How is the treatment of bronchial asthma acupuncture? B. Empirical Acupuncture Methods for the prevention of chronic form of bronchitis

In the complex treatment of bronchitis, such massage techniques like drainage, vibration, cannon (or vacuum), dot, honey and percussion (with bronchitis in young children) are used.

Special preparation before this physiotherapy procedure is not provided, only it should be carried out at least in an hour and a half after meals. It is also recommended an hour before the procedure to adopt a bronchological drug, diluted with a wet. To lubricate the skin in front of the massage, warm olive oil, massage or children's cream are used. The average duration of one massage session is 15-20 minutes.

The technique of holding any massage is based on various techniques: rubbing, kneading, stroking, phable, vibrating pressure, plugging, "ration" or "sawmill".

Most often spend the massage of the back at bronchitis (lying on the stomach) - rub the back in the field of blades, between the blades (in both sides of the spine); Trapezoidal and widest muscles (vibrations and strokes are directed up - in the armpit area) are also affected.

A massage of the chest (in the "lying on the back" position, with legs bent in his knees) begin stroking and rubbing from her gray (sternum) to the parties - on the intercostal muscles in the direction of the spine (in the breath); In exhalation, massage movements are made in the opposite direction - with periodic compression of the chest in the diaphragm region (using palm pressure).

Drainage massage with bronchitis

The drainage massage with bronchitis is a back massage that contributes to the disheve of the sputum of cough, accompanying chronic and obstructive inflammation of the bronchi. To hold it under the stomach, the roller is sure to be placed so that the bottom of the chest in the patient's position "lying on the stomach" was above the head level.

The back strokes are made from the bottom up, that is, from the waist to the shovels and shoulders. Then the massage therapist moves to the region of the ribs: rubbing, the "sawing" of the intercostal muscles to the end of the palm, tapping with the whole palm folded by the "boating".

After massage, the patient must sit down, warm and half an hour to relax. Sessions are held every day during the week.

Vibrating massage with bronchitis

From the drainage vibration massage, with bronchitis, it differs only by the fact that the tapping on the back is made by the edge of the palm, moving from the spine (retreating from it to a distance of 4-5 cm) along the ribs - to the side surfaces of the chest. Every five minutes, the patient enable the wet wet.

Car Massage with Bronchitis

A bed or vacuum massage at bronchitis is particularly intensively affecting the tide of blood to the bronchoms, which activates the intracellular metabolism of their tissues. It is most often used in the chronic form of bronchitis.

This massage is carried out by traditional medical banks, which are put on the back in the usual way (with the ignition of wick impregnated with alcohol to create a vacuum). You can also use special vacuum massage jars consisting of glass parts and rubber (which creates a vacuum in the jar when installing on the skin).

Banks put out the width of the palm from the spine.

Bug massage with bronchitis is made by moving cans, sucking to lubricated oil.

Point massage with bronchitis

Point massage with bronchitis or acupressure - exposure to your fingers on the active points of the body - is considered to be the most effective in the chronic course of the disease.

With a bronchial cough, apply to the points that are located:

• on the top of the skin fold between the index and thumbs;
• behind the neck - near the VII cervical vertebra;
• on both sides of the IV cervical vertebra;
• between the clavicle - above the jugular hole;
• on the chest - on three fingers below the lateral protrusion of the clavicle, in the interval between the first and second ribs;
• between the collar and bone of the sternum.

When applied to these points, rotational movements are produced (directed against the clockwise progress) or vibrating movements for 20-30 seconds.

Honey massage with bronchitis

Honey massage is carried out with bronchitis with the use of natural liquid honey heated to + 40 ° C. Massage movements on the front wall of the chest and in the field of blades on the back are limited to the rubbing of honey, which should continue until almost completely absorbing the honey of the skin. After that, the residues of honey are flushed under the warm shower and bite the chest at least an hour.

Massage with bronchitis in children

Massage with bronchitis in children includes a chest massage, a vibration and drainage massage of the back - rising from the lumbar region to the shoulders.

But for the past three years, the tapping is not palm, but the tips of the fingers. Therefore, this type of drainage massage is often called a percussion massage at bronchitis (from lat. Percutere - apply strikes).

The duration of one procedure should not exceed the quarter of an hour, during which several times the child should be cleaned with a wet.

Points (Fig. 4):

LU. 1 zhongfu. (Zhong Fu).

Location: 1.5 transverse fingers below the clavicle, in the groove between the big thoracic and deltoid muscles.

