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Thoracic Postherpetic Neuralgia PDF
Thoracic Postherpetic Neuralgia PDF
Herpes zoster is a severe disease caused by varicel- Îïîÿñûâàþùèé ãåðïåñ (Herpes zoster) — òÿ-
la-zoster virus. Disease frequency depends on age and æåëîå çàáîëåâàíèå, âûçâàííîå varicella-zoster
immune status and varies from 0.4 to 1.6 cases per virus. ×àñòîòà âîçíèêíîâåíèÿ çàáîëåâàíèÿ çàâè-
1000 for persons under 20 years old, and 4.5 to 11 ñèò îò âîçðàñòà è èììóííîãî ñòàòóñà è êîëåáëåò-
cases per 1000 in the age group after 80. Most often ñÿ îò 0.4—1.6 ñëó÷àåâ íà 1000 ÷åëîâåê ñðåäè çäî-
herpes zoster affects thoracic dermatomas: 50 to 55% ðîâûõ ëèö ìîëîæå 20 ëåò äî 4.5—11 ñëó÷àåâ íà
of all occurrences. The second place in involvement 1000 ÷åëîâåê â âîçðàñòíîé ãðóïïå ñòàðøå 80 ëåò.
frequency is occupied by the first ramus of trigeminal Herpes zoster ÷àùå âñåãî ïîðàæàåò òîðàêàëüíûå
nerve [1, 11]. äåðìàòîìû: 50 — 55% ñëó÷àåâ. Íà âòîðîì ìåñòå
Affliction begins as separate pustules followed by a ïî ÷àñòîòå âîâëå÷åíèÿ ñòîèò ïåðâàÿ âåòâü òðîé-
group of blisters which stay from 7 to 10 days but íè÷íîãî íåðâà [1, 11].
may also persist for a month, often resulting in scar- Ïîâðåæäåíèÿ ïðîãðåññèðóþò îò ïîÿâëåíèÿ íà
ring, anaesthesia, changed pigmentation and pain in âîâëå÷åííîì â ïðîöåññ ó÷àñòêå êîæè îòäåëüíûõ
the affected area. ïóñòóë äî ñãðóïïèðîâàííûõ ïóçûðüêîâ, êîòîðûå
Pain is a characteristic sign of herpes zoster. It may ïðîäîëæàþò ñóùåñòâîâàòü îò 7 äî 10 äíåé, íî
start several days before eruption, sometimes being ìîãóò îñòàâàòüñÿ è â òå÷åíèå ìåñÿöà, ÷àñòî çà-
the only manifestation of the disease. For the most êàí÷èâàÿñü ðóáöàìè, àíåñòåçèåé, èçìåíåíèåì
part, patients complain of burning, crushing, and ïèãìåíòàöèè è áîëüþ â çîíå ïîðàæåíèÿ.
lancinating pain. Senestopathic component is often Áîëü — õàðàêòåðíûé ïðèçíàê îïîÿñûâàþùåãî
present. Pain is accompanied by considerable emo- ãåðïåñà. Îíà ìîæåò ïðåäøåñòâîâàòü âûñûïàíèÿì â
tional colouring. A characteristic example of this is òå÷åíèå íåñêîëüêèõ äíåé, èíîãäà ÿâëÿÿñü åäèíñòâåí-
provided by the English equivalent expression for íûì ïðîÿâëåíèåì çàáîëåâàíèÿ. Áîëüøèíñòâî ïàöè-
herpes zoster — «belt of roses from Hell» [10]. Also, åíòîâ æàëóþòñÿ íà æãó÷óþ, äàâÿùóþ è ëàíöèíè-
one can point to hypersthesia, dysesthetic disorders, ðóþùóþ áîëü. ×àñòî âûðàæåí ñåíåñòîïàòè÷åñêèé
itching, and such a phenomenon as allodynia — pain- êîìïîíåíò. Áîëåâûì îùóùåíèÿì ñâîéñòâåííà çíà-
ful response to non-painful stimuli. In the majority of ÷èòåëüíàÿ ýìîöèîíàëüíàÿ îêðàøåííîñòü. Ïðèìå-
patients, these pathological symptoms disappear with- ðîì, õàðàêòåðèçóþùèì ýòó îñîáåííîñòü, ìîæåò ñëó-
in a month after a herpes zoster attack. æèòü ïðèâîäèìîå â àíãëîÿçû÷íîé ëèòåðàòóðå íà-
If the described symptoms persist for a longer pe- çâàíèå Herpes zoster — «Âelt of roses from Hell»
riod, after disappearance of vesicles, such cases are («Ïîÿñ èç àäñêèõ ðîç») [10]. Ñðåäè äðóãèõ ïðîÿâëå-
regarded as manifestations of postherpetic neuralgia íèé ñëåäóåò îòìåòèòü òàêæå ãèïåðñòåçèþ, äèçåñòå-
(PHN). The risk of postherpetic neuralgia increases with òè÷åñêèå ðàññòðîéñòâà, çóä. Îòìå÷àåòñÿ è òàêîå ÿâ-
age. So, 47% of persons after 60, and 73% after 70 ëåíèå, êàê àëëîäèíèÿ — áîëü âûçûâàåìàÿ íåáîëå-
have postherpetic neuralgia following herpes zoster âûìè ñòèìóëàìè. Ýòè ïàòîëîãè÷åñêèå íàðóøåíèÿ ó
attacks. Similarly, pains are more difficult to control áîëüøèíñòâà ïåðåíåñøèõ çàáîëåâàíèå ïðîõîäÿò â
in older patients. Duration of illness for more than òå÷åíèå ìåñÿöà ïîñëå àòàêè Herpes zoster.
one year was reported in 22% of patients over 55 and Åñëè óêàçàííàÿ âûøå ñèìïòîìàòèêà ñîõðàíÿ-
48% of patients over 70 years old, respectively [11]. åòñÿ íà áîëåå äëèòåëüíûé ñðîê ïîñëå èñ÷åçíîâå-
Pains cause sleep disorder, lower mood and effi- íèÿ âûñûïàíèé, òî îíà óæå ðàññìàòðèâàåòñÿ êàê
ciency thus contributing to PHN impact on life qual- ïðîÿâëåíèå ïîñòãåðïåòè÷åñêîé íåâðàëãèè (ÏÃÍ).
ity in both short-term and long-term perspectives. Even Ðèñê ïîñòãåðïåòè÷åñêîé íåâðàëãèè óâåëè÷èâàåò-
duly started antiviral medication (aciclovir, zovirax, ñÿ ñ âîçðàñòîì. Òàê, 47% ëþäåé ñòàðøå 60 ëåò è
valtrex, etc.) does not prevent PHN development in 73% ñòàðøå 70-òè, ïåðåíåñøèõ îïîÿñûâàþùèé
many elderly patients. ãåðïåñ, èìåþò ïîñòãåðïåòè÷åñêóþ íåâðàëãèþ.
Existing therapeutic techniques aimed at control- Òðóäíîêóïèðóåìûå áîëè òàêæå óâåëè÷èâàþòñÿ ñ
ling the pain syndrome, which is the leading one in âîçðàñòîì. Äëèòåëüíîñòü áîëüøå îäíîãî ãîäà îò-
PHN clinical picture, normally prove to be of low ìå÷àëàñü â 22% ñëó÷àåâ ó ïàöèåíòîâ ñòàðøå 55-òè
effectiveness which stimulates specialists to look for è â 48% ó ëèö ñòàðøå 70 ëåò [11]. Âûçûâàåìûå
new treatment methods. It should be noted that the áîëüþ íàðóøåíèå ñíà, ñíèæåíèå íàñòðîåíèÿ è
basic PHN treatment method is psychopharmacother- ðàáîòîñïîñîáíîñòè âíîñÿò ñâîé âêëàä â âîçäåé-
apy with predominant use of antidepressants (am- ñòâèå ÏÃÍ íà êà÷åñòâî æèçíè êàê â êðàòêîâðå-
itri ptyline,etc.) and anticonvulsants (carbamazepine, ìåííîé, òàê è â äîëãîâðåìåííîé ïåðñïåêòèâå.
etc.) [1, 9, 11] have considerable side effects. Re- Äàæå ñâîåâðåìåííîå ïðèìåíåíèå ïðîòèâîâèðóñ-
cently, non-pharmacological approaches to PHN íîé ôàðìàêîòåðàïèè Herpes zoster (àöèêëîâèð,
treatment have found wider application, acupunc- çîâèðàêñ, âàëòðåêñ è äð.) íå ïðåäîòâðàùàåò ðàç-
ture being one of them [1, 3, 12]. âèòèå ÏÃÍ ó ìíîãèõ ïîæèëûõ ïàöèåíòîâ.
