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Into the system of public health care



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FASTING THERAPY IN THE INTERNAL

PATHOLOGY: GOOD PROSPECTS

OF INTRODUCTION OF THE METHOD

INTO THE SYSTEM OF PUBLIC HEALTH CARE

AND SANATORIUM-AND-RESORT

INSTITUTIONS

(ABSTRACTS OF THE PAPERS)

THE EDITOR'S FOREWORD

I have been engaged in studying and practising fasting therapy over 20 years, almost 15 of them lecturing on fasting to physicians of various specialities willing to master this method. The medical community and lo­cals in Buryatia appear to be more prone to the methods of traditional, natural medicine, including fasting therapy, as compared to residents and medical workers in other European regions within Russia. At the two educa­tional courses we trained over 60 doctors of various specialities who have been successfully practising fasting therapy at different public health care institutions in Buryatia, including its resorts and spas. It was made possible due to the support of the Republic of Buryatia Ministry of Public Health Care, the Regional Sanatorium-and-Resort Directorate, and organizational skills of Mrs Claudia Godigna, Course Manager.

The materials on fasting therapy presented in this volume are based on the reports and papers by researchers and physicians from various cities and medical institutions in Russia and the Ukraine, like health centres, hospi­tals, sanatoria, and research clinics. Such a range is an additional character­istic of therapeutic and preventive potentialities of fasting therapy which is yet to be revealed.

PROF. A. N. KOKOSOV,

Honoured scientist of the Russian Federation,

MD, Director on Science of the City

Centre «Fasting» (Saint-Petersburg)

ADDRESS TO THE PARTICIPANTS OF THE REPUBLICAN SCIENTIFIC-AND-PRACTICAL CONFERENCE

We are facing the necessity of discussing together prospects of the introduction of the method of fasting into the public health care and sanatorium-resort system institutions within the Republic of Buryatia. The studies on fasting method have been carried out in Buryatia for several years, and it is time to sum up some preliminary results. It is very important if our guests — experts on fasting from other regions of Russia — would articulate their opinions and share their knowledge and expertise.

Fasting is known to be used as a complimentary method for cleansing the body. Fasting has therapeutic and health-improving potentialities as it purges the body from "residues", namely removing alien antigen materials, allergens, xenobiotics, and other deleterious substances and products of metabolism.

«Fasting for the sake of Health» is likely to be the most ancient method to bodily treatment and health improvement. The history of fasting with healing effect can be traced back to the remote centuries. The interest to this method was increasing and decreasing, what was stipulated by various levels of the development of general culture and dietary hygiene, as well as selective attitude towards other methods, the pharmacotherapeutic ones in particular. In Russia the history of this method studies cherishes the memory about the prominent enthusiasts, like P. Velyaminov, P. M. Albitsky, V. V. Pashutin, Yu. S. Nikolayev, and many others who contributed a lot to this field.

The medical workers and population in our Republic, which is located in the Eastern region of Russia, have been always more prone to the unders­tanding and practical uses of non-medicamentous methods, referring to natural (traditional) systems of health improvement. In our Republic the Buryat Scientific Center, the Republic of Buryatia Ministry of Public Health Care, Centre of Oriental Medicine under the latter Ministry have been always supportive and instrumental in the introduction of international and domestic scientific elaborations on fasting in the practical activity of the public health care institutions.

I wish you further success in the scientific and practical development of new medical technologies on the use of natural methods of treatment and health-improvement of Man.

^ B. G. BALZHIROV, Minister, Republic of Buryatia Ministry of Public Health Care


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ON THE SUCCESSFUL CASES OF THE SHORT-TERM FASTING AND STARVATION THERAPY IN OUT-PATIENT TREATMENT

AFANASYEV I. A. Ulan-Ude

The author, a physician, described several cases of the successful use of short-term fasting and starvation therapy in his out-patient practice for the treatment of various diseases and pathological conditions, like acute respiratory virus infections, rheumatoid polyarthritis, weeping eczema, etc. The Su Jok therapy and hydrotherapy were used for optimization of the fasting therapy response and elimination of subjective symptoms of acidosis.


^ ON THE NEAR AND REMOTE FASTING EFFECTS IN SOME SKIN DISEASES

ALIFANOV A.A.

