nespetsificheski.e methods of treatment have been used by us at patients with a hypertonia, an obliterating atherosclerosis of tanks of extremities, with a varicose phlebectasia, a phlebitis and a thrombophlebitis. Under our observation 121 patient with an arterial hypertonia, from them with symptomatic hypertonias of 26 patients at the age from 30 till 45 years and 95 persons, sick of an idiopathic hypertensia of the PAS and the item (11 persons from 20 till 30 years, 16 persons from 31 years till 40 years, 17 persons from 41 till 50 years, 23 persons from 51 years till 60 years, 18 persons from 61 till 70 years and 10 persons are higher 70 years) was. Duration of disease — from 4 till 16 years.
All patients within several years used medicamental therapy with short-term effect. As some medicines cause undesirable side effects (dryness in a mouth, atonic or spastic constipations, enterospasms, mental depression, biological accumulation of water, sodium, uric acid, a filtrate nitrogen and so forth), the state of patients was refined slightly and short-term. To limitation of medicinal treatment concerns and more or less prompt habituation that forces to enlarge their proportioning or to be failed from them.
Prior to the beginning of treatment at the majority of patients changes of pulmonary bulks, ventilating indexes, an anoxemia are taped. At a capillaroscopy the acyanotic or tsianotich th hum, the expressed throat arterial and the extension of a venous knee of capillary tubes, a time-lagged non-uniform blood flow, its frequent blowing-downs, as a rule, was watched. At 76 % of patients substantial increase of level of cholesterine in a blood is marked, in 68 % of events Saccharum magnification in a blood is revealed. Changes of a water-salt swap were watched in 82 % of events, they expressed in a time delay of water and sodium ions in an organism of patients at standard or slightly heightened selection of potassium. In the core the ratio of selection with sodium and potassium urine was upset. This ratio is equal in norm 3:1, at sick of a hypertonia it constituted 1.5:1 or even 1:1. At patients with redundant mass the base metabolism, as a rule, is reduced by 10-30 % in relation to due value.
Thus, at patients violations carbohydrate, futty and a water-salt swap, and also level recession of an oxidation process in connection with an oxygen deficiency in an arterial blood (anoxemia) are taped.
At hypertonia treatment the fruktovo-vegetable diet of Birher-Bennera dilated at the expense of milk food entered in a complex of therapeutic actions, with sodium salt limiting, yellow turpentine troughs and medicinal grasses. The diet of Birher-Bennera as have demonstrated our observations, increases a potassium amount in an organism of the patient, reduces Saccharum and cholesterine level, labilises a swap of carbohydrates and fats. Yellow turpentine troughs contribute in reduction of peripheric vascular resistance the arterial pressure therefore drops, is specially appreciable — diastolic. It easies cardiac performance and labilises metabolic and an oxidation process. Besides, yellow troughs cause the enlarged excretion of water and sodium ions, normalising, thereby, a water-salt swap.
In case of a sleeplessness or a neurotic state in addition to a diet and troughs assigned collections of the various medicinal grasses contributing in decrease of an arterial pressure of a blood and possessing abirritating activity. In the presence of customary constipations in collection of grasss added the plants boosting activity of a gastrointestinal tract. The concomitant stenocardia or frequent headaches were an index for assignment of course of hot thoracal wrappings in days when patients did not accept troughs. The patient without adiposity characters assigned only yellow turpentine troughs (tab. 3) and medicinal grasses.
After course of treatment (as a rule, during 3 mes) the arterial pressure of a blood at our patients inconvertiblly dropped, specially diastolic, and the subjective state was refined. Base metabolism indexes (it was increased), capillaroscopies and functions of exterior breath were simultaneously normalised. In a blood the cholesterine and Saccharum amount dropped, was enlarged mocheotdelenie (diuresis), a coefficient in urine sodium/potassium came nearer to norm (2.2:1). Such state at patients was saved within 2 years and more.
I will give some examples demonstrating effects of treatment of an idiopathic hypertensia on a method of A.S.Zalmanova.
