METHOD OF TREATMENT OF ISCHEMIC STROKE IN ACUITY Russian patent published in 2018 - IPC A61H39/08 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to neurology and reflexology, and can be used in the rehabilitation of patients with ischemic stroke in an acute period. For this purpose, from the 2-3rd day of the patient's stay in the hospital, scalp therapy is carried out in combination with corporeal reflex therapy and auriculotherapy. In this case, if the ischemic stroke in the carotid basin, then with scalp therapy affect the parietal and anterior zones of the scalp from 2 sides, 5 needles per zone. Moreover, in the presence of speech disorders, 3 needles are additionally punctured into the temporal zone on the left and one needle into the symmetrical zone on the right. If the patient is dominated by the right hemisphere of the brain, then vice versa. With psychoemotional and cognitive disorders, the frontal region is further irritated symmetrically from 2 sides. If ischemic stroke is in the vertebrobasilar system, then with scalp therapy affect the lower-occipital and cervical regions. Corporal reflexotherapy includes affecting the following points: in case of paresis of the upper limb – GI (II) 11 qu-chi, alternate with GI (II) 10 shan-sang-li, TR (X) 5 wai-guan, alternate with MS (IX) nei-guan, GI (II) 4 he-ku from 2 sides, GI (II) 15 jian-yu, IG (VI) 3 hou-si, alternate with IG (VI) 4 wan-ku, TR (X) 3 zhong-zhu, PC 107 ba-se on the side of the paresis; in case of paresis of the lower limb, E (III) zuo-san-li, F (XII) tai-chong, R (VIII) 3 tai-si, RP (IV) 6 san-yin-chiao from 2 sides, E ( III) 34 liang-qiu, RP (IV) 10 xu-hai, RP (IV) 9 yin-ling-quan, VB (XI) 34 yang-ling-quan, E (III) 41 zuo-si, PC 136 ba-feng on the side of the paresis. In case of paresis of mimic muscles – E (III) 4 ti-cang, E (III) 6 jia-che, GI (II) 20 ying-xiang on the side of the paresis. Auriculotherapy includes affecting the following points: AP 55 shen-men, AP 95 kidney, AP 100 heart, AP 29 occiput, AP 34 cortex. In the presence of vestibular atactic syndrome – in addition AR 25 brain stem, 2-3 points per procedure. Duration of exposure to corporeal and auricular points is 20–30 minutes by a harmonizing method. Duration of the action with scalp therapy is 4–6 hours with periodic stimulation of the zones by rotating the needles for 1–2 minutes every hour.

EFFECT: invention provides an effective early non-drug rehabilitation of this category of patients by intensifying the effect on cerebral hemodynamics and activating the patient's own compensatory mechanisms.

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