LU. 5 Chize. (Chi-TSSE).

Location: When flexing your hands in the elbow joint, at the outer end of the elbow fold.

LU. 9 Taiyuan. (Tai Yuan).

Location: In the middle fold of the ray-tank joint, at the velitation of the radial artery.

As a rule, these points are sensitive when pressing.

Acute bronchitis.

With acute bronchitis, the points array against a clockwise arrow for 1-2 minutes daily 1-2 times a day. To remove the cough batch massage the point LU. 5 chize (Chi-CEZ). After the massage of the points on them, pepper plaster with a size of 3 x 3 cm. The plaster holds 2-3 days until he warms, then, if necessary, change to the new one.

Chronical bronchitis.

In the chronic bronchitis, the points are massaged clockwise for 15-30 seconds daily 1 time per day for 2 weeks. The course is repeated after 1-2 months. When exacerbating chronic bronchitis, there are 1-2 times a day. To remove the bump attack massaging the point to it. 5 chize (Chi-CEZ). After the massage of the points on them, pepper plaster with a size of 1 x 1 cm. The plaster holds 2-3 days while he heats, then, if necessary, change the new one.

Banks with bronchitis

Subject to the execution of a point massage, as described above, it is enough to put banks only to the LU point. 1 Zhongfu (Zhong Fu). For this purpose, the skin is lubricated with vaseline or vegetable oil. A piece of wool is wound on the tweezers, wet alcohol and ignite. The burning wick is quickly placed in a clean dry jar and immediately take out, after which they quickly put the jar to the point and leave for 10-15 minutes, the patient with a blanket. If the bank is supplied correctly, the skin is strongly drawn into a jar, even bruises can be formed, which has an additional healing effect. Some pains are possible. When removing the jar with one hand, stick the skin, and with a thumb with a different hand carefully lifting the edge of the cans. After removing the cans, you can stick a piece of pepper plastering. We need peace warm for 30-40 minutes. Banks are better to put in the evening before bedtime every other day. Course 3-5 times.

At the same time you can carry a can (Fig. 5). It is carried out after removing the cans from the LU point. 1 Zhongfu (Zhong Fu) on the back along the spine. When carrying a jam massage under the stomach patient put a pillow in order for the back to be smooth. The skin in the field of massage is lubricated with vaseline or vegetable oil. The bank is put in the usual way, but more weakly, between the blades, retreating 2-3 cm from the spine. Next, they move the jar back and forth along the spine from the neck to the lower back 3-5 times to easy skin redness in the case of chronic bronchitis and to bright red with acute bronchitis. For the elderly and weakened people, for persons suffering from reduced arterial pressure, with acute bronchitis, the intensity of the impact should be the same as in chronic bronchitis. When carrying a jam massage, painful sensations are not allowed. After the jam massage, the patient is covered with a blanket and give it a rest. If there is painful when pressing a point, it is advisable to stick the pepper plaster after the jam massage. The course is 1 time per week, only 2-3 times.

Chronic bronchitis (HB) is a long, progressive, with a wavy flow of inflammation of bronchi and bronchiole, accompanied by a cough with a sputum separation (usually viscous), shortness of breath, reduction of tolerance to physical exertion.

By definition of a group of WHO experts, to the sick HB should include those persons whose cough with a spree lasts at least three months a year for two years in a row in the exclusion of other diseases of the upper respiratory tract, bronchi and lungs that could cause these symptoms.

With a hard flow of hB, bronchospasm and emphysema are joined to it. As the phenomena of pulmonary hypertension increases, the phenomena of pulmonary hypertension are growing and a chronic pulmonary heart is formed.

Causes of chronic bronchitis

Etiology and pathogenesis. HB can be primary and secondary (as a complication of other diseases, primarily infectious and professional), specific (tuberculosis) and non-specific.

In most cases (80%), the primary hB develops in smokers with a long experience and proceeds it is more difficult, more often obstructive ventilation disorders and their great severity are noted.

In non-smoking and patients with primary hb, younger than 50 years with emphysema lungs, the main etiological factor is most often the deficiency of alpha-1 -anttripsin.

In a number of other significant exogenous etiological factors of primary hB, air pollution, professional hazards, adverse weather and climatic conditions, infection are disturbed.

In some cases, HB is a consequence of acute bronchitis. The formation of HB after is noted in 10-12% of patients, more often with mixed viral, viral-mycoplasma, viral-bacterial mixtures.

The basis of pathogenesis is the violation of a mukiciliary system with various impurities of inhaled air (pollutants).