1. B Th K, 73 years. The diagnosis: an idiopathic hypertensia II the item, a stenocardia, a cardiosclerosis, a sclerosis of cerebral tanks, a hypothyrosis, adiposity of 3rd level (growth of 168 sm, mass of a skew field of 98 kg). Duration of disease of 16 years. Complaints to headaches, a sonitus, giddiness, periodic pains in the field of heart, a sleeplessness, prompt fatigability, constipations Prior treatment: vasohypotonic, diuretic, sedatives, Thyreoidinum, a diet with limiting of Saccharum and flour nutriment, However pression of a blood remains increased, the skew field mass not, headaches and giddiness have become frequent.
At visual inspection: shared state satisfactory, a delivery increased, pulse of rhythmic, 80 beats per minute. Heart boundaries are enlarged, tinters are muffled, emphasis of II tinter on an aorta. An arterial pressure of 180-200/100-110 mm hg the Liver is enlarged, legs and the person otechny. In a blood the cholesterine content is enhanced. Diurnal mocheotdelenie it is diminished: 600 ml of urine at 1050 ml of the fluid accepted for days, sodium selection are reduced by 2.7 g a day (instead of 6.5-6.8).
At physiological survey base metabolism decrease (-30 %), reduction of pulmonary and ventilating bulks, an anoxemia (93 % of oxygen) is discovered. At a capillaroscopy spastic strictures of capillary tubes, blood flow deceleration are marked.
The patient has been assigned a fruktovo-vegetable diet on period in 30 days, in 2 weeks from a diet initiation — yellow turpentine troughs (30), after meal a heater on liver field on hour, collection of the medicinal grasses normalising activity of an intestine, buds and contributing in decrease of an arterial pressure of a blood.
After 20th trough the arterial pressure was reduced, after 30th trough was inconvertiblly held down on 140/85 mm Hg. Headaches and pains in the field of heart have disappeared, the sleep was refined, serviceability was considerably enlarged. For a month of a diet and following 3 mes treatments the patient has grown thin for 17 kg. In the end of treatment and within 2 years after its termination the patient considered itself almost healthy, complaints did not show.
At survey after treatment the significant decrease of cholesterine in a blood is marked. A specific gravity of urine was enlarged, the diuresis has a little increased (about 600 ml a day to 850 ml at the same amount of the accepted fluid). The amount of sodium selected with urine was enlarged to 4.4 g a day. At physiological survey after treatment appreciable rising of a base metabolism is discovered (to +10 %), were refined indexes of breathing function, kapilljaroskopicheskaja the pattern was normalised.
2. B Th P, 49 years. The diagnosis: an idiopathic hypertensia II the item, a spondylarthrosis, the secondary radiculitis. Prescription of disease by a hypertonia of 12 years. Complaints to frequent and very strong headaches, a sleeplessness, constant pains in a vertebrae, boosted at walking and in the second half of day, prompt fatigability, irritability. The previous treatment: depressions, Dibazolum, validol, Cordiaminum, a papaverin, Hypothiazidum, Theobrominum, Medinalum.
At visual inspection: a state satisfactory, a face skin with a crimson tone, a light cyanosis of labiums. Pulse of rhythmic, 70 beats per minute, an arterial pressure of 180-200/110-120 mm Hg. Heart boundaries are enlarged to the left, cardiac sounds are muffled, emphasis of II tinter on an aorta. The ECG: pace sinusovyj, a hypertrophy of a left ventricle of heart, intraatrial blockage. In lungs on the right and at the left unit dry rhonchuses. Morbidity at pressing on acanthas of vertebra of a loin of a vertebrae. On a X-ray pattern of thoracal and lumbar departments of a vertebrae in two footprint of satellite beams the osteochondrosis of intervertebral godets in nizhnegrudnom and lumbar departments and with decrease of altitude of intervertebral godets in front departments is spotted. Appearances straining spondiloza in nizhnegrudnom department. The belly soft, painless, a liver quits from under costal edge on 1 the cholesterine Amount in a blood see is not enlarged, Saccharum — 10 mmol. The Specific gravity of urine 1010, feeble traces of protein, Saccharum of 0.5 %. Jumps are discovered at salt metabolism determination: for days at the sick it was selected with urine of sodium of 1.4 g and 2.6 g of potassium at copious enough mocheotdelenii (it is accepted for days of 1100 ml, are selected 850 ml).