Vsevolozhsk — Saint-Petersburg

Fasting therapy developed by the Research Institute of Pulmonology was applied during 3 years at the Central district hospital on 14 patients with psoriasis (3 patients), neurodermitis (3 patients), eczema (4 patients), and . allergic dermatitis (4 patients). The former generally adopted therapy was not effective or had a short-term effect. The fasting lasted from 14 to 24 days. By the end of the fasting therapy, the skin of the patients was reported to have recovered completely in all the patients in case of allergic dermatitis and in psoriasis in 1 patient, in 2 patients — 74%; in neurodermitis all the patients gained the recovery of 50-75% of the skin; in eczema 3 patients had completely recovered their skin and 1 patient — 75% of the skin. In 6 months the skin remained clear in 1 patient with allergic dermatitis; in psoriasis the results were stable in all the patients; in neurodermitis there was 1 relapse; in eczema the skin of 1 patient remained clear. In 2-3 years the good results of fasting were evident in 3 of 4 patients with allergic dermatitis; in psoriasis the skin was clear in 1 patient, the same for neurodermitis. The instable results of the therapy were due to the impact of risk factors, stresses, and improper diet.

^ ON FASTING THERAPY

AS A METHOD OF TREATMENT

AND PROPHYLAXIS OF CARDIOVASCULAR PATHOLOGIES

ANGAROVA T.A. Ulan-Ude

The author administered a course of fasting therapy to 250 patients at the medical-rehabilitation centre «Zdorovye» (Health) during a year. Two main groups of the patients were formed. The ones with clinical manifes­tations of cardiovascular pathology (mainly arterial hypertension and ischemic heart disease) constituted the first group, fewer in number, and the patients without clinical manifestations of the disease, but with a high bodily weight (I and/or II stage obesity considered to be a risk factor of the cardiovascular diseases) constituted the second group, more abun­dant. The first group underwent fasting therapy for 3 weeks, the second one 7-10 days. No side effects were reported. In all cases the treatment resulted in the improvement of the clinical manifestations, reduction and/ or normalization of the bodily weight, and improvement of the patients' general condition.


^ ON SOME MECHANISMS

OF THE INFLUENCE OF FASTING THERAPY

ON THE PROCESSES OF LIPID PEROXIDATION,

ANTIOXIDANT ACTIVITY AND PURINE METABOLISM

IN BRONCHIAL ASTHMA

ARBUZOV Y.N.,, POTASHOV D.A.,

KONVAY V.D.,YELISEYEVA L.N.

Omsk

In this work the authors attempted to evaluate the influence of fasting therapy on some parameters of antioxidant defence and uric acid level (below as the UA) in blood serum of patients with bronchial asthma (below as BA) as well as to find possible ways of optimisation of the results of fasting therapy. There were observed 12 women with BA treated with fast­ing and 11 women with acute BA, treated with generally adopted medica­tions.

The serum levels of glutathione, glutathione-reductase, glucose-6-phos-phatdehydrogenase and the UA were tested. Both groups did not show statistically significant changes of serum glutathione concentrations. During the fasting the highly reliable increase of the UA level occurred on the 5-9 day of the fasting, exceeding the normal indices (0.28 ± 0.095 and 0.458 ± 0.034 mmol/1; p < 0.001); during the period of the restorative diet the serum UA level did not plausibly differ from the initial level (0.329 ± ± 0.028 mmol/1; p > 0.05).

Though statistically insignificant, the tendency towards the moderate increase of the levels of glutathione-reductase (0.362 ± 0.02 and 0.383 ± ±0.013 mmol/1) and glucose-6-phosphatdehydrogenase (0.258 ± 0.03 and 0.293 ± 0.018 mmol/1) was reported.

No reliable changes of the parameters studied were noted in the group treated with medications. The authors assume that in fasting the antioxi­dant system functions with some effort, in particular the latent deficit of glutathione due to the intensive expenditure of lipid peroxydes in the inactivation reactions is possible. In this connection, fasting therapy is recommended to be combined with medications improving antioxidant de­fence.


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^ THE STUDY OF THE STATE

OF BIOLOGICALLY ACTIVE POINTS BY NAKATANI METHOD IN PATIENTS RESCRIBED WITH FASTING THERAPY

ASHIKHMINA M.V. Moscow

During the research, biologically active points in 99 patients administered with fasting therapy were studied following the diagnostic method by Nakatani. The course duration ranged from 7 to 25 days. During the fasting in the group of practically healthy individuals there was revealed the so called fasting pattern when plausible divergence of the indices of electric conductivity of some meridians from their initial values was observed: lower values for the meridians of the lungs (L), heart (H), vascular system (VS), small intestines (SI), and higher ones for the meridians of the pancreas and the spleen (PS), and the urinary bladder (UB)- Among characteristic features of the fasting pattern in the patients with arterial hypertension are the increased indices of the meridians of the heart (H) and vascular system (VS), as compared with the similar indices in the group of practically healthy individuals; in the patients with benign and malignant disorders — the lower indices of the meridians of the UB and PS. It is likely that the superposition of the patterns occurs namely when in the pattern of a patient with a certain nozological form signs of the fasting patterns and signs of the pattern, typical for this nozological form are present.

