UDC615.83 LBC 53.584 P 692
Ryavkin S.Yu., Vlasov A.A., Nikolaeva N.B., Safronov A.A., Umnikova M.V. Practical Manual On Dynamic Electroneurostimulation -Yekat-erinburg Tokmas-Press, 2011
Presented in the edition is the main information on the physiotherapeutic technology of dynamic electrostimulation (DENS) designed for the treatment and prevention of a broad range of illnesses (Permit No.FS 2010/015 of the Federal Service on Surveillance in Healthcare Healthcare and Social De velopment velopment dated January 27, 2010). DENS can be used in t he practice of physicians of various specialties and as a means of "home" physiotherapy.
© LLC "International Center for Development of DENS Therapy," 2011 ISBN 978-5-903026-27-2
UDC615.83 LBC 53.584 P 692
Ryavkin S.Yu., Vlasov A.A., Nikolaeva N.B., Safronov A.A., Umnikova M.V. Practical Manual On Dynamic Electroneurostimulation -Yekat-erinburg Tokmas-Press, 2011
Presented in the edition is the main information on the physiotherapeutic technology of dynamic electrostimulation (DENS) designed for the treatment and prevention of a broad range of illnesses (Permit No.FS 2010/015 of the Federal Service on Surveillance in Healthcare Healthcare and Social De velopment velopment dated January 27, 2010). DENS can be used in t he practice of physicians of various specialties and as a means of "home" physiotherapy.
© LLC "International Center for Development of DENS Therapy," 2011 ISBN 978-5-903026-27-2
TABLE OF CON CONTENTS TENTS CHAPTER 1 - GENERAL INFORMATION ON THE METHOD OF DYNAMIC ELECTRONEUROSTIMULATION 1.1.
Introduction: History of the method of dynamic electroneurostimulation electroneurosti mulation (DENS)
1.2.
Justification Justific ation of the clinical clinic al efficacy of DENS
1.3.
Therapeutic effects of DENS
1.4.
Scope of use. Indications and contraindications contraindic ations
1.5.
Features and advantages of the method
CHAPTER 2 - DENS MEDICAL TECHNOLOGY 2.1.
DENS devices General Gener al information
2.2.
Device modes
2.3.
Treatment Treatment methods methods
2.4.
Treatment zones
2.5.
Power (intensity) (intensity) of treatment
2.6.
Treatment time
2.7.
Algorithms for use of devices
2.8.
Combining DENS with other treatment methods
CHAPTER 3 - PRIVATE DENS METHODS 3.1.
DENS for disease of the musculoskeletal apparatus
3.2.
DENS for nervous nervous system diseases diseases
3.3.
DENS for cardiovascular cardiovascular diseases diseases
3.4.
DENS for respiratory diseases diseases
3.5.
DENS for ENT organ organ diseases diseases
3.6.
DENS for eye diseases diseases
3.7.
DENS for digestive system diseases diseases
3.8.
DENS for skin diseases diseases
3.9.
DENS in dentistry
3.10.
DENS for endocrine diseases
3.11.
DENS for urinary tract organ diseases
3.12.
DENS in obstetrics and gynecology
3.13.
DENS in andrology
3.14.
DENS in cosmetology
3.15.
DENS for some urgent conditions
3.16.
DENS in sports medicine
3.17.
DENS in rehabilitation after surgical interventions
3.18.
DENS in pediatric practice
Appendix 1. Use of subsonic frequencies Appendix 2. Description of biologically active points of the ear Bibliography of research papers Alphabetical index
LIST OF ABBREVIATIONS
2nd cervical vertebra - zone of the second cervical vertebra 7th cervical vertebra - zone of the seventh cervical vertebra BP - blood pressure AP - auricular point ATZ - active trigger zones BAZ - biologically active zones BAP - biologically active points Hz - unit of measurement of frequency in the SI system PCP - pediatric cerebral palsy DENS - dynamic electroneurostimulation LTZ - latent trigger zones MED - minimally effective dose program treatments LS - lumbar spine zone DPZ - complaint or organ direct projection zone "presenting complaint" PL-1 - minimum power level (energy range) PL-2 - comfort power level PL-3 - maximum power level CNS - central nervous system HR - heart rate CS - cervical spine zone CR - "cervical ring" zone
CHAPTER 1 GENERAL INFORMATION ON THE METHOD OF DYNAMIC ELECTRONEUROSTIMULATION One of the conditions for recovery is the desire to get better Seneca
1.1. INTRODUCTION: HISTORY OF THE METHOD OF DYNAMIC ELECTRONEUROSTIMULATION (DENS) Grata, rata etaccepta .
Health is the natural protective capacity, which provides physical, mental and social wellbeing throughout one's life. But, unfortunately, to maintain a high level of health in modern conditions is quite difficult. Beginning with birth our body is under pressure from powerful aggressive natural and anthropogenic factors. The quality of food and constant stress, and many of the habits of a modern lifestyle often do not contribute to improving and maintaining health. As a result of the many adverse effects, protective and adaptive capabilities of the organism, which are in fact the foundation of our health, are depleted and the body cannot adapt in a high quality to the conditions of the world and cannot protect itself from disease. And in the case of illness the weakened body cannot on its own, without assistance, fully recover, and illness seizes a person for many years, sometimes for life. In such a situation there is only one way to get drastic help - to improve one's own protective potential. As a result, the body will recover the functioning of its own organs and systems and get rid of the disease. That is the problem - the restoration and improvement of health - that is successfully solved by physiotherapy treatments based on the use of various natural factors. One of the leading contemporary physiotherapists, MD, Professor VS Ulashchik wrote: "... the preservation of human health is possible with a natural way of life, and restoration of impaired health and prevention of diseases - by using natural treatments. These therapeutic agents include natural and man-made (preformed) physical factors of the environment, which physiotherapy studies." It is appropriate to note that similar approaches to the restoration of health are not unique to modern researchers. Physiotherapy as a method of healing originated in the mists of time. Doctors of ancient Greece and Rome actively used natural curative factors in their practices. This is also evidenced by the works of a brilliant scientist and physician In Sina (Avicenna), which summarize the experience of the Byzantine physicians on the use of sun, air and water baths for healing the body and treating disease.
In the 18th century, with the development of science and application of our life sources of electricity, physiotherapy was given a new direction - electrotherapy. Particularly active electrotherapy starts to develop after the discovery by L. Galvani of "animal electricity"bioelectric activity of living cells. More recent studies in this area have allowed us to study the nature and type of the electrical activity of living tissues. In the 1950s, it was technically possible to reproduce the electrical impulses that are similar in their parameters to the impulses of the nerve fiber. They are safe and physiological, therefore they actively begin to be used in medicine for treatment purposes. Treatment with such "live" pulses was called percutaneous electroneurostimulation (PENS). Due to the pronounced analgesic effect, PENS machines very quickly gained wide popularity. In the 1960s, there are advanced PENS machines in which by the formation of pulses the biological principle of "feedback" was realized. The new models create not just a "neural" momentum, they can be responsive to the changes occurring in the body during treatment. This improvement leads to the fact that the range of therapeutic possibilities of these devices is considerably increased. They are successfully used for pain relief, correction of functional disorders of the internal organs, for fast recovery of performance under high psychological and physical stress. Electrical stimulators with biofeedback devices are proto-types of the first dynamic electrioneurostimulation (DENS). At the beginning of the 21st century in Russia a number of experimental and clinical studies were carried out, which served as the basis for the application of new technology vehicles. Thanks to the research and the developed plans for use, dynamic electroneurostimulation is registered as an independent and highly effective method of treatment of various diseases. It is important that the principles underlying the method allowed DENS to develop in two ways - as a professional method that can be successfully used in the practice of doctors of various specialties, and as a method of "home" physiotherapy. The special design and usability of the devices, simple rules for choosing the treatment zones and treatment modes allow people who do not have special medical education to successfully carry out the procedure at home, helping you and your family cope with diseases.
1.2. JUSTIFICATION OF THE CLINICAL EFFICIENCY OF DENS. A posteriori
Fundamental and clinical research on the effectiveness of the DENS method has been conducted since 1999. The results of these studies are constantly published in peerreviewed journals, reported annually in the Russian and international congresses. Just in the last three years at medical conferences and symposia, as well as in medical journals were more than 60 papers presented on the effectiveness of the DENS method in various diseases.
Thanks to this research in more than 200 research centers in Russia and abroad the validity of the clinical effectiveness of DENS in treating patients with diseases of the cardiovascular system, the musculoskeletal system, injuries, gynecol ogical and urological diseases has been determined. The effectiveness of the method in the complex treatment of patients with a surgical, ophthalmic profile is shown and positive results in the treatment of diseases of respiratory system and the digestive system obtained. The accumulated experience of effective application of DENS in a wide range of neurological diseases. A number of papers indicate un-conditional suitability of DENS as an effective component of comprehensive treatment and rehabilitation programs in pediatrics. In 2005, the method of dynamic electroneurostimulation received official recognition and was registered as an independent medical technology with its unparalleled methodological support and range of devices. DENS application, in conjunction with other treatments, as well as a separate method of recovery, facilitates positive dynamics in many acute and chronic diseases. The use of machines to speed up the healing process, reduces the pharmacological stress on the body and contributes to the rapid restoration of health.
1.3. THERAPEUTIC EFFECTS OF DENS Restitutio in integrum .
The impact of DENS medical devices with their pulses causes changes in organs and tissues. Several levels of health reactions are identified: local, segmental and general (general regulatory). Local reactions are metabolic changes in the skin and deeper tissue located directly at the device treatment site. And the selection of biologically active substances and excitation of a large number of nerve receptors are observed. Local effects include: analgesic, trophic (healing), decongestant, anti-inflammatory. Excitation in response to stimulation of skin zones is distributed along the nerve fibers, is transformed into the corresponding segments of the spinal cord and is transmitted to organs and tissues - and segmental reactions develop. This type of reaction provides a variety of therapeutic effects and allows restoration of the function of internal organs, muscles, strengthens regional blood flow and so on. Segmental effects include analgesic, antispasmodic, vascular, and inflammatory effects. There is normalization of motility of the gastrointestinal tract and improved urodynamics. Low-intensity pulsed currents from exposure to DENS devices launches the development of general regulatory reactions. The general analgesic effects include, vascular (e.g., stabilization of blood pressure), the correction of hormonal and endocrine disorders. That is, the general reaction ensures the stability of therapeutic effects, allowing one to deal with the effects of stress and are based of the use of DENS prophylactic devices. The set of universal (non-specific) reactions in response to the DENS-impact are characteristic of any mode of the devices. It ensures the development of a number of
therapeutic effects, the main ones are: anesthetic, vascular, trophic, anti-inflammatory, anti-stress. At the same time, each frequency or mode of DENS devices have their own peculiarities (specificity) of action. Use in specific situations of different frequencies and modes of stimulation can increase the intensity of a therapeutic effect. That is why today the lineup of devices DENS presented as universal models are used in a wide range of diseases, as well as specialized models with automatic or semi -automatic programs designed to treat specific diseases.
1.4. SCOPE OF USE INDICATIONS AND CONTRAINDICATIONS Natura sanat, medicus curat .
We should always remember that the essence of recovery from any illness is a selfhealing body. And any treatment - surgery, medication, physical therapy - is nothing more than help in the fight against the disease. Some treatments are aimed at addressing the causes of the disease, others - to help control the disease, eliminate painful symptoms, reducing the risk of complications. There are also methods that can significantly improve the body's own protective potential and, consequently, stimulate self-healing processes. These methods are inherently universal, because their spheres of influence are non-specific defense mechanisms. DENS is one of those universal health methods. It can be used successfully in adults and children in the treatment of a wide range of diseases. Due to the large number of proven therapeutic effects the DENS method has broader applicability and can be used successfully in combination with other therapeutic agents, and as monotherapy: -
During the acute phase and during early recovery from various diseases for correction of functional disorders and to reduce the severity of complaints; At all stages of rehabilitation of acute and chronic diseases; As a means of primary prevention in order to increase non-specific protective and adaptive reserves of the body; As a preventive measure to reduce the risk of many acute diseases and the prevention of exacerbations of chronic diseases.
INDICATIONS FOR USE Divinum opus sedare dolorem .
Depending on the objectives of treatment, DENS can be used for various diseases and syndromes in order to obtain an analgesic, antispasmodic, vascular, inflammatory, trophic and general regulatory effects. The DENS method has no age limits, and its use is indicated for adults and children:
-
-
-
For the correction of organ dysfunction in diseases of the musculoskeletal system, nervous system, respiratory, cardiovascular, digestive, urinary, endocrine and reproductive systems, diseases of the upper respiratory tract, eyes and skin; Rehabilitation after an illness, surgery, trauma; For the prevention of acute disease and recurrence of chronic diseases, including correction of functional disorders identified in the pre-clinical stage through various methods of study; For the prevention and elimination of pathological reactions of stress when exposed to adverse factors of different nature, with intense mental work, intense physical exertion, physical and mental strain, chronic fatigue syndrome, sleep disorders.
CONTRAINDICATIONS Ne quid nimis .
In some situations, the use of any methods of physiotherapy requires certain restrictions. In comparison with other methods of physical therapy DENS has a small number of contraindications. They can be divided into two categories - absolute and relative. Absolute - a situation in which the product sho uld not be applied. Relative - a condition in which the use of DENS may be limited. The possibility of using vehicles in these cases is determined by the physician. Absolute: If the patient has an implanted pacemaker; individual intolerance Relative: epileptic status neoplasms of any origin; fever of unknown origin (of unknown cause); vein thrombosis; condition of acute mental, alcohol or drug agitation.
1.5. FEATURES AND ADVANTAGES OF THE METHOD Tuto, cito, jucunde
At the end of this chapter it will be relevant to note that today, more than a million people use DENS devices in practice. This interest is due to a number of advantages that see to it that dynamic electroneurostimulation occupies a special place among the various therapeutic agents and methods used in the treatment of diseases. And because without this description of the method it would be incomplete we cite the most characteristic of them below. 1.
DENS devices have a wide range of therapeutic effects and have a healing effect on all body systems. They can be used in treatment of various diseases.
2.
3. 4.
5.
6.
7.
8.
This is especially important for people who are often ill or have a chronic illness. There are very few DENS contraindications to use, virtually no side effects when using the devices, excluded is intoxication and there is the negligible probability of any allergic reactions and overdose effects. DENS is a method that is suitable for use at any age. DENS devices can also be used in infants and the elderly. Thanks to the feedback pulse of DENS its characteristics change depending on the individual characteristics and the patient's response, which prevents reduction of sensitivity of the body to the therapeutic modalit y and ensures that it maintains high efficiency throughout, even over a long course of treatment. In contrast to drug therapy and many other medical methods of DENS has general restorative influence. This allows you to successfully use the device not only as a therapeutic agent, but also as a prophylactic measure - to reduce the likelihood of acute diseases and the prevention of exacerbations of chronic diseases. The performance of DENS procedures does not require special conditions, the treatment can be carried out practically everywhere: in hospitals, at home, in the country. DENS devices are compact and can accompany you on a journey. The total therapeutic effect of individual procedures also ensures the long-term effect of the course of treatment, which continues at its end. Often long-term results are even more significant than the direct ones. Therefore, when using the devices there is no need for constant use, and re-treatment is advantageously carried out at regular intervals, as needed, focusing on the health and well-being. The cost of treatment with DENS devices is relatively low, and in their effectiveness in many respects they are not inferior to other therapeutic agents.
CHAPTER 2 DENS MEDICAL TECHNOLOGY Treat not a disease but a sick person. S.P. Botkin
2.1. DENS DEVICES GENERAL INFORMATION
All models of DENS devices are divided into two groups - universal and specialized. Universal models are designed for treatment of a wide range of problems. Features of their designs allow treatment to be per-formed comfortably on any area of the body, and a large range of frequencies enables the production of various medicinal effects. For universal devices a number of electrodes are designed to make the treatment procedure as comfortable as possible, especially in the provision of self-help. The therapeutic module of universal devices provide "Therapy" and "Test" modes, and prevention and treatment programs with the minimum effective dose (MED). In "Therapy" mode it is possible to set different frequencies, each of which has its own therapeutic effect. Some frequencies are required for the treatment of pain syndromes, while others - in the treatment of inflammation, and others - help to normalize blood pressure, etc. The diagnostic module of the devices including "Screening" mode, and professional models - offer electroacupuncture diagnostic systems that allow for a quick assessment of the functional state of the body and determination of the most important areas for treatment. The number of treatment frequency and diagnostic modes in different models of devices can vary depending on the destination, which determines their therapeutic potential.
Specialized devices can assist in the treatment of specific dis-eases. Unlike universal models, specialized models have a large degree of automation, require little or no presets. They are simple and convenient.
2.2. DEVICE MODES
"THERAPY" MODE: "Therapy" mode is designed to provide therapeutic effects on biologically active zones of various sizes and acupressure points with built-in or remote device electrodes. "Therapy" mode without modulation Ultra-high frequency of 200 Hz For a frequency of 200 Hz a typical local mechanism is pain relief and fairly rapid development of analgesia. The maximum effect is observed directly during stimulation and rapidly regressing after cessation of treatment. The frequency of 200 Hz is recommended for quick pain relief in patients with lesions of the musculoskeletal system, neuralgia, trauma. High frequencies of 140, 77, 60 Hz In this frequency range the therapeutic effect is realized with the participation of segmental mechanisms. Time of onset of effect can vary widely: from 3-5 to 20-30 minutes or more. The frequency of 140 Hz is recommended for the treatment of diseases of the musculoskeletal system and neuralgia, accompanied by severe pain. The frequencies of 77 Hz and 60 Hz are universal, widely used for pronounced local complaints for correcting disruptions in the work of the internal organs. Recommended for pain relief, improved local and regional blood flow in the treatment of inflammatory processes, etc. during the acute phase and during rehabilitation. Low frequencies of 20, 10 Hz Therapeutic effects of these frequencies are primarily concerned with the activation of the opioidergic brain structures. A characteristic feature of the frequencies of 20 and 10 Hz is the development of a resistant systemic (general regulatory) reaction. The versatility of therapeutic effects at 20 and 10 Hz allows their use in the treatment of a wide range of diseases in the acute period and during rehabilitation. They are used to provide general regulatory actions, stabilization and to prolong the therapeutic effects of other frequencies for injury to internal organs and the musculoskeletal system.
Infra-low frequency of 9.9... 1.0 Hz A characteristic feature of s ubsonic frequencies are univ ersality, providing a wide range of applications. However, currently there is evidence that the human body is able to respond to the impact of a specific range of frequencies of selective activation of individual nerve or organ structures with the subsequent formation of specific physiological effects. There are quite a number of recommendations for clinical use of the subsonic frequencies (below 10 Hz) range. For example, some authors recommend the use of the frequency range of 0.4-4.0 Hz for a directional effect on the state of lymphoid, bone and connective tissue, the range from 4.0 Hz to 7.0 - directional effect on the autonomic nervous system structures, range from 7.0 to 10 Hz - correction of the work of parenchymal organs. Detailed recommendations on the use of subsonic frequencies were proposed by the well-known doctor P. Foil. At the present stage, a number of authors have conducted studies of the therapeutic effects of this range of frequencies (I.S. Rolik, A.V. Samokhin, Yu.V. Gotovskiy et al.). Indications for use for some of these are provided at the end of the book (Appendix No. 1).
"Therapy" mode with modulation
Modulated mode "7710" This mode represents alternation of bursts with a frequency of 10 Hz and 77 Hz which are fed in alternating sequence. A characteristic feature of this mode is that it is relaxing (relaxing effect). Mode "7710" is recommended for people with symptoms of hypertension, vegetative dystonia syndrome of hypertensive type, and people with sleep disorders. Modulated mode "77AM" In this mode bursts of impulses at a frequency of 77 Hz are modeled by amplitude. Its use provides effects opposite to those that occur when using the "7710" mode. Mode "77AM" is recommended for use if there are signs of hypotonic or atonic condition of internal organs. One of the main features of dynamic electroneurostimulation devices is the presence of the feedback function, which is based on dynamic assessment of the electrical characteristics of the skin in the affected area (monitoring of the surface impedance of the skin).
“TEST” MODE AND THE MED PROGRAM
In the "Test" function feedback is used to automatically deter-mine the effects on the individual time-stimulated area. This mode allows you to determine the duration of
stimulation based on individual response, as well as to search for latent trigger zones, which allows for the creation of individual treatment regimens. In addition, the "Test" mode is used in the MED treatment and prevention program (program of minimum effective dose).This automated program allows you to specify the minimum sufficient exposure time required for the development of resistant physiological effect not only on the local, but also at the system level. The "Test" mode is used to render a general regulatory action fora wide range of illnesses. In addition, the "Test" mode is used as an expert (diagnostic) mode allowing determination of additional treatment zones to increase the efficiency of the sessions. The MED program is indicated for use as a component of complex treatment regimens and for prevention of problems such as chronic fatigue syndrome, meteosensitivity; as nonspecific prophylaxis during the epidemic rise of respiratory diseases; in order to increase nonspecific adaptation reserves during the action of various stressors, etc.
“SCREENING” MODE
For most diseases of internal organ dysfunction is accompanied by pathological changes in the properties of tissue in certain areas of the body and leads to the formation of trigger zones - areas that differ significantly in their characteristics from neighboring and symmetrically arranged areas. Identifying trigger zones (hidden complaints) has important diagnostic and therapeutic value. Active trigger points show a sharp change in temperature sensitivity or pain, persistent discoloration of the skin, a local impairment of sweating and so on. They can be detected easily during the interview and examination. In contrast to active ones, latent (hidden) trigger points are identified only when recording electrical characteristics of the skin. It is for this purpose that the "Screening" mode is intended. When operating in "Screening" mode built-in electrodes are alternat ely set in the studied areas. The electrical parameters of the zone are measured within 5 seconds. After that, the ALT (delta latent triggers), which characterizes the electrical conductivity zone, is displayed on the screen. Electrodes are rearranged upon receipt of the A LT value in the target zone. ALT values are expressed in arbitrary units and may be in the range from 0 to 100 arbitrary units. To date, the diagnostic value of the absolute ALT values is not defined, and the most informative indicator for the detection of latent trigger zones is the difference between the ALT values on symmetric or neighboring areas of the skin. The technique of using the "Screening" mode is presented in more detail in the section "Trigger zones". The "Screening" mode is designed to search for additional effective treatment zones (trigger points). It can be used to create individual treatment regimens in the acute stage of the disease at all stages of rehabilitation and to compile individual plans for preventive treatments.