As a result of kliniko-physiological survey of the patient there was konstatiro-vang a reduction of pulmonary bulks, a hyperventilation, an anoxemia. At a capillaroscopy the change in shape of capillary tubes, their diminished amount in sight, blood decelerated motion, frequent blowing-downs, tsianotichnost podsosochko-vogo a stratum is marked.
By the patient it has been assigned two courses of thoracal wrappings and yellow turpentine troughs (course on 20 troughs and 40.грудных wrappings). After the maiden course the arterial pressure has dropped to 150/90 mm Hg., dorsodynias were diminished, the sleep was recovered, headaches, prompt fatigability have disappeared. After the second year pression of a blood of 140/150/80 mm Hg., pains in a vertebrae have disappeared, the patient considered itself almost healthy. After treatment was under observation of one and a half year during which one impairments of its state it was not marked.
After treatment the X-ray pattern significantly was not modified. Blood Saccharum has dropped to 6 mmol. The urine assaying was normalised (a specific gravity 1021, Saccharum and protein in urine is not discovered). Specially jumps have happened in a water-salt swap: diurnal mocheotdelenie it was enlarged with 850 to 1000 ml at the same amount of the accepted fluid; selection of sodium with urine has increased with 1.4 to 8.5 g a day, and potassium selection has dropped with 2.6 to 1.5 g a day.
Physiological survey after two courses of treatment has demonstrated that at the sick functions of exterior breath were normalised, the oxygen amount in an arterial blood was enlarged with 92 to 97 %. At a capillaroscopy appearance of pink painting of a hum, magnification of an amount of capillary tubes in sight, blood flow speedup is marked.
From 126 sick hypertonia at 110 persons (87 % from their blanket number) were watched the significant improving of shared state or its normalisation: extinction of a headache, giddiness, weakening of a sonitus, an asthma, wilt, prompt fatigability and other painfull characters at simultaneous decrease to normal amounts of an arterial pressure of a blood. At 16 persons it was not possible to reduce considerably an arterial pressure of a blood and to refine a subjective state (13 %).
One of frequent diseases of vascular system is about-literirujushchy an endarteritis and an atherosclerosis of tanks of extremities. This disease sometimes difficultly yields to medicamental treatment and case can terminate ablation of toes or stops, and sometimes even ablation more low or above a knee.
According to views of Zalmanova, the arteritis of the lower extremities represents disease not only is exceptional extremities, but also illness cerebral, coronary arteries, intestine groundwater arteries. Therefore domestic arterial disease needs to be considered as expression of a blanket arteritis. And, hence, the domestic treatment directed only on an isolated arterial part, remains not satisfactory. Treatment of arterites is reasonable for beginning with recovery of a peripheric microcirculation in all organism, and not just in striked extremities. Then correctly led nonspecific therapy can bring recuperation or the significant alleviating even at duration of disease in some years.
The main medical routine at disease by an obliterating endarteritis are white turpentine troughs as they most intensively boost a microcirculation.
Composition and method of cooking of a white turpentine emulsion. 550 ml of water to fill in in the enameled pan, to deliver on light. When water will simmer, to pour in in water of Acidum salicylicum of 3 g and 30 g of shallowly thread baby soap. To boil about 15 mines on feeble light before the complete dissolution of a soap, often stirring slowly with a glass rod. When the soap completely will be diluted, to reset light. In a litre carboy with a wide throat or an one-litre jar to run in 500 ml of gum spirit of turpentine (GOST 1571) and then there to pour out pan contents. Very well to churn, run in 20 ml of camphoric alcohol, once again to churn and proofly to blank off. The ready white emulsion looks like some clotted milk, solid-to-liquid ratio of crude chicken protein. At storage it sometimes stratifies on two or three stratums, in these events before its use it is necessary to churn carefully (churning). To store at an indoor temperature about one year.