We examined and treated 110 patients with tho- Ñóùåñòâóþùèå ëå÷åáíûå ìåðîïðèÿòèÿ, íàïðàâ-
racic postherpetic neuralgia whose age varied from 50 ëåííûå íà áîðüáó ñ áîëåâûì ñèíäðîìîì, âåäó-
to 80 (average 65±15). Disease lasted from 1 month ùèì â êëèíè÷åñêîé êàðòèíå ÏÃÍ, îáû÷íî îêà-
to 5 years. Most often, D4-D7 dermatomas were af- çûâàþòñÿ ìàëîýôôåêòèâíûìè, ÷òî ïîáóæäàåò ñïå-
flicted. Importantly, postherpetic neuralgia affects pre- öèàëèñòîâ ê ïîèñêó íîâûõ ëå÷åáíûõ ìåòîäîâ. Ñëå-
dominantly one side of the body, so we think it nec- äóåò îòìåòèòü, ÷òî îñíîâíûì ìåòîäîì ëå÷åíèÿ
essary to point out that right thoracic dermatomas ÏÃÍ ÿâëÿåòñÿ ïñèõîôàðìàêîòåðàïèÿ ñ ïðåèìóùå-
were involved in 45% of cases, left ones in 55%. The ñòâåííûì èñïîëüçîâàíèåì àíòèäåïðåññàíòîâ
(àìèòðèïòèëèí è äð.) [1, 11, 13] è àíòèêîíâóëü-
described group did not include persons who suf-
ñàíòîâ (êàðáàìàçåïèí è äð.) [1, 9, 11], èìåþùèõ
fered from diseases of blood, lymphoproliferative and
çíà÷èòåëüíîå êîëè÷åñòâî âûðàæåííûõ ïîáî÷íûõ
other oncologic diseases (contraindications for acu-
ýôôåêòîâ. Â ïîñëåäíåå âðåìÿ øèðå ñòàëè ïðèìå-
puncture), nor patients with severe somatic and en-
íÿòüñÿ è íåëåêàðñòâåííûå ïîäõîäû ê ëå÷åíèþ
docrine pathology, and thase after 80.
ÏÃÍ, â òîì ÷èñëå è àêóïóíêòóðà [1, 3, 12].
Treatment effectiveness was assessed by a modified
Íàìè áûëî ïðîâåäåíî îáñëåäîâàíèå è ëå÷å-
pain test (MPT) [scales: 1 — pain frequency, 2 —
íèå 110 ïàöèåíòîâ ñ òîðàêàëüíîé ïîñòãåðïåòè-
pain duration, 3 — pain severity, 4 — sensory per-
÷åñêîé íåâðàëãèåé â âîçðàñòå îò 50 äî 80 ëåò (ñðåä-
ception of pain, 5 — emotional-affective evaluation
íèé âîçðàñò 65±15 ëåò). Äëèòåëüíîñòü çàáîëåâà-
of pain, 6 — product scale (6 points — maximum
íèÿ êîëåáàëàñü îò 1 ìåñÿöà äî 5 ëåò. Íàèáîëåå
manifestation, 0 — no pain)] [4] (These scales served
÷àñòî ïîðàæàëèñü äåðìàòîìû D4-D7. Òàê êàê âàæ-
as a basis for the diagrams presented in the article).
íîé îñîáåííîñòüþ ïîñòãåðïåòè÷åñêîé íåâðàëãèè
Onnuri Su Jok acupunture was administered by
ÿâëÿåòñÿ îäíîñòîðîííîñòü ïîðàæåíèÿ, ñ÷èòàåì íå-
different methods for eighty patients (20 men and 60 îáõîäèìûì óêàçàòü, ÷òî âîâëå÷åíèå äåðìàòîì
women). Thirty patients (15 men and 15 women) ïðàâîé ïîëîâèíû ãðóäíîé êëåòêè áûëî âûÿâëåíî
formed a comparison group. It included those patients ó 45% ïàöèåíòîâ, ëåâîñòîðîííåå ïîðàæåíèå — ó
who received amitriptyline treatment 50 to 75 mg daily, 55%.  îïèñûâàåìóþ âûøå ãðóïïó íå âêëþ÷àëèñü
for 6 to 8 weeks. The results of treatment by am- ëèöà, ñòðàäàþùèå çàáîëåâàíèÿìè êðîâè, ëèìôî-
itri ptyline are shown in Diagram 1. ïðîëèôåðàòèâíûìè è äðóãèìè îíêîëîãè÷åñêèìè
Treatment by Onnuri Su Jok acupuncture meth- çàáîëåâàíèÿìè, ïðè êîòîðûõ ïðîòèâîïîêàçàíî
ods was conducted in three stages. At the first stage, ïðîâåäåíèå àêóïóíêòóðû, à òàêæå èìåþùèå òÿ-
all patients underwent treatment by correspondence æåëóþ ñîìàòè÷åñêóþ, ýíäîêðèííóþ ïàòîëîãèþ,
systems [5]. At the second (for patients who did not è ïàöèåíòû ñòàðøå 80 ëåò.
show high results after treatment by correspondence Îöåíêà ýôôåêòèâíîñòè ëå÷åíèÿ ïðîâîäèëàñü ïî
systems) — Six Ki method was applied, using corre- äàííûì ìîäèôèöèðîâàííîãî áîëåâîãî òåñòà
spondence systems [6, 7]. At the third (for patients in (ÌÁÒ) [øêàëû: 1 — ÷àñòîòà ïîÿâëåíèÿ áîëè, 2 —
whom Six Ki method was not highly effective) — by äëèòåëüíîñòü áîëè, 3 — èíòåíñèâíîñòü áîëè, 4 —
palm lines (using correspondence systems) [8]. ñåíñîðíîå âîñïðèÿòèå áîëè, 5 — ýìîöèîíàëüíî-
Treatment was carried out in both the standard àôôåêòèâíàÿ îöåíêà áîëè, 6 — ýòàëîííàÿ øêàëà
correspondence systems of the hand and additional (6 áàëëîâ — ïðèçíàê ìàêñèìàëüíî âûðàæåí, 0 áàë-
4 4
ïðîâîäèëàñü èãëîòåðàïèÿ ðàçëè÷íûìè ìåòîäàìè
ïðèçíàêà)
4
Îííóðè Ñó Äæîê ìåäèöèíû. Òðèäöàòü ÷åëîâåê
3 2.6 2.5
2 2 (15 ìóæ÷èí è 15 æåíùèí) ñîñòàâèëè ãðóïïó ñðàâ-
2 1.5 íåíèÿ. Âîøåäøèì â íåå ïàöèåíòàì ïðîâîäèëîñü
1
ëå÷åíèå àìèòðèïòèëèíîì ïî 50—75 ìã â ñóòêè â
0 òå÷åíèå 6 — 8 íåäåëü. Ðåçóëüòàòû ëå÷åíèÿ ïðåä-
0 ñòàâëåíû íà äèàãðàììå 1.
1 2 3 4 5 6
— prior to treatment ( äî ëå÷åíèÿ)
Ëå÷åíèå ìåòîäàìè Îííóðè Ñó Äæîê àêóïóíê-
— after treatment (ïîñëå ëå÷åíèÿ)
òóðû îñóùåñòâëÿëîñü â òðè ýòàïà. Íà ïåðâîì âñåì
ïàöèåíòàì ïðîâîäèëàñü òåðàïèÿ ïî ñèñòåìå ñîîò-
Diagram 1. Composite effectiveness of amitri ptyline âåòñòâèÿ [5]. Íà âòîðîì ýòàïå (ïàöèåíòàì, ðåçóëü-
medication in patients with thoratic PHN òàòèâíîñòü ïðèìåíåíèÿ ñèñòåì ñîîòâåòñòâèÿ ó êî-
(30 persons) òîðûõ áûëà íåâûñîêà) — ïî Øåñòè Êè (ñ èñïîëü-
Äèàãðàììà 1. Ñóììàðíàÿ ýôôåêòèâíîñòü çîâàíèåì ñèñòåì ñîîòâåòñòâèÿ) [6, 7]. Íà òðåòüåì
ïðèìåíåíèÿ àìèòðèïòèëèíà ó ïàöèåíòîâ ýòàïå äëÿ ïàöèåíòîâ, ó êîòîðûõ ýôôåêòèâíîñòü ëå-
ñ òîðàêàëüíîé ÏÃÍ (30 ÷åëîâåê) ÷åíèÿ ïî Øåñòè Êè áûëà íåâûñîêîé, ïðîâîäè-
ëîñü ëå÷åíèå ïî ëèíèÿì ëàäîíè (ñ èñïîëüçîâàíè-
systems, and also in the minisystem. Influence was åì ñèñòåì ñîîòâåòñòâèÿ) [8].