2.3. TREATMENT METHODS
DENS treatment may be performed on reflexogenous zones of various side and on biologically active points. Treatment may be carried out in three ways: stable, labile or stable-labile. Stable method This is the method, during which the static position of the electrodes is maintained in a selected zone for the entire duration of treatment. The stable method is used for zones small in size, comparable with the dimension of the remote and built-in electrodes and for treatment on acupuncture points. In the "Test" mode and "Screening" mode and with the use of the MED program treatment is conducted only by the stable method. Labile and labile-stable methods In the labile method the device electrodes are moved around the treatment zone. They are moved smoothly, sliding along the surface of the body, with a speed from 0.5 to 2-3 cm a second. Movements are rectilinear, spiral, circular and other with a slight compression, depending on the size and topography of the treated area. When the labile-stable method of application is performed there is a brief delay of the built-in or remote zonal electrodes, for example in the areas of maximum tenderness. Labile and labile-stable methods are used for areas that exceed in size the area of the electrode system. In the "Therapy" mode the use of the following three methods is allowed: stable, labile and labile-stable
2.4. TREATMENT ZONES
All treatment zones c an be combined into two groups - main and secondary. The main is the classic zones and treatment should begin with them. The secondary zones are used along with the main zones to enhance the therapeutic effect. To increase the efficiency of the treatment in practice the DENS is applied to the skin projections of the organs that have high hormonal or metabolic activity or have important barrier functions. In addition, treatment of reflexogenous zones and points of correspondence correspondenc e systems syst ems (in terms of representation of organs and systems) is commonly comm only practice, among which the most widely used system of correspondence is on the auricle, scalp, hands and feet (Su Jok). All correspondence systems have a rich innervation, which provides a suitably fast and pronounced effect under treatment. MAIN TREATMENT ZON Z ONES: ES: • • • • •
• •
zone of direct complaint complai nt projection of lesion focus; zones of segmental segm ental innervation; reflexogenous zones and correspondence corres pondence system points on the scalp, ear, hands and feet (Su Jok); zones of common comm on action (universal) - cervical, lumbosacral, paravertebral, forearm and hand, trigeminal; zones to enhance systemic effect - the projection of biologically active points Hegu (Gl 4), Neiguan (MS 6), W aiguan aiguan (TR 5), Zusanli (E 36), Sanyinjiao ( RP 6); special zones - the zone of the back of the middle line of the body, direct dir ect projection of the adrenal gland and kidney, zone of direct projection of the intestine and liver, the seventh cervical vertebra; trigger trigger zones
DIRECT COMPLAINT PROJECTION ZONE
Treatment on the skin directly into the affected organ or area of damaged tissue (treatment direct projection of the complaint) - is one of the simplest and most efficient DENS options, which begins the treatment session in most cases. Direct projection projection of the complaint (DPZ) is processed processed in i n the presence of localized (local) (local) complaints in the case of acute illness or exacerbation of chronic diseases. The treatment is carried out directly in the field of pain, lesion or organ projection with impaired function. Features of treatment DPZ treatment, except for some special cases, is carried out in the "Therapy" mode. Treatment methods - labile, stable or labile- stable. The stable method is the most frequently used method for treating zones with area of smaller than or comparable with an area of the built-in electrodes and labile-labile and
stable methods - when processing large-area zones. For example, for damage to the visual, hearing and ENT areas a stable method meth od is almost always used to treat DPZ zones. For damage to the lower respiratory tract, when the need arises for treatment over vast areas of the skin, the method used most often is the labile method. The direction of the movement of the machine machin e is signific ant. For example, in the treatment of direct projection of the intestine treatment is carried out taking into account the nature of peristalsis and the stool. In some cases, the physiological characteristics of the functioning of the body are also considered. For example, for lactostasis and hypogalactia the breast is treated toward the nipple, in diseases of the urinary system complex the "kidney - ureter - bladder" are treated with the normal urodynamics. Treatm ent on different areas of the DPZ is set out in more detail in chapter 3. The "Therapy" mode is recommended for treatment of the DPZ with a choice of frequencies from 60 to 200 Hz. With damage to one of the paired organs or body parts DENS is carried out both on the affected side, and the symmetric section. s ection. The symmetrical area is treated in the "Therapy" mode at a frequency of 10 or 20 Hz. To increase the effectiveness of the treatment of direct projection of the complaint, it can be treated further in the "Therapy" mode with a choice of frequencies from 1 to 9.9 Hz.
ZONES OF SEGMENTAL INNERVATION
Segmental spinal cord is arranged, which is reflected in the innervation and regulation of the functions of internal organs. Anatomical segment is represented by a cross the spinal segment and two pairs of spinal nerve roots, which innervates internal organs, tissues and skin sites located at an appropriate level. In the spinal cord segment 31 segments are distinguished (8 cervical, 12 thoracic, 5 lumbar, 5 sacral, and 1 coccygeal), which are represented by the corresponding projections of the skin (dermatome) (Fig. 2.1.).
Fig. 2.1 Location of segmental zones on the human body. Symbols of innervation zones: C - cervical segments, D - thoracic segments, L - lumbar segments, S - sacral segments
The performance of DENS in particular on the dermatome area helps restore the normal operation of the corresponding segment of the spinal cord, sympathetic ganglia and nerve plexus. This in turn leads not only to improvement of the affected organ, but also has a beneficial effect on the functional activity of organs and structures having the general innervation to this segment. Segmental innervation zones (segmental zones) are treated to enhance and stabilize the therapeutic effect in acute illness and exacerbation of chronic diseases. There are several equivalent treatment options for segmental zones: 1.
2.
The selected segmental zone is treated with a labile, labile- stable or stable method at first in the area of the interspinous gaps (in the spinal projection) and then along the paravertebral line at the appropriate level. Selection of the level of treatment is determined based on the localization of the direct projection of the complaint (see Fig. 2.2) In practice, a fairly simple way of treating segmental zones is often used when, after treatment in the direct projection of the complaint, the corresponding dermatome region with a width of about one hand on the level of complaints (com-plaints segment) is treated. For example, for diseases of the liver the
back to mid lines on the D6-D10 level is treated, and for colds the "cervical ring" at the level of C1-C4 (fig. 2.3), etc.
Fig. 2.. Segmental zones recommended for treatment depending on localization of the direct complaint projection (DPZ): A - with localization of the DPZ in the area of the head and upper extremities; B - with localization of the DPZ in the area of the chest; C - with localization of the DPZ in the area of the abdomen; D - with localization of the DPZ in the area of the pelvis, abdomen and lower extremities
Fig. 2.3. Examples of treatment of a "complaint segment" for different complaints: A - option of treatment of the segmental zone for liver damage B - option of treatment of the segmental zone for damage to the upper respiratory tracts
Segmental zones are included in the treatment regimen, together with the zone of direct projection of the complaint and processed using the built-in or external electrodes (electrode applicator, massage electrodes and so forth.). Treatment of segmental areas in the "Therapy" mode, combining low and high frequency ranges, as well as the combined or "Test" is recommended.
COMMON ZONES OF ACTION. SPECIAL ZONES:
In the projection of these zones are situated important neural structures (spinal cord, nerve plexus) or biologically active points of common action. Compared to the treatment on the area of direct projection of the complaint and segmental innervation zones, stimulation of common action zones causes pronounced systemic (general) physiological responses.
Common areas of action (universal zones) are treated to obtain general regulatory (tonic, adaptogenic) effect in the non-localized complaints and there are many equivalent localized complaints. It is encouraged to include these areas in the treatment regimen to improve the efficiency of sessions for patients with chronic illnesses, as well as in the period of rehabilitation. Zones and points of common action with non-localized complaints or a large number of equivalent localized complaints are treated. Treatment is recommended in the "Therapy" mode using low frequencies, the combined or "Test" mode. 1. Cervical area zone The upper limit of the cervical zone (CS) runs along the back hairline. The lower - on a horizontal line at the level of the shoulder blades. Lateral boundaries are the lateral surface of the neck, shoulder and shoulder girdle (Fig. 2.4.). Features of treatment In diseases of the cardiovascular system treatment is performed at the minimum power level. For a tendency to high blood pressure treatment is carried out in the direction from the neck to the shoulder blades, for a tendency to hypotension - in the opposite direction.
2. Lumbosacral zone The upper limit of the lumbosacral area (LS) is at the level of the tenth thoracic vertebra. Lower - at the level of the coccyx (Fig. 2.5). Features of treatment
Treatment of the DPZ is most fr equently performed in a stable- labile manner. As a rule, begin treatment of the spine at the upper boundary of the zone, gradually moving into the lower parts. Then similarly treat the paravertebral and lateral (side) region.
3. Paravertebral zones The upper limit is the back of the neck at the level of 1 st-2nd cervical vertebra (approximately at the level of the bottom of the hairline). The lower boundary is located at the level of the coccyx (Fig. 2.6). Features of treatment Treatment of paravertebral zones can be done in two ways - labile and stable. Using the stable method of treatment the electrode is alternately set at a distance of 1-2 cm on the left and right of the spine, starting from the top s ections and gradually moving down.
4.
Zone of the forearm and hand
The upper limit of the zone - the level of the lower edge of the cubital fossa. The lower boundary - fingertips. Features of treatment In case of disruption of venous or lymphatic drainage, especially in the presence of swollen limbs a stable method of application sh ould be used. Treatment should begin with the fingertips, gradually moving in the direction of the elbow joint (Fig. 2.7). If it affects the arteries of the upper extremities treatment in a labile-stable manner is recommended. In this case, treatment should begin in the upper border zone (the elbow) and gradually move towards the electrodes of the fingertips (Fig. 2.7). Similarly it is possible to treat the zones with the disease that are not accomp anied by severe disorders of the blood-circulation in the limbs.
5.
Trigeminal zone
"Points" of the exit of the trigeminal nerve branch are located on the face (Fig. 2.8. -
The first pair of points (upper branch) - in the the brow area, close to the bridge of the nose, The second pair of points (middle (middl e branch) - outwards from the nostrils of the nose nose to the infraorbital infraorbital region r egion,, A third third pair pair of points points (lower branch) branch) - on on the same vertical vertical corners of of the mouth, mouth, at the lower edge of the mandible.
Features of treatment Treatment is conducted with built-in electrodes using the stable method. The points are processed in pairs in "Therapy" mode m ode or "Test" mode, beginning with the projection proj ection of the exit of the up-per branch.
6. Zone of the back midline of the body The zone is the projection of structures of the spinal column and biologically active points of the back middle meridian. It passes through the spinous processes of the vertebrae from the second cervical vertebrae to the coccyx (Fig. 2.9). In order to obtain a general regulatory effect treatment of the zone along the entire length of the spine from the second cervi c ervical cal vertebra to the c occyx is performed to strength the local segmental reactions. For localized complaints treatment can be carried out on sections of limited length at the corresponding level:
- area of the th e neck and back b ack of the neck - for neurological dis-eases, eye injuries and ENT diseases; - area from the 7th cervical (C7) to 7th thoracic (Th7) vertebra - for diseases of the nervous system, lungs, feverish conditions;
area from the 7th thoracic (Th7) to 2nd lumbar (2L) vertebra - for nervous system disorders, diseases of the gastrointestinal track organs; area from the level of the second lumbar vertebra (L2) to the coccyx - for disease of the nervous system, intestines, repro-ductive organs and excretory organs.
7.
Zone of direct projection of the adrenal glands and kidneys
Paired zone. It is located in the posterior surface of the body, to the left and right of the spine at the level of the 11th - 12th thoracic vertebrae (Fig. 2.10). It is widely used for chronic inflammatory diseases and allergic processes.
8.
Zones of direct projection of the intestines and liver
The upper and lower borders of the liver are projected onto the anterolateral surface of the trunk in the right sections of the epigastric abdominal area (Fig. 2.11). The intestine is projected onto the anterior abdominal wall in the lower sections of the abdomen (Fig. 2.12). Treatment is recommended to increase the effectiveness of the course of treatment in metabolic disorders and inflammatory diseases.
9.
Zone of the 7th cervical vertebra (Da Chui projection point (VG 14))
The zone is located between the spinous processes of the 7th cervical and first thoracic vertebrae. The seventh is the lowest cervical vertebra and it is easily detectable in the lower part of the neck (Fig. 2.13). It is used for allergic and inflammatory diseases.
10.
Hegu projection points (Gl 4)
Paired zone located at the back of the hand in the area between the 1st and 2nd metacarpal bones (Fig. 2.14). It is used for diseases of the nervous system, digestive organs, allergic, inflammatory processes, diseases of the, pains in the facial area. This treatment is recommended to reduce the risk of colds during epidemics. 11.
Neiguan projection points (MC 6)
The paired zone located on the inside of the forearm, approximately 3 cm above the radiocarpal fold (fig. 2.14). Stimulation of the point ensur es a soft sedative effect. It is used in the treatment of disease of the thoracic organs (lungs, heart, pericardium) as well as hypertension, lesions of the digestive organs, accompanied by dyspepsia manifestations (heartburn, etc.), pains and cramps in the elbow and shoulder areas. 12.
Waiguan projection points (TR 5)
The paired zone located on the outside of the forearm, approximately 3 cm above the radiocarpal fold (fig. 2.14). The point is used to obtain a soft overall tonic effect. It has a stabilizing effect on the work of the cardiovascular system, therefore it is recommended in the treatment of meteosensitivity, vegetative dystonia syndrome, headache, lesions of the cervical and lumbar sections sections of the spine, diseases of the hearing organ (hearing loss, loss, inflammatory diseases), eye lesions, sleep disorders. 13.
Zusanli projection point (E 36)
Pair zone. Located under the lower edge of the patella on the line passing through the outer edge of the patella (Fig. 2.14). Has a wide scope of application: in diseases of the digestive, respiratory and cardiovascular cardiovascular systems, for insomnia, for nervous system lesions. As a common area of action it is treated prophylactically for intense physical and mental work, chronic fatigue syndrome and insomnia.
14.
Sanyinjiao projection point (RP 6)
Pair zone. Located on the inner surface of the tibia posterior to the tibia above the medial malleolus (Fig. 2.14) by about 2-3 cm (3 cun). Stimulation of this area is carried out to normalize the functions of the pelvic organs, improve the general condition, normalization of hormonal status and water-salt metabolism in diseases of the reproductive organs in men and women (infertility, inflammation), and for menopausal syndrome, kidney diseases, digestive disorders, hypertension, and insomnia.
TRIGGER ZONES
Pathological changes in the internal organs that occur during illness are often accompanied by the appearance in the skin, subcutaneous fat or muscle of local sites with altered properties of trigger zones. The search for triggers is essential to determine the most effective stimulation zones. In practice, the impact on the trigger points is used to enhance the therapeutic effect of DENS procedures. Trigger zones are identified in the area of direct projection of the affected organ, in the projection reflex zones, in the segmental zones, in zones of mini-acupuncture compliance systems. A key sign of trigger zones is their difference from neighboring or symmetrical areas. It is customary to distinguish active and latent trigger points. Active trigger points are easily detected during examination or during the course of the s ession and have the f ollowing characteristics: -
an increase or decrease in pain sensitivity; a decrease or increase in temperature sensitivity; local tissue induration; a change in the reaction to stimulation as compared with surrounding (local persistent reddening or pallor of a limited portion of the skin); local change in sweating.
areas
Latent trigger points are identified by comparative evaluation of the electrical characteristics of the skin. To do this in DENS practice the "screening" and electropunctural diagnostic systems are used. Most informative for screening examinations are symmetrically arranged paravertebral zones, segmental zones and the zone of direct projection of the complaint. Examination Technique
Set up the device in the selected zone. Upon detection of electrode contact with the skin surface, the device will carry out measurements for 5 seconds. Then, the measurement result is displayed as a ALT index (ranging from 0 to 100 units). Record the value and move the device to the next zone. Latent trigger zones will be those areas of the skin, in which the ALT values differ significantly upwards or downwards from the overall array of numbers. For example, when testing the cervical thoracic spine, you got the following ALT results (in units): 10,
15, 12, 18, 14, 32, 17, 16, 18, 24. In this example, the latent trigger area is one in which the ALT value = 32 (Figure 2.15). The detected trigger points are treated in the "Therapy" mode at frequencies of 60 or 77 Hz for 5-10 minutes.
ZONES OF THE MINI-ACUPUNCTURE SYSTEM FOR HANDS AND FEET (SUJOK)
A description of various projection options of organs and body parts on the hands and feet can be found in many of the authors. In clinic al practice there is a widespread system of Sujok microcorrespondence (fig. 2.16, 2.17, 2.18). Sujok (su - "hand," job - "foot") was developed in 1987 by the Korean professor Pak Jae Woo. It is convenient to use, its effectiveness with physiological positions is based on the fact that the hand and foot are characterized by a dense arrangement of nerve receptors and have extensive somatotopical organized projections in the nuclei of the thalamus and the cerebral hemispheres. The DENS correspondence system of hands and feet can be used in planned treatment, combined with stimulation of the direct projection of the complaint and segmental zone. The Sujok correspondence system may be used when providing first aid when treatment of other zones is difficult. In the classic version before the curative effect, according to Sujok the most painful points in the projection of the respective organs or body parts trigger zone analogs - are identified. The identified trigger points are treated in the "Therapy" mode at low or high frequencies for 2-3 minutes. To increase effectiveness stimulation is conducted at frequencies of 1 to 9.9 Hz. When processing zones only on the hand or foot, exposure time can be increased up to 5 -7 minutes on each side. W hen providing urgent care, time is determined by taking into account the dynamics of the complaint.
CORRESPONDENCE SYSTEM POINTS ON THE EAR
Exposure to biologically active points of the ear was used to treat diseases in ancient times among the peoples of the East and in Egypt. In 1969, French scientist P. Nogier developed a mapping of the ear with an indication of body parts and internal organs, projected onto the ear area. In Russia, the following well-known scientists worked on the study of the mechanisms of auricular reflexotherapy: R. A. Druinyan, D.M.Tabeeva et al. High effectiveness of the impact on the point of this correspondence system is due to the rich nervous apparatus of the ear, as a result of which stimulation of auricular points has a very fast and powerful influence on the functional state of the brain's subcortical structures. According to international nomenclature, on the front and rear sections of the ear there are more than 120 auricular points (AP). All points with a few exceptions are symmetrical. For AP stimulation, the DENS universal device and remote "point1 therapeutic electrode are used. Exposure is carried out in the "Therapy" mode at a frequency of 77, 60, 20 or 10 Hz at minimum power. In one session from 1 to 3 points on one ear can be treated. The selection of side (right or left ear) is determined by the complaint. If the localization of the complaint is unilateral (the right knee, right side of the head, left back hurts, etc.), then the corresponding ear on the side of the pain is treated. If the complaint has no clear localization (diffuse headache, hypertensive crisis, nausea, heartburn, etc.), the right or left ear is selected in turn (in different procedures). As a rule, it is sufficient to use it on selected points on one side.
Time of stimulation of one point on average is 1-3 minutes. The number of procedures per day and the duration of the course using AP is determined individually.
SCALP CORRESPONDENCE SYSTEM
Scalpotherapy (craniotherapy) is a relatively new method of reflexotherapy, which is based on exposure on linear zones in the area of the scalp. The first papers on the use of craniotherapy were published by Chinese doctors Jiao Shunfa, Fang Yunpeng, et al. in the 1970s. In Russia, papers on craniopuncture appeared in 1978-1980 (V.N. Lakusta et al.).The topography (location) of some zones correlated with the projections of certain parts of the cerebral cortex (sensory, motor zones, optical etc.), but the projection of organs are associated with the traditional concepts of Chinese medicine.
Zones are craniopuncture strips (lines) with a width of 0.5 cm and a length of 2 to 8 cm. The location of craniopuncture for most zones is determined with respect to two lines the sagittal and horizontal. The sagittal line connects the point WM3 (Yin-tang) and the tip of the external occipital ridge. The horizontal line starts from a point WM3, passes through the upper edge of the eyebrows and ends at the external occipital ridge. The system of international nomenclature, in contrast to previous descriptions of topography lines, is correlated with the localization of points of standard acupuncture channels. During treatment in the scalp zone with DENS devices the "Therapy" mode is used (frequencies 77, 60, 20 or 10 Hz). Stimulation can be conducted both by a zonal electrode, built in to the device (in this case the hair needs to be parted), and by an external electrode needle.
It is recommended that treatment in the scalp zones be conducted for diseases of the central nervous system, peripheral nerve lesions, acute and chronic pain syndromes of different origin and localization. MSI - midline forehead. Indications: diseases of the throat, mouth cavity, nose and respiratory system. MS2 - the first line of the lateral brow. Indications: bronchial asthma, bronchitis, paroxysmal tachycardia, respiratory failure of central origin, pain in the chest.
MS3 - second lateral line of the forehead. Indications: diseases of the stomach, pain in the upper abdomen, diseases of the gallbladder and bile ducts (dyskinesia). MS4 - third lateral line of the forehead. Indications: diseases of the genitourinary system and intestines. MS5 - the middle line of the vertex. Indications: neuroses, psychoses, migraine and other headaches, dizziness. MS6-anterior oblique vertex-temporal line. The top 1/5 of the line corresponds to the lower limbs and trunk, 2/5 medium - upper extremities and upper torso, lower 2/5 - head, neck, face muscles. Indications: central paralysis and paresis in accordance with the topography described above. MS7 - posterior oblique vertex-temporal line. The top 1/5 of the c orresponding lower limbs and trunk, the average 2/5 parts - upper limb, lower 2/5 part - the head. Indications: paresthesia, pain and dysesthesia in accordance with the topography, described above. MS8 - first lateral line vertex. Indications: sensory and motor disorders of the lower extremities, lumbodynia, polyuria of central origin, enuresis. MS9 - second lateral line of the vertex. Indications: apraxia, sensorimotor lack of coordination. MS10 - anterior temporal line. Indications: hearing and speech disorders, pain in the temporal region of the head, migraine, dizziness, ringing in the ears; pain in the outer corner of the eye and the temporal region; rhinitis; trigeminal neuralgia, peripheral neuropathy of the facial nerve, eye diseases; toothache, swelling of the face. MS11 - posterior temporal line. Indications: hearing loss, tinnitus, vertigo, Meniere, syndrome (disease), sensory aphasia. MS12 - upper-middle occipital line. Indications: visual impairments of central origin, headache, neck pain and tension; eye pain, blurred vision; neurasthenia, epileptiform seizures, twilight state, anxiety; dizziness, vomiting, stiff neck muscles. MS13 - superolateral occipital line. Indications: impairment of the visual function of central origin. MS14 inferolateral occipital line. Indications: cerebellar ataxia.
2.5. POWER (INTENSITY) OF TREATMENT
Selection of power (intensity) of the treatment is performed individually for each zone and mode of stimulation. In practice, three power levels are used - (PL) - minimum (PL-1), comfortable (PL-2), maximum (PL-3). When choosing a power you should be guided by subjective sensations arising under the electrodes of the device. Minimum level - under the electrodes there are no sensations or a feeling of slight vibration. The minimum level is set when the treatment should be low intensity - children up to 7 years old, adults and children with diseases of the cardiovascular system (hypertension, hypotension, vegetative dystonia syndrome). For patients who have been observed to have frequent headaches, dizziness, treatment should be started at a minimum power level. Comfortable level - treatment with a higher threshold of sensation. Under the electrodes there is a painless vibration, tingling or slight burning sensation. This power level is most often used in practice. Maximum level - this is on the pain threshold. Under the electrode painful burning and tingling occur. This may result in involuntary muscle contractions in the area of treatment. It is used for the treatment of pain syndromes with a strong, intense pain.
2.6. TREATMENT TIME
The duration of the DENS session can vary widely, from 2-3 to 40-90 minutes. In cases where the aim of the treatment session is to provide emergency care (pain relief, correction of blood pressure, asthma, etc.), the appearance of significant decrease in complaints testifies to the adequacy of the treatment during the session. During a course of treatment when the patient's condition has stabilized, you can follow the averages treatment times, which are listed below. These values can also be adjusted by increasing or decreasing them, depending on the dynamics of the complaints. It should be remembered that increasing the duration of treatment in one zone often leads to enhancement of the effect. For effectiveness of the session, it is advisable to treat other zones. Recommended duration of a session, taking into account the child's age: -
From 0 to 1 year -5-10 minutes (1-3 minutes per zone); From 1 to 3 years -10-15 minutes (3-5 minutes per zone); From 3 to 5 years -15-20 minutes (5-7 minutes per zone); From 5 to 12 years - 20-25 minutes (7-9 minutes per zone); Over 12 years and adults - 30-40 minutes (10-15 minutes per zone).
