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SCENAR Therapy of chronic insomnia and neurocirculatory asthenia in emergency doctors

Publication: Nondrug medicine – 1/2007, St. Pertersburg, Russia

Authors: A.V. Tarakanov, E. V. Kutovaia, RITM OKB ZAO, Rostov-on-Don, Taganrog

SCENAR Therapy of chronic insomnia and neurocirculatory asthenia in emergency doctors

Sleep has significant influence on personal health status. Sleep disorders – dyssomnia, are regarded as one of the leading medical and social problems [2]. Balance between duration of sleep and wakefulness is one of the indicators of health and working efficiency, and sufficiency of sleep defines personal ability to realize personal life programs [1]. Nowadays  about 30-45% of the population have sleep disorders in many developed countries [5], and only 30% of patients having insomnia resort to doctor’s aid.

Inadequate sleep is always accompanied by a sensation of weakness, tiredness, decrease of working efficiency, daytime sleepiness. According to WHO evaluations direct economic losses connected with treatment of insomnia amounted to about 15 billion dollars in USA in 1995. Economic losses connected with sleep disorder consequences, car accidents, injuries, loss of working efficiency amount to about 150 billion dollars [7].

Influence of forcible sleep deprivation (for example, conditioned by work in shifts or night-time work) on somatic health is still poorly explored.

Emergency doctors who work in conditions of permanent emotional tension and are forced to perform responsible job in condition of time shortage, are a special professional group. Their professional activities are characterized by sleep deprivation, work in shifts, night shifts. Their continuous work is performed in a 24-hour period with a fragmentary sleep or possibility of 3-4-hour sleep. Highly effective final results of doctors’ work can be expected only in case of full health. Regardless of undoubted applicability, health state and problem of full sleep, its influence on doctor’s life quality is insufficiently explored. In publications over the past years we can only see sporadic works dedicated to their health [8].

Chronic stresses, changing the structure of sleep form disposition to various diseases. Under the effect of the stress factor separate structures of nervous system excite, which leads to hypophyseal-hypothalamic functional incoordination with subsequent disorder of neuroendocrinal mechanisms of regulation of cardiovascular system. As a result, functional disorders of vegetative nervous system in patients with high-risk jobs are extremely frequent.

The combination of permanent sleep deprivation and stressful job, prepares the most probable basis for development or progressing a neurocirculatory asthenia. Its basis is genetically determined low adaptation to stressful situations, with multiple homeostatic disorders and disorders of other organs and systems [4]. There are many methods of treatment of such disorders which emphasizes their unsoundness.

We suggested a non-pharmaceutical method of treatment of chronic dyssomnia, combined with neurocirculatory asthenia, with the aid of SCENAR device (ZAO “OKB RITM” ,Taganrog).

Materials and methods of the research. 342 doctors of emergency mobile teams from Rotov-on-Don and district of Rostov were examined during the period of their training. A screening evaluation of the condition of their sleep was performed using Spiegel inquirer adapted in somnology centre of Moscow medical academy “I.M.Sechenov” [3]. The parameters of sleep were evaluated according to 5-grade system with the following categories: Time of dormition, duration of sleep, number of night-time awakenings, quality of the sleep, number of night dreams, quality of the morning awakening. If the total sum of points was 22 and more – it was regarded as normal sleep; 19-21 points – borderline state; less than 19 points – sleep is impaired and a therapy is necessary. Patients with acute inflammatory diseases and with recrudescence of chronic pathologies were excluded from the research, as well as doctors having night shifts at the moment of the questioning.

A part from personal subjective evaluation of the sleep, hemodynamic parameters were examined (systolic, diastolic arterial blood pressure, pulse pressure and mean hemodynamic pressure). According to test results 3 arms of patients were distinguished. Arm 1 (n = 81) – patients with chronic insomnia; arm 2 (n = 96) – patients with borderline sleep disorders; arm 3 (n = 165) – people without sleep disorders.

Inquiry for evaluation of clinical manifestation of neurocirculatory asthenia

Cardiovascular disorders Before the treatment After the treatment
1. Dull, lancinating in cardiac area, with various localization and intensity, connected with emotional tension, cannot be reduced with nitroglycerin.

2. Fluctuations of arterial blood pressure and pulse (more than 20 mm of mercury and 10 beats per minute in the beginning and end of examination)

3. Heartquakes

4. Discomfort in cardiac area

5. Sensation of insufficient inspiration

Cerebral disorders
1.           Headache

2.           Dizziness

3.           Disorders in concentration and memorizing

4.           Sleeping disorders

Emotional disorders
1.           Decrease of working efficiency

2.           Fatigability

3.           Irritability

4.           Anxiety

5. Bad general condition

Final evaluation

 

 

The patients with insomnia were divided into 2 arms with the method of random selection, as the arms were comparable in terms of age, sex, distinctiveness of clinical manifestations of the disease. The patients of arm 1 (53 people) took a soporific medicine  Zopiklon (Imovan) dose size 7,5 mg for 10 days 30 minutes before supposed sleep. The patients of arm 2 (20 people) had a course of SCENAR-therapy with SCENAR 97.4 device. 10 procedures were performed every other day, during the day between 10 and 12 o’clock. In the examined groups patients with somatomorphic vegetative dysfunction of nervous system with neurocirculatory asthenia type were distinguished, which were tested according to the mentioned enquirer (table 1). The suggested enquirer allows to perform qualitative evaluation of clinical symptoms of the disease depending on the extent of their manifestation: 1 point – the symptom is sharply distinct, 2 points – the symptom is significantly distinct, 3 points – the symptom is moderately distinct, 4 points – the symptom is slightly distinct, 5 points – lack of symptom.

The method of SCENAR-therapy consisted in the following. The therapy was performed in a comfortable pose, lying or seated as clothes were previously removed from the treated parts of the body. Two methods of general impact alternated: “three paths six points” and “collar area, forehead, adrenals”.  The use of the first method was grounded on the fact that during the treatment of paths 2 and 3, SHU points of the back (points of consent), which are located on the canal of urinary bladder, are included in the area of SCENAR impact. The route of path 1 is an unpaired posteromedian meridian.

The method “collar area, forehead, adrenals” also refers to areas of general impact. It is performed the following way. The movement of the electrode in vertical position starts from the hairy part of the head downwards according to the pattern, without skipping cutaneous surface (tegularly). In the beginning left area is treated, then the right one. Treatment can be performed for 5 to 15 minutes.

When passing through the mentioned routes, sticking of the appliance is possible, just as during the treatment of “three paths, six points”. In this case the electrode should not be pulled away from the skin, but held on it until its further movement becomes possible. If the appliance does not stick, then other asymmetries can form. These places are processed additionally until the initial characteristics of the asymmetry change.

Further the forehead is processed using the application method for one or two minutes for positioning the electrode. The electrode should be put as closer to the hairy part of the forehead as possible. The third location of treatment under this method is the projection of adrenals. Period of processing – one to three minutes.

Symptoms which presently disturb the patients are important for SCENAR-therapy. For this reason, after processing the general area, areas which disturb the patient are processed. So-called asymmetries are a typical characteristic of SCENAR-therapy – local changes in the processed area: “sticking” (the electrode seems to stop “moving along the skin” or a sensation of sticky skin occurs) change of the colour of the cutaneous covering (hyperemia or paleness) or changes in patient’s sensations (painful or indolent area); change of the device’s sound when moving the electrode along the skin (increase or lack of sound), small asymmetry; asymmetry with limited surface of manifested differences. These are the symptoms to which special attention should be paid when performing additional treatment on places of their manifestation.