exerted: on the spinal column projection points (at Ëå÷åíèå ïðîâîäèëîñü êàê â ñòàíäàðòíîé ñèñòå-
the level of affected segments), in the skin manifesta- ìå ñîîòâåòñòâèÿ êèñòè, òàê è â äîïîëíèòåëüíûõ
tions projection area by the standard system and min- ñèñòåìàõ, à òàêæå â ìèíè-ñèñòåìå. Âîçäåéñòâèå îêà-
isystem (Fig. 1), and in the posterior central gyrus çûâàëîñü: íà òî÷êè ñîîòâåòñòâèÿ ïîçâîíî÷íèêó (íà
projection area (on both the thumbs). If radiating pains óðîâíå ïîðàæåííûõ ñåãìåíòîâ), â çîíå ïðîåêöèé
were present, radiation projection areas were employed. íåïîñðåäñòâåííî êîæíûõ ïðîÿâëåíèé ïî ñòàíäàð-
In case of low effectiveness for as long as two ses- òíîé ñèñòåìå è ìèíè-ñèñòåìå (ðèñ. 1), â çîíå ñî-
sions, similar actions were undertaken on feet. A ses- îòâåòñòâèÿ ïîñòöåíòðàëüíîé èçâèëèíå (íà áîëü-
sion lasted from 20 to 40 minutes depending on the øèõ ïàëüöàõ îáåèõ êèñòåé). Ïðè íàëè÷èè èððàäèè-
nature of pain, patient’s age, duration of the disease, ðóþùèõ áîëåé èñïîëüçîâàëèñü ñîîòâåòñòâèÿ îáëà-
and also on the dynamics of pain severity during each ñòÿì èððàäèàöèè. Ïðè íèçêîé ýôôåêòèâíîñòè
session. Thus, with dominating shooting pain, short òàêîãî ëå÷åíèÿ äâà ñåàíñà àíàëîãè÷íîãî âîçäåé-
duration of disease, and decrease of pain severity with- ñòâèÿ ïðîâîäèëîñü íà ñòîïàõ. Äëèòåëüíîñòü ñåàíñà
in 15 to 20 minutes after the beginning of the ses- êîëåáàëàñü îò 20 äî 40 ìèíóò, â çàâèñèìîñòè îò
sion, the procedure duration was less. When com- õàðàêòåðà áîëè, âîçðàñòà ïàöèåíòà, äëèòåëüíîñòè
plaints referred to more burning, crushing pains, itch- çàáîëåâàíèÿ, à òàêæå äèíàìèêè èíòåíñèâíîñòè áî-
ing and longer duration of disease, and no progress ëåé âî âðåìÿ êàæäîãî ñåàíñà. Òàê, ïðè äîìèíèðî-
in algesic manifestations, the procedure lasted 40 âàíèè ñòðåëÿþùåé áîëè, íåáîëüøîé ïðîäîëæè-
minutes. òåëüíîñòè çàáîëåâàíèÿ è îòñóòñòâèè óìåíüøåíèÿ
The number of sessions varied from 8 to 10 on an èíòåíñèâíîñòè áîëè äëèòåëüíîñòü ïðîöåäóðû ñî-
alternate day basis or once in three days. Maximal ñòàâëÿëà 40 ìèíóò.
results were obtained in 35 patients with duration of ×èñëî ñåàíñîâ êîëåáàëîñü îò 8 äî 10 ñ ïåðèî-
disease up to six months (Diagram 2). äè÷íîñòüþ îò îäíîãî ðàçà â äâà äíÿ äî îäíîãî
Another 45 patients, treatment by correspondence ðàçà â òðè äíÿ. Ìàêñèìàëüíûé ðåçóëüòàò áûë äî-
systems alone proving insufficient (Diagram 3), un- ñòèãíóò ó 35 ïàöèåíòîâ ñ äëèòåëüíîñòüþ çàáîëå-
derwent 6 Ki therapy. To assess energy imbalance in âàíèÿ äî ïîëóãîäà (äèàãðàììà 2).
thoracic PHN, the following aspects were taken into Ó äðóãèõ 45 ïàöèåíòîâ, èç-çà íåäîñòàòî÷íîé
account (in terms of Oriental medicine): ýôôåêòèâíîñòè ëå÷åíèÿ òîëüêî ïî ñèñòåìå ñîîò-
1. Herpes zoster is a viral disease — manifestation âåòñòâèÿ (äèàãðàììà 3), ïðîâîäèëàñü òåðàïèÿ ïî
of the energies of Coldness and, partially, Wind; ìåòîäó Øåñòè Êè. Äëÿ îöåíêè äèñáàëàíñà ïðè òî-
2. Disease is more expressed in elderly persons — ðàêàëüíîé ÏÃÍ ó÷èòûâàëèñü ñëåäóþùèå àñïåêòû
Coldness energy property; (â òåðìèíàõ Âîñòî÷íîé ìåäèöèíû):
3. Disease often accompanied overcold — Coldness; 1. Herpes zoster — âèðóñíîå çàáîëåâàíèå — ïðî-
4. Pain increases with lower temperatures — manifes- ÿâëåíèå ýíåðãèé Õîëîäà è ÷àñòè÷íî Âåòðà;
tation of Coldness energy; 2. Çàáîëåâàíèå ñâîéñòâåííî ïîæèëûì ëþäÿì —
5. Disease is provoked by draught — Wind energy; ñâîéñòâî ýíåðãèè Õîëîäà;
6. Peri pheral nerves of thoracic spine — Hotness; 3. Çàáîëåâàíèå ÷àñòî âîçíèêàåò íà ôîíå ïåðå-
7. Chest integument — Hotness. îõëàæäåíèÿ — Õîëîä;
These are indications of incoming excessive Cold- 4. Áîëü óñèëèâàåòñÿ ïðè íèçêèõ òåìïåðàòóðàõ —
ness and Wind energies in the Hotness energy system. ïðîÿâëåíèå ýíåðãèè Õîëîäà;
Treatment was conducted on the basis of this conclu- 5. Çàáîëåâàíèå ïðîâîöèðóåòñÿ ñêâîçíÿêîì —
sion. In patients, branch Hotness was tonified on the ýíåðãèÿ Âåòðà;
spinal cord byol-meridian or on the Governor byol- 6. Ïåðèôåðè÷åñêèå íåðâû ãðóäíîãî îòäåëà — Æàð;
meridian followed by sedation of branch Coldness or 7. Ïîêðîâû ãðóäíîé êëåòêè — Æàð.
6 6
6 5.5 5.5 6 5.5 5.5
5 5
sign pronouncedness
sign pronouncedness
4.5 4.5
4 4 4 4 4 4
(âûðàæåííîñòü
(âûðàæåííîñòü
ïðèçíàêà)
3 2.7 3
2.2 2.2 2.2
1.8
2 2
1 1
0 0
0 0
1 2 3 4 5 6 1 2 3 4 5 6
— prior to treatment ( äî ëå÷åíèÿ) — prior to treatment ( äî ëå÷åíèÿ)
— after treatment (ïîñëå ëå÷åíèÿ) — after treatment (ïîñëå ëå÷åíèÿ)
Diagram 2. Dynamics of pain syndrome in the group Diagram 3. Dynamics of pain syndrome in the group
with high effectiveness of correspondence with low effectiveness of correspondence
systems therapy (35 patients) systems therapy (45 patients)
Äèàãðàììà 2. Äèíàìèêà áîëåâîãî ñèíäðîìà â ãðóïïå Äèàãðàììà 3. Äèíàìèêà áîëåâîãî ñèíäðîìà â ãðóïïå
ïàöèåíòîâ ñ âûñîêîé ýôôåêòèâíîñòüþ òåðàïèè ïàöèåíòîâ ñ íèçêîé ýôôåêòèâíîñòüþ òåðàïèè
ïî ñèñòåìå ñîîòâåòñòâèÿ (35 ÷åëîâåê) ïî ñèñòåìå ñîîòâåòñòâèÿ (45 ÷åëîâåê)
6 6
6 6
sign pronouncedness
sign pronouncedness
5 5
(âûðàæåííîñòü
(âûðàæåííîñòü
4 4 4 4
3.6 3.7 3.7
ïðèçíàêà)
ïðèçíàêà)
1 1
0 0
0 0
1 2 3 4 5 6 1 2 3 4 5 6
— prior to treatment ( äî ëå÷åíèÿ) — prior to treatment ( äî ëå÷åíèÿ)
— after treatment (ïîñëå ëå÷åíèÿ) — after treatment (ïîñëå ëå÷åíèÿ)
Diagram 4. Dynamics of pain syndrome in the group Diagram 5. Dynamics of pain syndrome in the group
with high effectiveness of Six Ki therapy with low effectiveness of Six Ki therapy
(25 patients) (20 patients)
Äèàãðàììà 4. Äèíàìèêà áîëåâîãî ñèíäðîìà â ãðóïïå Äèàãðàììà 5. Äèíàìèêà áîëåâîãî ñèíäðîìà â ãðóïïå
ïàöèåíòîâ ñ âûñîêîé ýôôåêòèâíîñòüþ ïàöèåíòîâ ñ íèçêîé ýôôåêòèâíîñòüþ
òåðàïèè ïî Øåñòè Êè (25 ÷åëîâåê) òåðàïèè ïî Øåñòè Êè (20 ÷åëîâåê)
6 6
6 6
sign pronouncedness
sign pronouncedness
5 5
(âûðàæåííîñòü
(âûðàæåííîñòü
ïðèçíàêà)
ïðèçíàêà)
4 3.5 3.3 4 3.5
3 3 3 3.1 3.3 3 3 3 2.9 3
2.6 2.8 2.8
3 3
2 2 2.2
1.8
2 2
1 1
0 0
0 0
1 2 3 4 5 6 1 2 3 4 5 6
— prior to treatment ( äî ëå÷åíèÿ) — prior to treatment ( äî ëå÷åíèÿ)
— after treatment (ïîñëå ëå÷åíèÿ) — after treatment (ïîñëå ëå÷åíèÿ)
Diagram 6. Dynamics of pain syndrome in the group Diagram 7. Dynamics of pain syndrome in the group
with high effectiveness of palm lines therapy with low effectiveness of palm lines therapy
(10 patients) (10 patients)
Äèàãðàììà 6. Äèíàìèêà áîëåâîãî ñèíäðîìà â ãðóïïå Äèàãðàììà 7. Äèíàìèêà áîëåâîãî ñèíäðîìà â ãðóïïå
ïàöèåíòîâ ñ âûñîêîé ýôôåêòèâíîñòüþ ïàöèåíòîâ ñ íèçêîé ýôôåêòèâíîñòüþ
òåðàïèè ïî ëèíèÿì ëàäîíè (10 ÷åëîâåê) òåðàïèè ïî ëèíèÿì ëàäîíè (10 ÷åëîâåê)
These patients proceeded to the third therapeutic stage, (75—100 ìã/ñóò.) â ñî÷åòàíèè ñ êàðáàìàçåïèíîì
treatment by palm lines. Dryness, Humidity and Hotness (400—600 ìã/ñóò.) äëèòåëüíîñòüþ äâà è áîëåå ìå-
energies were sedated on the line of Hotness, depending ñÿöà äëÿ äîñòèæåíèÿ ñîïîñòàâèìîé ñ äðóãèìè
on the nature of pains (see above). In ten patients treat- ãðóïïàìè ïàöèåíòîâ ýôôåêòèâíîñòè ëå÷åíèÿ ÏÃÍ.
