APPLICATION OF REFLEXOTHERAPY WITH THE "BALANCE OF HEXAGRAM" METHOD IN COMPLEX REHABILITATION FOR PAROXOSMAL HEMICRANIA

Abstract

The article raises the following topical issues - the topic of complex treatment of paroxysmal hemicrania. This pathology usually occurs in those people who have a reduced level of functioning of the antinociceptive systems, especially the opioid system, and who also have a history of damage to the nervous system (more often the central nervous system). Chronic paroxysmal hemicrania, also known as Sjastad syndrome. It has been 40 years since chronic paroxysmal hemicrania was first described in 1974 by Sjastad and Dale. But if a means of its medical treatment was found (indomethacin at a dose of 150 mg per day or less), then the problem of side effects remains – ulcerogenic damage to the gastrointestinal tract due to long-term use of indomethacin. Thus, many patients do not want to take it for a long time. This is where reflexotherapy methods come to the aid of a practicing doctor. Reflexotherapy methods are effective precisely in the presence of pain syndrome due to their powerful pain-relieving properties: under the influence of reflexology, afferent pain impulses are inhibited by blocking Na+ channels, inhibiting the entry of Ca2+ ions into the cell, reducing the activity of glutamate and its receptor (NDMA), and reducing pain; the amount of GABA in the cerebrospinal fluid increases and its receptor is activated. In addition, reflexotherapy methods are able to exert a protective effect on the gastrointestinal tract and protect it from the ulcerogenic side effects of indomethacin. The article also outlines the main theoretical principles of the "balancing hexagrams" method and its practical implementation. In addition, a clinical case is given: chronic paroxysmal hemicrania in a patient with a concomitant disease - chronic cholecystitis. The clinical diagnosis was considered. The methods of syndromal acupuncture diagnosis are described, the components of syndromal acupuncture diagnosis are described in detail, the description of acupuncture correction is given, and the features of the "favorable" hexagram are considered. Purpose. To consider the features of the use of reflexotherapy using the method of "balancing hexagrams" in the complex rehabilitation of chronic paroxysmal hemicrania. Scientific novelty. For the first time in our country, the technique of compiling acupuncture prescriptions and acupuncture using the method of "balancing hexagrams" was used in the complex rehabilitation of chronic paroxysmal hemicrania. Methods. We consider one clinical case of the use of reflexology using the method of "balancing hexagrams" in the complex rehabilitation of chronic paroxysmal hemicrania. Used methods of clinical objective neurological examination, syndromic diagnosis method of traditional Chinese medicine, pulse diagnosis method, tongue diagnosis method. Results. As a result of treatment using the "balancing hexagrams" method, the patient's condition improved: the frequency and intensity of headaches became less severe, side effects from taking indamethacin have eased. Conclusions. 1. In the practice of a neuropathologist and a reflexologist, patients with chronic paroxysmal hemicrania are encountered, and reflexotherapy methods are effective, first of all, when this problem is stimulated by psychogenic factors. 2. In the complex of treatment measures for patients with chronic paroxysmal hemicrania, the use of the acupuncture method "balancing hexagrams" can be effective.