Table 2

Influence of Zopiklon and SCENAR-therapy on personal evaluation of the quality of sleep

Characteristics

of sleep

Personal evaluation of the sleep, points
Arm 1 – Zopiklon Arm 2 – SCENAR
Before treatment After treatment Before treatment After treatment
1. Time of falling asleep 2.7 ± 0.3 3.8 ± 0.2* 3.3 ± 0.2 4.1 ± 0.1*
2. Duration of the sleep 2.8 ± 0.3 3.4 ± 0.2 2.8 ± 0.2 3.4 ± 0.2
3. Number of night-time awakenings 2.6 ± 0.4 3.9 ± 0.4* 2.5 ± 0.3 3.9 ± 0.2*
4. Quality of sleep 2.6 ± 0.2 3.9 ± 0.2* 2.7 ± 0.2 3.8 ± 0.3*
5. Quantity of night dreams 2.9 ± 0.3 3.9 ± 0.3* 3.1 ± 0.3 4.2 ± 0.2*
6. Quality of morning awakening 2.8 ± 0.4 3.9 ± 0.3* 2.3 ± 0.4 3.6 ± 0.3*
Total evaluation 16.3 ± 0.9 22.7 ± 0.6* 16.6 ± 0.8 23.1 ± 0.5*

p<0.05 compared to values in the same arm

Clinical manifestation of neurocirculatory asthenia in patients before and after the treatment

Symptoms, points Arm 1 – Zopiklon Arm 2 – SCENAR
Before treatment After treatment Before treatment After treatment
Cardiovascular disorders
1.Cardialgia 2.0 ± 0.3 2.1 ± 0.2 2.1 ± 0.4 4.5 ± 0.2*
2. Fluctuations in blood pressure 2.6 ± 0.3 2.5 ± 0.3 2.5 ± 0.3 4.2 ± 0.4*
3. Heartbeats 3.4 ± 0.4 3.4 ± 0.4 3.3 ± 0.4 4.3 ± 0.3*
4. Discomfort, pains in cardiac area 2.1 ± 0.3 2.3 ± 0.3 2.2 ± 0.4 4.8 ± 0.4*
5. Sense of insufficient inspiration 2.9 ± 0.3 3.1 ± 0.3 2.8 ± 0.2 3.6 ± 0.3*
Cerebral disorders
1. Headache 3.2 ± 0.3 3.5 ± 0.3 3.1 ± 0.3 4.7 ± 0.4*
2. Dizziness 4.1 ± 0.2 3.9 ± 0.2 3.9 ± 0.3 4.8 ± 0.3*
3. Concentration and memorizing disorders 3.5 ± 0.4 3.2 ± 0.3 3.7 ± 0.4 4.0 ± 0.3*
4. Sleep disorders 2.1 ± 0.3 4.6 ± 0.3* 2.0 ± 0.3 4.9 ± 0.4*
Emotional disorders
1. Decrease of work efficiency 2.2 ± 0.3 4.2 ± 0.4* 2.4 ± 0.3 4.3 ± 0.3*
2. Fatigability 2.3 ± 0.2 4.1 ± 0.3* 2.6 ± 0.3 4.1 ± 0.4*
3. Irritability 2.5 ± 0.2 4.6 ± 0.5* 2.6 ± 0.4 4.8 ± 0.4*
4. Anxiety 2.4 ± 0.3 3.7 ± 0.3* 2.5 ± 0.3 4.1 ± 0.3*
5. Bad general condition 2.4 ± 0.4 3.7 ± 0.3* 2.3 ± 0.3 4.2 ± 0.4*
Total evaluation 37.6 ± 3.4 49.1 ± 3.8* 38.0 ± 3.1 61.3 ± 4.3*

Note* P<0.05 compared to values in the same group

Statistical processing of the results was performed on a personal computer using packages of statistic programs ARCADA, Microsoft EXCEL XP and STATISTICA for Windows 6.0. The research of quantitative indications was performed using the comparative method between mean values of 2 randomly selected combinations defining the criteria of Student and the significance point (p). Differences whose significance points were p<0.05 were recognized statistically reliable.

Results of the research. As can be seen in Table 2 use of soporific medicine and SCENAR-therapy for treatment of chronic insomnia reliably improved almost all the subjective characteristics of sleep (excluding its duration). The comparative analysis of the results showed that SCENAR-therapy influences mostly intra- and postsomnic disorders. The number of night-time awakenings in patients which were treated with dynamic electrostimulation decreased with 56% and the perception of the morning awakening improved with 56.5%. These values changed to a smaller extent in the arm of the patients who took Zopiklon – 49 and 39.3% (p<0.05) respectively.

The dynamics of complaints in patients with neurocirculatory asthenia after the treatment is shown in Table 3. Analysing the obtained data we can note that the soporific medicine Zopiklon normalizes the sleep and contributes to decrease of asthenoneurotic manifestations in patients of this group. However, Zopiklon has very little influence on somatic complaints and the cerebral and cardinal symptoms do not change. Significant regress can be seen only in emotional disorders.

Improvement of the parameters reflecting the clinical picture of neurocirculatory asthenia can be seen in all the patients who had been treated with SCENAR. The systemic condition improves, pain sense in cardiac area disappears as well as the headaches and heartquakes, arterial blood pressure stabilizes. Full sleep also leads to decrease of asthenoneurotic manifestations and emotional disorders. These changes are reliable.

The presented results of the results showed that electroneurostimulation with SCENAR 97.4 device for treatment of chronic insomnia is not let less efficient than the modern soporific medicine Zopiklon.

Neurocirculatory asthenia is a disease which has always been regarded as a disease of anima, not a disease of body because its morphological substrate still remains unknown. So far, a unified terminology has not been developed for this functional pathology. In Russia, G.F.Lang was the first who mentioned this disease in 1950, and it was called prehypertonic neurocirculatory syndrome. The term of “neurocirculatory dystonia” and its division into hypertonic hypotonic and cardinal types was proposed by N.N.Savitsky (1963).

According to modern definitions, neurocirculatory asthenia is a pluricasual disease. Numerous aetiological factors cause disintegration of neurohormonal metabolic regulation of cardiovascular and other systems, first of all on the level of cortex, hypothalamus and limbic area. Disorder of functional condition of hypothalamic and limbic reticular area leads to disorders in functions of vegetative nervous systems and their sympathetic and parasympathetic parts, which conditions development of basic clinical symptoms, distinct for neurocirculatory asthenia.

In this connection the therapeutic program for neurocirculatory asthenia is represented by a range of pharmaceutical and non-pharmaceutical methods of treatment. This includes etiotropic therapy, rational psychotherapy, and auto-training. Normalization of impaired functional relations of the cerebral limbic area, hypothalamus and visceral organs is achieved with the contribution of anxiolytics, tranquilizers, neuroleptics and nootropics. Decrease of hyperactive sympathoadrenal system is recommended to be performed with the aid of beta-adrenoblockers. Phytotherapy, physiotherapy, balneotherapy, massage, and acupuncture are widely applied. Systemic activities are recommended: healthy diet, healthy lifestyle, climatotherapy, and tempering. Biological feedback is adopted [6].

Over the past years magnetic laser therapy has been actively used. Nowadays new, little known by the community of doctors, physiotherapeutical methods of treatment are developed for therapy of neuricirculatory dystonia, such as “infitatherapy”, nasosympathicotherapy, transcranial analgesia, device methods of psychological correction. This list creates the impression that everything helps in therapy of neurocircular asthenia and this fact emphasizes that most important are the methods starting mechanisms of sanogenesis.  In our opinion, SCENAR is a universal tool to start these mechanisms which can be seen in its efficiency at monotherapy of the listed group of patients.