ment was effective enough (Diagram 6). Ten sufferers Ìåòîä Îííóðè ìåäèöèíû íàïðàâëåí íà âîñ-
turned out to be therapy-resistant (Diagram 7). ñòàíîâëåíèå íàðóøåííîãî ãîìåîñòàçà [2], àêòè-
Employment of the proposed techniques had a con- âèçàöèþ ðåïàðàòèâíûõ ïðîöåññîâ â îðãàíèçìå íà
siderable therapeutic effect in 87% cases of thoracic èíôîðìàöèîííîì, ýíåðãåòè÷åñêîì, ôóíêöèî-
PHN (p<0.05). Total efficiency of Onnuri Su Jok ac- íàëüíîì, êëåòî÷íîì è áèîõèìè÷åñêîì óðîâíÿõ.
upuncture in postherpetic neuralgia is presented in  ñëó÷àå ëå÷åíèÿ ïî ñèñòåìàì ñîîòâåòñòâèÿ çà-
Diagram 8. êîíîìåðíî äîñòèæåíèå ðåçóëüòàòà ïðè áîëåå ëåã-
It is noteworthy, that treatment by correspond- êîì òå÷åíèè ÏÃÍ è áîëåå êîðîòêîé ïðîäîëæèòåëü-
íîñòè çàáîëåâàíèÿ, ò.ê. ýòîò âèä ëå÷åíèÿ îêàçûâàåò
ence systems was more effective in females, while the
ôóíêöèîíàëüíî-ðåãóëèðóþùåå, êîìïåíñàòîðíîå
Six Ki method and palm lines therapy did not show
significant sex-based variations. With some exceptions, 6
6 5.5 5.5
therapy was becoming less effective as the patients’
sign pronouncedness
processes in the organism on the informational, en- âëèÿíèå. Áîëüøàÿ ýôôåêòèâíîñòü ìåòîäà Øåñòè Êè
ergy, functional, cellular and biochemical levels. ïðè òÿæåëîì è äëèòåëüíîì òå÷åíèè ÏÃÍ îáúÿñíÿ-
Treatment by correspondence systems is applica- åòñÿ, ïî-âèäèìîìó, áîëåå ãëóáîêèì âîçäåéñòâèåì
ble in lighter PHN cases, shorter period of illness, íà ïðîöåññû, ïðîèñõîäÿùèå â îðãàíèçìå íà ýíåð-
since this kind of treatment has a compensatory and ãîèíôîðìàöèîííîì óðîâíå. Ðåçóëüòàòèâíîñòü ëå÷å-
function-regulating influence. Treatment by Six Ki is íèÿ ïî ëèíèÿì ëàäîíè, â íàèáîëåå óïîðíûõ ñëó÷à-
more effective with severe and prolonged PHN, ÿõ ÏÃÍ, ìîæåò áûòü îáúÿñíåíà ìàêñèìàëüíîé èí-
which can be explained by more profound influence äèâèäóàëèçàöèåé ïîäõîäà, ïî ñðàâíåíèþ ñî ñòàí-
on the processes going on the energy-and-informa- äàðòíûì ðàñïîëîæåíèåì ýíåðãåòè÷åñêèõ òî÷åê ïðè
tion level. Positive results of palm lines treatment in èñïîëüçîâàíèè ìåòîäà Øåñòè Êè. Òàêèì îáðàçîì,
most hard cases of PHN are probably due to maxi- ïðèìåíåíèå ðàçëè÷íûõ ìåòîäîâ Îííóðè Ñó Äæîê
mal individualization of approach as compared with àêóïóíêòóðû â èõ ñî÷åòàíèè ïîçâîëÿåò äîáèòüñÿ
çíà÷èòåëüíîé ýôôåêòèâíîñòè ïðè ëå÷åíèè òîðà-
standard location of energy points in Six Ki method.
êàëüíîé ïîñòãåðïåòè÷åñêîé íåâðàëãèè.
Therefore, combined application of different Onnu-
Ðåçþìèðóÿ ïðèâåäåííûå âûøå äàííûå, ìîæ-
ri Su Jok acupuncture methods allows to obtain con-
íî ðåêîìåíäîâàòü ïðèìåíåíèå ëå÷åíèÿ ïî ñèñòå-
siderable effectiveness in treatment of thoracic post-
ìå ñîîòâåòñòâèÿ ïàöèåíòàì ñ íåáîëüøîé ïðîäîë-
herpetic neuralgia.
æèòåëüíîñòüþ çàáîëåâàíèÿ. Ïðè áîëåå äëèòåëü-
To summarize, we can recommend treating pa-
íûõ ñðîêàõ ïðåäëàãàåòñÿ èñïîëüçîâàíèå ìåòîäîâ
tients with shorter duration of disease by correspond-
Øåñòè Êè è òåðàïèè ïî ëèíèÿì ëàäîíè â ñî÷åòà-
ence systems. For longer terms, Six Ki method and íèè ñ òî÷êàìè ñèñòåì ñîîòâåòñòâèÿ.
palm lines therapy combined with correspondence Èñïîëüçîâàíèå Îííóðè Ñó Äæîê òåðàïèè ïî-
points is advisable. çâîëÿåò äîáèòüñÿ ñóùåñòâåííîãî ýôôåêòà ïðè òî-
Application of Onnuri Su Jok therapy is efficient ðàêàëüíîé ÏÃÍ, îáåçîïàñèâ ïàöèåíòà îò çíà÷è-
in thoracic PHN, saving patients many side effects òåëüíîãî ÷èñëà ïîáî÷íûõ ýôôåêòîâ, âûçûâàåìûõ
from antidepressant and anticonvulsant medication. In ïðèåìîì àíòèäåïðåññàíòîâ è àíòèêîíâóëüñàíòîâ.
cases of co-morbid affective disorders, anxiety and Ïðè íàëè÷èè ó áîëüíûõ êîìîðáèäíûõ àôôåêòèâ-
asthenic depression, or if PHN persists for years, íûõ ðàññòðîéñòâ, òðåâîæíî-äåïðåññèâíîãî èëè àñ-
Onnuri Su Jok therapy should be combined with psy- òåíî-äåïðåññèâíîãî ñèíäðîìà, ìíîãîëåòíåì óïîð-
chopharmacotherapy. íîì òå÷åíèè ÏÃÍ Îííóðè Ñó Äæîê àêóïóíêòóðà
äîëæíà ñî÷åòàòüñÿ ñ ïñèõîôàðìàêîòåðàïèåé.