2.7. ALGORITHMS FOR USE OF THE DEVICE A priori*.
In order to choose the most effective zones, modes and duration of treatment, before a session a survey and examination of the patient should be performed to identify the leading symptom complex - the "main" complaint. According to the survey results, when you can clearly define the system of organs or body part with the largest lesions, complaints are classified as localized. Treatment should begin on the direct complaint project zone (DPZ) and corresponding segmental zones. If localized complaints are determined for a paired part of the body or organ, additional treatment must be performed in the area of the symmetrical direct complaint projection (see 2.20). In cases where you can not clearly identify the target organ and there are only impairments of the general condition, or at the same time there are some disruptions in the work of the organs and systems, complaints are classified as non-localized. The therapeutic session begins with treatment of the general action zones (Fig. 2.20). In determining the number of zones that are treated in the session, you should follow the rule of minimum adequacy of treatment. During the session from 1 to 3 zones are treated. Increasing the number of zones does not lead to greater efficiency and longer duration of the session is tiring for the patient, which may reduce the effect of the procedures.
The DENS procedure is always customized to each patient's specific situation. For localized complaints the direct complaint projection zone (DPZ) and corresponding segmental zones are treated.
If localized complaints are determined for a paired part of the body or organ, additional treatment is performed in the area, symmetric direct complaint projection. For non-localized complaints common areas of action are treated in the session. In the majority of cases no more than 2-3 zones (1 -2 main zones and 1-2 zones to enhance the therapeutic effect) are treated in a session. To increase the effectiveness of medical treatments for localized and non-localized complaints treatment of additional zones is conducted and a subsonic frequency range and combination regimens are used. In order to potentiate (enhance) the therapeutic effects, DENS is combined with other methods (fig. 2.21).
COURSE OF TREATMENT USE OF DEVICES
DENS is performed in the early stages of the disease when disturbances in the body are minimal and in most cases a s ignificant effect is ins ured within the first 3-5 days. In severe cases and with a c hronic course of the disease, when there are significant impairments and depletion of adaptively-defense mechanisms, the maximal effect develops during a course of treatment that comprises an average of 10-14 procedures. The number of procedures can increase or decrease depending on the outcome of treatment. In some
cases, significant results are already evident after 8 -12 procedures, in more severe cases 14-20 procedures may be needed to achieve persistent positive changes. The total therapeutic effect of individual procedures also ensures the long-term effect of the course of treatment, which continues at its end. Long-term results are often even more important than immediate ones. Therefore, in most cases there is no need for constant use of the devices, and refresher courses are held at intervals of two weeks to 1-2 months, that is, on demand.
2.8. COMBINATION OF DENS WITH OTHER TREATMENT METHODS Vires unitae agunt .
Simultaneous (combined) use of several therapeutic methods or means in one patient is due to the fact that the initial level of health, the features of the course and development of the dis-ease, as well as the probabilistic nature of physiological processes in the body can reduce the sensitivity to certain treatment methods. In a small part (5-10%) of the patients there may no effect from the use of certain therapeutic factors. Combined use of multiple therapeutic agents that may affect the various components of the disease and have a potentiator (mutually reinforcing) action allows the maximum result and achievement of high efficiency of treatment, even in severe cases. DENS can be combined with other methods of physical therapy (mud, mineral water intake and mineral baths, thermotherapy, cryotherapy, inhalation therapy, hydrotherapy and massage, color therapy and others.). It is recommended that procedures be carried out on one day with an interval of 2-3 hours or on different days. The question of the joint application of DENS with other methods of electrotherapy and magnetic therapy is being studied. Therefore, in order to avoid excessive stress on the b ody during the performance of DENS the performance of other types of electrotherapy is advisable only in consu ltation with your doctor. DENS is also combined with herbal medicine, homeopathy, reflexology, physiotherapy, manual therapy, other methods of rehabilitative medicine and any medicinal therapy.
CHAPTER 3 PRIVATE DENS METHODS If a person keeps track of their health, it is difficult to find a doctor who would know better what he needs for his health than he himself Socrates
3.1. DENS FOR DISEASES OF THE MUSCULOSKELETAL APPARATUS
GENERAL PROVISIONS 1. 2.
3.
4. 5.
6.
7.
8.
DENS may be performed at any stage of the disease and at any stage of treatment. The presence of temporary or permanent metal implants of osteosynthesis devices (endoprostheses, llizarov apparatus and others) is not a contraindication for the use of DENS. An individual treatment plan (number and duration of procedures, course) must be designed for each patient. Zones and modes of impact are selected with consideration of the severity and localization of the lesion, as well as with consideration of concomitant diseases of other organs and systems. DENS procedures can and should be performed in a number of cases "on demand" Large joints (hip, knee, shoulder, elbow) are treated on three sides, excluding the flexor surface of the joint. Small joints of the hands and feet, wrists and ankles are treated on four sides. With simultaneous damage to multiple joints (polyarthritis, polyarthrosis) at most two major joints are treated in one procedure. Treatment of several small joints of the hands and feet is permitted during a session. The area of the swollen joint is treated in a stable manner - the device is rearranged from the bottom up. In the remaining cases treatment can be performed in labile, stable and labile-stable manners. The ultimate goal of a course of DENS treatment is to achieve pain relief, improved blood and lymph circulation, which ultimately leads to the complete or partial (with severe lesions) restoration of joint function.
DEVICE IMPACT ZONE
Direct projection zone
1. 2. 3.
Area of the affected joint(s) The area of the joint itself and surrounding areas above and below the joint of approximately the width of the hand is treated. Area of affected muscles, tendons - direct projection of corresponding muscles and muscle tendons. Projection of the cervical, thoracic or lumbosacral parts of the spine is treated for diseases and injuries of the corresponding parts of the spine.
Additional zones f or course of treatment impact 1.
2. 3. 4. 5.
Segmental zones. The lumbosacral area is treated in diseases and injuries of the joints of the lower extremities. Cervical area - in diseases and injuries to the upper extremities. Reflex zones: areas corresponding according to Su Jok, auricular points, areas of the scalp. Zones of amplification of systemic effect: Hegu, Zusanli, 7th cervical vertebra. Special zones: zone of liver and intestine. Universal zones (common action): paravertebral zones.
METHODS OF DEVICE IMPACT
Diseases of the joints (arthritis, arthrosis, ligament diseases, effects of trauma) Purpose of DENS - treatment of pain syndrome (if necessary - long-term treatment of chronic diseases of the joints), amplification of anti-inflammatory effect, restoration of joint mobility. DENS Method
Area of the affected joint. "Therapy" mode: in expressed pain syndrome at a frequency of 140 Hz, with decreasing pain and inflammation - 77, 20 Hz, with a power level of 2 (PL-2). The area around the affected joint is treated in a labile-
stable manner (with swelling of the joint - only in a stable manner). The time of treatment from 10 to 30 minutes depending on the size of the joint and intensity of the symptoms. Segment zone. The lumbar spine (LS) is treated with damage to the joints of the lower extremities, the cervical spine (CS) - with damage to the joints of the upper extremities. "Therapy" mode at a frequency of 77 Hz, PL-2, or labile stable manner over 5 minutes. Symmetrical healthy joint (with a unilateral lesion). "Therapy" mode if 10 Hz, 5 minutes.
Additionally
Su Jok joint correspondence zone. "Therapy" mode at a frequency of 77 Hz, PL 2, 5-10 minutes. One of the universal zones. "Test" or "screening" mode at PL-2, followed by treatment of the LTZ in the "Therapy" mode at PL-2 at a frequency of 60 or 77 Hz, 3-5 minutes each. Liver zone. "Therapy" mode at a frequency of 10 or 20 Hz, at PL- 2, 5 minutes in a day. Adrenal glands zone. "Therapy" mode at a frequency of 77 Hz, PL-2, 5 minutes, or MED program. Auricular point (AP), offsetting the corresponding joint. "Therapy" mode at a frequency of 10 or 20 Hz, PL-1, 2-3 minutes.
With pronounced pain syndrome "on demand" procedures several times a day (again during the day the affected joint is treated) are recommended. In the pr ocedure 2-3 zones are treated, the course of treatment is 10-20 days
Diseases of the spine (posture disorder, scoliosis) * The purpose of DENS - treatment of pain, normalization of muscle tone, reduction of the degree of deformation of the spinal column. DENS Method
Paravertebral zones. "Test" or "screening" mode at PL-2, followed by treatment of the LTZ in the "Therapy" mode at PL-2 at a frequency of 60 or 77 Hz, 3-5 minutes each. Zone of affected vertebral column segment (the area of pain, discomfort and/or area of deformation). "Therapy" mode at a fre-quency of 77 Hz or modulated mode "7710". The power level is adjusted according to the muscle tone: in the projection of spastic muscles -1 or PL-2; in the projection of muscles with reduced tone - PL3. Duration of 15-30 minutes.
With pain syndrome "on demand" procedures are recommended - the area of pain is treated repeatedly during the day.The course of treatment is 15-20 days, repeated courses within 1-2 months until condition is stabilized.To potentiate the effects, DENS should be combined with physical therapy and massage.
Flat feet The purpose of DENS - treatment of pain, normalization of muscle tone. DENS Method
Foot (back, plantar surface). "Therapy" mode at a frequency of 60 or 77 Hz, PL2,5 minutes; 1st metatarsophalangeal joint and the transverse arch of the foot or the heel and longitudinal arch of the foot. "Therapy" mode at a frequency of 77 Hz (with pronounced pain syndrome - 200 or 140 Hz) at PL-2,10-15 minutes; Shin. "Therapy" mode at a frequency of 60 or 77 Hz, PL-2,5 minutes; Segment zone - LS. "Therapy" mode at a frequency of 77 Hz, PL- 2, labile or stable method, 5 minutes.
Additionally
Su Jock correspondence zone. "Therapy" mode at a frequency of 77 Hz, PL-2,510 minutes; AP 47, 46. "Therapy" mode at a frequency of 10 or 20 Hz, PL-1, 2-3 minutes.
3.2. DENS FOR DISEASES OF THE NERVOUS SYSTEM
GENERAL PROVISIONS 1.
2.
3.
4. 5.
6.
An individual session plan is designed for each patient. The amount and duration of the procedures, zones and modes of action are determined according to the severity, localization of impairments, as well as damage to other organs and systems. The cervical area is treated, with consideration of the blood pressure (BP) level and the presence / absence of intracranial hypertension. In the case of high or normal BP and with intracranial hypertension the CS is treated with a labilestable method from the neck to the shoulder blades, at a frequency of 77 Hz or in the "7710" mode. W ith low BP - in the opposite direction at a frequency of 77 Hz or in the "77AM" mode. After a stroke or traumatic brain injury the inclusion is recommended as early as possible in complex treatment for quick rehabilitation and to prevent the development of complications. NO treatment of the head is performed in the acute phase of hemorrhagic stroke. Training of patients and their families on the basic rules and techniques of DENS for procedures at home is necessary. Preservation or worsening of neurological symptoms, insufficient pronounced analgesic effect of DENS can be signs of a previously unknown disease. In these situations, consultation with a specialist is mandatory. The ultimate goal of a course of treatment with DENS is to relieve or decrease the severity of pain, normalize muscle tone and improve blood circulation, which helps to prevent possible complications and accelerates the recovery process.
DEVICE IMPACT ZONE Direct projection zone (DPZ) 1. 2. 3.
4. 5. 6. 7.
Upper and lower limbs are treated for diseases accompanied by impaired motor functions and sensitivity of the limbs. The cervical zone is used as one of the main areas in the treatment of patients with vascular diseases of the brain, with hemorrhagic and ischemic stroke. Scalp zone - direct projection of the brain, the cerebral vessels. Is used in the treatment of headache, ischemic stroke rehabilitation. Furthermore, this zone is used in craniotherapy for diseases of the nervous and cardiovascular systems. The trigeminal zone is used in the treatment of trigeminal neuralgia. The parotid and temporal areas are used in the treatment of diseases associated with facial nerve damage. Cervical, thoracic and lumbosacral areas are treated for injuries and diseases of the relevant parts of the spine. Speech zones: zone around the mouth, submandibular zone are treated in cases involving speech disorders.
Additional zones for course of treatment 1. 2. 3. 4. 5.
Segmental zones corresponding to the level of the damage. Reflex zones: Su Jok correspondence zones, auricular points, zones of the scalp. Zones of amplification of systemic effect: Hegu, Zusanli, 2nd cervical vertebra. Special zones: zone of liver and adrenal glands. Universal zones (common action): vertebral zone, trigeminal zone, forearm and hand, the lumbosacral zone.
6.
7.
METHODS OF DEVICE IMPACT
Headache, dizziness (tension headache, intracranial hypertension, migraine, diseases and the effects of injuries of the cervical spine) The purpose of DENS is to get rid of the headache or dizziness while conducting situational DENS, to improve health and ensure lasting effect with a course of treatment using the devices. DENS Method
The projection of pain (frontal, temporal, parietal, occipital region, etc.). "Therapy" mode at a frequency of 77 Hz, PL-2, labile-stable method of application, 5-15 minutes. In the area of the scalp treatment should be carried out consistently,
moving the hair out of the way and seeking electrode contact with the skin or with remote needle electrode. 2nd cervical vertebra. "Therapy" mode at a frequency of 77 Hz, PL-1 or PL-2, stable method of application, for 2-3 minutes; to further enhance the effect operate at a frequency of 9.5 Hz, 5-7 minutes; CS. "Therapy" mode at a frequency of 77 Hz, PL-2, labile-stable method, taking into account the BP level, 10 minutes.
Additionally
Su Jok head correspondence zone. "Therapy" mode at a frequency of 77 Hz, PL2, 5 minutes. One of the universal zones. "Test" or "screening" mode at PL-2, followed by treatment of the LTZ in the "Therapy" mode at PL-2 at a frequency of 60 or 77 Hz, 3-5 minutes each. AP 33,35,29. "Therapy" mode at a frequency of 10 or 20 Hz, PL-1, 1-2 minutes.
In the procedure 2-3 zones are treated 1-2 times per day. The course of treatment is 10 days.
Back pain and neck: osteochondrosis, dorsopathies, musculo-tonic syndrome (periarthritis), the effects of trauma, inflammatory muscle disease The purpose of DENS - to relieve pain and prevent its re-emergence, to stop or reduce the motor and s ensory disorders. With pronounced pain syndrome in the early days of aggravation "on demand" procedures are recommended several times a day (the area of pain is treated again within a day). Duration of the course is determined by the onset of effect and restoration of impaired functions (average 10 days). DENS Method
Direct pain projection. With pronounced pain syndrome - "Therapy" mode at a frequency of 200 or 140 Hz at the PL-3. For reduction of pain - 77, 20 Hz at PL-2. Area of pain is treated in a labile-stable manner. Treatment time is 20 to 30 minutes depending on the effect (reduction or alleviation of pain). Pain radiating zone (distribution of pain along the intercostal space, arm, or leg). "Therapy" mode at a frequency of 77 Hz, PL-2 in a labile manner, 10-15 minutes.
Additionally
Su Jok correspondence zone. "Therapy" mode at a frequency of 77 Hz, PL-2,5-10 minutes. Paravertebral zones. "Test" or "screening" mode at PL-2, followed by treatment of the LTZ in the "Therapy" mode at PL-2 at a frequency of 60 or 77 Hz, 3-5 minutes each. AP 37,39,40,38. "Therapy" mode at a frequency of 10 or 20 Hz, PL-1, 2-3 minutes.
Trigeminal neuralgia The purpose of DENS - to stop pain and/or prevent the recurrence of pain; reduce treatment time. For removal of breakthrough pain DENS begins with the first harbingers of attack. With aching pain and after relief from an attack, duration of the course of treatment is 10-15 days. DENS Method
Exit point of the trigeminal nerve in the area of maximum tender-ness. "Therapy" mode at a frequency of 140 or 200 Hz at PL-2 or PL-3, stable method of application. For the reduction of pain - 77, 20 Hz at PL-2. Symmetric point of the trigeminal nerve (the healthy side). "Therapy" mode at 10 Hz with a PL-2, 5 min. C5. "Therapy" mode at a frequency of 77 Hz, PL-2, labile-stable method taking into account the BP level, 5-10 minutes.
Additionally
Su Jok correspondence zone. "Therapy" mode at a frequency of 77 Hz, PL-2, 5 minutes AP 11,51,84. "Therapy" mode at a frequency of 10 or 20 Hz, PL-1, 1-2 minutes.
Paresis of the facial nerve The purpose of DENS - to restore nerve function, prevent complications and shorten treatment time. DENS begins in the earliest stages of the disease and 3-4 procedures are carried out during the day, for 20-30 minutes. DENS Method
Temporal and parotid regions. "Therapy" mode at a frequency of 77 at PL-2 or PL3, stable method of application. Symmetrical (healthy) side. "Therapy" mode at 10 Hz with a PL-2, 5 min; 2nd cervical vertebra. "Therapy" mode at a frequency of 77 Hz mode or "77 10" with the PL-1 or PL-2, stable method of application, for 5 minutes. CS. "Therapy" mode at a frequency of 77 Hz, PL-2, labile-stable method taking into account the BP level, 5-10 minutes.
Additionally
Su Jok correspondence zone. "Therapy" mode at a frequency of 77 Hz, PL-2,5 minutes; AP 11,51,84. "Therapy" mode at a frequency of 10 or 20 Hz, PL-1, 1-2 minutes.
Acute ischemic stroke (ischemic and hemorrhagic stroke)
The purpose of DENS - ensuring more rapid recovery and maximum possible recovery of impaired functions. Treatment of individual symptoms (pain, speech problems, motor and sensory disorders and so on.). Method of DENS in the acute phase of cerebral circulation impairment
Scalp in ischemic stroke. "Therapy" mode at a frequency of 77 Hz, PL-2, labilestable method of application, pushing the hair back and seeking electrode contact with the skin for 10 minutes. 2nd cervical vertebra. "Therapy" mode at a frequency of 77 Hz mode or "7710" at the PL-1, stable method of application, for 2 -3 minutes. CS. "Therapy" mode at a frequency of 77 Hz, PL-2, labile-stable method, taking into account the BP level, 5 minutes.
Additionally
Zone of the hands and forearms, feet zone "Therapy" mode at a frequency of 77 Hz, PL-2, labile-stable method of application for 5 minutes. Lung project zone from behind. "Therapy" mode at a frequency of 77 Hz, PL-2, labile method of application, 10 minutes. Intestinal zone. "Therapy" mode at a frequency of 77 Hz, 3-PL labile manner in a clockwise direction, for 15-20 minutes.
The procedure is carried out 1-3 times a day (at most 2-3 zones per session) for 12-15 days. Repeated courses of treatment - with breaks in 2-3 weeks. In case of other (new) complaints during the treatment procedure, the next treatment should be of the DPZ.
Method of DENS in the recovery period after a cerebrovascular accident
Scalp (for ischemic stroke). "Therapy" mode at a frequency of 77 Hz, PL-2, labilestable method of application, pushing the hair back and seeking electrode contact with the skin for 5 minutes. To enhance the effect - at a frequency of 5.5 Hz for 5 minutes. Area of the upper extremities. On the side of paresis the back of the shoulder and forearm are treated in "Therapy" mode, 77 Hz, 10 minutes. On the healthy arm the front of the shoulder and forearm are treated in "Therapy" mode, 10 Hz, 5 minutes. Zone of the lower extremities. On the side of paresis the front of the thigh and lower leg are treated in the "Therapy" mode, 77 Hz, 10 minutes. On the healthy leg the hamstring and calves are treated n the "Therapy" mode, 10 Hz, 5 minutes. Speech Zone (with speech disorders). "Therapy" mode at a fre-quency of 77 Hz or "77 10" with the PL-1 or PL-2, stable method of application, 10 minutes.
Additionally
2nd cervical vertebra. "Therapy" mode at a frequency of 77 Hz or modulated mode "7710" at the PL-1, stable method of application, for 2-3 minutes. CS. "Therapy" mode at a frequency of 77 Hz, PL-2, labile-stable method, taking into account the BP level, 5 minutes. Su Jok correspondence zones. "Therapy" mode at a frequency of 77 Hz, PL-2,5 minutes.
LS. "Therapy" mode at a frequency of 77 Hz, PL-2, labile-stable method of application, 10 minutes. Other areas of application (high blood pressure, constipation, etc.). - See the appropriate section. AP 33,35,29, 37. "Therapy" mode at a frequency of 10 or 20 Hz, PL-1,1-2 minutes.
The procedure is performed 1 time per day (no more than 2-3 zones per session) for 1215 days. Repeated courses of treatment - with breaks in 2-3 weeks. In case of other (new) complaints during the treatment procedure, the next treatment should be of the DPZ.
Cerebrovascular disease, secondary parkinsonism, the consequences of head injuries and infections of the central nervous system DENS Method
Scalp. "Therapy" mode at a frequency of 77 Hz, PL-2, labile- stable method of application, pushing the hair back and seeking electrode contact with the skin for 5 minutes. To enhance the effect - at a frequency of 5.5 Hz for 5 minutes. 2nd cervical vertebra. "Therapy" mode at a frequency of 77 Hz or "7710" mode at the PL-1, stable method of application, for 2-3 minutes. CS. "Therapy" mode at a frequency of 77 Hz, PL-2, labile-stable method, taking into account the BP level, 5 minutes.
Additionally
Su Jok correspondence zones. "Therapy" mode at a frequency of 77 Hz, PL-2, 5 minutes. One of the universal zones. "Test" or "screening" mode at PL-2, followed by treatment of the LTZ in the "Therapy" mode at PL-2 at a frequency of 60 or 77 Hz, 3-5 minutes each. LS. "Therapy" mode at a frequency of 77 Hz, PL-2, labile-stable method of application, 10 minutes. Other areas of application (high blood pressure, constipation, etc.). - See the appropriate section. AP 33,35,29,37. "Therapy" mode at a frequency of 10 or 20 Hz, PL-1,1-2 minutes.
The procedure is performed 1 time per day (no more than 2-3 zones per session) for 1215 days. Repeated courses of treatment - with breaks in 2-3 weeks. In case of other (new) complaints during the treatment procedure, the next treatment should be of the DPZ.
Diseases of the peripheral nervous system (neuropathy, including diabetic, post-traumatic) The purpose of DENS - treatment of pain, restoration of functional activity of the limb. DENS Method
Zone of the affected limb. "Therapy" mode, 77,20 Hz, with a PL-2. Treated in a labile stable manner downwards. The treatment time is from 10 to 30 minutes depending on the size of the lesion and intensity of the symptoms. To enhance the effect - at a frequency of 9.4 Hz for 5 minutes. Symmetrical limb (with a unilateral lesion). "Therapy" mode, 10 Hz for 5 minutes. LS is treated for injury to the lower extremities, CS - for injury to the upper extremities. "Therapy" mode at a frequency of 77 Hz, PL-2, or labile stable manner for 10 minutes.
Additionally Su Jok correspondence zone. "Therapy" mode at a frequency of 77 Hz, PL-2,5-10 minutes. Paravertebral zone or trigeminal zone. "Test" or "screening" mode at PL-2, followed by treatment of LTZ in "Therapy" mode, with a PL-2, at a frequency of 60 or 77 Hz, 3-5 minutes each. Adrenal glands zone. "Therapy" mode at a frequency of 77 Hz, PL-2,5 minutes, or MED program. AP offsetting the corresponding iimb, part of the body. "Therapy" mode at a frequency of 10 or 20 Hz, PL-1,2-3 minutes.
The procedure is performed 1 time per day, the course of treatment is 10-14 days. Repeated courses as needed.
Neurotic disorders (neurasthenia, seasonal depression), sleep disorders The purpose of DENS - improve overall health, normalize sleep, increase efficiency. The procedure is performed 1 time per day, the course of treatment is 10 days. Repeated courses - on request. DENS Method
Paravertebral zones. "Test" mode at PL-2. Search latent trigger points in the "Screening" mode with subsequent treatment in the "Therapy" mode at PL-2, at 60 or 77 Hz, for 3-5 minutes each. CS. In cases where it is necessary to obtain sedation (sedative), relaxing effect, a zone is treated using a modulated "7710" mode, with a PL-2, in a stable manner for 10 minutes. In cases where it is necessary to obtain a toning effect, the zone is treated in "77AM" mode with a PL-2, in a stable manner for 10 minutes. Trigeminal zone. "Therapy" mode, 10 or 20 Hz, stable method, at PL-1, 30-60 seconds per point.