^ THE POTENTIALITIES OF THE USE

OF AUTOMATED SYSTEMS IN CLINICAL PRACTICE OF FASTING THERAPY

ASHIKH MINA M. V., USTINOV A. G. Moscow

The automated system TAIS aimed towards fasting therapy management
and its software have been developed. The system was designed based on the
analysis of the model of the therapeutic and diagnostic prpcess at the special
fasting therapy department, it also includes the information and algorithm
software.

Providing intellectual support to physicians when they seek therapeutic decisions, the system makes notes in the case history, conclusions for a doctor about the fasting course (period, terms, modification, etc), gives tactical recommendations, as well as recommendations on the repeated course of fasting, prescribes examinations, therapies, diets with due account of individual features of a patient and vitamin therapy during the rehabilitation

period.

Data on patients' questioning and examination, results of laboratory and instrumental methods of examination serve an input information. The clinical evaluation of the system was conducted on 43 case histories.


^ THE DEVELOPMENT AND INTRODUCTION

OF «CLEANSING» MEDICINAL MEANS FROM THE TIBETAN MEDICAL ARSENAL

AZHUNOVA T.A.., SHANTANOVA L. N. Ulan-Ude

One of the ways of pharmaco-correction of the bodily endogenic intoxication syndrome is a complex administration of medicinal means of plant origin meant for gradual and staged cleansing of the interior medium of the body. The detoxification method includes administration of cholagogic, hepatoprotective, nephroprotective, and diuretic means, as well as vitamins, adaptogenes, and antioxidants. In this connection, on the basis of a Tibetan formula we have developed new medicinal means of plant origin, like rozobtin, polyphytochol, nephrophyt, rantakrin, pentafrussen, cladocent, tanton, etc, part of them already allowed for clinical practices, and others being under expertise at the Pharma­ceutical Committee of the Russian Federation Ministry of Public Health Care.

^ FASTING AS A TRADITIONAL METHOD OF HEALTH IMPROVEMENT

AMONG THE INDIGENOUS POPULACE IN ZABAIKALYE

(BURYATS AND MONGOLS)

BAKHLAYEV S.A. Ulan-Ude

The 76-year-old amateur historian of local lore, history and economy provides interesting data regarding the use of periodical fasting as a traditional method of health improvement among the representatives of the indigenous population of the nomadic peoples in Zabaikalye, like Buryats and Mongols.

^ EFFICIENCY OF FASTING THERAPY IN PATIENTS WITH SARCOIDOSIS OF THE LUNGS

BARANOVA O. P., ILKOVICH M. M.., NOVIKOVA L. N., SESS T. P., NIKONOV L. N.

Saint-Petersburg

The authors applied fasting therapy following the method developed by the Research Institute of Pulmonology to treat 52 patients with sarcoidosis of the lungs (below as the SL). The duration of the fasting period was 14 days in average. By the end of the fasting improved general state was reported for 75% of patients, they ceased to complain about weakness, coughing, short breath, and arthralgia. In the one third of the SL-1 patients without prescription of corticosteroids, the sizes of the lymph nodes of the mediastinum were visible as reduced at the roentgenograms. For the half of the SL-2 patients, the lungs outline on the roentgenograms became more distinct, the dissemination of the seats and sizes of lymph nodes in the mediastinum decreased. The comprehensive roentgeno-functional and radio-nuclide investigation testified to the positive dynamics of the indices of the regional ventilation and pulmonary perf usion in 61% of SL-2 patients and 19% of SL-3 patients after the fasting. After


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the treatment was over, in 6 and 12 months this above positive dynamics was retained. The majority of the patients (68%) displayed a marked tendency towards the normalisation of the indices of the immune homeostasis. The remote results of the fasting were traced in 17 (from 52) patients: in a year positive dynamics was marked in 14 (from 17) (82%); the stabilisation of the pathology took place in 2 more patients, and in one patient only the SL recurrence was noted. The authors think that fasting is recommendable in the SL-1 as a monotherapy, in the SL-2 as a monotherapy or combined with further usage of corticosteroids, in the SL-3 it can be used to diminish side effects due to corticosteroids and to stimulate their endogenic synthesis. The attendant pathologies, like obesity, peptic ulcer and hypertension, serve as additional indications for fasting therapy.