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COMBINED MASSAGER
FOR HANDS AND FEET
INTRODUCTION ÂÂÅÄÅÍÈÅ
The growth of increasing thyroid gland patholo- Ïðîáëåìà ðîñòà ïàòîëîãèè ùèòîâèäíîé æåëå-
gies is a very topical problem at the present stage of çû ÿâëÿåòñÿ âåñüìà àêòóàëüíîé íà ñîâðåìåííîì
development of medicine. Increasing environmental ýòàïå ðàçâèòèÿ ìåäèöèíû. Íàðàñòàþùåå çàãðÿç-
pollution, adverse outcomes of the Chernobyl catas- íåíèå îêðóæàþùåé ñðåäû, ïîñëåäñòâèÿ àâàðèè
trophe and many other causes made diagnostics and íà ×ÀÝÑ è ìíîãèå äðóãèå ïðè÷èíû ïðåâðàòèëè
treatment of diffuse and focal lesions of the thyroid äèàãíîñòèêó è ëå÷åíèå äèôôóçíûõ è î÷àãîâûõ
gland in the central regions of Russia shift from a pure- ïîðàæåíèé ùèòîâèäíîé æåëåçû â öåíòðàëüíûõ
ly medical problem into a social one. Only in the Smo- îáëàñòÿõ Ðîññèè èç ÷èñòî ìåäèöèíñêîé â ñîöè-
lensk region expenditures allocated for examination àëüíóþ ïðîáëåìó. Çàòðàòû íà îáñëåäîâàíèå è ëå-
and treatment of this pathology increased approxi- ÷åíèå äàííîé ïàòîëîãèè áîëüíûõ òîëüêî ïî Ñìî-
mately seven- to eightfold during the period from 1985 ëåíñêîé îáëàñòè âîçðîñëè ñ 1985 ã. ïî 1999 ã. â
to 1999 [8]. Introduction of ultrasonic tomography 7,5—8,3 ðàçà [8]. Âíåäðåíèå ìåòîäà óëüòðàçâóêî-
(UST) has drastically increased the number of dis- âîé òîìîãðàôèè (ÓÇÒ) ðåçêî óâåëè÷èëî âûÿâëÿ-
covered diffuse thyroid pathology (thyroiditis). As a åìîñòü äèôôóçíîé ïàòîëîãèè ùèòîâèäíîé æåëå-
result, there appeared a group of patients with the çû (òèðåîèäèò), â ðåçóëüòàòå ÷åãî äèàãíîñòèðîâà-
so-called «pseudo-nodal changes» in chronic thy- ëàñü öåëàÿ ãðóïïà ïàöèåíòîâ ñ òàê íàçûâàåìûìè
roidites which complicates diagnostic and treatment «ïñåâäîóçëîâûìè èçìåíåíèÿìè» ïðè õðîíè÷åñêèõ
tasks [11]. Allopathic medicine continues to look for òèðåîèäèòàõ, ÷òî òàêæå óñëîæíÿåò ðåøåíèå äè-
an effective, cost-efficient algorithm of diagnosis and àãíîñòè÷åñêèõ è ëå÷åáíûõ çàäà÷ [11]. Àëëîïàòè-
treatment of various thyroid gland pathologies. So far, ÷åñêîé ìåäèöèíîé ïðîäîëæàåòñÿ ïîèñê ýôôåê-
few studies have discussed combined efforts of allo- òèâíûõ, ýêîíîìè÷åñêè îïðàâäàííûõ àëãîðèòìîâ
pathic and non-traditional medicine in this field, al- äèàãíîñòèêè è ëå÷åíèÿ ðàçëè÷íîé ïàòîëîãèè ùè-
though this is a promising direction in the complex òîâèäíîé æåëåçû. Âçàèìîäåéñòâèþ àëëîïàòè÷åñ-
treatment of thyroid gland disorders [9, 12, 13]. êîé è íåòðàäèöèîííîé ìåäèöèíû â îáëàñòè ëå-
÷åíèÿ ùèòîâèäíîé æåëåçû ïîñâÿùåíî íåîïðàâ-
PURPOSE OF WORK äàííî ìàëî ðàáîò, õîòÿ ýòî ÿâëÿåòñÿ ìíîãîîáå-
To access the results of treating chronic lymphocytic ùàþùèì íàïðàâëåíèåì â êîìïëåêñíîì ëå÷åíèè
thyroiditis (microcystic changes of the parenchyma of çàáîëåâàíèé ùèòîâèäíîé æåëåçû [9, 12, 13].
the gland according to UST data) by Su Jok thera-
peutic methods. ÖÅËÜ ÐÀÁÎÒÛ
Îöåíèòü ðåçóëüòàòû ëå÷åíèÿ õðîíè÷åñêîãî ëèì-
RESEARCH TASKS ôîöèòàðíîãî òèðåîèäèòà (ìåëêîêèñòîçíûå èçìå-
1. Theoretical explanation of the dynamic of ultra- íåíèÿ ïàðåíõèìû æåëåçû ïî äàííûì ÓÇÒ) ìåòî-
sound changes in chronic lymphocytic thyroiditis (CLT). äîì Ñó Äæîê òåðàïèè.
3 6
A
1 5
Thyroid gland correspondence area I
Çîíà ñîîòâåòñòâèÿ ùèòîâèäíîé æåëåçå
E
Fig. 1. Energy points to be accentuated in treatment 4 2 3
L
of thyroid gland disorders (2, 3, 5, 6 — basic
energy points; 1, 4 — additional energy points) D
Ðèñ. 1. Ëå÷åíèå ïî ñèñòåìå ñîîòâåòñòâèÿ
H
çàáîëåâàíèé ùèòîâèäíîé æåëåçû (2,3, 5, 6 —
îñíîâíûå ýíåðãåòè÷åñêèå òî÷êè; 1, 4 — 1 I II
äîïîëíèòåëüíûå ýíåðãåòè÷åñêèå òî÷êè) 2, 3, 4 E IV, I, VI
5 X IV
disease is combined sedation of Humidity in the thy-
Fig. 2. Sedation of Humidity in thyroid gland
roid structure. Since the thyroid is assigned to the cat-
structure by the combination method
egory of Heat in UM-Hotness, the first needle is to
Ðèñ. 2. Òîðìîæåíèå Âëàæíîñòè â ñòðóêòóðå
be introduced vertically in the Heat point on the brain
ùèòîâèäíîé æåëåçû êîìáèíèðîâàííûì
byol-meridian. After this, on the UM-Heat meridian
ìåòîäîì
we apply the following prescri ption: sedation of Hu-
midity, tonification of Wind, tonification of Cold- ðîâàííûì ìåòîäîì. Òàê êàê ùèòîâèäíàÿ æåëåçà
ness. The controlling needle on the Conception byol- îòíîñèòñÿ ê êàòåãîðèè Òåïëà â ÓÌ-Æàðå, òî ïåð-
meridian is sedation of Humidity (Fig. 2) [3, 5]. âàÿ èãëà ââîäèòñÿ âåðòèêàëüíî â òî÷êó Òåïëà íà
Importance of working with correspondence points áåëü-ìåðèäèàíå ãîëîâíîãî ìîçãà. Çàòåì íà áåëü-ìå-
on one’s own have been explained to each patient ðèäèàíå ÓÌ-Òåïëà ïîñëåäîâàòåëüíî ïðîâîäèì òîð-
which found further realization in the Spirit of In- ìîæåíèå Âëàæíîñòè, òîíèçàöèþ Âåòðà, òîíèçàöèþ
tention to help oneself and considerably inhanced Õîëîäà. Êîíòðîëèðóþùàÿ èãëà íà áåëü-ìåðèäèàíå
the effectiveness of treatment. The patients were given Çà÷àòèÿ — òîðìîæåíèå Âëàæíîñòè (ðèñ. 2) [3, 5].
recommendations to use for self-treatment the mas- Êàæäîìó ïàöèåíòó áûëà îáúÿñíåíà âàæíîñòü
sage of the thyroid correspondence points and areas ñàìîñòîÿòåëüíîé ðàáîòû ñ òî÷êàìè ñîîòâåòñòâèÿ,
corresponding to the related spinal segment (cervical ÷òî â äàëüíåéøåì ðåàëèçîâûâàëîñü â Äóõå Íàìå-
spine level) in the standard correspondence systems ðåíèÿ ïîìî÷ü ñàìîìó ñåáå è çíà÷èòåëüíî ïîâû-
of the hands and feet. Additionally: seeds application øàëî ýôôåêòèâíîñòü ëå÷åíèÿ. Äëÿ ñàìîëå÷åíèÿ
to these areas for the night. ïàöèåíòàì áûëî ðåêîìåíäîâàíî èñïîëüçîâàòü
ìàññàæ òî÷åê ñîîòâåòñòâèÿ ùèòîâèäíîé æåëåçå è
RESEARCH RESULTS çîíû, ñîîòâåòñòâóþùåé ñåãìåíòó ñïèííîãî ìîç-
All patients complained of discomfort in the neck re- ãà (íà óðîâíå øåéíîãî îòäåëà ïîçâîíî÷íèêà), â
gion, periodically appearing sense of compression in the ñòàíäàðòíûõ ñèñòåìàõ ñîîòâåòñòâèÿ êèñòåé è ñòîï,
thyroid. General complaints of fast fatigue, unquiet sleep äîïîëíèòåëüíî ïðîèçâîäèòü àïïëèêàöèþ çåðåí íà
and irritability were reported by five patients. Prior to ýòè çîíû íà íî÷ü.