Malicious physical, chemical and thermal agents, disrupting the structure and function of the mucous membrane of the tracheobronchial tree, lead to the development of aseptic inflammation - exudation and infiltration.

The impaired drainage function of the bronchial tree contributes to the aseptic inflammation of the respiratory infection, the activity and relapse of which is largely dependent on the local immunity of the bronchi. Subsequently, the granulation tissue is developing on the site of ex-inflammation - from the "gentle" sclerosis to the scarring; Deep changes in the bronchial epithelium occur - the cylinder layer dies, the cylindrical epithelium is metaplazed into a multi-layered flat, atypical cells appear with hyperchromic nuclei of the wrong shape.

One of the adverse manifestations of chronic bronchitis, determining its large extent its forecast, is the development of pronounced obstructive disorders in the bronchial tree.

Clinical picture and diagnosis. The HB clinic is mainly characterized by symptom complex of bronchial obstruction, increased airiness of pulmonary tissue (lung emphysema), hypertension of a small circle of circulation, chronic respiratory and chronic heart failure. At the same time, the peculiarities of the clinical picture of the hB in each patient are determined by the variants of the combination of the lesion of the bronchi and the emphysema of the lungs (i.e., the level of damage to the bronchopulmonary apparatus), the phase of the inflammatory process (remission or exacerbation) and the degree of severity (including complications).

Most often, sick HB complains of cough, shortness of breath and sputum.

Significantly less often an increase in body temperature and hemoptysis.

The exacerbation of HB is usually seasonal, arising in the cold and raw season and continuing on average 3-4 weeks. During the exacerbation of the inflammatory process, the aforementioned characteristic symptoms of the disease appear or aggravated, as well as signs of intoxication: headaches, insomnia, gastritis, constipation, zyabacity, sweating, especially at night (symptom of a "wet pillow"), a subfebrile temperature rise. It should be noted that a significant increase in temperature and high activity of the inflammatory process in laboratory indicators are not typical of the hbs' exacerbation. Therefore, in the case of pronounced hyperthermia (febrile temperature) and high inflammation activity (EFA more than 40 mm per hour, leukocytes are more than 12 x 10x3, etc.) should look for any infectious complication, such as bronchopneumonia, lung abscess, etc.

The exacerbation of obstructive bronchitis is manifested by cyanosis, an increase in shortness of breath (with physical load and transition from heat to cold), separating a small amount of sputum after an inventive painful cough, elongation of the phase of exhalation and the occurrence of whistling dry wheels on a forced exhale.

The presence of obstruction leads to the progression of hb, emphysema of the lungs, the development of the pulmonary heart, the emergence of the atelectasis of complex genesis and as a result of the latter - to pneumonia.

In the blood, even in the period of exacerbation of the disease, changes may be absent.

Sometimes moderate leukocytosis is determined, the leukocyte formula shift to the left, a slight increase in ESP.

X-ray symptoms in most patients are not detected for a long time. In some patients, radiographs show diffuse, uneven strengthening and deformation, as well as a change in the contours of the pulmonary pattern due to the mesh peribroscial pneumosclerosis, in emphysema - an increase in the transparency of pulmonary fields.

The bronchoscopically determines the endobronchial signs of the inflammatory process and their severity, the forms of endobronchites - hypertrophic, purulent, atrophic, fibrinous-ulcerative, hemorrhagic, configuration changes and a decrease in brunch lumen, tracheobronchial hypotonic dyskinesia.

The obstructive nature of chronic bronchitis is confirmed by the data of the functional research (pneumaticometry, spirography). Check out information about.

Treatment of chronic bronchitis Methods of Eastern Medicine

Traditional Tibetan or Chinese Phytotherapy in Chronic Bronchitis

Gtso.bo.nyer.lnga (Principal Twenty Five, Tzuu 25, Tsovo 25).