^ THE CASE OF THE LONG-TERM OBSERVATION

OVER A PATIENT WITH GOUT AT THE «GORYACHINSK» RESORT, WHO UNDERWENT REPEATED COURSES OF FASTING THERAPY

BATAYEVA N.A. Ulan-Ude

The patient was a 60-year old man suffered from chronic gout, which resulted in the multiple injured joints and their limited functioning. The annual treatment at a hospital with medicamentous therapy was not a success; he was treated with indometacine in a supportive dose of 100 mg a day. Fasting therapy was started during incomplete clinical remission. After the 10-day course of fasting therapy resulting in the pronounced improvement, the patient stayed on a fasting diet from time to time, took the Russian «banya» once a week in order to maintain the effect of bodily «cleansing». Two repeated courses of fasting therapy were undertaken in a year. During the treatment there were noticed the signs of monoarthritis with moderately painful syndrome. The period of clinical remission became longer, and during the exacerbation periods the symptoms of gout became slight.

^ THE EFFICIENCY OF THE TREATMENT OF BRONCHIAL ASTHMA

WITH THE USE OF FASTING THERAPY

IN THE «GORYACHINSK» RESORT

BATAYEVA N.A., SHVMILOVA A. N.,, SHATALOVA T. V. Buryatia, Goryachinsk resort

The aim of the work was to evaluate the efficiency of treatment of bronchial asthma involving different complexes of the resort factors along with fasting therapy. 70 patients with bronchial asthma (16 men and 54 women) aged from 10 to 63 were under observation. The patients were grouped according to the methods used for the treatment: the 1st group (25 patients) was treated only with resort factors, the 2nd group (30 patients) was treated with the combination of resort factors and fasting therapy; the 3rd group (15 patients) — only with

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fasting. The duration of the fasting period was 10-14 days. All groups were quite comparable according to the gravity stage of the disease. The comparison of the results showed that the combination of fasting therapy with natural resort factors was the most effective.

^ ON THE USE OF FASTING THERAPY

IN PATIENTS WITH SOMATIC PATHOLOGY

AT THE GORYACHINSK RESORT

BATAYEVA N.A., SOKOLOVA T. I., SEREBRENNIKOV A. N. Buryatia, the Goryachinsk resort

Fasting therapy has been used at the Goryachinsk resort since 1994. During this period 975 patients have been prescribed this therapy. Among them there were 139 men and 836 women; 678 patients (71.1%) were natives of Buryatia, 277 persons (28.9%) were from other regions of Russia, including 3 foreigners. The subsequent courses of fasting therapy were carried out in 134 patients (13.6%). The structure of the pathology included cardiovascular diseases (arterial hypertension, heart ischaemia, etc) — 79 cases (8.1%); bronchial-pulmonary diseases (bronchial asthma, chronic bronchitis with obstruction, etc) — 207 (21.2%); osteochondrosis, reumatoid arthritis, gout and others — 456 (46.8%); skin diseases (psoriasis, neurodermitis, allergic dermatitis, eczema — 40 (4.1%); gastrointestinal diseases (chronic cholecystitis, ulcer of the stomach and duodenum, chronic colitis) — 76 (7.8%); obesity — 88 (9.0%); other, rarely occurring forms of pathology — 29 (3.0%). The patients have been suffering from the diseases from 6 months to 22 years. The course of the fasting period was 10-14 days. During this period the patients were taking distilled boiled water, wild rose decoction in amount of 2-2.5 la day, every day they were given cleansing enemas, and 3—4 times a week — hygienic douche, sauna. If there were no contraindications, the balneological therapy was prescribed (hydromassage, circular or Charcot's douche, mud poultice applications). If needed, acupuncture, the Su-Jok, and manual therapy were prescribed. The restorative nutrition was carried out according to the general principles, 20 vegetarian and fish dishes were included in a dietary menu. The positive effect of the fasting was observed in 86-91% cases of different pathologies.

^ ON OUR PRIMARY EXPERIENCE OF FASTING THERAPY USE

DANCHINOVA N. V. Ulan-Ude

The author prescribed fasting therapy to 26 patients, aged from 20 to 60 years, at the hospital of the Eastern Medicine Centre. They suffered from various somatic pathologies and skin diseases. The fasting period lasted from 5 to 13 days. The average weight reduction was 1 kg a day. There was observed the improvement in the clinical course of the diseases, vitality enhancement in all patients. Many of them wished a repeated course of fasting therapy in 6-8 months.