treatment two patients had daily diffuse headaches and
increased sweating in the first half of the day. On exami- ÐÅÇÓËÜÒÀÒÛ ÈÑÑËÅÄÎÂÀÍÈß
nation: three patients had first degree thyroid (WHO clas- Âñå ïàöèåíòêè æàëîâàëèñü íà äèñêîìôîðò â
sification of 1994), four had zero degree. Prior to treat- îáëàñòè øåè, ïåðèîäè÷åñêè âîçíèêàþùåå ÷óâñòâî
ment the thyroid’s size had not changed before. ñäàâëèâàíèÿ â îáëàñòè ùèòîâèäíîé æåëåçû. Áû-
T3 (triiodothyronine)
1,58±0,31 1,56±0,40 1,61±0,23 1,66±0,44 1,72±0,35 1,70±0,47 1,71±0,51 1,73±0,36 1,2-2,8
Ò3 (òðèéîäòèðîíèí)
T4 (thyroxine)
136,1±6,0 135,7±6,3 140,7±5,6 142, 0±5,2 144,3±5,8 141,7±6,6 143,9±7,0 144,5±6,2 60-160
Ò4(òèðîêñèí)
TSH
2,06±0,5 2,09±0,8 2,12±0,9 2,13±0,9 2,13±0,71 2,11±0,61 2,10±0,61 2,09±0,83 0,17-4,06
ÒÒÃ
By the end of the third course of treatment the ñòðóþ óòîìëÿåìîñòü, íåñïîêîéíûé ñîí è ðàçäðà-
following results could be noted: first degree hyper- æèòåëüíîñòü îòìå÷àëè ïÿòü ïàöèåíòîê. Ó äâóõ äî
plasia was revealed in two patients, zero degree in ëå÷åíèÿ íàáëþäàëèñü åæåäíåâíûå äèôôóçíûå
four patient. The thyroid decrease in one patient might ãîëîâíûå áîëè è ïîòëèâîñòü â ïåðâîé ïîëîâèíå
be the result of cancelling her summer holiday in the äíÿ. Âèçóàëüíî æåëåçà îïðåäåëÿëàñü: ó òðåõ áîëü-
south. íûõ äî I ñòåïåíè (êëàññèôèêàöèÿ ÂÎÇ — 1994 ã.),
For all seven patients thyroid hormone indices ó ÷åòûðåõ áîëüíûõ äî íóëåâîé ñòåïåíè. Äî ëå÷å-
were estimated prior to, during and after treatment. íèÿ ðàçìåðû æåëåçû íå èçìåíÿëèñü.
The results are shown in Table 1. Ê êîíöó òðåòüåãî êóðñà ëå÷åíèÿ îòìå÷àëèñü
As can be seen in Table 1, in the «no treatment» ñëåäóþùèå ðåçóëüòàòû: ãèïåðïëàçèÿ ïåðâîé ñòå-
column hormone fluctuations do not reflect any sta- ïåíè îáíàðóæåíà ó äâóõ áîëüíûõ, íóëåâîé ñòåïå-
tistically reliable dynamics. In all the patients they are íè — ó ÷åòûðåõ áîëüíûõ. Óìåíüøåíèå æåëåçû ó
within normal limits. After the first treatment course
îäíîé ïàöèåíòêè ìû ñâÿçûâàåì ñ îòìåíîé åæå-
the hormone level tends to increase noticeably. The
ãîäíîé ïîåçäêè íà þã.
Ó âñåõ ñåìè ïàöèåíòîê îïðåäåëÿëèñü ïîêàçà-
òåëè ãîðìîíîâ ùèòîâèäíîé æåëåçû äî, âî âðåìÿ
è ïîñëå ëå÷åíèÿ. Ðåçóëüòàòû ïðåäñòàâëåíû â òàá-
ëèöå 1.
Êàê âèäíî èç òàáëèöû 1, áåç ëå÷åíèÿ êîëåáà-
íèÿ ãîðìîíîâ íå îòðàæàþò êàêîé-ëèáî ñòàòèñòè-
÷åñêè äîñòîâåðíîé äèíàìèêè. Ó âñåõ ïàöèåíòîê
îíè â ïðåäåëàõ íîðìû. Ïîñëå îêîí÷àíèÿ ïåðâîãî
êóðñà ëå÷åíèÿ íàáëþäàåòñÿ îò÷åòëèâàÿ òåíäåíöèÿ
ê óâåëè÷åíèþ óðîâíÿ ãîðìîíîâ. Òàêàÿ æå òåíäåí-
öèÿ ïðîñëåæèâàåòñÿ ïîñëå âòîðîãî è òðåòüåãî êóð-
ñîâ ëå÷åíèÿ.
 òå÷åíèå ïåðâîãî ãîäà ïîñëå îêîí÷àíèÿ ëå÷å-
íèÿ óðîâåíü ãîðìîíîâ ñòàáèëèçèðóåòñÿ. Èç-çà ìà-
Photo 1. Ultrasound tomography of right thyroid lobe ëîãî êîëè÷åñòâà íàáëþäåíèé ñòàòèñòè÷åñêè äîñ-
(longitudinal position of the sensor) before òîâåðíûå âûâîäû äåëàòü íåëüçÿ, îäíàêî ëîãè÷íî
treatment îòìåòèòü ïîçèòèâíóþ òåíäåíöèþ â ïîäúåìå óðîâíÿ
Ôîòî 1. Óëüòðàçâóêîâàÿ òîìîãðàììà ïðàâîé ãîðìîíîâ âî âðåìÿ ëå÷åíèÿ ó âñåõ ïàöèåíòîê, ÷òî
äîëè ùèòîâèäíîé æåëåçû (ïðîäîëüíàÿ ÿâëÿåòñÿ íåîñïîðèìûì ñâèäåòåëüñòâîì ïðåâåíòèâ-
ïîçèöèÿ äàò÷èêà) äî ëå÷åíèÿ íîé áîðüáû ñ ãèïîòèðåîçîì.
ithelium is observed, there are also lymphothytic in- âîñïàëèòåëüíîãî «âàëà» [10]. Ýòè äàííûå ïàòîëî-
filtrations. Not infrequently, the basal membrane is ãè÷åñêîé àíàòîìèè è îáîñíîâûâàþò ïîÿâëåíèå ãè-
descructed without inflammation [10]. These findings ïîýõîãåííûõ ó÷àñòêîâ íà ýêðàíå ÓÇ ïðèáîðà. Ðàç-
of pathologic anatomy account for appearance of âèòèå ïàòîëîãè÷åñêîãî ïðîöåññà óâåëè÷èâàåò ñòå-
hypoechogenic regions on US-display. Pathological ïåíü èíôèëüòðàöèè èíòåðôîëëèêóëÿðíîé ñîåäè-
development enhances the degree of infiltration of íèòåëüíîé òêàíè, ÷òî âåäåò ê äàëüíåéøåìó
interfollicular connective tissue which results in fur- ñíèæåíèþ ýõîãåííîñòè, âïëîòü äî àíýõîãåííîé
ther echogenic decrease up to anechogenic (cystic) (êèñòîçíîé) ñòðóêòóðû çîí ïàòîëîãèè ïðè ïðî-
structure of pathology sites on US-examination. Along âåäåíèè ÓÇ èññëåäîâàíèÿ. Íàðÿäó ñ ó÷àñòêàìè
with infiltration parts there are hyperplastic changes èíôèëüòðàöèè èìåþòñÿ ãèïåðïëàñòè÷åñêèå èçìå-
of follicular cells with epithelium layer folds in in- íåíèÿ ôîëëèêóëÿðíûõ êëåòîê ñî ñêëàä÷àòîñòüþ
terfollicular stroma; there are uneven fibrosis zones ýïèòåëèàëüíîãî ñëîÿ â èíòåðôîëëèêóëÿðíîé ñòðî-
which can appear on US-display as calcinate-type ìå; èìåþòñÿ çîíû íåðàâíîìåðíîãî ôèáðîçà, íà
inclusions (dense echo-positive linear inclusions) [11]. ÓÇ ìîíèòîðå ýòè ó÷àñòêè ìîãóò âèçóàëèçèðîâàòü-
Revealed changes caused iatrogenic impairment in ñÿ â âèäå âêëþ÷åíèé ïî òèïó êàëüöèíàòîâ (ïëîò-
a patient’s mental and emotional sphere [7]. Those pa- íûõ ýõîïîçèòèâíûõ ëèíåéíûõ âêëþ÷åíèé) [11].
tients who formerly refused to regard themselves as ill Âûÿâëåííûå èçìåíåíèÿ âûçâàëè ÿòðîãåííûå
and rejected treatment, connecting their complaints ïîâðåæäåíèÿ â ïñèõîýìîöèîíàëüíîé ñôåðå áîëü-
with overstudy, professional exposures, social and íûõ [7]. Ïàöèåíòû, êîòîðûå ðàíåå íå ñ÷èòàëè ñåáÿ
domestic problems, on revealing negative dynamics áîëüíûìè è îòêàçûâàëèñü îò ëå÷åíèÿ, ñâÿçûâàÿ
by US methods expressed the desire to undergo treat- ñâîè æàëîáû ñ íàãðóçêàìè âî âðåìÿ ó÷åáû, ïðî-
ment but ruled out intake of thyroid hormones. ôåññèîíàëüíûìè âðåäíîñòÿìè, òðóäíîñòÿìè â ñî-
Taking the foregoing into account, we offered a öèàëüíîé è ñåìåéíîé æèçíè, ïîñëå âûÿâëåíèÿ
monotherapy technique based on Su Jok acupuncture. îòðèöàòåëüíîé äèíàìèêè ïðè ÓÇ èññëåäîâàíèè
US findings were accepted as an objective method of âûðàçèëè æåëàíèå ëå÷èòüñÿ, íî â òî æå âðåìÿ
assessing the effectiveness of Su Jok therapy. Our con- êàòåãîðè÷åñêè îòêàçàëèñü îò ïðèåìà òèðåîèäíûõ
clusions are not based on the patients’ statements of ãîðìîíîâ.