Application of white turpentine troughs. To fill in in a trough of water in temperature 36 °s, to run in the necessary dose of a white emulsion, carefully to churn. To lubricate a perineum with Vaselinum and to lay down in a trough, during 5 mines to hoist water temperature in a trough to 38 °s (tab. 4) and more 10 mines to lie at this temperature. Then to quit a trough, a skew field to dry a towel (not to triturate!) to mount an underwear and to lay down in sand bed. The emulsion proportioning is yielded in tab. 4. During a trough or after it there will be a dermal response in the form of sense of a light burning sensation, a tingling, a pricking. In norm this response is watched during 15-45 mines after a trough. If response very strong (offensive) the emulsion dose is diminished or is not increased until the skin will not get used also response not oslabnet.
White turpentine troughs boost oscillation of capillary tubes, accelerate a blood flow that contributes in rising of an arterial pressure, an intensification of a peripheric circulation and improving of a trophicity of all tissues of an organism, specially there where it is upset. These troughs are usually applied at a hypotension, arterites, deforming polyarthrites, muscular atrophies, flasque paralyses, an impotency, to speedup of intergrowth of fractures.
As white turpentine troughs increase a blood arterial pressure, they need to be led under the constant control, periodically exchanging a white turpentine solution yellow (tab. 5).
Hot thoracal wrappings are applied to speedup of a positive effect of turpentine troughs.
The maiden 10 days these routines are alternated every other day (one day a turpentine trough, the second day a hot thoracal wrapping), then in order to avoid a boring of a renal parenchyma of a trough are made in 2 days on 3rd or 2 once a week on the fixed days. In days, free from troughs, patients make hot thoracal wrappings (before going to bed) and a cool wrapping of legs (on all night long). The last routine causes a reflex vasodilatation of the lower extremities and, hence, refines in them a circulation, and also contributes in development of collaterals (additional veins).
For a cool wrapping of legs it is necessary to take two pairs of wadded stockings or socks and one pair of a Cashmere hose (socks). One pair of wadded stockings should be wetted in cold water, well to couch and mount legs, having wrapped a stocking from a knee on an anticnemion (socks it is not necessary to turn). Over wet stockings to mount the second pair of dry wadded stockings and then a Cashmere hose, also having wrapped them from knees on an anticnemion and ikronozhnye muscles.
When pains will be diminished, a cool wrapping of legs exchange livelier an operating hot wrapping of legs. Engineering of application of this routine in the core the same, as a hot thoracal wrapping. In the beginning one leg is enveloped, eliminate stack, a dry moneycomb towel and wet terry (water temperature 70 °s), then a dry loop towel and over all a woollen scarf. Then hot water (again it is possible to 70) and as the second finiteness then the patient put to bed on 30 mines is reversed is added to a foot bath, harbouring thus a blanket. Upon termination of routine the patient should rest in sand bed within an hour.
In events of a triggered arteritis of the lower extremities hot toe wrappings can be applied only after preliminary course of cool wrappings of legs and turpentine troughs, i.e. after at least fractional recovery of a clearance of tanks of legs or development of collateral veins.
Simultaneously with application of hydroroutines it was assigned fruktovo-vegetable and a milk diet, and also collections of the grasss normalising functions of a gastrointestinal tract and possessing spasmolytic and antispastic properties. Smoking and alcohol intake as only under these requirements it was possible to count on recuperation or the significant improving cancelling necessity of a surgical intervention were categorically prohibited.
If the obliterating arteritis combined with a heightened arterial pressure in the beginning reduced pression of a blood by means of a strict fruktovo-vegetable diet and yellow turpentine troughs, and then gradually transferred to the commixed turpentine troughs (tab. 6) if the arterial pressure remains a bit increased, or white turpentine troughs if pression of a blood was completely normalised. In the remaining the same complex of routines, as well as in case of an endarteritis without blood supertension was saved.