Ingredients: tsan.dan.dkar.po (tsan.dkar, Santalum Album Linn, White Sandalwood, White Sandal), Cu.Gang (Bambusa Textilis, Table Bamboo - Paddle), GUR.GUM (Kha.Che.Gur.gum, Crocus Sativus, Carthamus Tinctorius, Saffron - Strugs), Hong.len (Lagotis Kurroa Benth, Picrorhiza Kurroa Benth, Gymnandra, Picroryza Kurroy, Honlen), Ba.sha.ka (Adhatoda Vasica, Corydalis Stracheyi, .malabar Nut, Malabar Walnut - Saving With leaves, colors), Bong.dkar (Aconitum Heterophylum Wall, Aconitum Orochryseum, White Aconite, White Acronite, Aconitis Breakfast - Roots), Tig.ta (Rgya.tig, Swertia Chirata, Indian Gentian, Felwort, Gulch), Gi. Wang (Ghi.wang, Gi.Vang, Bubalis Bubalis, Chebula Retz, Merobalan Yellow - Fruit), Ba.Ru.ra (Terrobala Bellerica Roxb. Merobalan Belerica is a fruit), Skyu. Embilica officinalis Gaerth., Phyllanthus Emblica, Embilica Drug-Blood), Ma, Nu (Inla Racemosa Hookf., Nather), Sle.tres (Tinospora Cordifolia, Sofa), Kan.ta.Ka.ri (Kan. DRA.K. A.ri, Rubus Sp., Solarium Xanthocarpum, Palenna), Sga.skya (BCA.SGA, Zingiber Officinalis Roscoe, Roscoea Capitata, Ginger - Rhumnoides), Star.bu (Hippophae Rhamnoides, sea buckthorn), Rgun. "BRUM ( Vitis Vinifera, Diospyros Sp., Grapes, Grapes), A.Krong (Thalicrum Aquilegifolium Loeog, Artemisia Sp., Wormwood), Ga.Bur (Camphora Linn, Camphor, Camfora), Ba.Glo (cow lungs), sro.lo (SRO.LO.DKAR.PO (Solms-Laubachia Sp., Pegaeophyton Scapiflorum, Pegaofiton Small-flowered), sro.lo.dmar.po (Rhodiola Crenulata, Rhodiola Saera, Himalayan StoneCrope, Rhodiola), Shing.Mngar (SHING.NGAR, Giuyrrhiza Glabra, Licorice, licorice - root), pa.yag.rtsa.ba (lancea tibetica hook.f.et.thomas, Salvia Multirrhiza, Viola Dissecta, Chinase Milkwort, Chinese Oltiva), zi.ra.dkar.po (Cuminum Cyminum Linn, White Cumin Seed, White Tine Seed), spang.rgyan.dkar.po (Gentiana Algida, Cold Prix), BDUD.Rtsi.lo.ma (Aconitum Laciniatum, Indian Aconite, Indian Aconite), Nature: Cold. Contains a small amount of aconite.

Indications, dose, method: Lung disease, especially difficulty in coughing. Form: Tablet. Power: 500 mg. Dose: One tablet at the same time. Application: Take inside in the evening with heat water.

Indications: caused by heat in the lungs "common" heat, cough to fainting, allocation of saline and reddish-yellow mocroid, chest pain and cough to vomiting, caused by Czhel cough, etc., and especially good [this medicine] helps with the heat of lungs and sickness of GZER-Thug; [This medicine] helps with a frequent cough, rapid breathing, abundant allocation of the mocroid [from the lungs], expectoration [mocroid with an admixture] of blood and pus, shortness, [in which the patient is as if] lacking air, and also [when the patient with breathing ] Eashes the sounds similar to Cat purr, with pains in the upper [part of the body], stitching pain in the lungs, with the heat of the lungs, with [Diseases] GLU-CHONG, etc.

Accessories for chronic bronchitis

Su-Jok therapy with chronic bronchitis

Su-Jok therapy, using the principle of "similarity", makes it possible to affect the sick organ, part of the body, meridian, point and even chakra! It's kind of subspecies of reflexology, Frequently allowing to conduct therapeutic effects without tearing the patient from solving its own daily tasks.

We strongly recommend trying to use some principles of su-joke therapy yourself (of course better after the consultation of the specialist). Currently, a huge amount of literature on the SU-JOK system for "non-", where in a simple and accessible form, recommendations on the treatment of a number of pathological conditions are given. Recommended

Chronic bronchitis or as he is called pulmonologists - one of the most common diseases of the respiratory organs. The treatment of this disease is long and continues for years, so it is important to use all available health care products - both medicines, and proper nutrition, and therapeutic physical education, and reflexology. Only integrated treatment will allow you to quickly remove the aggravation of chronic bronchitis, restore the ability to work and prevent possible complications.

Effective treatment method - reflexotherapy. The method can be used both in medical institutions and at home. At the same time, such available methods of reflex effects on the broncho-pulmonary system, such as point massage, surface acupuncture, cans vacuum massage can be applied.

Point massage with chronic bronchitis

The dots of the channel of the lungs, the colon, the triple heater, transcendence and recent mediocre meridians are used.