Conclusion. Use of Zopiklon and SCENAR-therapy has similar positive therapeutic effect on insomnia in emergency doctors. However, the effect of elimination of symptoms of neurocirculatory asthenia is complex. The change of patients’ condition after the treatment proves that SCENAR-therapy has general regulating influence on organism’s physiological systems. Treatment of reflexogenic areas and biologically active points contributes to decrease of clinical manifestations of neurocirculatory asthenia and improvement of quality of life. Good acceptability of SCENAR-therapy should be noted: during the research none of the patients cancelled the treatment or treatment was not cancelled due to side effects. The effect of SCENAR-therapy lasts for 1-4 months, which requires permanent supporting therapy. This is also connected with the fact that doctors start their usual jobs.

Bibliography:

1. Agadzhanyan NA, Petrov VI, Krayushkin SI, Radysh I.V. Time characteristics of the intensity of lipid peroxidation in women // Human Ecology - 2000 - No. 2 - pp. 12 - 13.
2. Vlasov NA, Vein AM, Aleksandrovsky Yu.A. Regulation of sleep - Moscow: Nauka, 1983 - 231 p.
3. GV Kovrov and SI Posokhov. Typology of objective disturbance of night sleep with insomnia // General questions of neurology and psychiatry - 1997 - No. 4 - P. 7-10.
4. Kulikov A.M. From "neurosis of the heart" to somatophane vegetative dysfunction: Evolution of ideas // Russian family doctor - 1999 - No. 4 - with. 23-28.  
5. Levin Ya.I., Wayne A.M. Problems of insomnia in general medical practice // Ros.Med.Zhurn. - 1996 - No. 3 - with. 16 to 19.
6. Makolkin VI, Abbakumov S.A. Diagnostic criteria of neurocirculatory dystonia // Klin.Med. - 1996 - No. 3 - with. 22 - 24.
7. Manikovsky TB, Burchinsky SG Ivadal - a drug of choice for therapy of situational insomnia - Kiev, 2002.
8. Nizamov IG, Prokopiev VP On the health of doctors. 1991.
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A Holistic Approach and Scenar to Treat Lameness in a Horse

https://www.positivehealth.com

A Holistic Approach and Scenar to Treat Lameness in a Horse

by Roger S Meacock  listed in animals, originally published in issue 165 – December 2009

 

Abstract
The following case study demonstrates how a lateral-thinking approach to equine lameness can often result in a successful conservative approach to treatment avoiding radical surgery. In this Case, corrective dentistry and farriery combined with Scenar treatment resulted in a full return to athletic work without the need for a neurectomy. Bob rasping pony teeth

Full Case Study
F was a 7 year old gelding horse that had gone lame on the left hind leg. The conventional approach of box rest for a couple of weeks, alongside a course of non-steroidal anti-inflammatory (Phenylbutazone) had provided only temporary relief. F was referred to the renowned Animal Health Trust for a full lameness work up. He was observed when trotted up and under saddle, and subsequently had a series of local anaesthetic nerve blocks on the left hind leg to sequentially numb the leg from the foot up towards the hip in order to establish where the lameness was centred. It was commented in the subsequent report that F was not keen on taking a mouth contact with the bit, but no relevance was attributed to this.

Inflammation of the high suspensory ligament of the left hind leg was identified and confirmed on ultra-sound. A peri-neural local anaesthetic to the nerve supplying the ligament resulted in F coming sound. F was recommended to have a neurectomy of the deep branch of the plantar nerve and plantar fasciotomy, which means that the nerve
to the suspensory ligament would be cut and the soft tissue around the ligament trimmed to enable the ligament to move more freely. This procedure was given a 70% chance of success based on previous success rates of past horses having this procedure returning to athletic work. This procedure is banned under British Show Jumping Association rules and also at FEI level competition.

F’s owner decided that this was a rather drastic treatment of what had only been a relatively mild hind limb lameness. After searching on the internet, F’s owner approached Natural Healing Solutions to see if there was an alternative treatment option.

A more holistic approach to F’s lameness discovered that F had some dental issues that were creating discomfort with the bit in F’s mouth, causing him to constantly bend his head to the left and put more pressure through the left hind/right fore diagonal. It was also causing F to carry his weight further back than normal, and put more pressure than usual on the back legs. These two factors together meant that the left hind leg was taking more than its fair share of F’s weight. Not surprisingly, this extra strain was increasing wear and tear on the soft tissue structures of the leg, and the high suspensory ligament in particular. It was also discovered that the medio-lateral foot balance was not as good as it should have been, which altered the forces generated by moving from going straight up the leg and was putting more stress on the soft tissue structures.

Checking F with Scenar confirmed there was a problem with high suspensory ligament of the left hind leg and also to a lesser degree with the left stifle (knee joint). Scenar also revealed that there was an issue with the front right superficial digital flexor tendon which would also encourage F to take most of his weight on his back legs.

 

Roger treating with scenar

Scenar uses the body’s own nervous system as a means of detecting pathology and activating natural healing processes. Scenar monitors body electrical resistance and tissue frequency in an ongoing manner to efficiently correct any pathology in line with the body’s response to treatment. Scenar signals are altered according to individual responses such that each patient receives an individually tailored treatment. It is these properties that make Scenar an extremely effective tool for locating problem areas and initiating self healing whilst providing pain relief. C-fibres of the nervous system have the highest threshold of excitement and correspond to approximately 85% of all nerves within the body. They are involved in the production and distribution of neuropeptides (NPs) and other known regulatory peptides (RPs). The Scenar, with its high current amplitude impulse, activates more C-fibres than other electrotherapy modalities. Stimulation of C-fibres causes a release of RPs, including NPs and endorphins. It is therefore not uncommon for horses being treated to become very calm and relaxed as if sedated, and is a good indicator that treatment is correctly located on the body and will be effective. Neuropeptides (NPs) have been found to be the fourth most numerous group of neuromediators. Their action in both the peripheral and central nervous systems has become ever increasingly recognized. They are responsible as a group for a wide range of regulatory processes. In-depth studies of NPs has always found an action on the genome activity. Healing is therefore being triggered at a very fundamental level. NPs are also peculiar in that they persist significantly
longer (from tens of minutes for short-chain peptides to tens of hours for long-chain peptides) than other neurotransmitters such as acetyl-choline (10-2 seconds). This, combined with the fact that NPs degenerate down a cascade of biologically active compounds, explains the observations with Scenar where effects are long-lasting and can improve not only the imbalance being addressed, but also distant problems.

Holistic treatment began by doing corrective dental and farriery work so that when the high suspensory ligament recovered, F would be happy to carry himself straight and in a more balanced way with regard to his front/back weight distribution than before. This reduces the risk of recurrence of this condition. Scenar treatment was applied to all the areas that it had identified as having problems, but primarily the high suspensory ligament area. Treatment was carried out every 2 weeks for 2 months alongside gentle exercise throughout. F made a full recovery. He has returned to a higher level of athletic performance than he was previously achieving even when he was considered to be sound. This case is typical of many successful results achieved for this and other similar conditions by the author and his para-professional team. Unfortunately many more horses have been operated on, largely unnecessarily in the author’s opinion. The author also questions the reliance that can be placed on local anaesthetic nerve blocks high up a horse’s leg. With only a 70% success rate for horses with a sectioned nerve that went sound on local anaesthetic nerve block during the diagnostic procedure, it begs the question do horses go sound by moving from memory once they lose proprioception above a certain level on a limb?