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SPECIFICITIES AND RESULTS OF FASTING THERAPY IN PATIENTS WITH CHRONIC ENTEROCOLITIS

DMITRIYEV A.I. Dnepropetrovsk

Fasting therapy following the Prof. Yu. S. Nikolayev's method was con­ducted in a specialised clinic on 136 patients with chronic enterocolitis, including 73 men and 63 women, the majority (86.1%) ranging in the age from 20 to 60. 43.3% of patients had been suffering from this disease over 10 years. By its severity degree the disease was categorised as the mild (47.1%) and medium severe (58.2%) ones. Multiple (2 or 3 diseases simul­taneously) gastrointestinal pathology was found in 88.2%, food and drug allergy in 11%. During the preparatory period of the fasting, 3-6 months long, it was recommended to have 36 hungry hours once a week. The fast­ing improved the general state of health in the absolute majority of the patients: there disappeared pains in the stomach (in 70-94%), rumbling and meteorism (90%), covering of the tongue (93%), intolerance towards some foodstuffs (91%) the stool became normal (94.6%). For the 15 days of the fasting the highest bodily weight loss was in its initial reduction (13.2 ± 0.15% from the initial). Offered restorative nutrition, these pa­tients displayed the highest bodily weight increase: by the 20th day they gained 74.7 ± 2.5% of the bodily weight lost during the fasting. In the most of the patients with retained stomach secretion there was no reliable change of it directly after the fasting and in a year; with the initial secre­tory deficiency after the fasting the debit hour of the stimulated HC1 plausibly grew by 2.2 times. The author explains this fact by the forma­tion in the tissue autolysis of nucleotides stimulating regeneration. Fast­ing results in hypercholia and cholestasis, with the cholato-cholesterol co­efficient reliably growing, which testifies to lesser risk of stone formation in the gall bladder. After the fasting the trepsin debit grew by 1.5 times (p < 0.05). Regarding amylase, lipase, bicarbonate alkalinity and juice amount, there was reported a tendency only towards their increase. In the coprological investigation it was found, after fasting the number of pa­tients with creatorrhea decreased from 19.2% to 10.5%, and in a year down to 8.8%, with amylorrhea, respectively, from 15.4% to 10.5% and 1.8%. In the comparative analysis of the microflora of the faeces before and after the fasting, there was noted a marked tendency towards the normalization of the main groups of bacteriae: the growth of the general number of anaerobic ones, and lactic acid bacilli, decrease of proteas and clostridiae. While studying the remote results of the fasting therapy (in 3 years), it was found that in 41.8% of the patients the pain syndrome disappeared completely, the stool remained normal in 76.4%, improved tolerance towards foodstuffs was noted by all the patients. The fasting lead to the significant decrease of the number of morbidity cases with tempo­rary loss of working capacity (by 2.4 times), as well as of the number of sick-leave days (by 4.2 times). The average duration of one case of working ability loss decreased either (by 1.7 times). The annual economic losses per


one patient became less (by 4.6 times). The author considers fasting therapy to be recommended against digestive organs pathologies, like functional dis­turbances of this system, esophagitis, chronic gastritis, duodenitis, chronic cholecystitis, acute and chronic pancreatitis, enteritis, and chronic colitis.

^ ON THE THREE-DAY STARVATION

AS A VARIANT OF FASTING IN THE TREATMENT

AND PROPHYLAXIS OF DISEASES IN OUT-PATIENTS

EVENSHTEIN Z. M., KOKOSOV A. N. Saint-Petersburg

The authors elaborated a variant of fasting therapy for out-patients, which was approved in the treatment of patients with itching dermatosis (191 cases of neurodermitis, 192 — eczema) and bronchial asthma (60 cases). The findings show that the short-term starvation periodically repeated in every 1.5 or 2 months can be used for out-patient treatment of numerous diseases and prophylaxis due to regular «cleansing» of the body.

^ THE EFFECT OF FASTING THERAPY ON THE EXPRESSION

OF THE ACTIVE FORMS OF OXYGEN BY THE BLOOD CELLS

IN PATIENTS WITH BRONCHIAL ASTHMA

FARKHUTDINOV U.R., ABDRAKHMANOVA L. M., FARKHUTDINOV S. U.

Ufa

The generation of the active oxygen forms in the whole blood by using the method of luminal-dependent hemiluminescence (below as HL).was studied in 60 patients with bronchial asthma. The hemiluminescence intensity in patients depended on th« manifestation of the inflammatory process. The patients were grouped as the ones with high and the ones with low HL of the blood. In the complex therapy 7 patients of the first and 18 patients of the second group underwent fasting therapy. In the patients which were treated with the use of fasting, in contrast to those who received the generally adopted basic therapy, the indices of free radical oxidation were normalized and the remission was more prolonged.

^ A NEW APPROACH TO THE USE OF FASTING THERAPY IN THE TREATMENT OF HYPERTENSION

FILIPCHENKO Y. M., RAYEVA T. Y. Krasnodar

The authors used fasting therapy in patients suffering from arterial hypertension with a «missing* phenomenon and this method allowed them to normalize blood pressure in short terms without using medications.