3.3. DENS FOR CARDIOVASCULAR DISEASES
GENERAL PROVISIONS 1. 2.
3. 4.
5.
6. 7.
8.
The presence of an implanted pacemaker is a contraindication to the use of DENS. in severe cases, accompanied by intense pain in the heart, arrhythmia, sudden increase or decrease in blood pressure, consult your doctor or call for an ambulance. DENS is used as first aid until medical help arrives. In many cases, DENS is a component of a comprehensive treatment and should be combined with drug therapy prescribed by the doctor. Of considerable importance is the individualization of application of the DENS devices. The treatment regimen is prepared and adjusted to reflect the specific complaints and dynamics of well-being. For hypertensive and hypotensive syndromes DENS is conducted in the cervical area (CS). Selection of the method for device movement and frequency of stimulation (77 Hz, "7710" or "77AM") occurs based on the blood pressure. In the elderly with unstable blood pressure the first DENS procedures appropriately begin with the treatment of Su Jok microcorrespondence zones. During the DENS procedure to reduce the initially high blood pressure (hypertensive crisis) it should be noted that blood pressure is reduced gradually. Re-measurement of blood pressure shall be performed no sooner than 20-30 minutes after the DENS procedure. The ultimate goal of the DENS course of treatment is prevention of progression and exacerbation of disease, stabilization of blood pressure and improvement of blood circulation. A distinctive feature of this method is the possibility of procedures in patients with severe comorbidities (diabetes, obesity, etc.).
DEVICE IMPACT ZONE Zones of direct projection of the heart and blood vessels (DPZ) 1. 2.
3.
4. 5. 1. 1. 2. 3.
Zone of back and side projections of the heart. Used to treat heart pain. Zone of forearms and hands. With damage to the arteries treatment is carried out in a direction from the elbow to the fingertips, with damage to the veins - in the opposite direction - from the fingertips to the elbow joint. Zone of the legs and feet. With damage to the arteries treatment is carried out in the direction of the knee joint to the fingertips, with damage to the veins - in the opposite direction - from the toes to the knee joint. Cervical area zone. Treated according to the blood pressure level. Zone of front direct projection of the heart. Treatment is carried out in this area only for resuscitation if the patient is unconscious. Additional zones for course of treatment Segmental zones, cervical, lumbar-s acral area, thoracic spine. Reflex zones: Su Jok correspondence zones, auricular points, areas of the scalp. Zones of amplification of systemic effect: 7th cervical vertebra, 2nd cervical vertebra.
4. 5.
Special zones: Hegu, Zusanli, Sanyinjiao, Waiguan, Neiguan. Universal zones (common action): trigeminal zone.
METHODS OF DEVICE IMPACT
Pain in the heart (cardialgia with vegetative dystonia syndrome, myocardial dystrophy, coronary heart disease: angina, myocardial infarction) The purpose of DENS is to reduce or stop the pain, reduce the frequency and severity of attacks, improve the autonomic regulation of vascular tone. Method of DENS with heart pain
Zone of direct back projection of the heart. "Therapy" mode at a frequency of 77 Hz or "7710" mode at PL-2, labile-stable method of application, 5-10 minutes. To enhance the effect - at a frequency of 9.4 Hz for 5 minutes.
Su Jok heart correspondence zone. "Therapy" mode at a frequency of 77 Hz at PL-1,5 minutes.
Additionally (with course of treatment)
Hand zone. "Therapy" mode at a frequency of 60 or 77 Hz for 5 minutes each hand. CS. "Therapy" mode at a frequency of 77 Hz, PL-2, stable-labile method of application from top to bottom,5-10 minutes. One of the universal zones. "Test" or "screening" mode at PL-2, followed by treatment of LTZ in "Therapy" mode, with a PL-2, at a frequency of 60 or 77 Hz, 35 minutes each. Liver zone. "Therapy" mode at a frequency of 10 or 20 Hz, at PL-2 and 5 minutes.
The DENS procedure may be carried out 3-4 times a day as needed. At a session 2-3 zones are treated. Procedures should be carried out against the background of the standard drug therapy. During the course of treatment a procedure is carried out 1 time per day and 2-3 zones are treated in the session. The course of treatment is at least 10 days. Repeat courses of treatment on demand.
Abnormal heart rhythm and conduction The purpose of DENS is to improve autonomic regulation, reduce the appearance of arrhythmias, improve health with application of a course of treatment. DENS method for paroxysm (attack), tachycardia
Su Jok heart correspondence zone. "Therapy" mode at a frequency of 60 or 77 Hz, with a PL-2,5-10 minutes.
Additionally (with course of treatment)
Zone of direct back projection of the heart. "Therapy" mode at a frequency of 77 Hz or "7710" mode at PL-2, labile-stable method of application, 5-10 minutes. To enhance the effect - at a frequency of 9.4 Hz for 5 minutes. 2nd cervical vertebra. "Therapy" mode at a frequency of 77 Hz or "7710" mode at the PL-1 or PL-2, stable method of application, for 2-3 minutes. CS. "Therapy" mode at a frequency of 77 Hz, PL-1 or PL-2, labile method of application from the top down, 5 minutes.
Procedures should be carried out against the background of the standard drug therapy. During the course of treatment the procedure is carried out 1 time per day and 2-3 zones are treated with consideration of the specific complaints. The course of treatment is 10 days.
Arterial hypertension (hypertensive disease) The purpose of DENS is first aid for a hypertensive crisis, reduction and stabilization of blood pressure during a course of treatment using the device.
DENS Method Hypertensive crisis
2nd cervical vertebra. "Therapy" mode at a frequency of 77 Hz or "7710" mode at the PL-1 or PL-2, stable method of application, for 2-3 minutes. CS. "Therapy" mode at a frequency of 77 Hz, PL-1 or PL-2, labile method of application from the top down, 10 minutes. Su Jok heart correspondence zone. "Therapy" mode at a frequency of 77 Hz, PL2,5-10 minutes.
The mean procedure time of 15 minutes. Repeated blood pressure measurement is carried out 30 minutes after the procedure.
DENS Method Course of treatment for hypertensive disease
2nd cervical vertebra. "Therapy" mode at a frequency of 77 Hz or "7710" mode at the PL-1 or PL-2, stable method of application, for 2-3 minutes. CS. "Therapy" mode at a frequency of 77 Hz, PL-1 or PL-2, labile method of application from the top down, 10 minutes. Project zone of the kidneys and ureters. "Therapy" mode at a frequency of 77 Hz, PL-1, labile manner, for 5 minutes on each side. Zone of the hands and forearms. "Therapy" mode at a frequency of 77 Hz or PL-1 PL-2 labile exposure method from above downwards - from the elbows to the fingertips for 5 minutes on one side. Adrenal glands zone. "Therapy" mode at a frequency of 77 Hz, PL-2, 5 minutes, or MED program. AP 55. "Therapy" mode at a frequency of 10 or 20 Hz, PL-1, 1-2 minutes.
In the procedure 2-3 zones are treated 1-2 times per day. The course of treatment is 10 days. Reduced dosage of medications or their discontinuation takes place only on the stabilization of blood pressure and only in consultation with the doctor.
Arterial hypotension The purpose of DENS is to stabilize blood pressure, reduce the appearance of hypotension and increase efficiency. It is recommended that 2 treatments be performed per day (morning and evening), and the course of treatment is 10 days. Repeated courses in spring and autumn. DENS Method (morning)
CS. "Therapy" mode at a frequency of 77 Hz, PL-2, labile bot- tom-up method for 10 minutes or modulated "77AM" mode with a PL-2, a stable method of applic ation (via applicator DENS) for 5 minutes. Hand zone. "Therapy" mode, at a frequency of 77 Hz, with the PL-2, labile manner, in the direction from the fingertips to the wrist, for 5 minutes each hand. Trigeminal zone. "Therapy" mode, 10 or 20 Hz, with a PL-2,20-30 seconds per point.
DENS Method (evening)
LS. "Therapy" mode, at a frequency of 77 Hz, with a PL-2, stable- labile mode of treatment, 10 minutes. Foot zone. "Therapy" mode, at a frequency of 77 Hz, with the PL-2, labile method from the toes to the ankle for 5 minutes on each leg. Heguzone. "Therapy" mode at a frequency of 77 Hz, PL-2,5 minutes or MED program.
Peripheral arterial disease (arterial occlusive disease, atherosclerosis, peripheral vascular disease, diabetic angiopathy, vibration disease, Raynaud's disease) The purpose of DENS is improvement of arterial blood supply to the affected limb, prevention and treatment of vascular complications. One procedure is performed on the day on which 2-3 zones are treated. The course of treatment is 10-14 days, repeated courses within 1-2 months. DENS Method
DPZ - zone from the elbow to the fingers or the area from the knees to the toes at the appropriate location of the lesion. "Therapy" mode at a frequency of 77 Hz, PL2, labile or labile-stable method of application, about 10-15 minutes. Segment zone. LS - with injury to the lower extremities, CS - with injury to the upper limbs in the "Therapy" mode at a frequency of 77 Hz, PL-2 labile or stable manner for 3-5 minutes.
Additionally
One of the universal zones. "Test" or "screening" mode at PL-2, followed by treatment of the LTZ in "Therapy" mode at a frequency of 60 or 77 Hz, with a PL2,5-10 minutes. Liver zone. "Therapy" mode at a frequency of 10 or 20 Hz, at PL-2 and 5 minutes. AP offsetting the corresponding part of the body (hand, foot). "Therapy" mode at a frequency of 10 or 20 Hz at PL-1, for 2-3 minutes, and AP 95, 96 at the frequency of 10 or 20 Hz, at PL-1, 1-2 minutes.
Diseases of veins and lymphatic vessels (varicose veins of the lower extremities, chronic venous insufficiency, chronic thrombophlebitis, lymphostasis) The purpose of DENS is to reduce symptoms, improve venous outflow. In the procedure 2-3 zones are treated, once a day, and the course of treatment is 10-14 days. Treatment with the device is NOT conducted in direct varices projection. DENS Method
Segment zone - LS. "Therapy" mode at a frequency of 20 or 60 Hz at the PL-1 or PL-2, labile-stable method of application, 15 minutes. Zone of the foot or lower leg. "Therapy" mode at a frequency of 77 Hz, at PL-1 or PL-2, stable method of application, 5-15 minutes on one limb, taking into account the severity of symptoms.
Additionally
In the presence of trophic disorders DENS is conducted around the wound (trophic ulcers) in the "Therapy" mode at a frequency of 77 Hz at PL-1, PL-2 in a stable manner, 10 minutes. One of the universal zones. "Test" or "screening" mode at PL-2, followed by treatment of the LTZ in the "Therapy" mode at PL-2 at a frequency of 60 or 77 Hz, 3-5 minutes each. Liver zone. "Therapy" mode at a frequency of 10 or 20 Hz, at PL-2 and 5 minutes.
3.4. DENS FOR RESPIRATORY DISEASES
GENERAL PROVISIONS 1. 2. 3. 4. 5.
For Respiratory diseases in acute cases accompanied by fever, consult your doctor. DENS in the acute phase of the disease should be combined with the required drug therapy. DENS is conducted as an adjunctive treatment. In the early days in acute diseases several treatments during the day with an interval of 1.5-2 hours is recommended. For asthma attacks DENS is begun as early as possible as first aid. In bronchial asthma and chronic obstructive pulmonary disease DENS is conducted against the background of the basic treatment prescribed by your doctor.
DEVICE IMPACT ZONE Direct projection zone (DPZ) 1. 2. 3. 4.
5.
Area of the nose and paranasal sin uses. Submandibular zone. Jugular fossa zone. Front projection zone of the lungs. The upper boundary of the zone extends horizontally at the level of the clavicle. The lower limit of the zone forms a line connecting the front edge of the armpits. Treatment is performed with built-in electrodes from the periphery to the center towards the sternum, beginning with the lower sections of the zone, gradually rising to the clavicle. Treatment can be carried out with the help of the DENS-applicator. Lung projection zone from behind. The upper boundary of the zone is at the level of the 1st thoracic vertebra. The lower boundary extends horizontally at the bottom edge of the 11th thoracic vertebra. Side borders - mid-axillary line on both sides. Treatment is conducted with a device with built-in electrodes, as shown in Fig. 3.8.
Additional zones for course of treatment 1. 2. 3. 4. 5.
Segmental zones, interscapular region. Reflex zones: Su Jok correspondence zones, auricular points, areas of the scalp. Zones of amplification of systemic effect: He-gu, Zusanli, 7th cervical vertebra. Special zones: zone of liver, intestine and adrenal glands Universal zones (common action): correspondence point zone, trigeminal area
METHODS OF DEVICE IMPACT
Diseases of the upper respiratory tracts (URTI, ARVI, rhinitis, laryngitis, tracheitis) The purpose of DENS is to reduce the inflammatory edema, sore throat, hoarseness, cough. The purpose of the course of treatment is to use the device to reduce the symptoms of inflammation in the shortest possible term and contribute to a more rapid recovery. DENS procedures are performed several times a day until improvement, and with laryngitis - until appearance of a productive cough and normalization of the voice. In the procedure 2-3 zones are selected and treated with consideration of the complaints. The course of treatment is 3-5 days. DENS Method
Nose area. "Therapy" mode at a frequency of 77 Hz, with the PL-2, stable method of application, 5-10 minutes. To enhance the effect - at a frequency of 2.9 Hz, 5 minutes. Submandibular zone. "Therapy" mode at a frequency of 60 or 77 Hz, with the PL2, stable method of application, 5-10 minutes. To enhance the effect - at a frequency of 9.5 Hz for 5 minutes. Jugular fossa zone. "Therapy" mode at a frequency of 77 Hz, PL- 2, stable method of application, for 5 minutes. To enhance the effect - at a frequency of 9.5 Hz for 5 minutes. Front projection zone of the lungs. "Therapy" mode at a frequency of 77 Hz, PL-2, labile method of application, 5-10 minutes. To enhance the effect - at a frequency of 9.4 Hz for 5 minutes. Cervical area zone. "Therapy" mode at a frequency of 10 or 20 Hz at PL-2, labilestable method of application, for 5 minutes.
Additionally
Su Jok nasopharynx correspondence zones. "Therapy" mode at a frequency of 77 Hz, with a PL-2,5 min. 7th cervical vertebra. "Therapy" mode at a frequency of 77 Hz, PL-2, stable method of application - 5 minutes, or MED program. Trigeminal zone. "Therapy" mode 10 or 20 Hz at PL-2 for 1 minute on each point. AP 14,15,16,103. "Therapy" mode at a frequency of 10 or 20 Hz, PL-1,1-2 minutes.
Diseases of the lower respiratory tracts (bronchitis, pneumonia) The purpose of DENS is to reduce cough and achieve good expectoration of sputum. In application of a course of treatment - to reduce the symptoms of inflammation in the shortest possible term and contribute to a more rapid recovery. In the early days of the disease DENS procedures are carried out as required several times a day until the appearance of a productive cough. Then 1-2 times per day. The
course of treatment is 5-10 days. With frequently recurrent tracheitis and bronchitis it is advisable to continue DENS as a course of re-treatment. At the same session up to 2-3 zones are treated. DENS Method
front projection zone of the lungs. "Therapy" mode at a frequency of 77 Hz, PL-2, labile method of application, 5-10 minutes. To enhance the effect - at a frequency of 9.4 Hz for 5 minutes. Projection zone of the lungs from behind. "Therapy" mode at a frequency of 77 Hz, with the PL-2, labile method of application, 10 minutes. Jugular fossa zone. "Therapy" mode at a frequency of 77 Hz, with the PL-2, stable method of application, 5-10 minutes. To enhance the effect - at a frequency of 9.5 Hz for 5 minutes.
Additionally
Su Jok lung correspondence zones. "Therapy" mode at a frequency of 60 or 77 Hz, PL-2, 3-5 minutes. One of the universal zones. "Test" or "screening" mode at PL-2, followed by treatment of the LTZ in "Therapy" mode with a PL-2, at a frequency of 60 or 77 Hz, 3-5 minutes each. Adrenal glands zone. "Therapy" mode at a frequency of 77 Hz, PL-2, stable method of application - 5 minutes, or MED program. IMP 101, 102, 103. "Therapy" mode at a frequency of 10 or 20 Hz, PL-1,1-2 minutes.
Bronchial asthma The purpose of DENS during an attack is to stop the attack of choking, to strengthen antiallergic and antispasmodic effects; In a course of treatment - to relieve symptoms and reduce the se-verity of the disease, reduce bronchial hyperreactivity. DENS Method for asthma attacks
Jugular fossa zone. "Therapy" mode at a frequency of 77 Hz, PL-2, stable method of application, for 5 minutes. To enhance the effect - at a frequency of 8.0 Hz, for 5 minutes. Lung projection zone from behind. "Therapy" mode at a frequency of 77 Hz, PL-2, labile method of application to improve the condition. 7th cervical vertebra zone. "Therapy" mode at a frequency of 60 or 77 Hz, PL-2, 5 minutes.
Additionally
Adrenal glands zone. "Therapy" mode at a frequency of 60 or 77 Hz, PL- 2,5 minutes. Su Jok lung correspondence zone. "Therapy" mode at a frequency of 60 or 77 Hz, PL-2,5 minutes.
If possible, treatment should start at the very beginning of an attack of breathlessness. The listed zones are combined and re-treated in the procedure prior to improvement in
the patient's well-being, that is, until termination of breathlessness. Treatment should be started as early as possible with resumption of complaints.
DENS method for a course treatment of bronchial asthma
One of the universal zones. "Test" or "screening" mode at PL-2, followed by treatment of LTZ in "Therapy" mode, with a PL-2 at a frequency of 60 or 77 Hz, 35 minutes each. Lung segment zone. "Test" or "screening mode at PL-2. The detected LTZ are treated in the "Therapy" mode at frequencies of 60 or 77 Hz for 5-7 minutes. Zone of direct projection of the liver and intestines. "Therapy" mode at a frequency of 77 Hz, PL-2 labile method of application,! 0-15 minutes. AP 101, 102, 103. "Therapy" mode at a frequency of 10 or 20 Hz, at PL-1,1-2 minutes.
The course starts during exacerbation of the disease. In the procedure no more than 2-3 zones are treated, 1 -2 times per day. Course duration - from 10 days with a mild course of the disease to 2-3 weeks for severe, hormonally dependent asthma. Repeated courses of DENS treatment can be carried out at intervals of 10-14 days for 2-3 months.
3.5. DENS FOR DISEASES OF THE ENT ORGANS
GENERAL PROVISIONS 1. 2. 3. 4. 5.
For diseases of the ear, nose and throat in acute cases accompanied by fever, consult your doctor. DENS is conducted as an adjunctive treatment. For diseases of the paranasal sinuses before starting a course of DENS treatment the patient must be examined by an otolaryngologist. In some cases, DENS is a component of a comprehensive treatment and should be combined with drug therapy pre-scribed by the doctor. In the early days of acute illness it is recommended that several procedures be performed during the day until the patient is feeling better. The ultimate goal of the DENS course is shortening of treatment, reduction of drug load and rehabilitation after the disease.
DEVICE IMPACT ZONE Direct complaint projection zone 1. 2.
3. 4.
Ear and parotid area - the auricle and the area around the ear. The nose, the projection of maxillary and frontal sinuses: nostrils, nose and areas on the left and right of the nostrils (the projection of the maxillary sinuses), the area over the bridge (the projection of the frontal sinuses). Submandibular zone. Tongue zone.
Additional zones for course of treatment 1. 2. 3. 4. 5.
Segmental zone, cervical zone. Reflex zones: Su correspondence zones, auricular points. Zones of amplification of systemic effect: hegu, 7th cervical vertebra. Special zones: zone of liver, intestines, adrenal glands. Universal zones (common action): trigeminal zone.
METHODS OF DEVICE IMPACT
Diseases of the hearing organ (otitis, sensorineural hearing loss) The purpose of DENS is to enhance blood circulation and nutrition of the hearing organ, in inflammatory diseases - to reduce the inflammatory edema and reduce treatment time. DENS Method
Parotid zones. "Therapy" mode at a frequency of 77 Hz, PL-2, stable method of application (electrodes are moved around the ear), 5-15 minutes. To enhance the effect - at a frequency of 9.2 Hz for 5 minutes. Trigeminal zone. "Therapy" mode at a frequency of 10 Hz at PL- 2, stable method of application, 15-20 seconds per each point.
Additionally
C5. "Therapy" mode at a frequency of 77 Hz, with the PL-2, labile-stable method of taking into account the blood pressure level, 5 minutes. Su Jok ear correspondence zones. "Therapy" mode at a frequency of 77 Hz, with a PL-2, 5 min. One of the universal zones. "Test" or "screening" mode at PL-2, followed by treatment of the LTZ in the "Therapy" mode at PL-2 at a frequency of 60 or 77 Hz, 3-5 minutes each. AP 9. "Therapy" mode at a frequency of 10 or 20 Hz, at PL-1, 1-2 minutes.
In inflammatory diseases in the acute phase DENS procedures are carried out in the direct complaint projection, several times a day until improvement. Then 1-2 times per day. The course of treatment is 5-10 days. In chronic disease a DENS course of treatment is conducted: 1 treatment per day for 10-15 days. After 1 month, the course of treatment is repeated. In cases of recurrent otitis media and chronic hearing loss it is advisable to conduct 3 courses of treatment for 6 months.
Diseases of the nose and paranasal sinuses (frontitis, sinusitis) The purpose of DENS, along with medical and special treatment, is to reduce the symptoms of inflammation, reduce treatment time, reduce the likelihood of relapse. In inflammatory diseases in the acute phase DENS procedures are carried out in the direct complaint projection, several times a day until improvement. Then 1-2 times per day. The course of treatment is 5-10 days, f ollowed by X-ray check-up. In chronic disease a DENS course of treatment is conducted: 1 treatment per day for 10-15 days. After 1 month, the course of treatment is repeated. DENS Method
Nostrils and projections of paranasal sinuses. "Therapy" mode at a frequency of 77 Hz, PL-2, stable method of application, IQ- 15 minutes; to enhance the effect at a frequency of 2.5 Hz for 5 minutes. CS. "Therapy" mode at a frequency of 77 Hz, PL-2, labile-stable method, taking into account the BP level, 5 minutes.
Additionally
Su Jok correspondence zones. "Therapy" mode at a frequency of 77 Hz, with a PL-2,5 min. One of the universal zones. "Test" or "screening" mode at PL-2, followed by treatment of the LTZ in the "Therapy" mode at PL-2 at a frequency of 60 or 77 Hz, 3-5 minutes each.
AP 14, 16, 33. "Therapy" mode at a frequency of 10 or 20 Hz, at PL-1,1-2 minutes.
Diseases of the throat (angina, laryngitis, tonsillitis) The purpose of DENS is to stop the pain in the throat, relieve symptoms of inflammation in the shortest possible term, contribute to the restoration of the voice. In the acute phase DENS procedures are carried out in the direct complaint projection, several times a day until improvement. Then 1-2 ti mes per day. The course of treatment is 5-10 days. In chronic disease a DENS course of treatment is conducted: 1 treatment per day for 10-15 days. DENS Method
Submandibular zone. "Therapy" mode at a frequency of 60 or 77 Hz, PL-2, stable method of application, 5-10 minutes. To enhance the effect-at a frequency of 9.5 Hz for 5 minutes. Tongue zone. "Therapy" mode at a frequency of 77 Hz at the UM-1, stable method of application, 30-60 seconds. CS. "Therapy" mode at a frequency of 77 Hz, PL-2, labile-stable method, taking into account the BP level, 5 minutes.