This case history not only highlights the usefulness and effectiveness of Scenar for treating horses, but also that its role is most effective when combined with a more lateral-thinking approach to health with the understanding that all parts of the body are affected by dis-ease, and that all areas must be assessed in order to get a full understanding of the pathological process. Removing obstacles to cure (by correcting dentistry and farriery in this case) is as important for any adverse health condition as finding the correct treatment procedure if a lasting cure is to be achieved. It also highlights the ethics of doing procedures such as sectioning a nerve just because modern medicine has identified that it can be done. Such quick fixes rarely turn out to be so in the long run, and frequently create their own issues.

 

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Activation of antimicrobial endogenous protection in patients with pyogenic surgical pathology

Activation of antimicrobial endogenous protection in patients with pyogenic surgical pathology

Publication: Current problems in surgery, Abstracts from the II Conference of the Department of surgical diseases, State Medical University of Rostov, Rostov, 2006, Russia

Authors: Tarakanov A.V., S.H. Luspikayan
Chair of emergency aid at department of postgraduate education,; Emergency aid hospital– 2, Rostov-on-Don

Purpose of the work: to research the activity of “respiratory explosion” of neutrophiles as an indicator of endogenous antimicrobial protection in patients with suppurative inflammation at SCENAR-treatment.

Regardless of the existing methods of treatment of pyogenic surgical pathology, the frequency of unfavourable outcomes of surgical interventions does not trend to decrease. The choice of this method is conditioned by the fact that SCENAR (self-controllable energy-neuro-adaptive regulator) has an impact on the complicated, multi-level and multi-component system of neurophysiological, neurochemical and immunological mechanisms and contributes to productive activation of regulative, protective and informational substances in organs and tissues. The essence of the “patient- device” system is impact on adaptive processes of the organism and their harmonization. In the process of SCENAR-treatment, neutrophiles are activated, as well as oxydase of the plasmalemma, which start a series of metabolic reactions characterized as “respiratory explosion”. This term shows the fast change of neutrophiles’ metabolism with actiovation of cellular myeloperoxydase. The myeloperoxydase catalyzes the process of hydrogen peroxide’ transformation into hypochlorite which destroys the walls of bacterial cells and this way destroys the bacteria.

Materials and methods: A course of SCENAR-therapy consisted of 5 procedures. The therapy was applied for post-surgical patients with suppurative complications, as the general conventional therapy was inefficient. Each procedure was accompanied by activation of biologically active points located in the area of the palms and feet, 10 minutes for each area, with processing of projection of the liver. The examinations were performed in a group consisting of 21 people: 11 men and 10 women, aged 18 to 87. In most of the patients pyoinflammatory diseases of organs of abdominal cavity were registered – 13 patients; 8 patients with wounded infections; grave complications (sepsis) were registered in 2 patients. Comparative characteristic was performed before and after SCENAR-therapy. All the patients had symptoms of intoxication – febrile temperature, headache, atony, weakness, signified pain syndrome.

Results of the research: After the first procedure, in most of the patients (13 people) a trend to temperature decrease was registered, as well as improvement of general somatic condition; normalization of the temperature curve is registered in 20 patients after the 3rd procedure.
The analysis of values of the blood picture also showed a distinct positive dynamics which correlates with the values of the temperature curve and this fact is evidenced by leukocytosis decrease and ESR in 13 patients after the 1st procedure; in 4 patients a counterreaction was registered – activation of bacterial process; paraclinic data was without dynamics in 4 patients, which possibly is connected with the fact that the clinical researches were performed with patients who were in different phases of the inflammatory process’s activity.
Additionally, in the process of SCENAR-therapy, change in functional metabolic activity of neutrophiles is noticed, which manifests as increase of meyoloperoxidase activity in 18 patients, and this fact evidences about increase of neutrophiles’ bactericide activity. A change in values of cellular chemical luminescence (it increase) was also noticed in 17 patients.

Conclusions:
1. A high clinical efficiency of SCENAR-therapy was ascertained in patients with pyogenic surgical pathology on the background of inefficiency of the general conventional therapy; the positive effect at reducing of pain syndrome and symptoms of intoxication was also noticed.

2. Normalization of paraclinical values (WBC differential, ESR) progresses in shorter periods.

3. During the process of SCENAR-therapy, dynamics of myeloperoxidase activity changes (increase), which evidences about increase of neutrophiles’ bactericide function.

4. The obtained data of cellular chemical luminescence increase, evidences about a start of metabolic reactions known as “respiratory explosion”, which leads to cellular activation and phagocytic migration to inflammatory tissues.

The effectiveness of SCENAR therapy in complex treatment of duodenal ulcer, and the mechanisms of its action

 2006;84(7):35-41.

The effectiveness of SCENAR therapy in complex treatment of duodenal ulcer, and the mechanisms of its action

[Article in Russian]

Abstract

A new technique of low-frequency modulated electric current therapy, SCENAR therapy, was used in treatment of 103 patients with duodenal ulcer (DU). The influence of SCENAR therapy on the main clinical and functional indices of a DU relapse was studied. It was shown that SCENAR therapy, which influences disturbed mechanisms of adaptive regulation and self-regulation, led to positive changes in most of the parameters under study. Addition of SCENAR therapy to the complex conventional pharmacotherapy fastened ulcer healing, increased the effectiveness of Helicobacter pylori eradication, and improved the condition of the gastroduodenal mucosa.

THE EFFECTIVENESS OF SCENAR BIOFEEDBACK TRANSCUTANEOUS ELECTRONEUROSTIMULATOR IN TREATMENT OF BURN PATIENTS

Published in: “Emergency Medical Aid” – Russian research and practice journal, 2006, volume 7, No.3 – p. 138.

Authors: Yurova Y.V., Tarakanov A.V. Research and development institute of emergency medical aid “I.I. Djaneridze”, St. Petersburg, Russia.

Title: The effectiveness of SCENAR biofeedback transcutaneous electroneurostimulator in treatment of burn patients

Key words: SCENAR therapy, burns, analgesia

Annotation: Results of analgesic effect of therapy with SCENAR in 40 patients with II – III B-degree burns, combined with non-narcotic analgesics is compared with the effect of analgesics as monotherapy. A description of the methods of SCENAR-therapy is given for this category of patients. The authors come to a conclusion that in combined therapy the analgesic effect occurs faster and it is more durable.

THE EFFECTIVENESS OF SCENAR BIOFEEDBACK TRANSCUTANEOUS ELECTRONEUROSTIMULATOR IN TREATMENT OF BURN PATIENTS

Self-controlled energoneuroadaptive regulator SCENAR is designed for therapeutic non-invasive actions with use of electric impulsive current on cutaneous covering and human mucosae aiming to perform general regulatory effect on body’s physiological systems for wide range of pathologies, directing body’s reactions to restoration of impaired functions and to activate body’s resources. Researches made in recent years have found out that biological influence of impulsive effect includes various phenomena referring to the impact of the active factor on morphological and functional condition of the tissues and intracellular metabolism. High-amplitude electric signal has a severe impact which activates nerve fibers with no deleterious effect due to its short continuance.

Research objective

Defining the analgesic effect of SCENAR therapy in burn patients with combined therapy of non-narcotic analgesics, compared with the effect of non-narcotic analgesics as monotherapy.

