RU2428158C1 - Method of rehabilitating treatment of patients with bronchial asthma and/or chronic obstructive lung disease - Google Patents

Abstract

FIELD: medicine. ^ SUBSTANCE: invention relates to rehabilitating medicine, namely to physiotherapy. Method includes basic therapy, speleoclimatotherapy, foamy bubble baths. Daily on empty stomach one hour before breakfast, six day running with break on the seventh day, treatment with individually selected homeopathic monopreparations is performed. Treatment in speleoclimatic chamber is carried out in first half of the day, for 60 minutes, daily. After the end of speleotherapy session patient gets 250 ml of foamy oxygen cocktail from licorice on mineral water from spring 104-P of Psekupskoye deposit. Foamy bubble baths with dense extract of licorice root are taken in the second half of the day. Baths are alternated with days of discontinuous nornobaric hypoxytherapy with course of 12 procedures. ^ EFFECT: method reduces drug load on organism, slows disease progressing, increases remission duration, increases tolerance to physical exercise, improves respiratory functions. ^ 2 ex, 2 tbl

Description

The invention relates to medicine, namely to the rehabilitation treatment of patients with bronchial asthma (BA) and chronic obstructive pulmonary disease (COPD) in sanatorium institutions, dispensaries and rehabilitation medicine and rehabilitation centers.

Respiratory diseases are among the most common diseases of modern society. Under conditions of increasing environmental load, respiratory diseases, in particular COPD and BA, are characterized by a recurring, steadily progressing course, which leads to the formation of severe irreversible disorders in the respiratory system, and are almost always combined with other diseases.

It is well known that the highest therapeutic activity should be expected only from a complex effect on the pathogenic target, which is one of the main and most important principles of treatment and rehabilitation.

Another important principle of treatment and rehabilitation programs is the correspondence of the strength of the acting factors to the available reserves of the patient’s functional system.

These two fundamental principles form the basis of all health-improving programs developed by our specialists and successfully implemented in the sanatorium “Foothills of the Caucasus”.

In all our programs protected by patents for inventions, we are unanimously guided by the summarizing data of domestic and foreign scientists - the general theory of the development of the body's response to external factors and the response of the human body to certain doses of external influences, affecting both individually and comprehensively - hormesis theory ( hormo - to excite, oligo - small).

Hormesis as an answer to certain doses of exposure is based on the Arndt-Schulz law, according to which weak stimuli excite, medium stimulate, strong inhibit, maximum paralyze the body (Andreyev S.V., Zelenskaya BC The concept of hormesis in the problem of stimulating action of small doses of physico-chemical factors (Questions of balneology, physiotherapy and exercise therapy, 1989).

It is known that every person in everyday conditions is adapted to the effects of the background dose range of a factor (temperature, humidity, radiation, etc.) and his reaction to this action corresponds to the background state.

A decrease in the intensity of this action can cause a disturbance in vital functions.

An increase in the dose of an external factor within certain limits stimulates the compensatory-adaptive forces of the body and the adaptation of its functions to new conditions.

If the impact is adequate to the capabilities of the body, the result is a more successful fight against diseases, and all vital functions are healed, up to an increase in life expectancy.

Strengthening the function goes to a certain limit, which provides a state of maximum stimulation, and then comes the inhibition of functional ability.

The hormesis zone is individual for each person and depends on the characteristics of the patient's reactivity, determined by:

- the genetic identity of response systems;

- changes associated with the pathological condition - the disease - its nature, severity, phase of the course, concomitant pathology, the abilities of the entire functional system and human organs during the period of exposure to an external factor.

It is especially important to remember that the hormesis zone for a sick person is narrower than for a healthy person.

The optimal coincidence of the nature and strength of the external influence with the body's ability to respond adequately gives an excellent and prolonged treatment result, if they do not coincide, they have a good or satisfactory effect, and if the effect is inadequate, there is no effect or the patient's condition worsens.

Retreatment and nursing of patients in sanatorium-resort conditions is the final link in the chain "clinic-clinic-sanatorium". Considerable attention is paid to this stage at congresses, congresses, scientific and practical conferences, and in special publications (National Congress on Respiratory Diseases. - M., November 11-15, 2002; annual international congresses "Restorative Medicine and Rehabilitation", etc.).

Medical technologies for the rehabilitation treatment of patients with pathology of the respiratory system have been developed and approved (for example, “Medical Technology No. FS 2007/022-u of 02.20.2007, Moscow).