Additionally
Su Jok correspondence zones. "Therapy" mode at a frequency of 77 Hz, with a PL-2,5 min. One of the universal zones. "Test" or "screening" mode at PL-2, followed by treatment of LTZ in the "Therapy" mode at a frequency of 60 or 77 Hz, 3-5 minutes each. AP 15, 10. "Therapy" mode at a frequency of 10 or 20 Hz, at PL-1, 1-2 minutes.
3.6. DENS FOR EYE DISEASES
GENERAL PROVISIONS 1. 2.
3. 4. 5.
DENS can be used as a method of prevention and treatment of eye diseases. Application of the DENS device in conjunction with remote paraorbital electrode DENS-glasses greatly reduces the complexity of procedures: saves time and facilitates treatment, especially with the need for repeated courses. In chronic eye diseases often 3 or more repeat courses of DENS treatment are required. In severe cases, accompanied by a progressive decrease in the vision, pronounced inflammation, a doctor should be consulted immediately. The ultimate goal of the course DENS treatment is the prevention and slowing of the progression of visual pathology, improvement of visual functions with damage to the various structures of the eye.
DEVICE IMPACT ZONE Direct complaint projection zone 1.
1. 1. 2. 3. 4. 5.
Paraorbital zones. The treatment can be carried out in two ways: using the builtin electrodes or with remote electrode DENS-glasses, which provide simultaneous uniform stimulation of the paraorbital zones. Additional zones for course of treatment Segmental zone (CS). Reflex zones: Su Jok correspondence zones, auricular points. Zones of amplification of systemic effect: 2nd cervical vertebra, 7th cervical vertebra. Special zones: visual analyzer projection zone, temporal region zone, liver zone, kidney zone. Universal zones (common action): Points of correspondence zone, trigeminal area.
6.
METHODS OF DEVICE IMPACT
Refractive impairments (nearsightedness, farsightedness, astigmatism, presbyopia) The purpose of DENS is the prevention and treatment of asthenopia, accommodation spasm, reduction of the progression and stabilization of visual impairment, improvement of visual acuity. DENS Method
Paraorbital zones. DENS-glasses, "Therapy" mode at a frequency of 77 Hz, 5-10 minutes, or MED program at the PL-1. CS. "Therapy" mode at a frequency of 77 Hz, PL-2, labile-stable method, taking into account the BP level, 5 minutes.
Additionally
Temporal area zone. "Therapy" mode at a frequency of 77 Hz, PL-1 or PL-2, stable method of application, for 1-2 minutes.
Visual analyzer projection zone. "Therapy" mode at a frequency of 10 or 20 Hz at PL-2, stable method of application, for 2-3 minutes. AP 8. "Therapy" mode at a frequency of 10 of 20 Hz PL-1, 1-2 minutes.
Two to three zones are treated in the procedure, once a day, preferably in the evening. The course of treatment is 10 days. Repeated courses after 1 month.
Visual impairment and diseases leading thereto (glaucoma, cataracts, retinal diseases, optic nerve atrophy) DENS purpose is to improve nutrition of the eye structures, in order to slow the progression of visual impairment and improve circulation of intraocular fluids and to reduce intraocular pressure, improving optic nerve function and improving visual acuity. DENS Method
Paraorbital zones. DENS-glasses, "Therapy" mode at a frequency of 77 EHz, 510 minutes, or MED program at the PL-1. CS. "Therapy" mode at a frequency of 77 Hz, PL-2, labile-stable method, taking into account the BP level, 5 minutes.
Additionally
Temporal area zone. "Therapy" mode at a frequency of 77 Hz, PL-1 or PL-2, stable method of application, for 1-2 minutes. Visual analyzer projection zone. "Therapy" mode at a frequency of 10 or 20 Hz at PL-2, stable method of application, for 2-3 minutes. AP 8. "Therapy" mode at a frequency of 10 or 20 Hz, at PL-1, 1-2 minutes.
Two to three zones are treated in the procedure, once a day, preferably in the evening. The course of treatment is 10 days. Repeated courses of 2-3 weeks, up to 5-6 courses per year.
Inflammatory diseases of the eyes and eyelids (conjunctivitis, sty), eye trauma The purpose of DENS - strengthening anti-inflammatory effect, anti-allergic effect. With local inflammation DENS is carried out in direct projection in the "Therapy" mode at a frequency of 77 Hz, PL-1 or PL-2 in a stable manner for 5 minutes, every 1-1.5 hours until improvement. In the case of recurrent disease a course of treatment is conducted. In a course of treatment 2-3 procedures are carried out during the day, 2-3 zones are treated and the course of treatment is 5-10 days. DENS Method
Paraorbital zones. DENS-glasses, "Therapy" mode at a frequency of 77 Hz, 5-10 minutes, or MED program at the PL-1.
CS. "Therapy" mode at a frequency of 77 Hz, PL-2, labile-stable method, taking into account the BP level, 5 minutes.
Additionally
Temporal area zone. "Therapy" mode at a frequency of 77 Hz, PL-1 or PL-2, stable method of application, for 1-2 minutes. 7th cervical vertebra, adrenal glands zone. "Therapy" mode at a frequency of 77 Hz, PL-2, stable method of application - 5 minutes, or MED program. AP 8, 13. "Therapy" mode at a frequency of 10 of 20 Hz PL-1, 1-2 minutes.
3.7. DENS FOR DISEASES OF THE DIGESTIVE ORGANS
GENERAL PROVISIONS 1.
2.
3.
4.
5.
6.
In cases involving acute abdominal pain and/or fever, jaundice, sudden deterioration, a doctor should be consulted immediately. DENS is performed only after the exclusion of the diagnosis of an acute surgical disease. Before conducting treatment in the right hypochondrium, a question should be asked about the presence of stones in the gallbladder. With gallstones (cholelithiasis) treatment with the device is NOT performed in the right hypochondrium (direct projection of the gallbladder). DENS is used in patients with gall stones - if indicated and considering complaints - in other zones. In case of suspected acute intestinal infection (sudden onset and fever, nausea, vomiting and/or diarrhea) a doctor should be as soon as possible. DENS is conducted as an adjunctive treatment. In some cases, DENS is a component of a comprehensive treatment and should be combined with drug therapy prescribed by the doctor. In almost all cases DENS should be c ombined with dietary recommendations. Insufficiently pronounced analgesic effect of DENS, maintenance or aggravation of dyspepsia (nausea, vomiting, bloating, diarrhea, constipation) can be signs of a previously unknown disease. In these situations, consultation with a specialist is mandatory. The ultimate goal of the course DENS is normalization of the motor-evacuation function of the gastrointestinal tract, improving secretory function, stimulation of regenerative processes, reducing the time of treatment, limiting dosage limit and rehabilitation after acute illnesses and surgical interventions.
DEVICE IMPACT ZONE Digestive system direct projection zone ( DPZ) 1. 2. 3. 4. 5.
Epigastric (epigastric) zone - a direct projection of the stomach and pancreas. Located in the upper third of the stomach. Right hypochondrium zone - direct projection of the liver, gallbladder and biliary tract, the duodenum. Left hypochondrium zone - direct projection of the pancreas and spleen. Intestine zone - direct projection of the small and large intestines. Perianal zone - direct projection of the rectum. Located around the anus.
Additional zones for course of treatment 1. 2. 3. 4. 5.
Segmental zone (LS). Reflex zones: Su Jok correspondence zones, auricular points, areas of the scalp. Zones of amplification of systemic effect: Hegu, Zusanli. Special zones: krenai glands zone. Universal zones (common action): Points of correspondence zone, trigeminal area.
6.
METHODS OF DEVICE IMPACT
Stomach pain, nausea, vomiting, heartburn The purpose of DENS is to relieve symptoms and improve well-being. DENS Method
Epigastric zone. "Therapy" mode at a frequency of 77 Hz or "7710" mode at PL-2, labile-stable method of application, 5-10 minutes. To enhance the effect - at a frequency of 9.4 Hz, for 5 minutes. Liver zone, right hypochondrium zone. "Therapy" mode at a frequency of 77 Hz, PL-2 in a labile manner, 5-10 minutes. To enhance the effect - at a frequency of 9.2 Hz, for 5 minutes. Segment zone (thorax left and right of the spinal column). "Therapy" mode at a frequency of 77 Hz, PL-2, labile method of application, 5 minutes.
Additionally
Su Jok correspondence zones. "Therapy" mode at a frequency of 77 Hz, PL-2, stable method of application, for 5 minutes. AP 87,88. "Therapy" mode at a frequency of 10 or 20 Hz, at PL-1, 1-2 minutes.
The procedure is performed 1-2 times with an interval of 1 hour. Only one procedure needs to be performed in the 2-3 listed zones. If nausea and vomiting are not stopped or the condition worsens, you should always consult a doctor to rule out a surgical or acute infectious disease.
Abdominal distention The purpose of DENS is to stop the symptom and reduce flatulence. DENS Method
Intestinal zone. "Therapy" mode at a frequency of 77 Hz or modulated "77 10" mode with PL-2 in a labile-stable manner, depending on the nature of the stool (with a normal stool and constipation - clockwise, with diarrhea counterclockwise), 10-15 minutes. To enhance the effect - at a frequency of 9.4 Hz, for 5 minutes. Liver zone, right hypochondrium zone. "Therapy" mode at a frequency of 77 Hz, PL-2 in a labile manner, right to left, for 5 minutes. To enhance the effect - at a frequency of 9.2 Hz, for 5 minutes.
Additionally
Su Jok correspondence zones. "Therapy" mode at a frequency of 77 Hz, PL-2, stable method of application, for 5 minutes. AP 87,89. "Therapy" mode at a frequency of 10 or 20 Hz, at PL-1, 1-2 minutes.
The procedure is performed 1-2 times with an interval of 1 hour. Only one procedure needs to be performed. If there is no effect or the condition worsens, a doctor should be seen to clarify the reason for the dyspepsia and to conduct a course of treatment.
Diarrhea The purpose of DENS is to reduce or stop the symptom. The procedure is performed several times a day until the c ondition stabilizes. If there is no effect or the condition worsens, a doctor should be seen to clarify the reason for the dyspepsia and to conduct a course of treatment. DENS Method
Intestinal zone. "Therapy" mode at a frequency of 77 Hz, at PL-2, in labile manner in a clockwise direction, for 15-20 minutes. To enhance the effect - at a frequency of 8.0 Hz, for 5 minutes. Liver zone, right hypochondrium zone. "Therapy” mode at a frequency of 77 Hz, PL-2 in a labile manner, right to left, for 5 minutes. To enhance the effect - at a frequency of 9.2 Hz, for 5 minutes.
Additionally
Su Jok correspondence zones. "Therapy" mode at a frequency of 77 Hz, PL-2, stable method of application, for 5 minutes. AP 87, 89. "Therapy" mode at a frequency of 10 or 20 Hz, at PL-1, 1-2 minutes.
Constipation The purpose of DENS is to normalize bowel function with a delay in stool, constipation, treatment of chronic constipation. The procedure is performed daily, once a day, in the morning. In the procedure 2-3 zones are treated. For chronic constipation a course of treatment is 10-15 days. DENS Method
Intestinal zone. "Therapy" mode at a frequency of 77 Hz, at PL-3, in labile manner in a clockwise direction, for 15-20 minutes. To enhance the effect - at a frequency of 9.4 Hz, for 5 minutes. Liver zone, right hypochondrium zone. "Therapy" mode at a frequency of 77 Hz, at PL-2 in a labile manner, right to left, for 5 minutes. To enhance the effect - at a frequency of 9.2 Hz, for 5 minutes.
Additionally
Segment zone -LS. "Therapy" mode at a frequency of 10 or 20 Hz at PL-2, labilestable method of application, for 5 minutes. Su Jok correspondence zones. "Therapy" mode at a frequency of 77 Hz, PL-2, stable method of application, for 5 minutes. AP 97. "Therapy" mode at a frequency of 10 or 20 Hz, at PL-1, 1-2 minutes.
Diseases of the stomach and duodenum (acute or exacerbation of chronic gastritis, peptic ulcer disease in the acute stage), reflux disease The purpose of DENS is the treatment of pain, correction of associated symptoms of digestive disorders, shortening scarring ulcers, prevention of exacerbations. In the early days of exacerbation of the disease 1-3 procedures can be conducted a day, and as the symptoms subside 1 procedure is conducted per day. In the procedure 2-3 zones are treated, the course of treatment is 10-14 days DENS Method
Epigastric zone. "Therapy" mode at a frequency of 77 Hz or "10" mode at PL-2, labile-stable method of application, 5-10 minutes. To enhance the effect - at a frequency of 9.4 Hz, for 5 minutes. Liver zone, right hypochondrium zone. "Therapy" mode at a frequency of 77 Hz, PL-2 in a labile manner, right to left, for 5 minutes. To enhance the effect - at a frequency of 9.5 Hz for 5 minutes. Segment zone (thorax left and right of the spinal column). "Therapy" mode at a frequency of 77 Hz, PL-2, labile method of application, 5 minutes.
Additionally
Su Jok correspondence zones. "Therapy" mode at a frequency of 77 Hz, at PL-2, stable method of application, for 5 minutes. Intestinal zone. "Therapy" mode at a frequency of 77 Hz, at PL-2 in a labile manner, depending on the nature of the stool, for 5 minutes. One of the universal zones. "Test" or "screening" mode at PL-2, followed by treatment of LTZ in the "Therapy" mode at a frequency of 60 or 77 Hz, 3-5 minutes each. AP 87, 88, 97. "Therapy" mode at a frequency of 10 or 20 Hz, at PL-1,1-2 minutes.
Diseases of the liver and bile ducts (biliary duskiness, acute and chronic cholecystitis, cholelithiasis, acute and chronic hepatitis, liver cirrhosis, toxic liver damage) The purpose of DENS is the treatment of pain, correction of associated symptoms of digestive disorders, recovery after acute diseases, shortening the treatment and prevention of exacerbations. In the procedure 2-3 zones are treated, once a day, and the course of treatment is 10-14 days. DENS Method
Liver zone, right hypochondrium zone. "Therapy" mode at a frequency of 77 Hz, PL-2 in a labile manner, 5-10 minutes. To enhance the effect - at a frequency of
9.5 Hz for 5 minutes. For cholelithiasis the area of the right hypochondrium IS NOTTREATED. Intestinal zone. "Therapy" mode at a frequency of 77 Hz, at PL-2 in a labile manner, depending on the nature of the stool, for 5 minutes. Segment zone - inferior thoracic section. "Therapy" mode at a frequency of 10 or 20 Hz at PL-2, labile-stable method of application, for 5 minutes.
Additionally
Su Jok ear hands and feet correspondence zones. "Therapy" mode at a frequency of 77 Hz, PL-2, stable method of application, for 5 minutes. One of the universal zones. "Test" or "screening" mode at PL-2, followed by treatment of the LTZ in the "Therapy" mode at PL-2 at a frequency of 60 or 77 Hz, 3-5 minutes each. Hegu zone. "Therapy" mode at a frequency of 77 Hz, at PL-2, 5 minutes or MED program. AP 97, 96,88. "Therapy" mode at a frequency of 10 or 20 Hz, at PL-1,1-2 minutes.
Diseases of the pancreas (chronic pancreatitis at the exacerbation stage, rehabilitation after acute pancreatitis) The purpose of DENS is the treatment of pain syndrome, correction of associated symptoms of digestive disorders, recovery after acute pancreatitis and the prevention of exacerbations. In the early days of exacerbation of the disease 1-3 procedures can be conducted a day, and as the symptoms subside 1 procedure is conducted per day. In the procedure 2-3 zones are treated, the course of treatment is 10-14 days DENS Method
Direct pain projection zone (epigastric zone, area of the left hypochondrium "Therapy" mode at a frequency of 77 Hz or ”7710" mode at PL-1, labile or stable method of application until significant reduction of pain (10-15 minutes). To enhance the effect - at a frequency of 4.0 Hz, for 5 minutes. Right hypochondrium zone. "Therapy" mode at a frequency of 77 Hz, at PL-2 in a labile manner, right to left, for 5 minutes. To enhance the effect - at a frequency of 9.8 Hz for 5 minutes. For cholelithiasis the area of the right hypochondrium IS NOTTREATED. Segment zone - inferior thoracic section of the spine. "Therapy" mode at a frequency of 10 or 20 Hz at PL-2, labile-stable method of application, for 5 minutes.
Additionally
Intestinal zone. "Therapy" mode at a frequency of 77 Hz, at PL-2 in a labile manner, depending on the nature of the stool, for 5 minutes. Su Jok correspondence zones. "Therapy" mode at a frequency of 77 Hz, PL-2, stable method of application, for 5 minutes.
One of the universal zones. "Test" or "screening" mode at PL-2, followed by treatment of LTZ in "Therapy" mode, with a PL-2 at a frequency of 60 or 77 Hz, 35 minutes each. AP87, 96, 97. "Therapy" mode at a frequency of 10 or 20 Hz, at PL-1,1-2 minutes.
Bowel diseases (irritable bowel syndrome, chronic cholitis, intestinal dysbiosis, postoperative period) The purpose of DENS is the treatment of pain syndrome, normalization of stool, recovery of stool following abdominal operations (prevention and treatment of intestinal paresis). In the procedure 2-3 zones are treated, once a day, and the course of treatment of several procedures is 10-14 days. DENS Method
Direct pain and discomfort (if any) project zone. "Therapy" mode at a frequency of 77 Hz or modulated "77 10" mode at PL-2, labile or stable method of application until improvement, for 5-10 minutes To enhance the effect - at a frequency of 8.0 Hz, for 5 minutes. Intestinal zone. "Therapy" mode at a frequency of 77 Hz, at PL-2 in a labile manner, depending on the nature of the stool, for 10 minutes. Segment zone - LS. "Therapy" mode at a frequency of 10 or 20 Hz at PL-2, labilestable method of application, for 5 minutes.
Additionally
Su Jok correspondence zones. "Therapy" mode at a frequency of 77 Hz, PL-2, stable method of application, for 5 minutes. One of the universal zones. "Test" or "screening" mode at PL-2, followed by treatment of the LTZ in the "Therapy" mode at PL-2 at a frequency of 60 or 77 Hz, 3-5 minutes each. Hegu zone. "Therapy" mode at a frequency of 77 Hz, at PL-2, 5 minutes, or MED program. AP 87, 91. "Therapy" mode at a frequency of 10 of 20 Hz PL-1, 1-2 minutes.
Diseases of the rectum (hemorrhoids, anal fissures) The purpose of DENS is to relieve pain and normalize the stool. One to two procedures are conducted during the day and a course of treatment is 5-7 days. For chronic constipation the emphasis in treatment is on normalization of the stool (see Constipation), course of treatment of at least 10 days. DENS Method
Perianal zone. "Therapy" mode at a frequency of 60 or 77 Hz, at PL-2, stable method of application, 5-10 minutes. To enhance the effect - at a frequency of 3.8 Hz for 5 minutes.
Intestinal zone. "Therapy" mode at a frequency of 77 Hz, at PL-3, in labile manner in a clockwise direction, for 15-20 minutes in the morning. LS. "Therapy" mode at a frequency of 77 Hz, PL-2, labile-stable method of application, 5 minutes.
Additionally
Su Jok correspondence zones. "Therapy" mode at a frequency of 77 Hz, PL-2, stable method of application, for 5 minutes. AP 91.81. "Therapy" mode at a frequency of 10 of 20 Hz PL-1, 1-2 minutes.
3.8. DENS FOR SKIN DISEASES
GENERAL PROVISIONS 1.
2.
3.
4.
For skin diseases accompanied by inflammation (irritation, edema, maceration) of the skin, the method of treatment for affected areas is only stable - the device should not be moved across the affected skin. It is not recommended to use the remote electrodes of the DES applicator or massage comb electrode on the affected areas of the skin (inflammation, swelling, weeping, eczema, etc.). For diseases covering large areas of the skin, treatment with the device should be limited to an area that is 2-3 times the size of the patient's palm. Preference is given to the most affected areas of the skin. The ultimate goal of the course of the DENS treatment is improved overall correction of autonomic disorders, reduction of swelling and signs of inflammation in the affected areas of the skin, and a decrease in itching.
DEVICE IMPACT ZONE Direct complaint projection zone (DPZ) The area of the affected section of skin - treatment with the device is conducted in the most affected area and the area of treatment should not exceed three times the size of the patient's palm.
Additional zones for course of treatment 1. 2. 3. 4. 5.
Segmental zones. Reflex zones: Su Jok correspondence zones, auricular points. Zones of amplification of systemic effect: Hegu, Zusanli, 7th cervical vertebra. Special zones: z one of liver, intestines, adrenal glands. Universal zones (common action): Points of correspondence zone, trigeminal area.
METHODS OF DEVICE IMPACT
Noncommunicable diseases of the skin (allergic dermatitis, atopic dermatitis, neurodermatitis, psoriasis, seborrhea)
The purpose of DENS is to reduce itching and inflammation and to decrease treatment time. One procedure a day is conducted during which 2-3 zones are treatment and a course of treatment is 2-4 weeks (taking into account the severity and area affected). DENS Method
Affected areas of the skin. "Therapy" mode at a frequency of 77 Hz, at PL-2, stable method of application, 10-15 minutes. To enhance the effect - at a frequency of 1.7 Hz for 5 minutes. Zone of direct projection of the liver and intestines. "Therapy" mode at a frequency of 77 Hz, at PL-2, labile method of application, 10-15 minutes. 7th cervical vertebra zone. "Therapy" mode at a frequency of 60 or 77 Hz, PL-2, 5 minutes.
Additionally
Adrenal glands zone. "Therapy" mode at a frequency of 77 Hz, PL-2,5 minutes, or MED program. Heguzone. "Therapy" mode at a frequency of 77 Hz, PL-2,5 minutes, or MED program. Paravertebral zones. "Test" or "screening" mode at PL-2, followed by treatment of the LTZ in the "Therapy" mode at PL-2 at a frequency of 60 or 77 Hz, 3-5 minutes each. AP 57, 13, 97. "Therapy" mode at a frequency of 10 or 20 Hz, at PL-1,1-2 minutes.
Some infectious diseases with skin lesions. Herpes virus infection (herpes zoster) The purpose of DENS is to reduce the appearance (skin itching, inflammation and to decrease treatment time. In the early days of rashes 3-4 procedures are conducted during the day with treatment of the direct complaint projection. For the reduction of symptoms -1 procedure a day, a course of treatment for 10-14 days. DENS Method
Affected areas of the skin. "Therapy" mode - for pronounced pain syndrome at a frequency of 140 Hz, with decreasing pain and inflammation - 77, 20 Hz, at PL-2, average treatment time of 15- 20 minutes. Direct rash project is treated only in a stable manner with built-in electrodes. After treatment in the rash projection the electrodes are thoroughly wiped off with a disinfecting solution. Zone of direct projection of the liver and intestines. "Therapy" mode at a frequency of 77 Hz, at PL-2, labile method of treatment, 10 minutes. 7th cervical vertebra zone. "Therapy" mode at 10 Hz at PL-2,5 min; AP 51, 13, 26a. "Therapy" mode at a frequency of 10 or 20 Hz, at PL-1, 1-2 minutes.
3.9. DENS IN DENTISTRY
GENERAL PROVISIONS 1. 2.
3.
4.