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^ ON THE EXPERIENCE OF THE USAGE OF FASTING THERAPY IN PATIENTS WITH BRONCHIAL ASTHMA

GEMBITSKAYA T. E., KOROVINA O.V..

KHLOPOTOVAG. P., LIFSHITS N. A.. YEFREMOVA K. G.

Saint-Petersburg

The authors used the fasting methods elaborated by Yu. S. Nikolayev and modificated at the Research Institute of Pulmonology. 30 patients with bronchial asthma aged from 36 to 60, predominantly women, underwent fasting. 21 patients had been suffering from bronchial asthma for 5 years; 11 patients had the severe course of the disease; and 6 patients had been taking corticosteroids for a long time. The fasting lasted 14-28 days. The treatment was successful for all the patients, without complications. The body weight loss was up to 11-18% from the initial weight. The maximum weight loss occured during the first week of the fasting before the acidotic crisis. Attacks of asphyxia ceased in 20 patients on the 3rd-5th day of the fasting, in the others — by the end of the treatment. The corticosteroid intake was cancelled for all the patients. The plausible increase of the speed indices of the spirogram and vital capacity of the lungs was reported. During the period of the rehabilitation, few attacks of asphyxia and dry rales occured in 5 patients, 3 of them had been treated with corticosteroids for a long time. The remote results were observed for the next 2 years, no clinical effect was reported in 6 patients out of 30. The authors consider that fasting in bronchial asthma is recommendable, first of all, in case of insusceptibility to the generally adopted drug therapy, and in case of combined pathology (hypertension, fat and mineral metabolism disturbance). Among the contraindications are: the negative attitude of a patient to fasting therapy, marked inflammatory process (the 3rd stage) of any localization, endocrine pathology (thyrotoxicosis, diabetes mellitus).

^ FASTING THERAPY: THE HISTORY OF THE INTRODUCTION

OF THIS METHOD INTO THE PUBLIC HEALTH CARE SYSTEM

IN THE REPUBLIC OF BURYATIA

GODIGNA K.L. Ulan-Ude

The medical community and local populace of the Republic of Buryatia have been deeply familiarising with method since 1994 when Prof. Yu. S. Nikolayev (Moscow) visited Ulan-Ude. The introduction of the method was started at the initiative of the group of patients with bronchial asthma, who had per­sonally and successfully experienced the effect of this method after reading the scientific and popular book “Fasting for the Sake of Health” by Yu. S. Nikolayev. As a response to the proposal submitted to the Republic of Buryatia Ministry of Public Health Care about the introduction of fasting therapy into therapeutic practice and its spreading within the territory of Buryatia was the organisation of the cycle of lectures on fasting therapy by Prof. Yu. S. Nikolayev in numerous public health care institutions in Bury­atia, which appeared of interest for many physicians, though some of them

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treated it with scepticism. The health resort «Goryachinsk» was the first in Buryatia to introduce this method, as one of its staff physicians had attend­ed Yu. S. Nikolayev's lectures in Moscow. The successful application of fasting, particularly for patients with bronchial asthma and hypertension, facilitated relatively fast emergence of the significant «market demand* by more and more new groups of willing patients.

The second edition of the book on fasting by Yu. S. Nikolayev was printed in Ulan-Ude. Its presentation at the Ulan-Ude city hospital attracted repre­sentatives of the municipal and republican level public health care organs, authorities, and general public. In 1996 the public health care administration of the City of Ulan-Ude issued the first printed order on the introduction of fasting therapy at the in-patients' department of the rehabilitation facility «Zdorovye» located in the village of Sotnikovo in the vicinity of Ulan-Ude; for its implementation Prof. A. N. Kokosov at Saint-Petersburg State Medical University named after the Academician I. P. Pavlov trained three physicians who started practising this method. The next stage was the organisation of the workshop in Ulan-Ude entitled «The use of fasting therapy in the internal pathology*, with Prof. A. N. Kokosov among the honoured participants (Re­public of Buryatia Ministry of Public Health Care order No 271, Novem­ber 25, 1998). The workshop participants articulated the opinion about the necessity of training qualified staff able to conduct fasting therapy to willing patients in compliance with the indications and contraindications of this method, as well as professional monitoring and consulting to these patients.

According to the implementation of Republic of Buryatia Ministry of Pub­lic Health Care order No 56, March 16,1999, to further develop fasting ther­apy, Prof. A. N. Kokosov was invited to conduct the first training session cycle « Fasting therapy in the internal pathology*, as a result, 30 physicians of various specialities were trained. Subsequently, two more similar training cycles for physicians were held. Recently in the Republic of Buryatia there has been formed the corps of specialists trained and skilled in fasting therapy. They can be found within the formal (state) network of the public health care system, and any resident of Buryatia can rely on their qualified consultations and relevant assistance, with due regard to the indications and contraindica­tions of this method. Throughout Russia fasting therapy was introduced into the state system of public health care bodies in the Republic of Buryatia only.