Materials

The research was performed in 40 patients (13 men and 27 women), who were being treated in the Thermal damage Unit at the research and development Institute of Emergency Medical Aid “I.I. Djaneridze”. Patients with scalds – 23, with flame burns – 15, contact burns – 2. The control group of 23 patients was only prescribed non-narcotic analgesics as analgesic treatment, 10 minutes after bandaging. The primary group of 17 patients was prescribed a combination of the above-mentioned analgesics and SCENAR-therapy.

Methods

In II-degree burns the device’s electrode was applied onto the bandage directly on the burnt area. SCENAR processing was performed during bandaging at the burn periphery in patients with III-A –III –B degree burns. When the bandages were applied, the intact symmetric cutaneous areas were processed with SCENAR in the modes of “Swept Frequency”, and ‘Comfort Effect”. Subjective sensations in the areas of the burn wounds were controlled in all patients before and after the procedure for two days (till the next bandage application).

Research findings

When a combined analgesia was used, the analgesic effect could be noted in 5 patients in 10 minutes; 10 patients had the effect in 10-20 minutes, and in 20 minutes after the injection – in 1 patient. The duration of the analgesic effect in patients of the primary group was as follows: 5-6 hours in 11 patients; 3 hours in 2 patients; more than 6 hours in 3 patients. Following results were found in the control group: Analgesic effect with analgesics occurred as follows: 30-40 minutes in 8 patients; 1 hour in 5 patients; the duration of the analgesic effect did not exceed the limit of 2-3 hours.

The results evidenced that painful sensation was reduced in 94% of the primary group (16 patients). In the control group, where non-narcotic analgesics only were used as analgesic therapy, a sufficient analgesic effect was noted only in 56% of the patients (13 patients). 44% of the patients (10 people) asked for additional analgesic injections due to pain complaints. Idiosyncrasy to eradiated electric current when treated with SCENAR was found in 1 patient (unpleasant sensations in the affected area). One patient refused to be injected – SCENAR treatment was sufficient to eliminate painful sensations in wounds.
Thus, the produced results can be used as evidence of fast effect and prolonged action of injected analgesics in combination with SCENAR. SCENAR-therapy is effective as a combined treatment in burn patients and further research seems to be appropriate.

Analgesia With Device For Sensory Restoration

Abstracts of the 18th MASCC International Symposium

Support Care Cancer (2006) 14: 583–687 DOI 10.1007/s00520-006-0078-x

21-146
Analgesia With Device For Sensory Restoration.

Boris Zaidiner1, Ilya Baranovsky2, Alexei Dmitrenko31 City Cancer Hospital, 2Medical unit “Zdorov’e”, 3City Cancer Hospital

Background: Cancer pain relief has still some problems. In the attempt to contribute solving them, we have presented data on the usage of the new device which was designed for sensory system restoration with transcutaneous electrical stimulation; its analgesic activity was accidentally noted in some patients (pts).

Methods: Our preliminary trial was conducted in 34 pts (men 16, women 18; mean age 55.3) who had various nosologic forms of malignancies with chronic pain syndromes. As was verified, the origin of pain was caused by generalized cancer process (tumor growth and/or remote metastases) in all cases. The pts were administrated analgesic drugs with WHO recommendations but they continued to suffer from pain. After signing the informed consent these pts received additional therapeutic course which consisted of 10…15 procedures.

For the resuIts of this treatment to assess pain intensity (PI) and pain relief (PR) were recorded. PI was evaluated with categorical rating scale (CRS), its range varied from 0 (“no pain”) up to 10 (“pain as bad as I can imagine”). PR was rated
using 5-point scale; its range was from 0 (“none”) to 4 (“complete”).

Results: The average baseline CRS score was 6.1. In 23 pts of 34 (67,6%) good results were achieved: CRS < 3 and PR 3…4 with reduction of drug usage. 8 pts (23.5) had moderate results: CRS 3…5, PR 2; in 3 pts the results were bad (CRS > 5, PR 0…1). Besides pain relief depressive symptoms were regressed in 17 of 26 pts who had such disorders; this antidepressive action was confirmed with both clinical observation and data on routine HAM-D scale (?50% declining).

Conclusion: The new device is useful in cancer pain relief as a part of comprehensive therapeutic program. Its exact position here will be established in the randomized placebo-controlled study that is being conducted now.

 

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SCENAR in der Anwendung bei muskulo-skelettalen Beschwerden

The article is in German language

SCENAR in der Anwendung bei muskulo-skelettalen Beschwerden

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SCENAR AND BURN PATIENTS. MECHANISM OF ACTION IN TERMS OF THE FUNCTIONAL SYSTEMS THEORY

SCENAR and burn patients. Mechanism of action in terms of the functional systems theory.

Published in: Non-pharmaceutical medicine – 2006 – No. 4 – pp. 23-25.

Author: Tarakanov A.V. ZAO OK “RITM”, State University of Rostov-on-don; Taganrog

Key words: SCENAR-therapy, skin burns, polyparametric signal, functional system

Annotation: The article studies the effectiveness of different methods of SCENAR-therapy in 96 male patients at the age of 18 to 80 with heat injury. During the research, SCENAR was used applying 3 different methods described in the article, in three groups of patients as both combined therapy and monotherapy. Parameters of oxidative-antioxidative blood systems were studied; general clinical examinations, planimetry, and photo registration of burn wounds were performed before and after the treatment. The author suggests a hypothesis on SCENAR’s performance in heat injuries. He hypothesizes that the effectiveness of different methods of SCENAR-therapy is implemented through polymarametric signal which allows the brain to start a system of non-specific activation and makes the functional system of dermal recovering become complete and closed, respectively functioning. SCENAR-therapy also has a local multifunctional effect.

Importance of the matter. Skin as an organ developed from the same germinal layer as the brain and acts as its continuation and receptor screen which connects us with and detaches from the outside world. Dermal functions are very different: mechanical protective function, receptor (pain, sense of touch, temperature etc), thermoregulatory, respiratory, external secretory (sweat and oil glands), chromogenetic, endocrine, immune, and excrectory. Skin has energetic functions which are insufficiently explored but widely used by reflexologists in practice. Biologically active dots, interdot spaces, and spaces over the skin take part in the performance of these functions.

In terms of integral positions, the skin is a “peripheral brain” and the most intellectual body’s membrane. All the events in the body reflect as different symptoms on the skin, and vise versa! This is why, neural, humoral, and probably energetic and holographic mechanisms were created by the nature. A mechanism of self-regeneration is also genetically programmed in the skin.

The damage of the cutaneous covering caused by diseases and traumas results in deprivation of many functions. The loss of skin due to burn traumas seems to be the most dramatic one. A burn, as a mighty stress, is combined with pain, loss of plasma, contamination, and intoxication.

The analysis of the modern therapeutic methods and the materials of conferences and symposia show that methods of sanogenetic activation of body’s own adaptive abilities are rarely used. We believe that the method of SCENAR-therapy could successfully take its place in this niche (SCENAR – Self-Controlled Neuroadaptive Regulation).

Research objectives – to study the effectiveness of different methods of SCENAR-therapy in patients with heat injuries. To suggest a hypothesis of SCENAR-effect in heat injury.

Materials and methods of research
The research was made in the Heat Injure Centre of Rostov-on-Don, Burn Centre at the Research Institute of Emergency Medical Aid “I.I. Djaneridze” (St. Petersburg) and Burn Centre of Saratov.
The research was made from 2001 to 2006, and 96 male patients at the age from 18 to 80 were examined. Parameters of oxidative-antioxidative blood systems were researched, general clinical examinations, planimetry and photo registration were performed before and after the treatment.