Under our observation 152 persons with obliteriru-jushchim an atherosclerosis of the lower extremities were. On age patients were arranged as follows: till 40 years — 17 persons, from 41 till 50 years — 29 persons, from 51 till 60 years — 54 persons, from 61 till 70 years — 31 persons, are higher 70 years — 21 persons. Prescription of disease from 2 till 6 years. The maiden phase of disease (spastic) is discovered in 26 persons, the second phase (tromboticheskaja) — at 104 patients, the third phase (necrotic) — at 22 patients.
At physiological survey prior to the beginning of treatment at the majority of patients the anoxemia, decrease of breathing functions, the significant decrease of range of oscillograms on upper and specially the lower extremities were marked. If in norm ostsshshjatornye indexes averaged for a top and bottom third of anticnemion of 8-15 mm at patients of the yielded bunch they have been reduced by 1-0.5 mm, sometimes to zero point. The Kapilljaroskopichesky pattern at all patients has been distorted.
Through 2-4 mes after an initiation of treatment usually there set in improving in a state of patients: pains were diminished or disappeared, legs became warm, the sleep was normalised, overall health was refined, patients became vigorous, at men the potency (if it missed or has been lowered) was recovered or enlarged. Oscillograms of tanks of extremities clearly were modified not right after treatments, and through 2-3 mes after its termination. At a capillaroscopy blood flow speedup, livelier painting of a hum, magnification of an amount of operating capillary tubes were spotted.
After a complete treatment quite satisfactory state at patients was watched usually within several years, is more rare — during 6-8 mes then it was necessary to iterate all course of treatment again.
I will give two examples of treatment of an obliterating endarteritis.
B th K, 49 years. The diagnosis: an obliterating endarteritis of the lower extremities, a hypotension, a chronic bronchitis, a pulmanary emphysema, a nervosism. Prescription of disease by an endarteritis 4 years. Complaints to severe pains in ikronozhnyh muscles at walking, and recently — night pains in sand beds, prompt fatigability, an asthma at physical strains.
At visual inspection: a state satisfactory, a delivery standard, pulse of rhythmic, 70 beats per minute, an arterial pressure of 95/60 mm Hg. In lungs hardish breath. Pulmonary bulks are diminished, ventilating indexes in norm complete limit, oxygenation of an arterial blood of 92 %. The Base metabolism-8 %. The skin of the lower extremities acyanotic, cold, pulse on groundwater arteries of legs is not palpated. Oscillations of tanks of extremities are lowered (to 0-1 mm). The yielded capillaroscopies: a hum of acyanotic, 6-8 capillary tubes in sight, arterial elbows of capillary tubes are narrowed, venous — are considerably amplate, a blood flow slowed, with frequent blowing-downs. Assayings of a blood and urine within norm.
As medicamental therapy has not yielded appreciable positive takes, the policy of nonspecific treatment on a method of Zalmanova has been followed: white turpentine troughs, hot thoracal wrappings and a 30-day fruktovo-vegetable diet on Birher-Benneru. The time schedule of routines was customary: 2 times a week white turpentine troughs, 4 times in a week hot wrappings of a thorax, 7th day of week — a hygienic trough.
In a month after an initiation of treatment one more routine has been injected — the cold pack of legs has been exchanged by a hot wrapping. After 36 white turpentine troughs there was a pulse on stops, on oscillograms oscillations were enlarged (to 2-6 mm), pains have disappeared, the arterial pressure has raised to 110/70 mm Hg. Functions of exterior breath were normalised, the anoxemia has disappeared (98 %-s’ saturation of a blood by oxygen), a base metabolism has a little raised (to-4 %), kapilljarosko-picheskaja the pattern has come nearer to norm (a hum of pink, 10-12 capillary tubes in sight, a blood flow prompt). After treatment the patient was under observation within 3 years.
B th A, 64 years. The diagnosis: an obliterating atherosclerosis lower konechnstej, a blanket atherosclerosis, an atherosclerotic cardiosclerosis, a hypotension, a chronic anacid gastritis, an arthritis of shoulder joints. Complaints to pains at walking in ikronozhnyh muscles, zjabkost extremities, sharp morbidity and limiting of movements in the field of the right shoulder joint, headaches, a sleeplessness, a sonitus, wilt, prompt fatigability.
