SU725671A1 - Depression treatment method - Google Patents

Description

(54) METHOD OF TREATING DEPRESSIONS

I

The invention relates to the field of medicine, in particular to methods of treatment for the prevention of mental illness.

A known method of treating depressions is by determining the threshold of sensitivity to current followed by a series of rectangular negative impulses using electrodes located on the arms 1.

However, the known method does not allow to relieve persistent, poorly treatable depression and relapses are possible.

The aim of the invention is to relieve persistent, poorly treatable depressions and prevent the recurrence of depressions.

This goal is achieved by applying pulses of voltage 2-3 times below the sensitivity threshold at a pulse frequency of 10 to 100 Hz, while the electrodes are placed on one hand, the anode on the palm, and the cathode on the lower third of the forearm, and in the case of emotional disturbances characterized by the prevalence of anxiety, obsession, fears, suicidal tendencies are left to the left, and

when melancholy and lethargy prevails, in the bone and apathy - on the right, the duration of exposure is 2-10 minutes with intervals between procedures of 3-7 days.

In order to prevent recurrence of deactions, at the end of the course of treatment, an additional 1-2 treatments are performed once every 3-4 months.

The method is carried out as follows.

As a pulse generator using the serial device ISE-01. Electrodes are placed on upward stimulation as follows: a rectangular anode 3 X X 6 cm 2 in size on the inner side of the palm at the base of the thumb, a round cathode 1 cm in diameter is higher on the inner surface of the lower third of the forearm in the region of the radial nerve. With this arrangement of the electrodes, the reflexogenic zone of the heart on the left hand is left aside. Gauze pads between the skin and the electrodes are moistened with isotonic solution.

Prior to stimulation, sensory excitability of the hands is studied. During the stimulation, the voltage is chosen:., ::,. i,; , 72 ka is less than the sensory threshold. Set the frequency of the pulses to 20 pulses / s and produce stimulation and a continuous pulse train for 2-3 minutes. The therapeutic effect in the form of changes in the psychopathological picture is observed 1–2 dl after each ceaiHca. Already the first sessions convincingly demonstrate whether to continue the treatment of the patient in this way. Important in the implementation of the method is to take into account the various components of the original psychopathological picture of the patient and the doctor's knowledge of the most often caused by the left or right effects changes in the mental sphere desired by the patient, and therefore the construction of a certain alternation of laterality and duration of procedures. With the prevalence in the clinical picture of the patient of symptoms of anxiety, aggression, fears, suicidal thoughts, the left-side effects are therapeutically significant for the patient. In most cases, they cause distinct mental and muscular relaxation, calming, improved night's sleep, and (in the first 2-3 sessions) are accompanied by a slight increase in the background of mood and mental activity. At the same time, left-side effects should be planned more frequent (for example, 4 out of 7 procedures) and longer (5 minutes instead of 2-3) than right ones. In addition, it is advisable to start with them and complete the course of the effects, as well as they should prevail among the procedures performed to prevent subsequent exacerbations. It should be borne in mind that repeated left-handed effects due to the possible deepening of severe relaxation may, in anxiety, deepen anguish, sadness, evoke weak-heartedness, and abundant tears. With the prevalence in the clinical picture of the patient's symptoms of a decrease in mood from sadness to depression, ideologically motor retardation, apathy, rest, etc., one should begin and end the course of procedures with right-sided influences. They rarely provoke relaxation, stimulate the psyche more often, which is accompanied by an increase in activity, vigor, efficiency, and also cause sub-mood. If the first procedures lead to the expected effect, then lengthening the time of exposure is not appropriate in the future. In other cases, therapeutically significant lateral effects can be lengthened and effects that are opposite in effect and side can be shortened. Finally, in cases where the expected remission does not occur, lateral effects can alter the clinical picture by strengthening one and weakening other components of the disease. Left-side effects, for example, are advisable in those cases where there is a set of different antidepressants and psychostimulants in the medical arsenal of a doctor, but there are no effective anxiolytics and tranquilizers. Having relaxed and turned off the alarm using this method, you can continue the treatment with antidepressants and psychostimulants. The clinical indications for treatment of the proposed method are primarily emotional pathologies in borderline conditions (neuroses and psychopathies) and in endogenous psychoses (schizophrenia and manic-depressive psychosis), in particular, depression of various depths, anxiety, hypochondria, suicidal tendencies, various fears of lust, motor lethargy, asthenic-apathetic phenomena, as well as mental disorders resulting from the use of psychopharmacological drugs, etc. Hospitalism at the stage of becoming therapeutic remission. This method is fully compatible with other biological treatments (psychopharmacological agents, insulin shocks) or can be used in different combinations. There are contraindications for one or another of the lateral effects depending on the specific concomitant pathological background. Thus, for left-sided effects, contraindications are various diseases of the cardiovascular system, foci of chronic infections, for right-sided effects, relative contraindications are diseases of right-sided and unpaired organs and systems. The first left and all right side effects may contribute to a slight increase in blood pressure (systolic and diastolic), therefore, hypertoid disease is a relative contraindication to the method. With care, the treatment should be carried out by the proposed method of persons with concomitant lateral irrigated epileptic foci in the brain. Persons with an epileptic disease should not be treated. For the treatment of children and adolescents who have not yet completed the development of functional asymmetry of the brain, this method is unsuitable. The proposed method provides a positive effect on depressions with a protracted course that are poorly controlled by conventional psychopharmacological agents, is easily tolerated, and also restores the patients' therapeutic sensitivity to psychotropic drugs and prevents relapses of depression.

Claims (2)

Invention Formula I. A method of treating depression by determining the threshold of sensitivity to current followed by a series of rectangular negative impulses using electrodes, characterized in that, in order to relieve painful depressions that are poorly treatable, the voltage impulses are 2-3 times lower than the threshold sensitivity at a pulse frequency of 10 to 100 Hz, with the electrodes placed on one of the arms, the anode on the palm, and the cathode on the lower third of the forearm, and in the case of emotional disturbances characterized by Niemi anxiety, obsessive zchivostey, fears sklbnnosti suicide exposure is carried out on the left, and with the prevalence of melancholy, lethargy, lethargy and apathy - Right, exposure duration 2-10 min at intervals of 3-7 days between treatments. 2. A method according to claim 1, characterized in that, in order to prevent the recurrence of depressions, after the treatment has been completed, an additional 1-2 procedures are applied every 3 to 4 months. Sources of information taken during the examination 1. Elbktroson and elektroanestezi (elektroiarkoz). M., 1966, p. 13-16.