feeling better, although all of them reported considera- Ó÷èòûâàÿ âûøåèçëîæåííîå, íàìè áûëà ïðåä-
ble decrease of discomfort in the neck region, four pa- ëîæåíà ìåòîäèêà ìîíîòåðàïèè íà áàçå Ñó Äæîê
tients pointed to disappearance of headaches and sweat- àêóïóíêòóðû.
ing, and enhanced efficiency right after the first treat- ÓÇ èññëåäîâàíèå ÿâëÿëîñü îáúåêòèâíûì ìåòî-
ment course. However, since this research work was meant äîì îöåíêè ýôôåêòèâíîñòè Ñó Äæîê òåðàïèè. Â
to exclude subjective evaluation of Su Jok therapeutic ñâîèõ âûâîäàõ ìû íå îñíîâûâàëèñü íà óëó÷øåíèè
ñàìî÷óâñòâèÿ ïàöèåíòîê, õîòÿ âñå áîëüíûå îòìå-
÷àþò çíà÷èòåëüíîå óìåíüøåíèå ÷óâñòâà äèñêîì-
ôîðòà â îáëàñòè øåè, ó ÷åòûðåõ áîëüíûõ èñ÷åçëè
ãîëîâíûå áîëè, ïîòëèâîñòü, óëó÷øèëàñü ðàáîòî-
ñïîñîáíîñòü ñðàçó æå ïîñëå îêîí÷àíèÿ ïåðâîãî
êóðñà ëå÷åíèÿ. Îäíàêî, ó÷èòûâàÿ âàæíîñòü èññëå-
äîâàòåëüñêîé ðàáîòû è äëÿ èñêëþ÷åíèÿ ñóáúåê-
òèâíîé îöåíêè ðåçóëüòàòîâ ëå÷åíèÿ Ñó Äæîê òå-
ðàïèåé, ìû îñíîâûâàëèñü íà ðåçóëüòàòàõ ÓÇÒ. Âñå
èññëåäîâàíèÿ àðõèâèðîâàëèñü íà âèäåîïðèíòåðå
â ñòàíäàðòíûõ ïîçèöèÿõ. Ó ÷åòûðåõ áîëüíûõ ïîñ-
ëå ïåðâîãî êóðñà ëå÷åíèÿ ìû îòìå÷àëè ïîÿâëå-
íèå âìåñòî ðàíåå èìåâøèõñÿ êèñòîçíûõ èëè ãè-
ïîýõîãåííûõ îáðàçîâàíèé âêëþ÷åíèÿ èíîé ýõîñ-
òðóêòóðû. Ýòî áûëè åäèíè÷íûå ýõîïîçèòèâíûå
Photo 4. Ultrasound tomography of left thyroid lobe ëèíåéíûå âêëþ÷åíèÿ 1—2 ìì äëèíîé ïî òèïó
(longitudinal position of the sensor) after first êàëüöèíàòîâ (ôîòî 4). Ó òðåõ ïàöèåíòîê ýõîñòðóê-
treatment course òóðà ê êîíöó ïåðâîãî êóðñà ëå÷åíèÿ íå èçìåíè-
Ôîòî 4. Óëüòðàçâóêîâàÿ òîìîãðàììà ëåâîé äîëè ëàñü. Ê êîíöó âòîðîãî êóðñà ëå÷åíèÿ êîëè÷åñòâî
ùèòîâèäíîé æåëåçû (ïðîäîëüíàÿ ïîçèöèÿ ïîäîáíûõ âêëþ÷åíèé ïî òèïó êàëüöèíàòîâ çíà-
äàò÷èêà) ïîñëå ïåðâîãî êóðñà ëå÷åíèÿ ÷èòåëüíî óâåëè÷èëîñü ó òðåõ áîëüíûõ. Ó îäíîé æåí-
Coldness (multiple calcinates). In the given example, êëèíè÷åñêèå ñèìïòîìû ñêóäíû è íå èìåþò ñïå-
the sanogenic mechanism is clearly demonstrated, öèôè÷åñêèõ ïðîÿâëåíèé, áîëüíûå íå îáðàùàþò-
namely, out of the two energies of Wind and Cold- ñÿ çà êâàëèôèöèðîâàííîé âðà÷åáíîé ïîìîùüþ è
ness offered by combined techniques, the organism ëå÷àòñÿ ïî ïîâîäó äðóãèõ çàáîëåâàíèé (íåéðîöèð-
has chosen Coldness energy as the most rational to êóëÿòîðíîé äèñòîíèè, ñèíäðîìà õðîíè÷åñêîé óñ-
remove the dominating pathogenic energy of Humid- òàëîñòè è ò.ä.). Â ñâÿçè ñ èçëîæåííûì âûøå ìîæ-
ity in the thyroid structure. íî ñäåëàòü âûâîäû:
1. Ñó Äæîê òåðàïèÿ, âêëþ÷àþùàÿ âîçäåéñòâèå
CONSLUSIONS íà ñèñòåìó ñîîòâåòñòâèÿ êèñòåé è ñòîï ïî ïÿòè
According to UST, cystic changes in the thyroid ñòóïåíÿì, ëå÷åíèå ïî ýíåðãåòè÷åñêèì òî÷êàì è
were consistently replaced by focal parenchymal calcy- ëå÷åíèå ïî Øåñòè Ýíåðãèÿì, ÿâëÿåòñÿ âûñîêî-
nate-type induration. This is connected with disappear- ýôôåêòèâíûì ìåòîäîì ëå÷åíèÿ êèñòîçíûõ èçìå-
ance of indications of inflammatory infiltration in the íåíèé ùèòîâèäíîé æåëåçû ïðè õðîíè÷åñêîì ëèì-
thyroid and their replacement by marked focal fibrosis ôîöèòàðíîì òèðåîèäèòå.
of the tissue. Such an outcome is optimal with the given 2. Ìåòîä Ñó Äæîê àêóïóíêòóðû ïîçâîëÿåò îöå-
nosologic form of the disease in medical practice. From íèòü ìåõàíèçìû ñàíîãåíåçà îðãàíèçìà ïðè ÕËÒ,
the theoretical standpoint, of course, the ideal result ÷òî â ñâîþ î÷åðåäü ÿâëÿåòñÿ âàæíûì ïðîãíîñòè-
would be complete disappearance of infiltration areas ÷åñêèì ôàêòîðîì (îäíàêî äëÿ îáúåêòèâèçàöèè
and restoration of the normal structure of the thyroid ðåçóëüòàòîâ òðåáóåòñÿ áîëüøåå êîëè÷åñòâî áîëü-
gland. This is possible, however, when CLT is «caught» íûõ è äëèòåëüíûé (5—8 ëåò) ñðîê âðà÷åáíîãî íà-
at the initial stage, autoimmune response is minimal áëþäåíèÿ).
and autoantibody titre low. At this stage clinical symp- 3. Óðîâåíü ãîðìîíîâ ùèòîâèäíîé æåëåçû Ò3,
toms are scarse and specifically unpronounced, patients Ò4, ÒÒà âî âðåìÿ ëå÷åíèÿ èìååò òåíäåíöèþ ê ïî-
do not turn for qualified medical help and undergo âûøåíèþ.
treatment for other disorders (neurocirculatory dysto- 4. ÓÇÒ âûñîêîýôôåêòèâíà â îáúåêòèâèçàöèè
nia, chronic fatigue syndrome, etc.). To summarize the ðåçóëüòàòîâ ëå÷åíèÿ ÕËÒ ìåòîäîì Ñó Äæîê òåðà-
above-mentioned, we can conclude that: ïèè.
1. Su Jok therapy, including five-stage influence 5. Ïîÿâëåíèå êàëüöèíàòîâ â ïàðåíõèìå äîëåé
on the correspondence systems of the hands and feet, ùèòîâèäíîé æåëåçû ìîæíî îöåíèòü êàê ïîçèòèâ-
treatment by energy points and Six Energy treatment íûé ýôôåêò ëå÷åíèÿ ÕËÒ.
are highly effective for treating cystic changes of the 6. Óñïåøíîå ïðèìåíåíèå ïðåäëàãàåìîãî ìåòî-
thyroid in chronic lymphocytic thyroiditis; äà ëå÷åíèÿ âûÿâëÿåò ïîòåíöèàëüíóþ öåëåñîîáðàç-
2. Su Jok acupuncture allows to evaluate an organ- íîñòü Ñó Äæîê òåðàïèè îäèíî÷íûõ óçëîâûõ îáðà-
ism’s sanogenic mechanisms in CLT, which, in turn, çîâàíèé ùèòîâèäíîé æåëåçû êèñòîçíîé ñòðóêòó-
is an important predictive factor (however, for the re- ðû, ÷òî êðàéíå âàæíî â âûáîðå ìèíèìàëüíîãî
sults to be objective a greater number of patients should èíâàçèâíîãî ìåòîäà ëå÷åíèÿ äàííîé êàòåãîðèè
be observed for a longer (5 to 8 years) period of time); áîëüíûõ.