At visual inspection: the patient of a standard delivery, a skin and mucosas acyanotic, is roamed slowly, on a stairway the bulk of movements in the field of shoulder joints, specially in right rises with great difficulty, is sharply (because of a pain). Pulse of rhythmic, 60 beats per minute. Cardiac sounds are muffled, an arterial pressure of 100/60 mm Hg. In lungs vesicular breath. A belly soft, painfull in epigastric field. Assayings of a blood and urine within norm.
Breathing bulks are lowered, an anoxemia (91 % of oxygen in an arterial blood), a base metabolism-10 the %, the Yielded capillaroscopies: the hum of cyanochroic, 5-6 capillary tubes in sight, the form of capillary tubes in the form of points and commas, a blood flow is not viewed, podsosochkovyj the stratum is not developed. Legs cold, acyanotic, oscillation on both stops is slackened, oscillations of top and bottom extremities are lowered (0.5-2.5 mm).
The patient had been assigned white turpentine troughs, a diet, and between two courses of turpentine troughs (each course on 20 troughs) and after the second year — cool and cold tonic routines: wipings by cold water, domestic spongings down cold water with the subsequent intense contusion of a skin and self-massage. As a result of treatment the shared state of the patient was considerably refined, pains in extremities have disappeared, the amount of traffic in the right shoulder joint noticeably was enlarged, fatigability has disappeared, the sleep was recovered. The maw has started to operate normally (at the patient necessity to keep to a medical diet has disappeared). The Arterial pressure has raised to 115/65 mm Hg., legs became warm, oscillograms of extremities uluchshichis (3 5-6 mm), breath functions were normalised, an anoxemia has disappeared, a base metabolism has a little raised (-5 %). The yielded capillaroscopies: The hum of light pink, 8-10 capillary tubes in sight, capillary tubes short, crimp, a blood flow prompt, stagnant phenomenons is not marked, podsosoch-kovyj a stratum pink.
After treatment the patient was under observation more than two years at good shared state.
From among sick of an obliterating atherosclerosis (152 people) practical recuperation or the significant improving is attained at 132 patients (tab. 7).
Minor improvement or without results treatment occured only when for whatever reasons it was impossible to spend a full range of indispensable routines. It, apparently, also was at the bottom insufficiently uspeashogo of treatment.
The varicose phlebectasia, phlebitis and thrombophlebites unstrand in connection with stagnation of a venous blood to which one is contributed by the operation connected to the durable stand standing, an inactive conduct of life and to that the similar parents. A haemostasia — one of the parents of a clump of germs and originating of inflammatory process in walls of veins, i.e. a phlebitis and a thrombophlebitis. In this connection nonspecific treatment should be routed on recovery of driving of a blood in veins and revival blanket peripheric krovoobra shchenija.
At treatment of such diseases Zalmanov recommended the hydroroutines eliminating venous stagnation, namely: soda troughs with alum, cold warming compresses on extremities, a heater on field of a liver, the leech, and also a fruktovo-vegetable diet and the collections of medicinal grasses labilising activity of a gastrointestinal tract.
Soda troughs with alum (200 g of soda and 70 g of alum, 15 mines, 38.5 °s) were applied 2 times a week, in remaining days of week before a night sleep made a cold warming compress on 30 mines then on all night long legs swaddled not hard leese: the tobacco cloth added in 4 times, wetted with Acetum solution (2 table spoons 9 %-s’ solutions on 6-8 table spoons of boiled water), then slightly squeezed and superimposed on a striked section of a leg, on top coated with a shallow layer of wad and bandaged.
At the significant phlebectasia and strongly expressed stagnant phenomenons after a serial of soda troughs (20) the policy of yellow turpentine troughs (30-40) was followed. Besides, 2 times a month with a time-out in 2 weeks were assigned 3 milk days at a bed care: each 2 or 3 h on 200 ml of milk or lactate yields (clotted milk, kefir, etc.), only 1 l. Except milk, these days patients did not gain any other nutriment and a drinking. Daily patients used a heater on field of a liver after the main meal (dinner) on 40 mines-1 of a h. Every other day they accepted glauberovu salt on 1.5 teaspoons in 1/2 glassfuls of water. Each 6 weeks applied leeches on legs about venous sites. All these routines actively contributed in recovery of a tonus of veins, blood flow speedup, enlarged a diuresis, took out edemas. Careful observance of the correct regimen of treatment in these events, as a rule, refined a state of the patient and often necessity of operative treatment disappeared.