The most significant and practically applicable technologies and methods for treating respiratory diseases are protected by patents for inventions (patents RU 2342920, 2342916, 2336070, 2329025, 2326647, 2202326, 2344802, 2211015, etc.).

The well-known "Method of treating patients with chronic obstructive pulmonary disease", in which, against the background of symptomatic drug therapy, they are exposed to the microclimate of sylvinite speleotherapy and salt baths in a specific mode and sequence (patent RU 2329025 from 12/15/2006).

The well-known "Method of halotherapy of obstructive pulmonary diseases", where before halotherapy, in combination with the use of wet aerosol and physiotherapy, carry out mathematical prediction of treatment effectiveness (patent RU 2211015 from 04/20/2003).

The closest to our method for the technical nature and results of treatment of patients with COPD is the "Method of treating patients with chronic obstructive pulmonary disease" (patent RU 2342920). Its essence is as follows: against the background of drug therapy, treatment is carried out by exposure to sylvinite speleotherapy in the first half of the day and, in the second half of the day, by intermittent normobaric hypoxic therapy, where the patient inhales a gas mixture containing 7 to 14 times through a mask containing 11-13% oxygen for 2-4 minutes, followed by alternation of breath with atmospheric room air for 5-7 minutes. Complex treatment is carried out for 5 days with a break for 6-7 days in a general course of 10-12 sessions.

This method of treatment was adopted by us as a prototype. In our treatment method, we focused on an individual approach and the use of local climatic and balneological resources.

The invention consists in the following: based on modern knowledge of biomedical sciences, the results and conclusions of a research school in the field of restorative medicine and balneology, the experience of their own spa specialists and colleagues from leading spa organizations, and most importantly, many years of experience in treatment, aftercare and nursing patients, the authors have developed and reliably use the program “Clean Breath” in the sanatorium “Foothills of the Caucasus” since 2002.

The most important tasks were set:

- reduction of the drug load on the body as a single system;

- stimulation of protective and adaptive reactions of the body;

- slowing down the progression of the disease;

- partial structural and functional restoration of the bronchial mucosa;

- lengthening periods of remission.

The key links in the Clean Breath program are:

- the use in the treatment of homeopathic medicines according to the canons of classical homeopathy as a method that has a deep general regulatory effect and is combined with other types of therapy;

- treatment in the speleoclimatic chamber according to a certain regimen;

- treatment with the developed foamy oxygen cocktail from licorice, where as the dispersion medium we use the unique mineral water of spring 104-P of the Psekupsky field;

- treatment with pearl foam baths, where the foaming agent is a thick extract of licorice root, in a certain mode;

- treatment with normobaric hypoxytherapy - in a certain mode.

Description of the method of treatment

Patients coming for treatment are provided with medical supervision, laboratory and instrumental monitoring of the condition is carried out (x-ray, spirographic, etc.). Against the background of basic drug therapy, therapeutic respiratory gymnastics, medical nutrition, taking hydrocarbonate-chloride-sodium mineral water of low mineralization of the Psekup deposit from the first day, 200 ml 40 minutes before meals 3 times a day, all patients receive individually selected homeopathic monopreparations daily on an empty stomach one hour before breakfast, six consecutive days with a break for the seventh day; take inhalations through a nebulizer with mineral water for 10 minutes daily, in a course of 10-12 procedures, chest massage for 8-10 sessions. Treatment in the speleoclimatic chamber is carried out daily in the morning, lasting 60 minutes. The number of sessions depends on the length of stay in the sanatorium (10-20 sessions). At the end of the speleoclimatotherapy session, patients receive a foamy oxygen cocktail from licorice on mineral water of spring No. 104-P of the Psekupsky field in a volume of 250 ml. In the afternoon, foamy pearl baths with a thick extract of licorice root are additionally carried out, alternating by days with sessions of normobaric hypoxic therapy, a course of 10-12 procedures.

Home Therapy. The experience of the combined use of homeopathy and speleotherapy (EG Ryzhova. Organization of rehabilitation measures in children with bronchial asthma through the combined use of homeopathy and speleotherapy, Ivanovo State Medical Academy, Vladimir) was known: a complex of rehabilitation measures for asthma included conducting speleotherapy sessions in combination with a complex homeopathic medicine (HFS), which was prescribed 30 minutes before visiting the speleological chamber in the form of a solution for irrigation of the oral cavity and pharynx ( the target was obtained by dissolving 5 granules of the drug in 5 ml of physiological solution of sodium chloride) and, after the end of the speleotherapy sessions, to continue the course of treatment, 3 granules 2 times a day under the tongue for resorption, from 3 to 6 months.