^ WAYS TO OPTIMIZE THE INTRODUCTION OF FASTING THERAPY AT HOSPITALS AND POLYCLINICS IN BURYATIA

GODIGNA K. I., NIMAYEVA D Ulan-Ude

Public health care bodies in Buryatia, like the Department of Medical and Prophylactic Aid and the Republican Centre of Medical Prophylaxis and Information have accumulated a large amount of analytical material on the ways and experience concerning the optimization of the fasting therapy

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introduction into practice of in- and out-patient institutions of the Republic. In this connection, the fasting therapy information field creation, i. e. informational introduction, as well as practical introduction of fasting therapy into hospitals and polyclinics is emphasized.

The authors stress the point that this experience of the organization has no analogues within the Russian Federation and abroad. .

^ THE INTEGRATION OF FASTING

AS A BODILY CLEANSING METHOD

INTO THERAPEUTIC PRACTICE OF A GERONTOLOGIST

GYLYKOVA L. B., BANDEYEVA TS. D., TARNUYEV V.A. Ulan-Ude

\

The authors discuss the possibility and prospects of the use of fasting. On the examples of an integrated use of this method in bronchial asthma, .their complex application is recommended for aged patients. Brief clinical observations are given.

^ FASTING AND TOLERANCE TO ANTIBIOTICS IN PATIENTS WITH BRONCHIAL ASTHMA

IVANOVA O.A.. SM1RNOV A. Y.,

SMIRNOVA O.I.. PERADZE A. T.

Saint-Petersburg

Optimization of tolerance to medications in patients with bronchial asthma, antibiotics in particular, remains a significant objective. The authors observed £nd investigated three groups of patients (10 persons in each group) comparable by their age and sex composition and disease severity degree. All the patients suffered from an acute condition of endobronchitis. In the control group the patients were administered the generally adopted (orthodox) medicinal therapy without corticosteroids.

Another group was prescribed fasting therapy following the method developed at the Research Institute of Pulmonology, and the third one — fasting combined with phytotherapy.

Tolerance to antibiotics was investigated when the patients in each group studied were administered them in infectious aggravation of endobronchitis; there were used methods of investigation of medicinal intolerance in vitro.

The comparison of the results of the antibiotics usage in the above three groups showed that the generally adopted/medicinal therapy did not effect tolerance to antibiotics in the patients with bronchial asthma, whereas fasting therapy and its combination with phytotherapy increased it by 2-2.5 times in average.

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^ PSYCHOLOGICAL CRITERIA AND EVALUATION OF FASTING THERAPY EFFICIENCY

IVANOVA S. B., KARNYSHEV A. D. Ulan-Ude

Fasting seems to be one of the oldest methods of health improvement and therapy, though for many people fasting remains a threat to their health. The authors attempted to consider psychological criteria and behavioural motives of individuals, who volunteered to undergo fasting therapy being aware of safety and advisability of therapy if methodologically accurately conducted. The object of the study was social interviewing of Ulan-Ude residents who did not experience fasting therapy and those who did undergo it. They formed two groups of comparison (at random selection). The aim of the study was to reveal social and psychological factors influencing the personality before taking the decision to use this method. Having analysed the material obtained, the authors came to the conclusion that the effectiveness of the method was directly related to the conscience of the person, his or her willingness and deeply motivated demand for better personal health. Accompanying factors (for example, the impact of the surrounding and associates) make the main obstacle in fasting usage. After fasting patients demonstrate obviously improved general state and psychic tone; the life aspects are perceived more fully, self-confidence and assurance of ability to control oneself are restored, both one's life mode and conscience change positively.

^ THE STATE OF PUBLIC HEALTH CARE

WITHIN THE REPUBLIC OF BURYATIA,

THE CONCEPT OF PUBLIC HEALTH CARE,

PREMISES OF THE FASTING THERAPY INTRODUCTION

INTO THE SYSTEM OF PUBLIC HEALTH CARE INSTITUTIONS,

AND A BRIEF HISTORY OF ITS INTRODUCTION

IZVEKOVA L. I. Ulan-Ude

Since the early 1990's the unfavourable demographic situation, cha­racterized by the decrease of birth-rate and increase of the general mortality of the population, emerged in Buryatia, the situation being the same throughout the whole Russian Federation, the health of the nation worsening. Such situation demanded taking prompt measures directed towards the reforms of public health care in the Republic. Due to the presence of traditional medicine our region is considered to be unique. Eastern methods of treatment are very popular among the population, they are successful against many diseases, provided that definite conditions and the precise indications are followed. At the same time, it is possible to decrease or discontinue the intake of medications in severe chronic diseases when a patient has to take high doses of medications resulting in side-effects. The medical community

139


and population of the Republic familiarized with fasting therapy in 1994 when Prof. Yu. S. Nikolayev, the author of the well-known popular-and-scientific book Fasting for the Sake of Health”, visited Ulan-Ude.