Acute toothache - see a dentist for treatment, DENS is used as an additional analgesic method. DENS is conducted as a course of treatment (chronic diseases, the postoperative period) or is used situationally in acute toothache (one-time procedure). However DENS cannot replace the need for treatment by a dentist. Diseases of the teeth and oral cavity require hygiene education and training, occupational hygiene and timely rehabilitation of the oral cavity. DENS is considered an adjunctive treatment of diseases and conditions involving pain and inflammation. The ultimate goal of the DENS course of treatment is to achieve an analgesic, anti-inflammatory effect, stimulation of reparative processes.
DEVICE IMPACT ZONE Direct complaint projection zone (DPZ) 1. 2. 3.
Painful tooth projection. Cutaneous toothache projection. Oral mucosa projection. Cutaneous project of the upper and lower jaw on both sides. Submandibular zone and tongue zone - cutaneous projection of the tongue and floor of the mouth.
Additional zones for course of treatment 1. 2. 3. 4.
Segmental zone (CS or cervical section of the spine). Reflex zones: Su Jok correspondence zones, auricular points, areas of the scalp. Special zones: Liver zone. Universal zones (common action): trigeminal zone.
5.
METHODS OF DEVICE IMPACT
Toothache (first occurrence of a toothache, periodontitis, post-filling pain condition after tooth extraction) The purpose of DENS is pain relief, drug load reduction or an alternative to analgesics. DENS Method
Painful (or extracted) tooth projection. "Therapy" mode at a frequency of 200 or 140 Hz, to reduce pain - 77 Hz at PL-2, stabl e method of application, for an average of 10-15 minutes.
Additionally
CS. "Therapy" mode at a frequency of 77 Hz, PL-2, labile-stable method, taking into account the BP level, 5 minutes.
Su Jok correspondence zones. "Therapy" mode at a frequency of 60 or 77 Hz, at PL-2, 3-5 minutes. AP 1,5,6, 7. "Therapy" mode at a frequency of 10 or 20 Hz, at PL-1, 1-2 minutes.
The procedure may be performed several times a day before the visit to the dentist. After extraction (removal) of a tooth it is recommended that 3-4 procedures be performed each day for 5 days. For chronic periodontitis and post-filling pain it is advisable to conduct a course of treatment: One to two procedures a day, for 5-7 days.
Periodontal disease and oral mucosa (periodontal disease, periodontal disease, gingivitis, stomatitis) The purpose of DENS is to increase the analgesic and anti-inflammatory effect, reduce bleeding gums and increased sensitivity, as preparation for prosthetics. The procedure is performed once a day, and 2-3 zones are treated. The course of treatment is 10-14 days. With the resumption of complaints (change of climate, exacerbation of internal illnesses) the course of treatment is repeated. DENS Method
Cutaneous projection of the oral mucosa, submandibular zone. "Therapy" mode at a frequency of 77 Hz, PL-2, stable method of application, for 10 minutes.To enhance the effect - at a frequency of 9.5 Hz for 5 minutes. Tongue zone. "Therapy" mode at a frequency of 77 Hz, at PL-1, for 1 minute.
Additionally
CS. "Therapy" mode at a frequency of 77 Hz, PL-2, labile-stable method, taking into account the BP level, 5 minutes. Su Jok correspondence zones. "Therapy" mode at a frequency of 60 or 77 Hz, at PL-2, 3-5 minutes. Trigeminal zone. "Therapy" mode 10 or 20 Hz at PL-2 for 1 minute on each point. Liver zone. "Therapy" mode at a frequency of 10 or 20 Hz, at PL-2 and 5 minutes. AP 84, 97. "Therapy" mode at a frequency of 10 or 20 Hz, at PL-1, 1-2 minutes.
3.10.
DENS FOR ENDOCRINE DISEASES
GENERAL PROVISIONS 1.
2.
3.
4. 5. 6.
The endocrine system is one of the main systems of regulation and affects all body systems. Therefore, endocrine diseases come in many guises and can lead not only to a dysfunction of any organ, but multiple disorders of organs and systems. In the treatment of endocrine disorders there is a particularly important principle - don't treat the disease, treat the person. DENS in endocrine diseases is conducted to obtain a general regulatory effect, but we should not forget that the most important task is to correct the disorders that occur as a result of the development of complications from the disease. In some cases, this is of paramount importance, since it allows us to greatly improve the quality of life. The plan for use of the device is tailored to the specific complaints of the patient at the time treatment is conducted. Thus, for example, among patients with the same diagnosis - diabetes - general health, complications of the disease and the severity of the impairments are very unique. In many cases, DENS is a component of a comprehensive treatment and should be combined with drug therapy prescribed by the doctor. To talk about the possibilities and the need for use of DENS in thyroid disease, you must be examined by an endocrinologist. Treatment with the device is NOT recommended in direct thyroid gland projection for hyperthyroidism, nodular goiter as well as an unknown diagnosis.
DEVICE IMPACT ZONE Direct complaint projection zone 1.
2.
3. 4.
Universal zones (common action). (CS, LSP, paravertebral zones, etc.). These zones of organ innervation have a high hormonal activity. They are treated to obtain a general regulatory effect in the majority of endocrine diseases. Epigastric and left hypochondrium areas. Direct pancreas projection. It is treated in diseases accompanied by inflammation and impaired secretory function of the pancreas. Cervical zone- as the main zone in diseases of the thyroid gland. Zones of direct organ projection, whose function is broken as a result of the development of complications of the underlying disease. For example, paraorbital zones in diabetic retinopathy (damage to the retina), the lower extremities in diabetic polyneuropathy, etc.
Additional zones for course of treatment 1. 2. 3.
Segmental zones. Reflex zones: Su Jok correspondence zones, auricular points, zones of the scalp. Zones of amplification of systemic effect: Hegu, Zusanli, 7th cervical vertebra, 2nd cervical vertebra.
4.
Special zones: zone of liver, intestines, adrenal glands.
METHODS OF DEVICE IMPACT
Diabetes and its complications The purpose of DENS is the prevention and treatment of complications of diabetes, treatment of opportunistic diseases and conditions (hypertensive disease, joint disease, and others.), improvement of the general condition, improvement of the quality of life. DENS Method Diabetic angiopathy, polyneuropathy (see p. 100) Diabetic nephropathy {see p. 147)
Diabetic retinopathy (see p. 117) In patients with diabetes during a course of treatment of any disease the DENS plan includes the following areas:
Liver zone. "Therapy" mode at a frequency of 77 Hz, PL-2 in a labile manner, 5-10 minutes.To enhance the effect - at a frequency of 9.2 Hz, for 5 minutes. Pancreas zone. "Therapy" mode at a frequency of 77 Hz, PL-2 in a labile manner, 5-10 minutes. To enhance the effect - at a frequency of 4.0 Hz, for 5 minutes. Common zones of action. Paravertebral zones. "Therapy" mode at a frequency of 10, 20 Hz, for 5-10 minutes. AP 96 (on the left), 97,82, 22. "Therapy" mode at a frequency of 4 or 20 Hz, at PL1,1 -2 minutes.
Thyroid diseases (Hashimoto thyroiditis, hypothyroidism, hyperthyroidism) The purpose of DENS is to improve general health and treatment of existing concomitant diseases and conditions (vegetative dystonia syndrome, hypertensive disease, etc.), and to improve the quality of life. DENS Method In addition to a course of treatment of any disease the DENS plan includes the following zones:
Thyroid segment zone - cervical spine. "Therapy” mode at a frequency of 77 Hz, PL-2, labile-stable method, taking into account the BP level, 10 minutes. Su Jok thyroid gland correspondence zone. "Therapy" mode at a frequency of 77 Hz at PL-2,5 minutes. AP 45, 22, 13. "Therapy" mode at a frequency of 20 Hz, at PL-1, 1-2 minutes.
3.11. DENS FOR DISEASES OF THE URINARY TRACT ORGANS GENERAL PROVISIONS 1.
2.
3. 4.
5. 6.
In acute cases, accompanied by fever and/or acute abdominal pain and back pain, with acute urinary retention, a doctor should be consulted immediately. DENS is considered an adjunctive treatment method. Zones of direct urinary tract organs (kidneys, ureters, bladder) projection are treated bilaterally even in the case of unilateral damage. Treatment is conducted with consideration of the normal urodynamics: we begin to treat the area of the kidneys, gradually moving through the lateral surface of the body (along the course of the ureters) to the suprapubic region (the projection of the bladder). For Urolithiasis treatment in frontal projection of the kidneys and ureters is carried out only in an emergency - in case of renal colic. In the case of an attack of renal colic treatment is carried out with the device in a direct projection of the kidneys and urinary tracts as first aid for the relief of pain. For autoimmune diseases of the kidneys (glomerulonephritis, systemic connective tissue disease) DENS is performed after consulting your doctor. The ultimate goal of the DENS course of treatment is correction of urodynamics, improvement of regional blood circulation and improvement of the overall condition during rehabilitation.
DEVICE IMPACT ZONE Direct projection zone (DPZ) 1.
Projection zone of the kidneys, ureters and bladder. Kidneys are projected in the lumbar region on the right and left of the spine at the level of the 12th thoracic to 1st-2nd second lumbar vertebrae. The treatment area of the projection of one kidney corresponds to the area of one hand of the patient.The ureters are projected along the spine from the zone of direct projection of the kidneys to the sacrum. The bladder is projected in the suprapubic region. Zones are treated in the session as a whole in a labile or labile- stable manner: first with one hand conduct treatment in the projection to the kidney, then proceed along the spine (the projection of the corresponding kidney ureter) to the coccyx and through the lateral surface of the body to the suprapubic region. After this, treatment is performed similarly on the other side.
Additional zones for course of treatment 1. 2. 3. 4.
Reflex zones: Su Jok correspondence zones, auricular points, zones of the scalp. Zones of amplification of systemic effect: Hegu, Zusanli, 7th cervical vertebra. Special zones: zone of liver and intestine. Universal zones (common action): zones of correspondence, trigeminal area.
5.
METHODS OF DEVICE IMPACT
Inflammatory diseases of the urinary organs (urinary tract infections, pyelonephritis, cystitis), diabetic nephropathy, chronic glomerulonephritis The purpose of DENS is the reduction of dysuric manifestations (voiding problems), pain relief, improvement in renal function, and reduction of the time of treatment. In the early days of exacerbation of the illness 2-3 procedures are conducted per day - to reduce pain and decrease dysuric disorders, then 1 procedure per day. In the procedure 2-3 zones are treated. The course of treatment is 10-14 days. DENS Method
Complex "kidney-ureter-bladder." "Therapy" mode at a frequency of 77 Hz, at PL1, labile manner, for 10 minutes on each side. To enhance the effect - at a frequency of 2.8 Hz for 5 minutes. Zone of the bladder as well with pain syndrome. "Therapy" mode at a frequency of 77 Hz, at PL-2, stable method of application, 5-10 minutes.
Additionally
Su Jok correspondence zones. "Therapy" mode at a frequency of 60 or 77 Hz, with a PL-2,3-5 minutes. One of the universal zones. "Therapy" mode at PL-2, at a frequency of 10,20 Hz, or 10 minutes in the "Test" mode. Hegu zone. "Therapy" mode at a frequency of 77 Hz, at PL-2, 5 minutes or MED program. 7th cervical vertebra. "Therapy" mode of 77 Hz, 5 minutes. AP 95, 94, 92. "Therapy" mode at a frequency of 10 or 20 Hz, at PL-1, 1-2 minutes.
Urolithiasis The purpose of DENS is an increased analgesic effect in the acute phase, normalization of urodynamics and anesthesia during the rehabilitation period. With a confirmed diagnosis of urolithiasis DENS is coducted in the presence of pain. DENS Method for renal colic attacks: If possible, treatment should start at the very beginning of the attack.
Projection zone of the kidneys, ureters and bladder. "Therapy" mode at a frequency of 200 of 140 Hz, at PL-2-3, in a labile manner on the side of the disease until pain is reduced, then at a frequency of 77 Hz until improvement of well-being.
DENS Method rehabilitative course of treatment
Projection zone of the kidneys, ureters and bladder. "Therapy” mode at a frequency of 60 or 77 Hz, at PL-2, in a labile manner, for 5 minutes on each side.To enhance the effect - at a frequency of 8.1 Hz for 5 minutes.
Additionally
Su Jok correspondence zones. "Therapy" mode at a frequency of 60 or 77 Hz, with a PL-2,3-5 minutes. One of the universal zones. "Test" or "screening" mode at PL-2, followed by treatment of the LTZ in the "Therapy" mode at PL-2 at a frequency of 60 or 77 Hz, 3-5 minutes each.
3.12. DENS IN OBSTETRICS ANDGYNECOLOGY Urolithiasis
GENERAL PROVISIONS 1.
2. 3. 4.
Before the start of the DENS course of treatment an examination must be performed by a gynecologist and/or endocrinologist to determine the treatment strategy. In most cases DENS should be combined with other types of treatment prescribed by your doctor. In acute cases, accompanied by fever, bleeding and/or acute abdominal pain and back pain, a doctor should be consulted immediately. At the start of a course of DENS treatment it is advisable to correlate it with the menstrual cycle. Plan 1. DENS is conducted once a day for 7 days until the start of menstruation and 7 days after the end of menstruation (during menstruation - a break). Plan 2. DENS is conducted once a day from the seventh day of the cycle, for 10 days.
5. 6. 7.
8. 9.
10.
During the treatment period contraception is recommended. Treatment with the device is NOT conducted in direct breast projection with mastitis. Neoplasms are a relative contraindication, therefore a decision on the advisability of conducting DENS in patients with hormone-dependent entities (fibroids, endometriosis) should be taken after consultation with the attending physician. In the event that treatment with the device is assigned, the treatment is NOT conducted in direct uterus projection. Treatment with the device is NOT conducted in direct uterus projection during pregnancy. During pregnancy DENS is used situationally, except in the case of the threat of termination. With the first symptoms of the threat of termination of pregnancy a doctor should immediately be consulted. DENS can be conducted in the treatment of acute and chronic diseases and conditions in pregnant women (acute inflammatory disease, exacerbation of chronic diseases, high blood pressure and many other conditions). The ultimate goal of the DENS course of treatment is to improve pelvic bloodcirculation, stimulate regenerative processes in the pathological focus, activate protective and adaptive reactions, prevent and treat complications, rehabilitation after gynecological diseases.
DEVICE IMPACT ZONE Direct reproductive projection zone (DPZ) 1. 2. 3.
Lumbosacral zone, rhombus ofMichaelis. Suprapubic zone. Crotch area.
Additional zones for course of treatment 1. 2. 3. 4.
Reflex zones: inner surface of the thigh, external lateral surface of the tibia, Su Jok correspondence zones, auricular points. Zones of amplification of systemic effect: Sanyinjiao, Zusanli. Special zones: zone of liver and intestine. Universal zones (common action): cervical zone, points of correspondence zone, trigeminal area.
METHODS OF DEVICE IMPACT
Menstrual disorders, premenstrual syndrome, algomenorrhea (painful menstruation), and other diseases with disruption of the hormonal levels. The purpose of DENS is the relief and prevention of pain syndrome, correction of hormonal and psycho-vegetative disorders. DENS Method
LS. "Test" or "screening" mode, followed by treatment of LTZ in the "Therapy" mode at a frequency of 60 or 77 Hz, at PL-2, 3-5 minutes for each zone. To enhance the effect - at a frequency of 4.9 Hz for 5 minutes. CS. "Therapy" mode at a frequency of 20 or 77 Hz, at PL-2, in a labile-stable manner, taking into account the BP level, 5 minutes. Reflexogenous zones-inner surface of the thighs. "Therapy" mode at a frequency of 10,20 Hz, at PL-2, stable method of application, 5-10 minutes.
Additionally
Su Jok correspondence zones. "Therapy" mode at a frequency of 60 or 77 Hz, at PL-2,3-5 minutes. Adrenal glands zone. "Therapy" mode at a frequency of 60 or 77 Hz, at PL-2,5 minutes. One of the universal zones. "Test" or "screening" mode at PL-2, followed by treatment of LTZ in the "Therapy" mode at a frequency of 60 or 77 Hz, 3-5 minutes each. AP 95, 56. "Therapy" mode at a frequency of 10 or 20 Hz, at PL-1, 1-2 minutes. Suprapubic zone in the "Test" or "screening" mode, followed by treatment of LTZ in the "Therapy" mode at a frequency of 60 or 77 Hz, at PL-2,3-5 minutes*for each zone.
The DENS procedure is performed once a day, according to plan No. 1 or 2 taking into account the day of the cycle (see. "General Provisions"), with amenorrhea (absence of menstruation) a 10- day course of treatment is conducted once a month. In the procedure 2-3 zones are treated. It is recommended that 1 -2 courses of treatment be performed with an interval of 1 month. With the appearance of pain syndrome the procedures may be conducted situationally, as needed. In addition, DENS is performed for any other complaint.
Inflammatory diseases (salpingitis, oophoritis, endometritis) The purpose of DENS is to strengthen the analgesic and anti-inflammatory effects, reduce the time of treatment, prevent complications and a chronic process, restore impaired functions of the reproductive system. DENS Method
Suprapubic zone. "Therapy" mode at a frequency of 77 or 140 Hz, at PL-2, in a stable-labile manner, for 10-15 minutes. To enhance the effect - at a frequency of 9.4 Hz for 5 minutes. LS or rhombus of Michaelis. "Therapy" mode at a frequency of 60 or 77 Hz, at PL2, stable method of application, 5-10 minutes.
Additionally
Reflexogenous zones - inner surface of the thighs. "Therapy" mode at a frequency of 77 Hz, PL-2, stable method of application, for 5 minutes. Su Jok correspondence zones. "Therapy" mode at a frequency of 60 or 77 Hz, at PL-2, 3-5 minutes. One of the universal zones. "Test" or "screening" mode at PL-2, followed by treatment of the LTZ in the "Therapy" mode at PL-2 at a frequency of 60 or 77 Hz, 3-5 minutes each.
It is recommended that during the first days 2-3 procedures be conducted (in pain projection). Then 1 treatment per day with a course of treatment of 10-14 days.
Infertility The purpose of DENS is the correction of hormonal disruption, increased antiinflammatory effect and the elimination of the consequences of the transferred inflammatory diseases. The DENS procedure is conducted once a day according to the plan with c onsideration of the cycle. In the procedure 2-3 zones are treated. It is recommended that 1-2 courses of treatment be performed with an interval of 1 month. DENS Method
Suprapubic zone in the "Therapy" mode at a frequency of 20 or 77 Hz, at PL-2, in a stable-labile manner, for 5 minutes. To enhance the effect - at a frequency of 4.0 Hz, for 5 minutes. LS or rhombus of Michaelis. "Test" or "screening” mode, followed by treatment of LTZ in the "Therapy" mode at a frequency of 60 or 77 Hz, at PL-2, 3-5 minutes for each zone. CS. "Therapy" mode at a frequency of 20 or 77 Hz at PL-2, labile- stable method of application, for 5-10 minutes.
Additionally
Points correspondence zone - in a day. "Test" or "screening" mode at PL-2, followed by treatment of the LTZ in the "Therapy" mode at PL-2 at a frequency of 60 or 77 Hz, 3-5 minutes each. Su Jok correspondence zones. "Therapy" mode at a frequency of 60 or 77 Hz, at PL-2, 3-5 minutes. Liver zone. "Therapy" mode at a frequency of 10 of 20 Hz at PL-1, 3-5 minutes. AP 56, AP 95, AP 23. "Therapy" mode at a frequency of 10 or 20 Hz, at PL-1,1 -2 minutes.
Menopausal syndrome The purpose of DENS is to reduce the psycho-vegetative disorders and concomitant complaints. DENS Method
CS. "Therapy" mode at a frequency of 20 or 77 Hz at PL-2, labile- stable method of application, for 5-10 minutes. LS. "Therapy" mode at a frequency of 60 or 77 Hz at PL-2, labile- stable method of application, for 5-10 minutes.
Additionally
One of the universal zones. "Test" or "screening" mode at PL-2, followed by treatment of the LTZ in the "Therapy" mode at PL-2 at a frequency of 60 or 77 Hz, 3-5 minutes each. Su Jok correspondence zones. "Therapy" mode at a frequency of 60 or 77 Hz, at PL-2, 3-5 minutes. Heguzone. "Therapy" mode at a frequency of 77 Hz, PL-2,5 minutes, or MED program.
Additionally, if necessary, DENS is carried out for any other complaint (see other sections). In the procedure 2-3 zones are treated, the course of treatment is 5 to 15 days In some cases, after one or more courses of DENS treatments, the temporary restoration of the menstrual cycle is possible.
Pain relief in childbirth The purpose of DENS is to reduce pain syndrome during contractions and precursors. Dens procedures are carried out as needed. DENS Method
Rhombus of Michaelis. "Therapy" mode at a frequency of 77 Hz, at PL-2, stable method of application, 10-20 minutes. Reflexogenous zones - inner surface of the thighs. "Therapy" mode at a frequency of 77 Hz, at PL-2, stable method of application, 5-10 minutes.
Lactostasis, lactational mastitis The purpose of DENS is analgesia, a reduction in swelling and improvement in the drainage of milk from the affected breast. In the postoperative period - stimulation of regeneration of damaged breast tissues. DENS Method
Breast. "Therapy" mode at a frequency of 60 or 77 Hz at PL-2, labile-stable method of application. Direction of movement of the device from the chest to the nipple, 15-20 minutes. Segmental zone - the area of the back from the spine to the midaxillary lines with a width of 1-2 times the size of the patient's hand at the level of the breasts. "Therapy" mode at a frequency of 77 Hz, PL-2 in a labile manner, for 10 minutes. Cervical area zone. "Therapy" mode at a frequency of 10 Hz, at PL-2, labile method of application, 5-10 minutes.
Additionally
Auricular points AP 44, "Therapy" mode, 77 Hz at PL-2, 1-2 minutes for each point.
After each DENS procedure, milk must be pumped. Procedures are conducted individually from 2-3 to 5-6 times a day. Duration of the course is also individual, the course of DENS treatment can be completed after the disappearance of painful lumps in the breast and after signs of inflammation subside.
Hypogalactia The purpose of DENS is normalization of the psychoemotional condition, correction of autonomic disorders, stimulation of lactation. After each DENS procedure, milk must be pumped. Procedures are conducted individually from 2-3 to 5-6 times a day. The course of treatment lasts 10-15 days. DENS Method
Cervical area zone. "Therapy" mode at a frequency of 10, 20 Hz, at PL-2, labile method of application, 5-10 minutes. Segmental zone - the area of the back from the spine to the midaxillary lines with a width of 1-2 times the size of the patient's hand at the level of the breasts. "Therapy" mode at a frequency of 77 Hz, PL-2 in a labile manner, for 10 minutes. Lumbosacral zone. "Therapy" mode at a frequency of 10, 20 Hz, at PL-2, labile method of application, 5-10 minutes.
Additionally
Auricular points AP 44, "Therapy" mode, 77 Hz at PL-2, 1-2 minutes for each point. Breast. "Therapy" mode at a frequency of 60 or 77 Hz at PL-2, labile-stable method of application. Direction of movement of the device from the chest to the nipple, 15-20 minutes.
3.13.
DENS IN ANDROLOGY
GENERAL PROVISIONS 1.
2. 3.
4.
Before the start of the DENS course of treatment an examination must be performed on a man by a urologist and/or andrologist to determine the treatment strategy. In many cases, DENS is a component of a comprehensive treatment and should be combined with drug therapy prescribed by the doctor. In acute cases, accompanied by fever, bleeding and/or acute abdominal pain, a doctor should be consulted immediately. DENS is considered an adjunctive treatment method. The ultimate goal of the course of DENS treatment is improved circulation of the pelvic organs, correction of hormonal disorders, reduction of the inflammatory process, activation of protective-adaptive reactions of the body during the rehabilitation period.