3. The level of thyroid hormones (T3, T4, TSH)
tends to increase during treatment; ËÈÒÅÐÀÒÓÐÀ
4. UST is highly effective for objectification of the 1. À.Ì. Îâå÷êèí. Îñíîâû ÷æåíü-öçþ òåðàïèè.
results of treating CLT by Su Jok therapeutic techniques; Ñàðàíñê, 1991.
5. Appearance of calcinates in the parenchyma of the 2. Ïàê ×æý Âó. Ýíåðãåòè÷åñêàÿ ñèñòåìà Ãîìî-
thyroid can be assessed as a positive effect of treatment; âçàèìîäåéñòâèÿ òåëà ÷åëîâåêà. Ì., èçä-âî «Ñó
6. Successful application of the discussed techniques Äæîê Àêàäåìèÿ», 1996.
demonstrates potential expediency of Su Jok treat- 3. Ïàê ×æý Âó. Ëåêöèè ïî Ñó Äæîê òåðàïèè.
ment for individual cystic nodules of the thyroid which Ì., èçä-âî «Ñó Äæîê Àêàäåìèÿ», 1998.
is extremely important for chosing the least invasive 4. Ïàê ×æý Âó. Îííóðè àóðèêóëÿðíàÿ òåðàïèÿ.
method of treatment in this category of patients. Òîì III. Ýíåðãåòè÷åñêèå ñèñòåìû. Ì., èçä-âî «Ñó
Äæîê Àêàäåìèÿ», 1999.
REFERENCES 5. Ã. Ëóâñàí. Òðàäèöèîííûå è ñîâðåìåííûå àñ-
1. A.M. Ovechkin. Guide to chen-tsu therapy. ïåêòû âîñòî÷íîé ðåôëåêñîòåðàïèè. Ì., «Íàóêà»,
Saransk, 1991. 1986.
2. Park Jae Woo. Energy system of Homo-interac- 6. ×æó Ëÿíü. Îñíîâû ÷æåíü-öçþ òåðàïèè. Ì.,
tion in the body. Moscow: Su Jok Academy, 1996. «Ìåäèöèíà», 1956.
3. Park Jae Woo. Lectures on Su Jok therapy. Mos- 7. À.Â. Øàïîøíèêîâà. ßòðîãåíèÿ: òåðìèíîëî-
cow: Su Jok Academy, 1998. ãè÷åñêèé àíàëèç. Ðîñòîâ-íà-Äîíó, 1998, 120 ñ.
4. Park Jae Woo. Onnuri auricular therapy. Energy 8. «Ãîäîâîé îò÷åò ãëàâíîãî âíåøòàòíîãî ýí-
systems. Moscow: Su Jok Academy, III, 1999. äîêðèíîëîãà îáëàñòíîãî óïðàâëåíèÿ çäðàâîîõðà-
5. G. Luvsan. Traditional and modern aspects of íåíèÿ ïî Ñìîëåíñêîé îáëàñòè». Ñìîëåíñê, 2000,
Oriental reflexotherapy. Moscow: Nauka, 1986. ñ.16.
6. Chou Lan. Guide to chen-tsu therapy. Moscow: 9. «Íåòðàäèöèîííàÿ ìåäèöèíà. Ïðàêòè÷åñ-
Medicina, 1956. êîå ðóêîâîäñòâî». Ïåðåâîä ñ àíãë. Í. Ëèõà÷åâîé.
7. A.V. Shaposhnikova. Iatrogeny: terminological Ì., «Òåððà», 1998, 400 ñ.
analysis. Rostov-on-Don, 1998. 10.«Ðóêîâîäñòâî ïî âíóòðåííèì áîëåçíÿì: Áî-
8. Annual report of chief visiting endocrinologist of ëåçíè ýíäîêðèííîé ñèñòåìû». Ïîä ðåäàêöèåé
Smolensk regional health department. Smolensk, 2000, p.16. Â.Ã. Áàðàíîâà. Ì., 1966, ñ. 144.
9. Non-traditional medicine: Practical guide. Mos- 11.«Êëèíè÷åñêîå ðóêîâîäñòâî ïî ÓÇÄ». Ïîä ðå-
cow: Terra, 1998. äàêöèåé Â.Â. Ìèòüêîâà, Ì.Â. Ìåäâåäåâà, 2-é òîì.
10. Manual on internal diseases: Endocrine disorders. Ed.by Ì., «Âèäàð», 1996, ñ. 371—408.
V.G.Baranov, II, Moscow: Vidar, 1996, pp.371-408. 12.«Ðóêîâîäñòâî ïî ýíäîêðèíîëîãèè». Ïîä ðå-
12. Manual on endocrinology. Ed.by B.V.Aloshin äàêöèåé Á.Â. Àëåøèíà ñ ñîàâòîðàìè. Ì., «Ìåäè-
et all. Moscow: Medicina, 1973, p.94-193. öèíà», 1973, ñ. 94—193.
13. Endocrinology. Edy.by N.Lavin (in Rus.). Mos- 13.«Ýíäîêðèíîëîãèÿ». Ïîä ðåäàêöèåé Í. Ëàâèíà.
cow: Praktika, 1999, pp.519-571. Ïåðåâîä ñ àíãë. Ì., «Ïðàêòèêà», 1999, ñ.519—571.
During the last 18 months we treated and analysed  òå÷åíèå ïîñëåäíèõ ïîëóòîðà ëåò ó íàñ ïðî-
20 cases of first- and second-degree prostatic adeno- øëè êóðñ ëå÷åíèÿ Ñó Äæîê òåðàïèåé 20 ÷åëîâåê ñ
ma. The patients’ age varied from 55 to 75 years old. çàáîëåâàíèåì àäåíîìîé ïðîñòàòû I—II ñò. Âñå ýòè
All of them were registered with the urologist and had ñëó÷àè áûëè íàìè ïðîàíàëèçèðîâàíû. Âîçðàñò ïà-
undergone traditional medication treatment (Omnik, öèåíòîâ êîëåáàëñÿ â ïðåäåëàõ 55—75 ëåò. Âñå îíè
Proskar). Before Su Jok treatment all the patients had ñîñòîÿëè íà ó÷åòå ó óðîëîãà è ê ìîìåíòó îáðàùå-
had a US investigation of the small pelvis organs which íèÿ ê íàì ïðîøëè êóðñ ëå÷åíèÿ òðàäèöèîííûìè
confirmed their diagnosis.
ïðåïàðàòàìè (îìíèê, ïðîñêàð). Äî íà÷àëà ëå÷åíèÿ
Six Ki treatment on the UM-Coldness byol-me-
âñåì ïàöèåíòàì áûëî ïðîâåäåíî êîíòðîëüíîå ÓÇÈ
ridian and byol-chakra was carried out.
îðãàíîâ ìàëîãî òàçà, è ïî ðåçóëüòàòàì èññëåäîâà-
Some of employed approaches to treating this pa-
thology are presented in Figs. 1, 2, 3. íèÿ ïîäòâåðæäåí ïîñòàâëåííûé äèàãíîç.
Ïðîâîäèëîñü ëå÷åíèå ïî Øåñòè Êè íà áåëü-
A ìåðèäèàíå è áåëü-÷àêðå ÓÌ-Õîëîäà.
4 Íåêîòîðûå èç ïðèìåíÿåìûõ ïîäõîäîâ ê ëå÷åíèþ
I äàííîé ïàòîëîãèè ïðåäñòàâëåíû íà ðèñóíêàõ 1, 2, 3.
E
D
H
3 1 2
1, 2, 3 H IV, I, V
4 I IV
Fig. 1. Sedation of Humidity energy on the 4
UM-Coldness byol-meridian
Ðèñ. 1. Òîðìîæåíèå ýíåðãèè Âëàæíîñòè íà
áåëü-ìåðèäèàíå ÓÌ-Õîëîäà
2
Though a positive effect was observed already af-
ter 5 to 6 procedures, in each case the whole treat- 3 1
ment course was no less than 10 sessions in order to
make the results stable. On completion of the course
each patient had another US investigation of the small
pelvis organs. Based on the investigation results, one *H V, II, VI
can state that there was objective improvement in the *I V
whole group of treated patients.
Despite this success, in order to strengthen the Fig. 2. Sedation of Dryness on the UM-Coldness
clinical effect and prevent relapses all the patients byol-chakra
underwent one more course of treatment from pros- Ðèñ. 2. Òîðìîæåíèå ýíåðãèè Ñóõîñòè íà
tatic adenoma. It consisted of 6 to 10 procedures. We áåëü-÷àêðå ÓÌ-Õîëîäà