I illustrate told by two case histories.
B th B., 42 years. The diagnosis: a thrombophlebitis of deep veins of the right anticnemion. Duration of disease 1.5 years. Complaints to sharp pains in right ikronozhnoj to a muscle, so strong that interrupt a night sleep.
The previous treatment (anticoagulants, sedatives) has not refined a state of the patient. At visual inspection: pulse and an arterial pressure in norm, the liver is not enlarged, a belly soft, painless. At a palpation of the right anticnemion there is a sharp morbidity. The clinical assaying of a blood and the assaying of urine within norm. A diuresis of 750 ml a day, it is accepted fluids of 1100 ml a day. Functions of exterior breath in norm, kapilljaroskopicheskaja a pattern without singularities.
Allowing for a blanket satisfactory state of the patient and lack of pathological detrusions of the main survival functions, domestic routines have been assigned only: a hot wrapping of the right leg from a knee to stack on 20 mines before a night sleep, after that a cold warming wrapping of the same place of the right leg on all night long. These routines were made daily. In 10 days of a scelalgia have disappeared, the patient has started to sleep easy at night, freely to walk. Within a year after treatment of backsets of disease it is not marked.
B th P, 78 years. The diagnosis: an ulcerative thrombophlebitis on both legs, a blanket atherosclerosis, a cardiosclerosis, a pulmanary emphysema. Duration of disease by a thrombophlebitis of 6 years. Complaints to severe pains in legs, an asthma, a sonitus, giddiness, a sleeplessness. Medicamental treatment and process of coretraction of veins on the right leg have brought only minor improvement. The patient as before walked with great difficulty and the bulk of day led in sand bed.
At visual inspection: the patient of a standard delivery, a skin and mucosas acyanotic, an arterial pressure of 170/70 mm Hg., pulse of rhythmic, 76 beats per minute, cardiac sounds are muffled. In lungs a bandbox sound, unit dry rhonchuses. In the field of the lower thirds of both anticnemions there are cankers (two on the right leg, approximately on 1 sm across diameter everyone, one on left, a size about 1.5 sm), the skin round cankers infiltrirovana, pigmentirovana, at a palpation is painfull.
At physiological survey the expressed hyperventilation, decrease of oscillation of tanks on top and bottom extremities, blood flow deceleration through capillary tubes is marked. Nonspecific treatment has been routed on recovery of functions of exterior breath (hot thoracal wrappings), a peripheric circulation (the commixed turpentine troughs), and also on abandonment of venous stagnation and improving of operation of venous walls (soda troughs with alum, cold packs of legs), once in 1.5 mes applied leeches on ikronozhnye muscles (on healthy districts).
Routines made in the following order: 40 soda troughs with alum (in 2 days on 3rd) in days, free from troughs, once a hot thoracal wrapping, in other day — a cold warming wrapping of legs. After that soda troughs have exchanged the commixed turpentine troughs, too once in 3 days or 2 times in a week, cold packs of legs abandoned on all night long, leeches on ikronozhnye put muscles of 6 times. Treatment was prolonged within a year without interruption. However effects cost expended transactions: onychalgias have stopped, edemas have disappeared, cankers have cicatrised, remained only a nevus pigmentosus. Headaches and giddiness occurbed very rarely, the sonitus considerably, the asthma in rest has disappeared, the shared state of the patient noticeably was refined. Breath functions were normalised, the blood flow in capillary tubes was accelerated. After treatment the patient was under observation within 2.5 years.
As a whole from 57 patients with varicose phlebectasias, a phlebitis and thrombophlebites at 47 was otmechenr pain extinction in ikronozhnyh muscles of legs, puffiness, stagnant phenomenons in veins (tab. 8).