DEVICE IMPACT ZONE Direct projection zone (DPZ) 1. 2. 3. 4.
Suprapubic zone and inner surface of the thigh. Lumbosacral zone. Perineal zone (projection of the prostate gland). Penis zone.
Additional zones for course of treatment 1. 2. 3. 4.
Reflex zones: inner surface of the thighs, feet, Su Jok correspondence zones, auricular points. Zones of amplification of systemic effect: Hegu, Zusan!i. Special zones: zone of projection of kidneys and ureters, liver zone. Universal zones (common action): Points of correspondence zone, trigeminal area.
METHODS OF DEVICE IMPACT
Inflammatory diseases (chronic prostatitis, chronic nonspecific epididymitis, orchiepididymitis) The purpose of DENS is to eliminate pain, improve blood circulation and eliminate congestion, inflammation in the pelvic area, reduce the symptoms of urinary disorders, correct erectile dysfunction. In the procedure 2-3 zones are treated, once a day, and the course of treatment is 15 days. DENS Method
Suprapubic zone and groin area. "Therapy" mode at a frequency of 77 or 140 Hz, at PL-2, in a stable-labile manner, for 10-15 minutes. T o enhance the effect - at a frequency of 9.4 Hz for 5 minutes. Crotch zone. "Therapy" mode at a frequency of 77 Hz, PL-2, stable method of application, for 5 minutes.
LS. "Therapy" mode at a frequency of 77 Hz, PL-2, stable method of application, for 10 minutes.
Additionally
Su Jok correspondence zones. "Therapy" mode at a frequency of 60 or 77 Hz, at PL-2, 3-5 minutes. Project zone of the kidneys and ureters. "Therapy" mode at a frequency of 77 Hz, at PL-2, labile manner, for 5 minutes on each side. One of the universal zones. "Test" or "screening" mode at PL-2, followed by treatment of the LTZ in the "Therapy" mode at PL-2 at a frequency of 60 or 77 Hz, 3-5 minutes each. AP 93, 92, 95,56. "Therapy" mode at a frequency of 10 or 20 Hz, at PL-1,1-2 minutes.
Erectile dysfunction, male infertility The purpose of DENS is improved blood flow in the pelvic cavity, stimulation of the neuromuscular system. DENS Method
LS. "Therapy" mode at a frequency of 77 Hz, PL-2, stable method of application, for 10 minutes. To enhance the effect - at a frequency of 2.6 Hz, for 5 minutes. Crotch zone. "Therapy" mode at a frequency of 77 Hz, PL-2, stable method of application, for 5 minutes.
Additionally
Scrotal zone, penis zone. "Therapy" mode, at a frequency of 77 Hz, at PL-1, stablelabile mode of treatment, 5 minutes. Su Jok correspondence zones. "Therapy" mode at a frequency of 60 or 77 Hz, at PL-2, 3-5 minutes. Point correspondence zone. "Test" or "screening" mode at PL-2, followed by treatment of LTZ in "Therapy" mode, with a PL-2 at a frequency of 60 or 77 Hz, 35 minutes each. "Therapy" mode at a frequency of 77 Hz, PL-2, labile method of application, from the top down, 5 minutes. AP 93, 32, 58. "Therapy" mode at a frequency of 10 or 20 Hz, at PL-1,1-2 minutes.
In the procedure 2-3 zones are treated, one procedure a day, and the course of treatment is 15 days.
3.14.
DENS IN COSMETOLOGY
GENERAL PROVISIONS 1.
2.
3. 4.
Before beginning a course of DENS treatment aimed at weight loss, it is recommended that you be weighed and your measurements be taken: waist, buttocks, hips, shoulder - at the level of the middle third. In order to obtain the effect of reduction and stabilization of weight it is recommended that 3 courses of DENS therapy be performed with an interval of 1-2 months. It is advisable to combine this with dietary advice and dosed physical exercise. With treatment in the face zone it is recommended that a comfortable power level (PL-2) be selected. The ultimate goal of the DENS course of treatment is correction of excess weight, dieting relief (by reducing appetite and improving general well-being); improvement of metabolic processes in the skin and subcutaneous tissue, reducing the manifestations of some cosmetic defects and diseases (scars, rosacea).
DEVICE IMPACT ZONE Direct complaint projection zone (DPZ) 1. 2. 3.
Face zone. Treatment with the device is performed for cosmetic lines of the forehead, cheeks and lower jaw. Submandibular zone. Zone of the abdomen, thighs and buttocks.
Additional zones for course of treatment 1. 2. 3. 4. 5.
Segmental zones. Reflexogenous zones: Su Jok correspondence zones, auricular points. Zones of amplification of systemic effect: Hegu, Zusanli, 7th cervical vertebra. Special zones: zone of the liver, intestine, adrenal glands, appetite suppressant points, "beauty point" Universal zones (common action): paravertebral zone or trigeminal zone.
METHODS OF DEVICE IMPACT
Overweight, obesity, cellulite (cosmetology of the body) The purpose of DENS is the reduction and stabilization of weight, decrease in swelling, improvement in skin appearance. DENS Method
Zone of the abdomen (anterior abdominal wall). The zone is treated in the "Therapy" mode at a frequency of 200 Hz, at PL-3, in a stable manner - built-in electrodes of the device are sequentially rearranged around the navel with a delay at each point of 1 -2 sec. Zone of the thighs and buttocks. "Therapy" mode, at a frequency of 140 or 200 Hz, at PL-2-3, in a labile manner, moving the device with massage movements in an upwards direction, average time of 10-15 min. Appetite suppressant points AP 17, 18. "Therapy" mode at a frequency of 4 of 20 Hz at PL-1,1 -2 minutes,, for 30 minutes prior to eating, 3 times a day. AP 97, 84, 55. "Therapy" mode at a frequency of 20 Hz, at PL-1, 1-2 minutes, once a day.
Additionally
CS. "Therapy" mode at a frequency of 77 Hz or modulated "7710" mode at PL-2, labile or stable method of application, for 5 minutes. To enhance the effect - at a frequency of 4 Hz for 5 minutes. Zone of the liver and intestine. "Therapy” mode at a frequency of 77 Hz, PL-2 in a labile-stable manner, 10 minutes. Paravertebral zones. "Test" or "screening" mode at PL-2, followed by treatment of LTZ in "Therapy" mode, at a PL-2 at a frequency of 60 or 77 Hz, 3-5 minutes each.
The DENS procedure is performed daily, once a day (2-3 zones in one procedure), with a course of treatment of 10-14 days, a repeat course within 1-2 months, 3 courses in a row.
Cosmetology of the face Facial care The purpose of DENS is improvement in functional condition and appearance of the skin (increased turgor and elasticity, reduction in wrinkles). The DENS procedure is performed daily, once a day, a course of treatment of 10-14 days, a repeat course upon request. DENS Method
Face zone. "Therapy" mode at a frequency of 60 Hz, at PL-2, in a labile-stable manner, moving or placing the device on the cosmetic lines (see fig.), for 10 minutes. If the skin is inclined to inflammation and irritation - to enhance the effect - at a frequency of 1.7 Hz, for 5 minutes. For fading skin (aging) to enhance the effect - at a frequency of 9.4 Hz for 5 minutes. Submandibular zone. "Therapy" mode at a frequency of 77 Hz, at PL-2 in a labile manner, 5-10 minutes.
Additionally
Cervical area zone. "Therapy" mode at a frequency of 77 Hz or modulated "7710" mode at PL-2, labile or stable method of application, for 5 minutes Zone of the liver and intestine. "Therapy" mode at a frequency of 77 Hz, at PL-2 in a labile manner, right to left, for 10 minutes.
3.15.
DENS WITH SOME URGENT CONDITIONS
GENERAL PROVISIONS 1.
2.
3. 4.
5.
In the first minutes after trauma it is necessary to solve the issue of timely medical attention (going on your own to the emergency room or calling for an ambulance). DENS-therapy is conducted as first aid immediately after the injury or when there is an emergency in order to achieve analgesic, decongestant and resuscitation effects (taking into account the current emergency situation). Treatment is not a substitute for the need for specialized medical care, the performance of an X-ray study, application of immobilization bandages. The duration of DENS procedures is determined by the scale of the injury, pain relief, and other manifestations of the emergency condition. It can be from one minute (minor injury, syncope) up to several hours during the day (fracture, extensive injuries). The ultimate goal is to provide first aid, anesthesia, reduction in the times for restoring the impaired functions.
METHODS OF TREATMENT WITH THE DEVICE
Acute pain (contusion, hematoma, damage to the ligaments, tendons and muscles, meniscus damage, dislocation, fracture) The purpose of DENS - reduction/alleviation of pain. The most effective use of devices is in the most early periods after injur y (the first minutes after the injury). From one to several procedures are performed during the day. In the case of bandaging (cast) treatment is conducted above and below the fixation dressing and symmetrical zone. DENS Method
Trauma (area) projection "Therapy" mode at a frequency of 200 Hz, with a decrease in pain -140, 77 Hz, at PL-2, with a stable method (if there is edema with a labile-stable method from the bottom up).Treatm ent time - until improvement in minor injuries or until arrival of the doctor when there are severe injuries. Symmetrical healthy zone (with unilateral injury). "Therapy" mode of 10 Hz, 5 minutes. AP 26a, 55 and AP corresponding to a body part or joint. "Therapy" mode at a frequency of 140 Hz, at PL-21 5 minutes.
Wounds (including burns, frostbite) The purpose of DENS is the reduction/alleviation of pain, stimulation of reparative processes (healing) and shorter recovery. The most effective use of devices is in the earliest periods after injury (the first minutes after the injury). From one to several procedures are conducted during the day. DENS Method
-
The projection of the wound (if you cannot treat the wound itself the area around the wound). "Therapy" mode at a frequency of 200 Hz, with decreasing pain -140, 77 Hz, at PI-2 in a stable manner. Treatment time - until improvement in a small area of damage or until the arrival of the ambulance. AP 26a, 55 and auricular points, matching the corresponding part of the body. "Therapy" mode at a frequency of 140 Hz, at PL-1, for 5 minutes.
Loss of consciousness (syncope) The purpose of DENS - bring to consciousness, to restore normal health. DENS Method
Reanimation zones on the face: tip of the nose, middle of the upper lip, middle of the lower lip. "Therapy" mode at 200 Hz, at PL-3, for 30-60 seconds per point.
After bringing a person to consciousness it is advisable to care-fully seat the person and treat the CS in the "Therapy" mode at a frequency of 77 Hz, at PL-- 2 by moving the device from the bot-tom up, 5-10 minutes.
Acute allergic reactions (angioedema, urticaria), insect bites The purpose of DENS is to reduce the appearanc e of the allergy and reduc e the treatment time. It is recommended to conduct repeated procedures during the day. DENS Method
Edema projection. "Therapy" mode at a frequency of 200 Hz, decreasing edema 140, 77 Hz, at PA-2 in a labile-stable man-ner. Treatment time - to improve (with a small area of damage) in more severe cases - until the arrival of the ambulance. 7th cervical vertebra. "Therapy" mode at a frequency of 77 Hz, at PL-2, stable method of application, 5-10 minutes. Adrenal glands zone. "Therapy" mode at a frequency of 60 or 77 Hz, at PL-2,5 minutes; AP 13, 100. "Therapy" mode at a frequency of 140 Hz, at PL-2, 5 min.
High fever (pyrexia) The purpose of DENS - reduce temperature, improve well-being. DENS Method
The projection of large vessels: carotid arteries, bend of the elbow, inguinal folds. "Therapy" mode at a frequency of 77 Hz, at PL-1 or PL-2, stable method of application, for 30-60 minutes. Hands, feet. "Therapy" mode at a frequency of 77 Hz, at PL-1 or PL-2, stable method of application, 5 minutes for each zone.
After the procedure it is recommended the temperature be re-measured after 15-20 minutes, if necessary, repeat the procedure. Perform treatment of the underlying diseas e.
3.16.
DENS IN SPORTS MEDICINE
GENERAL PROVISIONS 1. 2. 3. 4. 5.
For injuries it is recommended that the procedure be conducted in the first minutes after the injury, in the future re-use the device on demand. The use of DENS is advisable in athletes for acute inflammatory diseases, for lack of adaptation and functional disorders of the digestive system. The use of DENS in different periods (training and competition) can significantly reduce the use of drugs. A distinctive feature of DENS devices is the possibility of repeating procedures as required during the day by the athlete himself. The purpose of DENS is the prevention and treatment of pain syndromes, increased adaptive capabilities of the athlete, increased efficiency, and timely rehabilitation at all stages.
METHODS OF TREATMENT WITH THE DEVICE
Neuromuscular system surge syndrome DENS Method
The area of the affected joints, muscles. "Therapy" mode at a frequency of 77 Hz or modulated "7710" mode at PL-2, labile or stable method. The treatment time is from 10 to 30 minutes depending on the area of treatment and the intensity of the symptoms. Segment zone. The LS is treated during work with the lower extremities - the CS during work with the upper extremities. "Therapy" mode at a frequency of 77 Hz, at PL-2, in a labile or stable manner over 10-15 minutes.
Central nervous system (CNS) overstrain syndrome DENS Method
CS. "Therapy" mode at a frequency of 77 Hz or modulated "7710" mode at PL-2, labile or stable method of application, downwards, for 10-15 minutes Hegu zone. "Therapy" mode at a frequency of 77 Hz,at PL-2, 5 minutes or MED program.
Cardiovascular System Surge Syndrome DENS Method
CS. "Therapy" mode at a frequency of 77 Hz or modulated "7710,"77AM" modes, at PL-1 or PL-2, labile or stable method of application, for 10-15 minutes Zone of back projection of the heart. "Therapy" mode at a fre-quency of 77 Hz or "7710" mode at PL-2, labile-stable method of application, 10 minutes.
Hegu zone. "Therapy" mode at a frequency of 77 Hz, PL-2,5 minutes, or MED program.
Liver Surge Syndrome (hepatic pain)
Liver zone, right hypochondrium zone. "Therapy" mode at a frequency of 77 Hz or modulated "7710" mode at PL-2, labile or stable method of application, from the right to left, for 10 minutes Segment zone - inferior thoracic section. "Therapy" mode at a frequency of 10 or 20 Hz at PL-2, labile-stable method of application, for 10 minutes.
DENS is performed situationally with stress syndrome: at night, during the day or over the course of 10 days. With the manifestation of pain syndrome, discomfort, the therapy is performed on demand.
3.17.
DENS IN REHABILITATION AFTER SURGERY
GENERAL PROVISIONS 1. 2. 3.
The most effective use of devices is in the earliest period after surgery (the first day). From one to several procedures are conducted during the day. The duration of DENS procedures is determined by the scale of operation, a reduction in pain and the degree of recovery of disrupted functions. The ultimate goal - pain relief, reducing the time of treatment.
METHODS OF TREATMENT WITH THE DEVICE
Pain DENS Method
The area around the surgical wound. "Therapy" mode at a fre-quency of 200 Hz, decreasing pain -140, 77 Hz, at PL-2 or PL-3, in a stable manner (in the presence of swelling-labile stable manner from the bottom up). In the procedure 15-20 zones are treated 2-3 times per day. Segment zone. "Therapy" mode at a frequency of 77 Hz, at PL-2, in a labile or stable manner over 10-15 minutes.
Condition after anesthesia DENS Method
CS. "Therapy" mode at a frequency of 77 Hz, at PL-2, stable- labile method of application from top to bottom, 5-10 minutes. LS. "Therapy" mode at a frequency of 10 or 20 Hz at PL-2, labile- stable method of application, for 10 minutes. interscapular region. "Therapy" mode at a frequency of 77 Hz, at PL-2, stable method of application, 5-10 minutes.
Postoperative intestinal paresis DENS Method
Intestinal zone. "Therapy" mode at a frequency of 77 Hz, at PL-3, in labile manner in a clockwise direction, for 15-20 minutes. Liver zone, right hypochondrium zone. "Therapy" mode at a frequency of 77 Hz, at PL-2 in a labile manner, right to left, for 5 minutes. Segment zone - LS. "Therapy" mode at a frequency of 10 or 20 Hz at PL-2, labilestable method of application, for 10 minutes.
In the first days after the operation DENS is performed upon request, taking into account the complaints and the patient's condition. After stabilization of well-being DENS is continued for a course of treatment up to 10-14 days.
3.18.
DENS IN PEDIATRIC PRACTICE
GENERAL PROVISIONS 1. 2.
3. 4.
For children under 7 years a minimum power level, must be used in the procedure. In most cases, the same treatment zones are used for children as for adults. But in infants treatment in direct projection of the complaint can often be difficult because of the negative reaction of the child. To avoid this, during the sessions it is recommended that the segment zones appropriate to the complaint be used as a basis. Among the common areas of action preference should be given to paravertebral areas, palms, feet and neck and neck area. The duration of procedures in children depends on age: for children from 0 to 1 year - 5-10 minutes (2-3 minutes per zone); for children from 1 to 2 years -10-15 minutes (3-5 minutes per zone); for children from 3 to 5 years -15-20 minutes (5-6 minutes per zone); for children from 5 to 12 years - 20-25 minutes (7-8 minutes per zone); for children older than 12 years - up to 40 minutes (10-12 minutes per zone);
METHODS OF TREATMENT WITH THE DEVICE
Vegetative dystonia syndrome Features of treatment 1. Given the variety of options for the clinical course, a combination of treatment zones is determined individually, according to available complaints. Children with vegetative dystonia syndrome (VDS) can produce a wide variety of complaints. They usually do not tolerate trips on transport well, stuffy rooms, and sometimes they have a shortterm dizziness and loss of consciousness (fainting). Increased fatigue, restless sleep, appetite disorder, unstable mood and irritability are noted. There are a variety of pain sens ations: pain in the abdomen, in the heart (cardialgia).The most common complaint in VDS is headache, which may be the only manifestation of the disease. Often labile blood pressure, disorders of the digestive, respiratory and urinary systems are observed. 2. Treatment of VDS should be comprehensive and regular. 3. With assignment of a set of procedures non-drug methods are preferred. To achieve the maximum effect of treatment in conjunction with DENS, normalization of the daily regimen, physical training, and a balanced diet must be recommended. 4. DENS in children with VDS can be combined with phytotherapy, vitamin therapy, dietary supplements with a tonic effect, massage, mineral water to quench thirst. 5. In severe VDS along with drug-free means on the recommendation of the attending physician and other methods of treatment are used.
6. To enhance the effectiveness of a DENS course of treatment, treatment of chronic and concomitant diseases should be encouraged. DENS Method DENS is prescribed to obtain an overall regulatory effect, as well as for correcting disorders in the work of the internal organs. The course of treatment lasts 10-15 days. In the absence of acute complaints 1 session per day is performed. At a session 1 -3 zones are treated. At each session it is recommended to treat 1 - 2 main zones and one additional zone.
Paravertebral zones and the spinal projection (posterior midline of the body). "Therapy" mode, 10 or 20 Hz. Cervical area zone. "Therapy" mode at a frequency of 77, 60 Hz or "7710" mode. Lumbosacral zone. Recommended treatment frequencies - "7710" or "Therapy" mode, 77 Hz.
Additionally
Foot zone. "Therapy" mode, 77 or 60 Hz. Hands. "Therapy" mode, 77 or 20 Hz. 2nd cervical vertebra zone. "Therapy" mode at a frequency of 77 Hz or "7710" mode. 7th cervical vertebra zone. "Therapy" mode at a frequency of 77 Hz or "7710" mode. Zone of the liver and intestine. "Therapy" mode, 77 Hz.
In the presence of localized complaints a direct complaint projection and corresponding segmental zones must be treated. Example of session plan: 1. 2. 3.
Paravertebral zones. "Therapy" mode, 10 Hz, PL-1. Treatment time depending on age. Cervical area zone. Modulated mode "7710", PL-1. Treatment time depending on age. Liver zone. "Therapy" mode, 77 or 60 Hz, PL-1, treatment time - depending on the age of the child.
Perinatal lesions of the central nervous system (CNS PL) Features of treatment 1.
2.
In the acute phase DENS is used as a component of adjuvant therapy, on the background of therapeutic interventions, doctors appointments. During the course of treatment, hands and feet are treated and there is treatment on the paravertebral lines alternating with treatment of the cervical zone. In the recovery period and the period of residual effects, the severity of the common symptoms decreases and signs of focal brain lesions become obvious. The plan for use of DENS is determined individually based on the
3.
presence of specific complaints. At the session one of the common areas of action must be treated. DENS is conducted in courses of treatment lasting 10-12 days. Repeated courses are held at intervals of 1.5-2 months.
At each session it is recommended that 1-2 main zones and one additional zone be treated.
Paravertebral zones and the spinal projection (posterior midline of the body). "Therapy" mode 10 or 20 Hz. Cervical area zone. Recommended treatment frequencies - "7710" or "Therapy" mode, 77 Hz. Lumbosacral zone. Recommended treatment frequencies - "7710" or "Therapy" mode, 77 Hz.
With the presence of localized complaints a direct complaint projection and corresponding segmental zones must be treated. Additionally
Foot zone. "Therapy" mode, the recommended treatment frequencies - 77 or 60 Hz. Hands. "Therapy" mode, the recommended treatment frequency - 77 or 20 Hz. The projection of the second cervical vertebra. "Therapy" mode, recommended treatment frequencies - 77 Hz or "7710" mode. Tongue, submandibular area, the area of the circular muscles of the mouth (speech zone). In case of delay of psychoverbal development. "Therapy" mode 77 or 60 Hz; "7710" mode. For paralysis, paresis of the limbs - the affected limbs. "Therapy" mode, 77 or 60 Hz.
Example of session plan: 1. 2. 3.
Paravertebral zones. "Therapy" mode, 10 Hz, PL-1. Treatment time depending on age. Cervical area zone. "Therapy" mode, 10 Hz, PL-1. Treatment time - depending on age. Foot zone. "Therapy" mode, 77 or 60 Hz, PL-1, treatment time - depending on the age of the child.
Impairment of speech development in children DENS is performed in courses of treatment of 10- 15 days, 1 session per day. At a session 1 -3 zones are treated. At each session it is recommended that 1 -2 main zones and one additional zone be treated. Treatment zones are alternated every 2-3 days. DENS Method
Cervical area zone. "Therapy" mode, 10 Hz, PL-1. Treatment time - depending on age. Speech zone (tongue or submandibular zone or speech zones). "Therapy" mode, 60 Hz, PL-1 .Treatment time - depending on age.
Foot zone. "Therapy" mode, 77 or 60 Hz, PL-1, treatment time - depending on the age of the child.
Neurogenous bladder dysfunction Features of treatment 1.
2.
Neurogenous bladder dysfunction (NBD) may occur as a hyper- reflective type (freguent urge to urinate, incontinence, immediate urination, rapid urination) or hyporeflective type (rare, up to 4 times a day, excessive urination, easing of the urge to urinate, enuresis, a feeling of incomplete emptying of the bladder). If necessary, by doctor's prescription DENS can be performed in children with neurogenous bladder dysfunction in conjunction with herbal medicine, massage, therapeutic physical therapy, other methods of physiotherapy.
DENS Method At a session 1-3 zones are treated. Zones are alternated at 3-4 day intervals. If possible, DENS is performed with consideration of the predominant type of dysfunction (hypo- or hyper- reflective). Treatment courses are 10 days long with 1 session per day. Repeated courses are held as needed at intervals of 2 weeks to 1-2 months. Paravertebral zones and the spinal projection (posterior mid line of the body). "Therapy" mode 10 or 20 Hz. Lumbosacral zone. Mode "7710," "77AM," "Therapy" mode, 10 or 20 Hz. Projection zone of the kidneys, ureters and bladder. Mode "7710," "77AM," "Therapy" mode, 10 or 20 Hz. Zone of the legs and feet. "Therapy" mode, 77 Hz.