The introduction of fasting therapy into medical practice was initiated by the patients who had successfully experienced this method. The Goryachinsk health resort was the first medical institution to introduce fasting therapy in the Republic after one of its physicians had been trained in fasting therapy in Moscow. Successful results after fasting therapy, especially in patients with bronchial asthma and hypertension, gave an impetus to the activity of the Ministry of Public Health Care and the emergence of several regulations. At the clinic of Saint-Petersburg State Medical University named after I. P. Pavlov a group of physicians was trained by Prof. A. N. Kokosov and became proficient in fasting therapy. During the subsequent workshops held in Ulan-Ude, Prof. A. N. Kokosov trained more groups of doctors. Today in Buryatia there is a wide circle of proficients in fasting therapy working in polyclinics and hospitals, and any patient, who wants to undergo fasting therapy, can rely on their consultations. During 1994-1999 more than 2,500 patients underwent fasting therapy in Buryatia. This experience of the institutional introduction of fasting therapy is unique for the Russian Federation as well as outside the country.

^ THE USE OF STARVATION IN THE CLINICAL PRACTICE

KHOROSHILOV I.Y., LUFT V.M., TKACHENKO Y.L, MAIDAN V.A.,

KUZMIN S.G., RATNIKOV V.A., KHOROSHILOV 8.Y., PERSHKO A.M.

Saint-Petersburg, Moscow

64 patients with different pathologies, like blood hypertension, bronchial asthma, skin allergy, chronic gastritis and gastroduodenitis, metabolic arthropathy, among them 50 females and 14 males aged from 18 to 50 were observed. All these patients were divided into 2 groups; their grouping according to age, sex, forms of pathology was approximately equal. One group was treated with fasting, another — with 1-3 days starvation followed by fasting, i. e. with combined therapy. The results of the treatment were compared. The average duration of the treatment was 12.8 ± 0.9 days, and the restoration diet period — 7.3 ± 0.5 days. The use of short-term starvation at the initial stage of the treatment allowed the authors to obtain the bodily weight reduction in the patients with obesity, earlier normalization of the blood pressure indices; the clinical effect was comparatively more marked in the cases of bronchial asthma, asthmatic bronchitis, skin allergy, chronic gastritis and gastroduodenitis, metabolic arthropathy. The early keto-acidotic crisis (on the 2nd — 3rd day of the starvation) made it possible for the body to complete its endocrine-metabolic switch over towards the endogenic nutrition and shorten the terms of the patients’ stay in the hospital.

^ 140

FASTING THERAPY: INDICATIONS AND CONTRAINDICATIONS AND METHODS OF USE

KOKOSOV A.. N.. Saint-Petersburg

Fasting therapy is a traditional, natural method of cleansing and purging the human body of accumulated products of vital activity (“residues”) which promotes improved functioning of every bodily organ and system, increases defensive forces of the body, and is beneficial in protecting the body against numerous diseases, as well as for health conservation and improvement.

Before administering fasting therapy one should identify contraindications (absolute and relative), the number of the relative ones decreasing as the personal experience and expertise of the treating physician grows. Fasting therapy can be prescribed only with the patient consent, his or her willingness and readiness to be treated following this method, which secures intelligent performance of medical recommendations.

Of significance for fasting therapy application are cosy and comfortable conditions and benevolent attitude of patient's associates to this method of treatment are of signifiance for fasting therapy application. In fasting therapy there are singled out three main periods: preparatory, fasting proper, and recuperative (restorative diet). The duration of the fasting period is dependent upon specific features of the target pathology and therapeutic method applied. The duration of the recuperative period ought to comprise not less than two thirds of the one of the fasting period. The generally adopted method of fasting therapy is complete fasting: food deprivation with water intake if one feels a need for it.Other methods which are becoming more popular in Russia are: starvation with food and water deprivation; combined starvation ancd fasting, the «stepped» fasting when fasting is several times alternated with restorative diet, fractional fasting with prolonged duration of the “steps”. The application of fasting therapy has good prospects for health improvement of a virtually healthy individual who displays no clinical signs of any pathology.






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