In the program developed by a homeopathic doctor, in the treatment of patients with bronchial asthma and COPD, homeopathic monopreparations are used that correspond to a holistic picture of a unique combination of mental, emotional and physical symptoms of a patient and characteristic pathogenetic phenomena of the disease. Individually selected homeopathic preparations are prescribed at the initial intake, in medium and high dilutions, in the form of granules based on milk sugar, which must be absorbed in the mouth under the tongue. For a single dose, 1-3 granules are taken once, daily, on an empty stomach, one hour before breakfast, six consecutive days with a break for the seventh day. Observation by a homeopathic doctor of patients receiving treatment under the “Clean Breath” program is as follows: the first visit is scheduled for the day following the consultation of the attending physician; repeated examinations - on the 5-7th day and before discharge from the sanatorium, with recommendations for the continuation of treatment for 3 months. With a positive dynamics in the patient’s health, medications become less frequent in the rhythm, depending on the patient’s personality, the course of the disease, the properties of the drug, its potency. Feedback is carried out by phone: in the following quarter after discharge from the sanatorium - once a month, then, depending on the condition of the patient, after 3-6 months. When the patient's condition becomes consistently good, he decides when to seek advice (i.e. it can be at different intervals).

Speleoclimatotherapy. The essence of microclimate treatment in salt caves, developed salt chambers and in specially created rooms with adjustable environmental parameters is the same: treatment consists in exposing the patient to certain factors of the underground environment. In modern literature, such treatment is most often called speleotherapy.

Treatment in human-created rooms with specially supported environmental parameters that mimic the underground environment is incorrectly called speleotherapy. In scientific publications, the most correct and accurate term is accepted - speleoclimatotherapy, and treatment is carried out in a speleoclimatic chamber (CCM), which, in principle, differs from halotherapy (salt therapy) in halochambers. Halotherapy is an aerosol treatment method, in which aerosols of dry sodium chloride are used in the concentration of 0.5-0 mg / m ³ and the particle size is 1-5 microns (Chirvinskaya A.V. Possibilities and prospects of halotherapy in treatment and rehabilitation patients with respiratory diseases. Collection of materials of the All-Russian Scientific and Practical Conference, St. Petersburg, 1997, pp. 267-269).

The treatment program proposed by the authors has been using a sylvinite speleoclimatic chamber (CCM) from natural salts of the Verkhnekamsk potash deposit since 2002.

CCM with a working area of 28 m ² , a volume of 63 m ³ . The treatment medium of the chamber is formed in accordance with the methodological recommendations “Treatment in the speleoclimatic chamber from natural potassium and magnesium salts of the Verkhnekamsk deposit” prepared by specialists of the Mining Institute of the Russian Academy of Sciences, the Institute of Chemical Kinetics and Combustion of the Russian Academy of Sciences, Perm State Medical Institute. Leningrad Research Institute of Radiation Hygiene and the Ministry of Health of the Russian Federation and approved by the Ministry of Health of the Russian Federation and the medical industry of the Russian Federation (M., 04/28/1994).

The characteristics of the breeds used in speleoclimatotherapy are described in paragraph 2 of the above recommendations and are widely covered in almost all patents for inventions where they are treated in the CCM (for example, patents RU 2342920, 2329025, etc.) and numerous monographs, dissertations, and recommendations (L. A. Verikhova. Speleotherapy in Russia, Perm, 2000; VG Barannikov et al. Speleotherapy in a potash spring, Yekaterinburg, 1996; A.E. Krasnoshtein, L.N. Isaevich, Study of the physical characteristics of the air environment medical speleoclimatic chambers and wards, Perm-Greece , 1978) and others.

Licorice is naked. The use of licorice root (SC, licorice root) is known from the oldest Chinese books on medicine, it was appreciated by ancient Greek and Roman doctors who received the “sweet root” in the Scythian steppes of the Northern Black Sea region, SK is mentioned in the oldest medical encyclopedia - Ebers papyrus.

The content of active components in licorice root (SC):

1. Glycyrrhizic acid - up to 22.2%;

2. Flavonoids - up to 4.3%;

3. Organic acids - up to 4.6%;

4. Mono- and disaccharides - up to 20%;

5. Other farm. active components - the rest.

The composition and structure of the sweet substance of licorice root (SC) - glycyrrhizin - were established in 1937. Glycyrrhizin is a mixed potassium and calcium salt of tribasic glycyrrhizic acid.