Additionally
Hands. "Therapy" mode 77 or 20 Hz. Zone of the liver and intestine. "Therapy" mode, 77 or 60 Hz. Cervical area zone. "Therapy" mode, 20 or 10 Hz.
Sample of therapeutic session plan for symptoms of hyporeflective bladder. 1. 2. 3.
Paravertebral zones and the spinal projection (posterior mid line of the body). "Therapy" mode, 10 Hz, PL-1 .Treatment time - depending on age of the child. Zone of the kidneys, ureters and bladder. "Therapy" mode, 20 Hz, PL-1 .Treatment time - depending on age. Hands. "Therapy" mode, 20 Hz, PL-1, treatment time depends on the age.
Sample of therapeutic session plan for symptoms of hyperreflective bladder: 1. 2. 3.
Paravertebral zones and the spinal projection (posterior midline of the body). "Therapy" mode, 10 Hz, PL-1 .Treatment time - depending on age of the child. Lumbosacral zone. "Therapy" mode, 10 Hz, PL-1. Treatment time - depending on age. Foot zone. "Therapy" mode, 10 Hz, PL-1. Treatment time - depends on age.
Pediatric Cerebral Palsy Features of treatment 1.
2.
3.
4.
DENS in various forms of pediatric cerebral palsy is carried out to restore the functions of the brain and spinal cord, peripheral nervous system, the normalization of the psycho-emotional state, correction of muscle tone, speech disorders, for the treatment of concomitant diseases of internal organs and to improve the general condition. DENS procedures in patients with pediatric cerebral palsy are always performed according to an individual plan, with consideration of the features of the complaints in a specific patient. A stable positive result is achieved during a course of treatment. The number and frequency of courses is determined individually and depends on the outcome of treatment and disease severity. The range of therapeutic measures along with DENS include physiotherapy, massage, psycho-correction, sessions with a speech therapist, medicinal therapy.
DENS Method At a session 1-3 zones are treated. Zones are alternated at 3-4 day intervals. T reatment courses are 10 days long with 1 session per day. Repeated courses are performed as needed at intervals from 2 weeks to 1 -2 months.
Paravertebral zones and the spinal projection (posterior midline of the body). "Therapy" mode, 10 Hz, PL-1. Treatment time - depending on age of the child. Cervical area zone. Modulated mode "7710 or "Therapy" mode 77,60 Hz.
With the presence of localized complaints a direct complaint projec tion and corresponding segmental zones must be treated, affected limbs - with motor disorders, tongue, submandibular area, area of the circular muscles of the mouth - with a delay in speech development, etc. Additionally
Segmental zones. CS is treated with impairments in muscle tone of the upper extremities, LS - with impairments in muscle one of the lower extremities - cervical section of the spine - with speech impairments. "Therapy" mode 77,20 or 10 Hz. Reflexogenous zones: Su Jok correspondence zones, auricular points. Frequency of 10 or 20 Hz, PL-1. Zones of amplification of systemic effect: 2nd cervical vertebra, 7th cervical vertebra. Frequency of 10 Hz, PL-1. Universal zones (common action): trigeminal zone. Frequency of 10 Hz. PL-1.
Sample of the DENS therapeutic session plan for motor impairments. 1. 2.
Paravertebral zones. "Therapy" mode, 20, 10 Hz, PL-1, treatment time depending on the age. Upper or lower extremities. For pareses or paralysis of the arms the back surface of the shoulder, forearm are treated on th e side of the injury, "Therapy" mode, 77 Hz. On the healthy arm the front surface of the shoulder and forearm are treated in "Therapy" mode, 10 Hz. For injury to the legs on the side of the
3.
paresis the front surface of the thigh and lower leg are treated, "Therapy" mode, 77 Hz. On the healthy leg the rear surface of the thigh, lower leg are treated, "Therapy" mode, 10 Hz. Treatment time - depending on age. CS (with injury to the arms) or LS (with injury to the legs). "Therapy" mode, 10,20 Hz, PL-1, treatment time - depending on the age.
APPENDIX 1 USE OF SUBSONIC FREQUENCIES Illness, symptom or syndrome Adnexitis Allergy Arthritis-arthrosis external Insominia
Frequency, Hz 9.4 3,8; 9,6; 8,1; 1,7 1,2; 9,2; 9,6 2,5; 8,5
Obstructive bronchitis
9.4
Varicosis
2.5
Autonomic disorders
2.5
Inflammation
3.6
Hemorrhoids
2,6; 3,8; 4,0
Hypertensive disease
3,3; 6,0; 9,2; 9,4; 9,5
Headaches
9.0
Headache in chronic meningitis, acrachnoiditis
4.9
Headache in disease of the nasal sinuses (sinusogenous)
2.5
Headache (in vegetative dystonia)
5,5; 9,5
Headache in lesions of the cervical spine (vertebrobasilar insufficiency)
9.6
Dermatitis (neurodermatitis) I m potency
1,7; 2,6; 9,2; 9,4 2,6; 4,0; 4; 9
Hemorrhage, contusions, injury
2.5
Cold
2.9
Trigeminal neuralgia
7.5
Pancreatitis
4.0
Fractures
8.6
Vertebral pain with osteochondrosis or osteochondropathy
9.6
Prostatis
9.4
Pneumonia Periodontal disease
9.4 1,7; 2,5; 9,5
Sinusitis
2.5
Bruises
2.5
Fatigue
2.2
Duodenal ulcer
8.6
Gastric ulcer
9.4
APPENDIX 2 DESCRIPTION OF THE BIOLOGICALLY ACTIVE POINTS OF THE AURICLE
1 - the highest point of analgesia in the extraction of teeth; 2- roof (upper point of the mouth); 3 - the bottom of the oral cavity; 4 - tongue; 5 - the upper jaw; 6 - the lower jaw; 7 - the lowest point of analgesia in the extraction of teeth; 8- eye,first; 9 - inner ear; 10 the amygdala, the fourth; 11 - c heekbone (cheek); 13 - adrenal gland; 14 - external nose; 15 - throat and larynx; 16 - th e nasal cavity; 20 - the outer ear; 21 - the heart, the second; 22 - endocrine glands; 23 - ovary; 25 - brain stem; 26a - an appendage of the brain; 28 the pituitary gland (the point of the brain); 29 - back of the neck; 30 - parotid gland; 32 egg; 33 - f orehead; 34 - the cerebral cortex; 35 - Temple (tai yang); 37 - cervical spine; 38 - sacral spine; 39 - thoracic spine; 40 - lumbar spine; 41 - neck; 42 - chest; 43 - belly; 44 - the mammary gland;45 - the thyroid gland; 46 - toes; 47 - heel; 48 - ankle; 49 - knee joint; 50 - hip; 51 - sympathetic nervous system (sympathetic point); 52 - sciatic nerve; 53 - buttock; 54 - lumbodynia (lumbar pain point); 55 - Shen-men (point CNS and anesthesia during operations); 56 - the pelvis (the cervix); 57 - thigh; 58 - the uterus (sexual point); 62 - fingers; 63 - collarbone; 64 - the shoulder joint; 65 - s houlder; 66 - elbow; 67 - Brush; 71 - hives; 79 - external genitalia; 80 - urethra; 81- rectum; 82 - diaphragm (point zero zero according to P. Nogier); 84 - mouth; 85 - esophagus; 86 - cardiac; 87 - stomach; 88 - duodenum; 89 - small intestine; 90 - appendix, fourth; 91 - colon; 92 - bladder; 93 Prostate; 94 - the ureter; 95 - kidney; 96 - pancreas (on the left) and gallbladder (on the right); 97 - liver; 98 - spleen; 100 - heart, first; 101v, 101n - lungs; 102v, 102n - bronchi; 103 - trachea.
DESCRIPTION OF POINT LOCALIZATION AP 1 - the highest point of analgesia during tooth extraction Localization: at the lower-outer edge of the first quadrant cor-responding to the innerupper border of the front surface of the ear lobe. AP 2 - roof (top point of the oral cavity) AP 3 - bottom of the oral cavity AP - tongue Localization: all three points on the diagonal, lowered from the upper-inner corner to the outer corner of the lower-second quadrant. Then the diagonal is divided into four equal lengths. On the border of the bottom 'A is AP 2; AP 3 is located on the border; diagonally or in the middle in the center of the second quadrant is AP 4. AP 5 - upper jaw Localization: in the center of the third quadrant or in the middle of its diagonal. AP6- mandible Localization: in the middle of the first (top) horizontal line of the third quadrant AP7- the highest point of analgesia during tooth extraction Localization: in the lower-outer corner of the fourth quadrant. AP 7a - neurasthenia (described by G. Luvsan) Localization: in the lower-outer corner of the fourth quadrant. AP 8- eye, first point Localization: in the middle of the fifth quadrant, middle of the front surface of the ear lobe. AP 9- inner ear Localization: in the center of the sixth quadrant. AP 10- the amygdala, fourth point Localization: in the center of the eighth quadrant. AP 11 - cheekbone Localization: occupies an area of approximately perpendicular separating the earlobe to the fifth and sixth quadrant. AP 13- adrenal gland Localization: in the center of the lower half of the tragus edge (or vertex if the vertex has two tragus) projecting upwards on the lower part of the cartilage. AP 14- external nose Localization: in the center of the base of the tragus on the anterior edge of the cartilage of the tragus. The line connection AP 12 with AP 13 and AP 14 forms an equilateral triangle. AP 15- throat and larynx
Localization: in the center of the upper half of the inner surface of the tragus edge (or vertex if the vertex has two tragus) of the ear canal at the level of AP 12. AP 16 - nasal cavity Localization: on the bottom half of the inner surface of the tragus in the ear canal at the level of AP 13 AP 20-outer ear Localization: in the recessed portion of the front ear furrows on the same vertical line with the AT 14, the upper end of the trestle between the uplink branch and the navel. AP 21 - heart, s econd point Localization: at approximately the mid line connection AP 20 and AP 12. AP 22 - endocrine glands Localization: on the inner edge of the middle tragus clippings. AP 23 - ovary Localization: between AP 22 and AP 34, where the antitragus crosses the tragus clipping. AP 25 - brain stem Localization: the rear edge of the middle ear notch. AP 26a - - an appendage of the brain, the thalamus (the point of the hypothalamus, agitation, according to P. Nogier) Localization: in the inner surface of the antitragus, at the point, symmetric to AP 35, located on the external surface of the antitragus, in the middle of its base, in the middle of distance between AP 29 and AP 33 AP 28 - pituitary gland Localization: at the center of the upper third of the edge of the antitragus, in the middle between AP 25 and AP 30 AP 29- back of the neck Localization: in the middle of the upper third of the outer surface of the antitragus, below AP 28. AP 30 - parotid gland Localization: on the upwardly projecting section of the antitragus. If this projection is expressed poorly, then the point is located in the center of the rib of the antitragus. AP32-egg Localization: on the inner surface of the antitragus, 2 mm lower than AP 30. Point AP 32 is symmetrical (relative to AP 30) to point AP 31 situated on the outer surface of the antitragus. AP 33 - forehead
Localization: in the lower third of the outer surface of the antitragus, slightly above its transition to tragus clipping. AP 34 - cerebral cortex Localization: in the middle lower third of the inner surface of the antitragus, slightly above its transition to tragus clipping. AP 35 - temple Localization: on the outer surface in the middle third of the base of the antitragus between AP 29 and AP 33. AP 37 - cervical spine Localization: on the inner edge of the antitragus, in the place of its transition to the back ear grove (zone V). AP 38-sacral spine Localization: on the inner edge of antihelix, at the level of the connection of its legs. AP 39 - thoracic spine Localization: to find this point, it is necessary to draw a mental line that follows the curve of antihelix between AP 37 and AP 38, then divide it into three equal segments. AP 39 is in the first third of the distance from the AP 37. AP 40 - lumbar spine Localization: 2/3 distance on the line from AP 37 to AP 38. AP 41 - neck Localization: at the outer edge of the antihelix at the midway point between AP 37 and AP 39 AP 42 - chest Localization: at the outer edge of the antihelix at the midway point between AP 37 and AP 38 AP43-stomach Localization: at the outer edge of the antihelix at the midway point between AP 38 and AP 40 AP 44 - mammary gland Localization: there are two points of the mammary gland Both points are located above AP 42 on the inner and outer edges of the antihelix. If you connect two points - AP 44 and AP 42 - lines, they form an equilateral triangle. AP 45 - thyroid gland Localization: the outer edge antihelix, 2 mm below the AP 41, and at the same horizontal level as the ATP37. AP 46 - toes
Localization: at the outer edge of the upper leg of the antihelix, in the area of its upper end. AP 47-heel Localization: at the outer edge of the upper leg of the antihelix, in the area of its upper end. AP 48-heel Localization: midway between the AP 47 and AP 49 and lower than A P 46 and AP 47 (AT 48 with the latter forms an isosceles triangle). AP 49 - knee Localization: in the middle of the central axis at the center of upper leg antihelix. AP 50-hip Localization: at the central axis of the upper leg antihelix, at the beginning of the transition to the upper leg antihelix, upwards and backwards from AT 38. the sympathetic nervous system (sympathetic point) Localization: at the central axis of the end of lower leg of the antihelix directly at its intersection with the inner side of the helix, the helix is covered. AP 52 - sciatic nerve Localization: in the center of the lower leg of the antihelix. % AP 53 - buttock Localization: midway between AP 52 and AP 54. AP 54 - lumbodynia (heat point) Localization: at the start of the lower leg of the antihelix, on its central axis, approximately 2 mm above AP 38 AP 55 - Shen-men Localization: just above the legs of the antihelix, under the lower edge of the upper legs of the antihelix over AP 56. AT 56 - pelvis in men (cervix in women) Localization: just below the difference in the legs of the antihelix, in the upper edge of the lower leg of the antihelix, under AP 55. AP 58 - uterus (sexual point) Localization: near the edge of the helix, midway between the ends of the legs of the antihelix. AP 62 - fingers
Localization: along the central longitudinal axis of the scaphoid fossa, in the upper part of the top edge of Darwin's tubercle (if any), which goes from vertical helix in its horizontal part. AP63 - collar bone Localization: under AP 45 in the lower part of the navicular fossa on its central longitudinal axis AP 64 - shoulder joint Localization: along the central longitudinal axis on the boundary of the navicular fossa bottom 1/4 of the distance from the AP 63 to AP 62, from the bottom upwards. AP 65 - shoulder Localization: the central longitudinal axis of the navicular fossa, in the middle quarter of the distance from the second AP 63 to AP 62, at auricular zone III. AP 66 - elbow Localization: at the level of the lower leg of the antihelix in the navicular fossa, midway between the AP 65 and AP 67. AP67-hand Localization: usually, this point is located at the central longitudinal axis of the scaphoid fossa in front of Darwin's tubercle. AP 71 - urticaria Localization: short line, which occupies the entire gap between the AP 62 and AP 67, but is not located on the central axis of the scaphoid fossa, and closer to the antihelix. Localization: folds at the upper end, which is formed on the helix of the auricle bent forward along the vertical axis so that the helix is touching the tragus. AP 79 - vulva Localization: on the outer surface of the ascending branch helix, symmetrical to the point AP 51 (Zone IX). AP 80 - urethra Localization: on the central longitudinal axis of the front surface of the helix upward at the lower edge of lower leg of the antihelix and AP 92. AP 81 - rectum Localization: on the ascending branch of the helix, on the same level as AP 91 (zone XIV) and just above AP 20 (zone III), corre-s ponds to the start of the cartilage of the ascending part of the helix. AP 82 - diaphragm (according to P. Nogier - point zero, "null," psychovegetative equilibrium) Localization: at the junction of the leg of the helix and its ascending part. AP 84 - mouth
Localization: under the lower edge of the helix leg, over the top edge of the ear canal. AP 85 - esophagus Localization: for the convenience of findings points 85, 86 87, the leg of the helix should be divided into three equal parts. Under each of these three parts these points (zones) will be located from left to right. The point of the esophagus (AP 85) is located under the lower edge of the helix leg, under the middle of the first third. AP 86 - cardiac (gastric cardia) Localization: under the lower edge of the middle of the second third of the helix leg. AP 87 - stomach Localization: actual stomach - this is not the point, but the zone located around the base of the helix leg, at its transition into the bottom of the ear conch on the border between the cymba and the ear conch zone. AP 88 - duodenum Localization: at the upper edge of the helix leg, above AP 87, along the start of the leg. AP 89 - small int estine Localization: at the upper edge of the helix leg, above AP 88, along the leg. AP 90 - appendix, fourth Localization: at the upper edge of the helix leg, in the middle between the points of the large (AP 91) and small (89) intestine. AP91 - small intestine Localization: at the upper edge of the helix leg, at its transition into the ascending branch of the helix, over AP 82. AP 92 - urinary bladder Localization: under the lower edge of the lower antihelix leg, over AP 91, behind AP 93. AP 93 - prostate Localization: in the corner formed by the ascending part of the helix and the lower edge of the lower leg of the antihelix, below AP 52 (may be covered by the helix). AP 94 - ureter Localization: midway between AP 2 and AP 95. AP 95 - kidney Localization: under the lower edge of the lower antihelix leg, under AP 53, over AP 89. AP 96 - gall bladder (right ear) and pancreas (left ear) Localization: in the upper- outer corner of the conch cup, above the lower edge of the start of the lower leg of the antihelix, over AP 88 j AP 97 - liver
Localization: near the inner edge of the antihelix, below AP 96 on the level of the helix leg on one side and AP 40 on the other. AP 98 - spleen Localization: located only on the left ear outwards and down-wards from AP 87 (stomach point), at the inner edge of the antihelix under AP 87, almost at the level of AP 39. API 00- heart, s econd point Localization: in the center of the ear conch, at the level of the ear canal, in the concave part of the ear conch. AP 101 -lung Localization: conditionally indicate two points - at 1 mm above and below AP 100, but the zone of lungs around AP 100 should be almost divided. API 02- bronchi Localization: two points at 2 mm from AP 101 toward the ear canal. AP 103- trachea Localization: at 2 mm from AP 102 in the direction of the ear canal, at the inner edge of the ear conch, at the level of the middle part of the rear edge of the auditory opening, on the same horizontal level with AP 100.
ALPHABETICAL INDEX A Abnormal heart rhythm and conduction 97 Acute allergic reaction
168
Acute cerebrovascular accident 86 Algomenorrhea
152
Algorithms for use of DENS devic e Allergic diseases Angina
107,112,118,133,168
113
Antritis Arrhythmia
112 97
Arterial hypertension
97
Arterial hypotension !
Si
Arthritis
76
Arthrosis
76
Asthenoneurotic s yndrome Asthenopia
99
90
116
Asthma bronchial
107
Atherosclerosis, peripheral vascular Atopic dermatitis
133
Auricular points description Autoimmune thyroiditis
142
Angiopathydiabetic 100,142 B Backand neck pain 77,84 Biliary dyskinesia Blepharitis
126
118
Body cosmetology 164 Bronchial asthma Bronchitis
106
Burns 167 Bursitis C
66
76
107
191
100
Cardialgia
96
Cataract
117
Cellulitis
164
Cerebrovascular disease
88
Cervical area zone 42 Cervical spine injury Chilblain
83
167
Cholecystitis 126 Colitis ; 129 Comfort power level
64
Condition after anesthesia 174 Conjunctivitis 118 Constipation 124 Contraindications for use of DENS Coronary artery disease
96
Craniocerebral trauma
88
Cystitis
147
D Da Chui point (VG 14) Dermatitis
50
133
Determination of treatment time 65 Diabetes mellitus
142
Diabetes mellitus
142
Diarrhea
124
Direct complaint projection zone 35 Dislocation
168
Distended abdomen Dizziness
—123
83
Dorsopathy 84 Duodenitis
125
Duration of session for children Dysbacteriosis intestinal
129
175
19
E Endometritis 153 Enuresis
180
Erectile dysfunction 161 Exertional angina pectoris 96 F Facial care
165
Facial cosmetology 165 Fainting
168
Farsightedness
116
Features of the DENS method
20
Fever 169 Flat feet
78
Fracture
76,167
Frequency of 140, 77, 60 Hz Frequency of 20, 10 Hz
27
Frequency of 200 Hz
26
26
Frequency of 9.9... 1.0 Hz 27 Frontitis
112
G Gallstone disease
126
Gastric and duodenal ulcer disease Gastritis
122,123,125
Gingivitis
138
Glaucoma
117
Glomerulonephritis 147 H Headache
83
Heartburn
122
Heart pain
96
Hegu point (Gl 4) Hematoma
167
51
125
Hemorrhoids 130 Hepatitis
126
Herpes
134
Hiccup
122
High frequencies
26
Hypertension intracranial 88,178 Hypertensive disease Hyperthermia
97
169
Hyperthyroidism
142
Hypogalactia 157 Hypothyroidism
142
I Improving the efficiency of treatment sessions 68 Incontinence 180 Indications for use of DENS Infarction
17
96
Infertility female
154
Infertility male
161
Inflammatory muscle diseases
170
Infra-low frequencies
186
27,
Injury 167 Injury consequences Insect bites Insomnia
76
168 90
Intracranial hypertension syndrome
83
Irritable Bowel syndrome 129 Ischemic and hemorrhagic stroke 86 L Labile-stable method of application Labile method of application
32
Labile method of application
32
Lactostasis 156
32
Laryngitis
105,113
Ligament injury
76,
167
Loss of consciousness
168
Low frequencies
27
Lumbosacral zone 43 Lymphostasis
101
M Mastitis lactational 156 Maximum power level
64
MED program
29
Meniscus injury
76,
167
Menopausal syndrome
155
Menstrual cycle disorder
152
Migraine
83
Minimum power level
64
Modulated mode "7710"
28
Modulated mode "77AM" 28 Musculotonic syndrome
84
Myocardiodystrophy
96
Nearsightedness
116
Neiguan point (MC 6) Neurasthenia
90
Neurodermitis
133
51
Neurogenous bladder dysfunction Neurosensory hearing loss O Obesity
164
Obliterating endarteritis Oophoritis
153
Osteochondrosis Otitis 111 Overweight 164
84
100
111
180
P Pain relief after tooth extraction Pain relief in childbirth
137
156
Pancreatitis 127 Paresis of the facial nerve 85 Parodontitis 138 Parodontosis»
138
Pediatric Cerebral Palsy
-
182
Perinatal damage to the nervous system Periodontitis
178
137
Pharyngitis
-
105
Pneumonia
106
Post-filling pains
137
Postoperative intestinal paresis Prostatitis * *
129,174
160
Psoraisis
it
Pyelonephritis
133 147
Q Quincke's edema 168 R Raynaud's disease 100 Reflux disease Rhinitis
125
105
Rules for selecting zones and modes of treatment s Salpingitis
153
Sanyinjiao point (RP 6)
52
Scalp zones 60 Sciatica
84
Scoliosis
77
"Screening" mode 30 Seasonal depression
90
66
Seborrhea
133
Secondary parkinsonism 88 Segmental innervation zones Sleep disorders
90
Specialized DENS devices Speech impairment 180 Sports medicine
170
Stimulation intensity Stomatitis
64
138
Stroke 86 Su Jok Zones
56
T Thrombophlebitis
101
"Test" Mode 29 "Therapy" Mode Tonsillitis
113
Toothache
137
Tracheitis
105
26
Treatment methods 32 Treatment power
64
Trigeminal neuralgia Trigeminal zone
46
Trigeminal zone
46
Trigger zones
54
85
u Ultra-high frequency
26
Universal DENS devices
24
Urinary tract infections
147
Urolithiasis
148
URTI, ARVI 105 Urticaria
168
Varicose disease
101
36
