (right) by the sedative method, and to the points C-8, T-20, J-4, J-15, J-21, AT-100 by the tonic method, followed by thermal and infrared light puncture to the indicated corporal points sedative and tonic method; produce magnetic laser puncture: in the 1st, 6th and 11th sessions to the points V-14, V-15, V-21, VB-21, T-11, VM-75; in the 2nd, 7th and 12th sessions - to the points V-12, V-13, VM-28, T-12, T-24; in the 3rd, 8th and 13th sessions - to the points V-11, VB-19, VB-20, V-25; in the 4th, 9th and 14th sessions - to the points VB-21, V-10, V-23, T-15, T-24, VM-75; in the 5th, 10th and 15th sessions - to the points V-12, V-18, V-25, T-3, VB-20; they use color therapy in green and blue colors, soothing music, and finish the treatment session with hypnotic suggestive therapy, alternating with autotraining every other day.