A wide range of pharmacological effects of licorice extract on the respiratory system, including its mucolytic effect, is also widely known. It is known that the use of licorice in the complex of rehabilitation therapeutic measures in patients with COPD helps replenish the pool of alveolar macrophages (AM) and increase their phagocytic abilities, reduce neutrophilic infiltration of the bronchoalveolar space (A.L. Alyavi, M.M. Karimov, Use of licorice extract in restoration local non-specific lung protection in patients with chronic obstructive bronchitis. Research Institute of medical rehabilitation and physical therapy of the Ministry of Health, Uzbekistan).

Under the influence of the drug, the secretion of such humoral defense factors as lysozyme and JgA increases, and the activity of the lipolytic enzyme phospholipase A ₂ , which is highly toxic to the surrounding membrane structures, decreases. Therefore, licorice extract, in addition to the well-known anti-inflammatory, detoxification, cortisone-like abilities, also has immunostimulating, membrane-protective and other properties with respect to local lung protection when used in doses that are pharmacologically significant in glycyrrhizic acid content (ibid.).

Glycyrrhizic acid is characterized by a sweet taste and the formation of abundant resistant foam when shaken with water.

The use of licorice in the program is due to the fact that they are a dispersed system (gas-liquid) in which gas bubbles are protected by a film of glycyrrhizic acid. Being a powerful surface-active substance (surfactant), glycyrrhizic acid disperses the gas and stabilizes the system. A large surface ensures the speed and completeness of absorption and subsequent transport of glycyrrhizic acid into the tissue and blood, and with it other medicinal components.

In their treatment and rehabilitation program "Clean Breath", the authors used all these properties, namely, the inclusion of foamy oxygen cocktails and foam baths in the program.

Foamy oxygen cocktail from a thick extract of licorice root (GEX).

The authors developed a method for producing a foamy oxygen cocktail from licorice root (GEX) using unique mineral water of the 104-P source of the Psekupsky field as a dispersion medium.

The basis for the methodology was the following points:

1. The unique biological properties of licorice: anti-inflammatory, immunotropic, antiviral, antiulcer and others.

2. Glycyrrhizic acid, which is part of licorice, is a powerful surface-active substance (surfactant) and creates a stable, resistant foam.

3. The foaming properties of the thick licorice root extract and the stability of the foam depend on the gas composition of the dispersion medium and the concentration of HEX. According to known data, the most preferred dispersion medium is nitrogen-containing, and the concentration of HEX is 1.5 g% (L.E. Starokozhko, M.E. Kotova, 2002).

4. The source of mineral water 104-P meets the requirements of paragraph 3. The gas composition of the mineral water source 104-P of the Psekupskoye field (at 0 ° C and 760 mm Hg) is presented in Table 1, and the stability of bubbles and foam from the hexax is shown in Table 2.

Table 1 Spontaneous gas, vol.% Dissolved gas, vol.% CO ₂ - 1.43 CO ₂ - 18.19 CH ₄ - 3,54 CH ₄ - 5.51 N ₂ - 95.0 N ₂ - 76.30

table 2 GEX concentration Dispersion medium Nitrogen Oxygen 0.02 g% Bubbles 18 sec Bubbles 14 sec Pillar foam 40 min Foam Pillar 17 min 1.5 g% Bubbles 22 sec Bubbles 34 sec Pillar foam 48 min Pillar foam 41 min

Foam baths were prepared according to a well-known method: a thick licorice root extract was dissolved in water in an amount of 40-50 ml per 40-45 l of water, water temperature 40-42 ° C, air was supplied using a compressor, which provided bubble formation of foam. The patient was placed on a wooden lattice located above the "bead" so that the body did not come into contact with the solution of the drug, but was located exclusively in the foam, the temperature of the foam was 34-36 ° C. The procedure lasts 10-15 minutes, baths were prescribed every other day with a course of 10-12 baths.

Examples of the method of treatment.

Example 1

Patient A., 49 years old, works as chief accountant, was admitted to the sanatorium with a diagnosis of Bronchial asthma, mixed form, moderate to severe course, remission. Respiratory failure 1-2 degrees. Concomitant pathology: obesity of the second degree, exchange-alimentary, polysegmental osteochondrosis, postcholecystectomy syndrome, reactive pancreatitis, reflux esophagitis.