The general scheme of SCENAR-therapy was as follows: burn surfaces and edges of the wounds were not processed with SCENAR. The treatment was performed as a combined and in some cases as an independent method. Individually and subjectively measured modes were applied. The remaining intact skin was processed using 3 different methods in 3 groups of patients.

Method 1. (Face and back which were not burn-damaged). “3 paths and 6 points” were altered every second day with the neck and collar zone, plus skin zones symmetrical to the burn wound were processed if possible [1].

Method 2. (Intact palms and plantae). Electrodes – spread, sized 3×10 cm: each manipulation was combined with processing of dermal zones located in the area of the palms (thenar, hypothenar) and the feet (the zone under the pollex in the area of regioplantarispedis) by 10 minutes each; final processing – the dermal projection of the liver – 10 minutes.

Method 3. (Affected or/and unaffected palms and plantae) Electrodes – spread, sized 3×10 cm: each manipulation was combined with processing of dermal zones located in the area of the outer medium surface of the shank, medium inside part of the forearm by 10 minutes each; final processing – dermal projection of the liver or the zone symmetrical to the burn – 10 minutes.
The course of the SCENAR-therapy consisted of 10-15 procedures every day.

Results and discussion
During the use of all SCENAR-therapy methods, improvement of clinical blood value was stated, the anti-oxidative potential (with a reliable increase of superoxide dismutase and catalysis of erythrocytes, and with decrease of medium mass molecular concentration) restored. Enhance of granulation tissue growth and boundary epithelialization was stated in singes. A manifested enhance of wound cicatrization due to its rapid cleansing was also stated.

Facts of initiated recovering process in patients with serious concomitant diseases, and the torpent, areacive course of the burn disease are an important clinical observation. During the experiment with SCENAR-therapy, a decrease of the genotoxicity of the mutagenesis in burn wounds and positive effect on proliferous tissue activity was observed [2].

A manifested analgesic effect, prolongation and potentiation of the effect of narcotic analgesics with decrease of the dose were stated [6].

It is important to note that SCENAR-therapy is a comfortable sanogenetic method of treatment. There is no need to process the burn surface or the surfaces around the burn, which is almost impossible with bandages and necrectomy [4].

To explain the effect of SCENAR-therapy in different methods of treatment, we suggest a hypothesis fitting one of the forms of the systematic approach. This is P.K.Anokhin’s functional systems theory [3,5].

Significant damage in dermal functional system (as an organ) is stated in cases of burn. This means diminution of afference, deprivation of information about the outer environment, impossibility of proper thermal exchange regulation, changes in tactile and pain sensitivity, damage in energy exchange between the body and the outer environment, decrease of the protective function, appearance of “gates” through which protein and electrolytes are lost, infection and intoxication.

Apart form this, a big wound surface causes supertension of cerebral antinociceptive system to decrease input of information from the burn wounds tissues. According to our hypothesis, a functional “denervation” of all the skin happens, and its functional rejection develops. The body and the brain stop “seeing” it. The functional system breaks down. Retarded regeneration follows, as well as soft and areactive course of the burn disease.

In this situation SCENAR acts as a system-forming receptor factor. The device generates bipolar high-voltage impulses without a constant component. The impulses change depending on the dermal condition and its corresponding internal organs and tissues on the grounds of biotechnological feedback.
A specific for SCENAR-therapy effect of dermal electrostatic vibration (return acoustic effect) is also stated. For the body, this is a permanently new, structurally changed by itself effective signal. The return afference to the brain from SCENAR is marked by numerous parameters.
Apart from an electric stimulus in itself, SCENAR-therapy includes pain, thermal and tactile excitation in its effective complex.

It is necessary to note that local mechanisms of regeneration startup exist. They function in dermal denervation, too, for example, in spinal patients. Local dermal processing around the wound would probably be successful.

The architecture of dermal functional system is a cyclic closed self-regulated organization. Its main point is the positive adaptive result: a permanent recovery of the lost elements and performance of its specific functions. Deviations from the result are perceived by the receptors. In burn wounds they do not exist, they are destroyed.

Thus, SCENAR eliminates afference diminution, sends signals to the nerve centres about the remaining unaffected skin, gives non-coded unrecognized information through its polyparametric signal. This allows the brain to start a system of non-specific activation, and gives a targeted signal through specific zones (Su-Jock method) and through biologically active points, and gives a local multifunctional effect. SCENAR-therapy makes the functional system of dermal restoration become close, hence active.

Bibliography
1. Gorfinkel Y.V. Theoretical and practical bases of enhanced effectiveness of SCENAR-therapy//SCENAR-therapy and SCENAR-expertise: compilation of articles – No. 2, Taganrog, 1999, pp. 16-18
2. Makletsova M.G., Grinberg Y.Z. Mirzoyan A. and others, Influence of SCENAR-processing on the level of chromosome aberrance and mitotic index in eye cornea, bone marrow and rats’ testicles after burn traumas//SCENAR-therapy and SCENAR-expertise, compilation of articles, – No. 8, Taganrog, 2002, pp. 26-30.
3. Introduction to the physiology of functional system/ Edited by Sudakov K.V. – M.: Medicine, 1983 – p.272.
4. Tarakanov A.V., Grinberg Y.Z., Egorova O.A., Mlyutina N.P. Possibilities of early rehabilitation in burn patients with use of SCENAR-therapy// Emergency Medical Aid, 2006 – No.3 – pp. 250-251.
5. Functional System of the body: instruction/Edited by Sudakov K.V. – M.: Medicine, 1987, – p. 432.
6. Yurova Y.V., Tarakanov A.V. Effectiveness of the transcutaneous electroneurostimulator with feedback (SCENAR) in burn patients // Emergency Medical Aid, 2006 – No.3, p. 138

 

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Modern Therapies for burn wounds

Published in: “Emergency Medical Aid” – Russian research and practice journal – 2006, volume 7, No. 3. – pp. 133-134.

Authors:  Kharitonov S.A., Korolyov V.A., Tarakanov A.V. Burns centre, State Medical University, Rostov-on-Don, Russia.

Title:   Modern Therapies for burn wounds 

Key words:  SCENAR therapy, burns.

Annotation:  Modern therapies for burn wounds are described in the article. Methods of sanogenetic activation at all stages of treatment are noted as promising and advanced, as well as the achievements of modern technologies based on biotechnological response which made it possible to create devices with real lack of adaptation period to excitation, which causes response reactions directed to enhance body’s restoration. According to the author, the method of SCENAR-therapy is the most multifunctional and procurable in current conditions. For the purposes of therapy, this method allows us to use cutaneous covering and mucosae which were not affected by burning injuries.

MODERN THERAPIES FOR BURN WOUNDS

Burn treatment is one of the most complicated, labour-consuming and expensive processes in practical medicine, which requires theoretical knowledge and practical skills in various areas of surgery, critical care medicine, traumatology, therapy, microbiology, biochemistry. This specifically concerns deep burns of III B – IV degree, which are treated in hospital only, because skin grafting is necessary for restoration of the cutaneous covering. To enhance wound detersion from necrotic tissues surgical and chemical necrectomy is performed with one-stage or delayed skin grafting.

At different stages of the wound process, local burn treatment aims different objectives. At the first stage of eschar rejection, inflammation and abscess, local treatment is directed to resist infection and to enhance rejection of necrotized tissues. Wet-to-dry dressing with solution of iodophors active to gram-positive and gram-negative bacteria, fungi and viruses, is used to form dry eschar. Wet-to-dry dressing with other antiseptic solutions are traditionally used – chlorhexidine, dioxidin, furacilin (nitrofurazone), miramistin and others.