Approximate combination of points on the first sessions:
1st session - P 7, VC 22
2nd session - GI 4, E 36
3rd session - VB 20, VG 14
4th session - TR 5, RP 6
5th session -, VC 22

Very effectively, the ignition of the above-mentioned pole cigars - Tszu-therapy. At the same time, the glowing tip of the cigarette does not touch the skin, and keeps at a distance so that it is warm during the procedure and there remained hyperemia (red spot in the projection point) after the end of the session. Points VC 22 and VB 20 should be adhected undesirable, they can be replaced with dots V 43 with CSW therapy.

Surface acupuncture with chronic bronchitis

Used (Kuznetsova, "Spiny healer", Lyapko and others), which are superimposed on reflex zones associated with the broncho-pulmonary system. The principle of using such zones is the next. The first two sessions applikator is superimposed on the collar zone and the interstopane space for 20-30 minutes, on the third session - on the front surface of the chest in the projection of the sternum and 2-4 ribs. The frequency of use of the zones is repeated. When the applicator is applied to the back, you can additionally increase the point massage points P5 and VC 22, and when fixing the brush from the needles on the front surface of the chest - irritate the points VG 14 and V 43.

Roast massage with chronic bronchitis

Use with chronic bronchitis (obstructive pulmonary disease) is possible after relieving exacerbation, normalization of body temperature. At the same time, the principle of using a joal massage is similar to the frequency described for the use of surface acupuncture (2 sessions - collar and interstopane region, 1 session - the front surface of the chest). After the end of the massage session, you can put a vacuum jar to the VG 14, V 43 point (alternate) for 3-5 minutes.

Reflexotherapy in chronic bronchitis is quite effective with the correct selection of points for each specific case (taking into account the age of concomitant diseases, the severity of obstructive pulmonary disease). Naturally, the above-described methods are additional and should be used along with the main treatment and with approval of the attending physician. With a serious condition of patient, severe cardiovascular and respiratory failure, purulent complications of reflexotherapy in chronic bronchitis are contraindicated.

Egor Kuznetsov from Kirov asks:

Is it really helps acupuncture when, and how exactly does the procedure affect the course of the disease? What contraindications should be considered?

The answer of our expert:

The basis of acupuncture is the excitation of certain points of the body, the impact on which activates the protective functions of the human immune system. Reflexotherapy at the molecular level is launched by the processes of self-treatment.

Mechanisms of the healing effect of acupuncture in the treatment of bronchitis

The first session of exposure to injuries to certain zones significantly improves the physiological, as well as the mental state of a person:

• The processes of blood formation are activated. The number of leukocytes increases, the process of formation of macrophages dissolving pathogenic microorganisms is accelerated.
• The speed of capillary blood circulation increases, so the edema of the mucous membranes in the bronchi decreases.
• Cellular metabolism is improved: nutrition, saturation of pulmonary alvetol oxygen, and eliminating toxins.
• In neurons of the cortex of the brain, the production of endorphins increases, which ensures the effect of muscle anesthesia when coughing and increasing emotional vigor.
• In the process of acupuncture, the production of serotonin is activated, which contributes to the instant improvement of the regenerative ability of cells.

Reflexogenic needlerapy in the treatment of bronchitis is only a reliable assistant to drug preparations. Without medication, it is impossible to do without drug treatment.

Contraindications

Invalid visit with the bronchitis of acupuncture procedures in the following situations:

• At elevated temperature (more than 38), fever (the load on the functions of all organism systems increases).
• With other diseases of infectious ethiology (acupuncture can trigger the mass distribution of the blood of pathogens of microorganisms).
• Kids before execution of 3 years (high risk of damage to subcutaneous tissue).
• Persons with neoplasms (due to increasing blood circulation, the process of expanding tumors can accelerate).
• People with mental disorders (due to the instability of the emotional state).
• In hemophilia.
• It is impossible to spend acupuncture during the bronchitis against the background of drinking alcoholic beverages (the harmful effect of alcohol on the liver, kidney increases).
• In autoimmune diseases (the risk of significant deterioration of the state of the hormonal system increases).
• The procedures are not recommended for pregnant women, since the needlerapy can provoke miscarriage.
• No need to engage in acupuncture with skin diseases, as well as at traumatic injuries of the integrity of the epithelium.

Relative contraindications are considered some chronic diseases of the senior people:

• atherosclerosis;
• a history of history;
• polio;
• distrophic changes in brain and heart fabrics.