Complaints upon receipt of periodic bouts of labored breathing that occur spontaneously two to three times a day, rarely at night, easily stopped with a berotek, shortness of breath during physical exertion (rising above the third floor), a rare dry cough, after a berotek - wet, with separation of sparing light sputum; loud belching with air, rarely - with food, pronounced flatulence.

From the anamnesis it is known that the patient suffers from asthma for twelve years. In the first five to seven years, asthma attacks were frequent (three times got into intensive care with an asthmatic status), the last five years the condition stabilized, the basic therapy was selected: constantly takes a “symbicort” (160-4.5), one breath twice a day and, if necessary, uses Berotek one breath up to four times a day.

Upon admission to the sanatorium, the condition is satisfactory. Increased nutrition (165 cm - 92 kg). The skin is clean. The chest is the right shape. Percussion-pulmonary sound with a boxed shade. During auscultation against the background of weakened vesicular breathing, multiple dry wheezing, amplified by exhalation, are heard. BH 16 per minute. HELL 130/80 mm Hg, heart sounds are rhythmic, muffled. The abdomen is soft, painless, the liver and spleen are not enlarged. The "striking" symptom is negative.

The study of a clinical blood test revealed: a small leukocytosis - 9.2 · 10 ⁹ . In the study of sputum revealed its mucopurulent nature. The results of the FVD study: VC - 76%, FVC - 65%, FEV1 - 63%, which indicates a significant decrease in bronchial obstruction. The test with bronchodilator was positive + 4%.

From the first day of stay in the sanatorium, against the background of basic drug therapy, the patient received treatment: physical therapy (daily breathing exercises), inhalation through a nebulizer with mineral water (source No. 104-P) for 10 minutes daily, 10 procedures, sylvinite speleotherapy sessions lasting one an hour daily, in the morning, with the production of a frothy oxygen cocktail from licorice on mineral water of spring No. 104-P, 20 sessions, foamy pearl baths with a thick extract of licorice root for a long time 10 minutes, temperature 37 ° C, in the afternoon, 10 procedures, alternating by days with sessions of intermittent normobaric hypoxytherapy, 10 sessions, chest massage, 10 courses, taking warm mineral water of source No. 104-R, 200 ml per 40 minutes before meals three times a day (to prevent nightly attacks of suffocation due to the presence of reflux esophagitis), daily.

In addition to the symptoms described by the therapist, the homeopathic physician revealed the following, which together served as the basis for choosing the homeopathic monotherapy Asa foetida: worsening of the state against the background of emotional stress, at night, pronounced emotional lability, anxiety, suspiciousness, hyperemia of the facial skin, sensation of a “lump” in the throat, loud belching, regurgitation, severe flatulence, obesity, improvement in curation of reflux syndrome. A homeopathic medicine Asa foetida 30C was prescribed, dissolve 1 grain under the tongue 1 hour before breakfast, daily, six consecutive days with a break for the seventh day.

The patient tolerated the prescribed treatment well. On the fifth day from the start of treatment, the patient noted the disappearance of shortness of breath (there was no need for a “berotek” completely), shortness of breath during exercise was reduced, and coughing became extremely rare. Towards the end of treatment: in the control laboratory study, the level of leukocytes returned to 4.5 · 10 ⁹ , sputum began to be mucous. When spirographic control study revealed an increase in VC by 10%, FVC by 12%, FEV1 by 9%. By the end of treatment, the dose of Symbicort was reduced to one breath per day (160-4.5). An objective examination: dry rales are heard only against the background of forced expiration (during normal breathing there are no rales).

Example 2

Patient B., 64 years old. Clinical diagnosis: Chronic obstructive pulmonary disease, moderate to severe, in the phase of incomplete remission. Emphysema. Respiratory failure 2 tbsp.