Methods of physical action are used to dry wounds – fluidizing beds, infrared irradiation, controllable abacterial environment, laminar air flow (LAF) rooms etc. Unctures are used to inhibit pyoinflamamtory process, which is effective for the wounds’ microflora. Polypharmaceutical ointments with water-soluble (hydropilous) base and silver bearing ointments have become popular in Russia. At the second stage of the wound process – the regeneration – after eschar rejection local conservative treatment should be directed to create good conditions of granulations maturation and to prepare the wound for skin grafting. There are now data of more than 300 wound coverings at different stages of research and development. Nevertheless, a multifunctional drug which could be used at all stages of the wound process of different depth of burns still does not exist.

Drugs containing natural polymers, such as collagen, polysaccharides, cellulose etc. were used to stimulate granulations growth. Synthetic films with or without micropore made of polyurethane, polypropylene, polyethylene, polyvinyl chloride etc. became widely used to close burn wounds.

Cutaneous covering restoration through skin grafting is performed after exsection of burn wounds to the level of viable tissues or preparation of granulation tissue. Along with erasion of necrotizing tissues and reduction of bacterial content of the wound, preparation for plastic closing in burn disease should also include correction of body’s overall condition. If these are not performed, decline in the course of the reparative process in the wound can be expected, which will negatively affect the skin grafting.

One of the most serious problems of major burns treatment (more than 15-20%) is impossibility of single-step closing of the burn wound with autografting, due to shortage of donor resources. The problem of donor shortage can be solved by using modern biotechnological methods – grafting of cultivated cells of human derma (human dermal fibroplast, keratinocyte), living dermal equivalent, cultivated dermal substitute. Dermal allograft is taken form human cadaver, from still-born children, “junk” skin after amputation. Sking grafts usually vascularize (and survive) by the 3-5th day of the allotransplantation on adequately prepared wound’s bed. Then a rejection of dermal allograft occurs in about 2 or 3 weeks on average.

Taking under consideration legal and other difficulties of procurement and use of dermal allograft, we consider perforated suilline xenoderma as the best solution for the purposes of temporary biological covering. Moreover, research and use of cultivated human dermal cells and cultivated skin substitutes for the purposes of closing major wound surfaces is a promising and advanced theoretical and practical approach.

Methods for activation of sanogenesis at all stages of treatment should also be advanced. Modern technologies based on biotechnological response made it possible to create devices with real lack of adaptation period to excitation, which causes response reactions directed to enhance body’s restoration. The method of SCENAR-therapy is the most multifunctional and procurable in current conditions. This method allows to use cutaneous covering and mucosae which were not affected by burn injuries.

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THE CENTRAL EFFECT OF THE SCENAR-THERAPY, SELF-RESTORATION OF THE ORGANISM BY THE ACTIVATION OF THE FRONT HYPOTHALAMUS

Chebcasov S.A. Bereshpolova J.I. (Rostov-on-Don)
THE CENTRAL EFFECT OF THE SCENAR-THERAPY, SELF-RESTORATION OF THE ORGANISM BY THE ACTIVATION OF THE FRONT HYPOTHALAMUS

Taking into account the known biological and physiological laws and also the peculiarities of the Scenarinfluence,
it would be natural to suppose that together with the described above peripheral effect, which isdetermined by the secretion of the biologically active substances [1], Scenar must render and the central influence which mobilizes the regulating mechanisms of the self-recovery system of the organism[2].

It could be connected with the moments of synchronism of the brain electrical activity with the leading role of the anterior parasygmatic hypothalamus, which coordinates the activity of the vegetative system in the mode of self restoration [2].

The aim of this work is the experimental testing of the hypothesis, given above and the search of the possible ways to strength the central effect of the Scenar stimulation. As the direct research of the intracerebral structures activity isn’t ethical, and mammals nervous system including the human beings, has very much in common, the research of the central effect was began on the animals with the prospect of usage of the received results in people treating. One of the main tasks was the working-out of the Scenar- stimulation effectiveness criteria.

There were 8 sharp experiments, carried out on the guinea pigs and 12 experiments, carried out on the sleepless rabbits. The electrodes were implanted into the structures of the anterior and the posterior hypothalamus. Cortical leads were carried out from the brain surface, epidermal from the somatosensory and
visual areas. Scenar-influence was carried out, mostly, on the shoulder surface with the frequency of 59,3 Hz.

Pic.1


For the study of the central effect of the Scenar influence the 30-minutes stimulation was used. We found out the increasing of the power of the oscillations in the low frequencies area and the obvious tendency to the development of generalized activity on every lead at the time of irritation and after it. During that in the electrogrames of the guinea pigs the alpha–like spindles (pic 1a) was observed, and in the electrogrames of the kept- awake rabbits, there were, beside that, the outbursts of the oscillations in the sigma rhythm and the appearance of the K-complexes (pic.1b).

Such forms of activity, as it is known, are revealed during the sleep with its heightened tone [3].
Behavioral reaction of the animals is also the evidence of the paradigmatic tone increase. The animal stops to hold the head (weakening of the antigravity muscles), behaves calmly, eyes fall behind (endophtalamitis is the clear sign of the increasing of the parasympathetic tone).

The examples of the electrograme registration of the brain structure of the guinea-pig: A)1,2–Visual cortex; 3,4–somatosensory cortex; 5,6? the anterior hypothalamus; 7,8? the posterior hypothalamus.
B) 1,2- Visual cortex; 3,4 somatosensory cortex; 5,6 the posterior hypothalamus;7,8- the anterior hypothalamus.

Pic2.
The analysis of the Scenar-stimulation effect development on the spectrums of power regularly showed the increase of the slow-wave oscillations in all investigated leads. In some cases the maximum synchronization was observed in 15 minutes but more often it was developed during the first 15 minutes of the stimulation.(pic.2b.c.).

The repetition of the appearance of the generalized synchronization from the experience to the experience is the evidence of the regularity of this event (p<0,01, the criterion of the signs) as the result of the Scenar-influence.

Thus, the main electrtographic effect is revealed in the generalized slow-wave activity of the brain structures.

The examples of the activity development dynamics in the brain structures at the prolonged Scenarstimulation, traced on the spectrums of the power for the guinea-pig(A) and the rabbit(?)–shoulder,(?)-the head against the background(I), 1,5 minutes after having the influence(II), 15 minutes after having stimulation(III), 30 minutes after having stimulation (IV) and then (V) 1–visual cortex; 2?somatosensory cortex;3?anterior hypothalamus;4?posterior hypothalamus.

The peculiarities of the Scenar influence on the different areas of the brain lied in the fact, that the synchronization was better pronounced for the anterior hypothalamus then for the posterior and for the visual cortex than for the somatosensory cortex. Such results could be observed and afterwards. At that, as it was cleared up during the additional treatment of the materials the earliest signs of the synchronization are observed in the somatosensory cortex. The fact of the more pronounced activity of the anterior parasympathetic hypothalamus in comparison with the posterior one sympathetic is the evidence of the leading role of the first one and denotes the increasing of the parasympathetic tone under the influence of the Scenar therapy.

High co-ordination of the activity changes in the visual cortex and in the anterior hypothalamus was found. It turned out to be that the activity of these structures is highly correlated for the rabbits and for the guinea pigs as well In general taking into account the extracts P<0,001.

The marked fact let us judge about the increasing of the anterior hypothalamus activity (the growth of the parasympathetic tone) on the indices of the synchronized activity of the visual cortex and could be used as the criterion of the Scenar-influence effectiveness and also in the EGG researches.

The fact of the major reaction of the visual cortex, instead of the somatosensory after the electroskin irritation is paradoxical on the face of it. But it should be taken in account, that we observe the already developed systemic effect of influence, which covers many structures of brain. It goes without saying that the center of the activity, created by the Scenar- stimulation appears primarily in the somatosensory cortex. This causes the activation of the synchronizing system with its important unit–the anterior hypothalamus. The anterior hypothalamus, in its turn, as it appears from the results, and as it was proved by N.V.Suntsova [4] for other animals, causes the generalized synchronization, characterized by high correlation in the field of the alpha-like oscillations for the anterior hypothalamus and the visual, but not somatosensory cortex. The increased activity of the anterior hypothalamus, determining the increase of the parasympathetic tone stimulates alpha-activity and after that.

This fact deserves a special attention. According the Garcavy’s researches [5] such electro?physiological picture is the correlate of animals and people anteaters reaction training With its very development the researchers pin the important sanitary consequences, in particular, the treating effect of the Scenar device.

Taking into account all the data given in the literature, our results show that the development and keeping afterwards the increased alpha-like activity in the visual cortex, especially after the Scenar-stimulation (pic 2,A,B,C,) can be regarded and as the criterion of the Scenar influence effectiveness and as pointing out on the parasympathetic nature of these reactions.
It’s known that the stimulation of the skull skin, which is characterized mostly by the parasympathetic innervation [6], has very good medical consequences. The irritation of the head’s skin (pic2B) with the help of the 24 needle electrode is characterized by a greater synchronization of the activity then when with the help of the same electrode the skin of the shoulder is treated. Let’s note the fact, that when skull skin of the rabbits was stimulated, they looked like sleeping?they closed their eyes.

This fact points out a considerable increase of the parasympathetic tone. After such stimulation the increased slow-wave activity (parasympathetic tone) can be stored 24 hours after the Scenar treatment.

The role of the synchronization of the slow?wave activity created by the Scenar on the analogy of that, during the state of sleep, can be connected with the easing of the access to the information about the “inner body” of the organism to the screen of the cortex, keeping the “standard of the healthy body” in it. A very important demand for this standard?the stability of the organization?is provided by that fact, that the cells of the brain cortex, unlike other cells of the body, are not replaced by the new ones during the life cycle.

Under the conditions of the active staying awake, which is characterized by the desynchronized activity of the brain structures and high sympathetic tone, the cortex of the brain, as is well known, is unavailable or is available only for the very powerful signals from the inner organs. The different matter is the state of the sleep when there is a high synchronized activity (and parasympathetic tone) [3,7,8].

Similarly in one’s sleep generalized synchronization, created with the help of Scenar influence, makes it possible, that the signals about the state of the “inner body” of the organism can reach the cortex. It also gives the opportunity of the making of the corresponding correcting signals to the intermediate control levels and executive structures. Among them the structures of the front hypothalamus, changing the work of the vegetative system to the mode of the recovery, have the particular role. At that, because of the activity focus, created by the Scenar from the corresponding zones of the small asymmetry, the localization of the affection center is pointed out .Such condition is not the state of sleep, when the generalized activity is very probable. But the sleepy condition, developing, according the clinicians at the effective Scenar influence, is the evidence of the essential similarity of the concerned states .It is proved and by the introspection.

The general scheme of the Scenar influence, in the light of the carried out research (which showed and primordial increase of the synchronized activity in the somatosensory cortex ), may be shown this way. The centers of the activity, created with the help of the Scenar influence, in the somatosensory cortex I and II, through the lemniscus and extralemniscus systems, and also, maybe, straight influences on the hypothalamus on the spinothalamic canal, actives the synchronizing system of the brain with the front, parasympathetic, hypothalamus. The front hypothalamus, in its turn, supports the general synchronization of the cortex and of the subcortical structures, especially over the range of the alpha rhythm in the visual cortex. Under these conditions the sections of the brain, keeping the standard of the healthy “inner body” in them, become
available for the signals from all the inner organs, and among them-the increased with the help of the Scenar influence signals from the hearts of the pathology. ”Checking” of the organism state condition with the standard provides with the working out of the corrective signals, correlated with the state of the whole organism. These corrective signals, directed on the self-restoration are signals to the levels of the.

Intermediate control, most of all to the front parasympathetic hypothalamus and to the executive systems. The achievement of the aim effort is provided with the help of secretion/isolation of the according biologically active substances[1].

As an aftereffect the increased activity of the front hypothalamus is reflected in the according increasing of the alpha-activity of the brain cortex, especially of the visual area. I.e. if there is the sufficient parasympathetic tone, which reflects the activity of the organism, concerning its self-restoration, the increasing power of the alpha activity must be observed in the cervical leads. This is observed as the aftereffect of the Scenar-theraphy.

The results of the comparison of the Scenar-influence on the shoulder and head areas which follows our research let us to speak about the ability of the increasing the Scenar-influence effect with the help of the combined use of the electrodes.

One of the electrodes, the broad one should be placed in this or that area of the increased parasympathetic innervation-the surface of the head, the sacral, the erogenous areas. With the help of the broad electrode the general increasing of the parasympathetic tone is achieved. Another electrode, the remote one is used, as usual, on the according areas of the small asymmetry. This electrode points to the “address” of the according pathology.

We investigated the effect, emergent at the combined influence of the electrodes on the symmetrical areas.

It turned out to be that such kind of stimulation can reduce to the more pronounced effect (pic3).

The combined effect of the narrow and broad electrodes from the symmetric areas of the skin surface (shoulder) causes the synchronizing effect at the 2-minutes’ stimulation: 1?the visual cortex; 2?the somatosensory cortex; 3?the anterior hypothalamus; 4?the posterior hypothalamus; I-before, II-against a background of stimulation, III-in aftereffect.

Thus, it seems to be expedient to carry out the clinical tests with the application of the external Scenar electrode.

Taking into account the picture of the aftereffect, revealed during the researches ,it seem to be possible to carry out the successive usage of the broad and external local electrodes?first the broad one on the zones of the high parasympathetic innervation and then (against a background of developed parasympathetic tone) external on the areas of small symmetry.

LITERATURE.
1. Grinberg Y.Z. the effectiveness of Scenar-therapy. Physiological aspects. //In “Scenar-therapy”, ”Scenar-expertise” collections of articles. Taganrog, 1998, issues 4-8.
2.Chebkasov S.A. Health strategy. The system of structures outstripping self-restoration. The problem of parasympathetic vegetative system activation. Valeology.2000. ?1 p. 80.
3.Karmanova I.G. –What we know about the cycle “staying awake condition-sleep condition” and the reasons of its disorders. St.Peterburg.1998. p. 93.
4.Suntsova N/N/ The anterior brain mechanisms of the sleep development.//Submitting for dissertation for the doctor’s degree. Rostov State university, Rostov-on-Don,2000, p.372.
5.Garkavi L.N. and others. Antistress reaction and activation therapy, M:IMEDIS,1998, p.656.
6.Luvsan Gavaa.Traditional and modern aspects of eastern medicine.M,1992, p.576.
7.Danilova N.N. Psychophysiological diagnostics of functional states, M,1992, p.192.
8.Nozdrachev A.D. and others. General course of human and animals physiology. //BookII Physiology of visceral systems. M,High school,1991, p.6-28.