The patient was admitted to the sanatorium with complaints of shortness of breath with little physical exertion, cough with separation of light yellow viscous sputum, weakness, sweating. From the anamnesis it is known that COPD has been suffering for more than 20 years. I never smoked. He suffered acute pneumonia. The exacerbation of the disease notes 2-3 times a year after hypothermia or any acute respiratory infection. Objectively: proper physique, moderate nutrition. No peripheral edema. Percussion: over the lungs, a pulmonary sound with a box-like shade, with areas of dullness, is determined. The mobility of the pulmonary region is reduced by 3-4 centimeters. Auscultatory: against the background of weakened vesicular breathing, a mass of dry wheezing. BH 18 per minute. Heart sounds are rhythmic, muffled. Heart rate is 72 per minute. HELL 130/80 mm Hg An examination in a clinical analysis showed an increase in ESR to 30 mm / h. On the chest radiograph - increasing the transparency of the lung tissue, increased deformation of the pulmonary pattern, low standing of the dome of the diaphragm. The study of the function of external respiration revealed a decrease in VC, FVC, FEV1, significantly pronounced generalized obstruction. The test with bronchodilator was negative. The patient received symptomatic drug therapy ("spiriva" 1 breath per day). In the sanatorium, on the background of respiratory gymnastics (daily), a complex treatment was prescribed: inhalation through a nebulizer with mineral water (source No. 104-P) for 10 minutes daily, 10 procedures, sylvinite speleotherapy sessions lasting one hour daily, in the morning, from obtaining a foamy oxygen cocktail from licorice on mineral water of source No. 104-P, 20 sessions, foamy pearl baths with a thick extract of licorice root lasting 10 minutes, a temperature of 37 ° C, in the afternoon, 10 procedures, alternating days with sessions of intermittent normobaric hypoxytherapy, 10 sessions, chest massage with a course of 10 procedures, intake of warm mineral water of source No. 104-P 200 ml 40 minutes before meals three times a day, daily.

The homeopathic doctor prescribed a homeopathic monotherapy Arsenicum album as the most similar remedy on the basis of the following symptoms, besides those described by the attending physician - strict clothing style, pronounced pedantry, thoroughness, consistency and thorough detail in the presentation of complaints; frequency of exacerbations; chilliness; deterioration during hypothermia; chest tightness with fear of suffocation and severe anxiety, anxiety at 01-02 at night; desire to drink often in small portions. Appointment: Arsenicum album 30C, dissolve 3 grains under the tongue 1 hour before breakfast, daily, six days in a row with a break for the seventh day.

The portability of the procedures was good. On the eighth day from the start of treatment, the cough became less frequent, the “yellowness” in the sputum disappeared. By day 10, shortness of breath and cough decreased significantly and the tolerance of physical activity increased. According to spirography, an increase in VC from 64% to 70%, FVC from 62% to 69%, FEV1 from 59% to 68% was noted.

The proposed method received treatment for 156 people with lung diseases (90 men and 66 women), 64 had mild to moderate asthma, 92 patients had chronic obstructive pulmonary disease. The average age was 53.2 ± 3.6 years. There was a good tolerance of the procedures, the absence of exacerbations during the course of treatment, positive changes in clinical data were obtained in all patients observed, namely: by the end of the spa treatment, the cough had significantly decreased, asthma patients had stopped or less frequent asthma attacks, which was confirmed by an increase in the average VC , FVC and FEV1 by 6-18%, increased exercise tolerance, improved sputum discharge.

Assessing the effectiveness of the treatment takes into account the degree of satisfaction with the result of both the patient and the doctor, therefore, the program “Clean Breathing” provides for mandatory monitoring of the patient's condition and the course of the disease in dynamics from 6 to 12 months after the end of the course of treatment in the sanatorium (in special cases - up to 3 years )

According to the monitoring results, the state of health in all patients remains satisfactory, the absence of bright exacerbations, stabilization of the general condition by concomitant pathology (a decrease or absence of the recurrence rate of chronic foci of infections), normalization of general blood and sputum tests, and improvement of external respiration function were noted. The proposed method for the treatment of patients with bronchial asthma and / or chronic obstructive pulmonary disease makes it possible to reduce the dose of drugs of basic drug therapy, slow the progression of the disease, prevent complications, increase physical activity, thereby improving the quality of life of people.

From 15 to 25 patients annually request repeated courses of treatment under the Clean Breath program.

Claims (1)

A method of restorative treatment of patients with bronchial asthma and / or chronic obstructive pulmonary disease, including basic therapy, speleoclimatotherapy, foam pearl baths, characterized in that the treatment is carried out according to a program that includes the following scheme: treatment with individually selected homeopathic monopreparations, daily on an empty stomach daily, one hour before breakfast , six consecutive days with a break on the seventh day, daily treatment in the speleoclimatic chamber for 60 minutes with the patient receiving oxygen foam 250 ml of licorice cocktail on mineral water of spring 104-P of the Psekupskoye deposit at the end of the speleotherapy session in the morning, then in the afternoon, foamy pearl baths with a thick extract of licorice root are additionally carried out, alternating by days with sessions of intermittent normobaric hypoxic therapy , a course of 10-12 procedures.