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ULTRASONIC TOMOGRAPHIC DATA CONCERNING SU JOK ULTRASUNETE tomografice DATE PRIVIND Jok SU

TREATMENT OF CHRONIC LYMPHOCYTIC THYROIDITIS TRATAMENTUL tiroidita limfocitara CRONICE

VVYakovlev MD, head of Su Jok therapy unit of the Centre "Medicine- VVYakovlev MD, eful unitii de terapie Su Jok a Centrului "Medicin-

information-development" informaii-dezvoltare "

Introduction Introducere

The growth of increasing thyroid gland pathologies is a very topical problem at the present stage of development of medicine. Creterea de cretere a patologiilor glandei tiroide este o problem foarte actual n stadiul actual de dezvoltare a medicinii.

Increasing environmental pollution, adverse outcomes of the Chernobyl catastrophe and many other causes made diagnostics and Creterea polurii mediului, rezultatele negative ale catastrofei de la Cernobl i alte multe cauze fcute de diagnosticare i

treatment of diffuse and focal lesions of the thyroid gland in the central regions of Russia shift from a purely medical problem into tratamentul leziunilor focale i difuze a glandei tiroide, n regiunile centrale din Rusia, trecerea de la o problem pur medical n

a social one. unul social. Only in the Smolensk region expenditures allocated for examination and treatment of this pathology increased Numai n regiunea Smolensk cheltuielilor alocate pentru examinare i tratamentul acestei patologii a crescut

approximately seven- to eightfold during the period from 1985 to 1999 [8]. aproximativ apte-opt ori pentru perioada 1985-1999 [8]. Introduction of ultrasonic tomography (UST) has Introducerea tomografia cu ultrasunete (UST) a

drastically increased the number of discovered diffuse thyroid pathology (thyroiditis). a crescut drastic numrul de descoperite patologiei tiroidiene difuze (tiroidita). As a result, there appeared a group of Ca rezultat, a aprut un grup de

patients with the so-called "pseudo-nodal changes" in chronic thyroidites which complicates diagnostic and treatment tasks [11]. pacienii cu aa-numita "pseudo-nodal schimbri" n thyroidites cronic, care complic i tratament sarcini diagnostic [11].

Allopathic medicine continues to look for an effective, cost-efficient algorithm of diagnosis and treatment of various thyroid gland medicina alopata continu s caute un, cost-eficient algoritm eficace de diagnostic i tratament ale glandei tiroide, diferite

pathologies. patologii. So far, few studies have discussed combined efforts of allopathic and non-traditional medicine in this field, although Pn n prezent, cteva studii au discutat despre eforturile combinate i non-tradiionale de medicina alopata in acest domeniu, dei

this is a promising direction in the complex treatment of thyroid gland disorders [9, 12, 13]. aceasta este o direcie promitoare n tratamentul complex al afeciunilor glandei tiroide [9, 12, 13].

Purpose of work Scopul de munc

To access the results of treating chronic lymphocytic thyroiditis (microcystic changes of the parenchyma of the gland according to Pentru a accesa rezultatele de tratare a tiroidita limfocitara cronica (modificri microcystic a parenchimului a glandei n conformitate cu

UST data) by Su Jok therapeutic methods. Datele UST) prin metode terapeutice Su Jok.

Research tasks Sarcini de cercetare

1. 1. Theoretical explanation of the dynamic of ultrasound changes in chronic lymphocytic thyroiditis (CLT). explicaie teoretic a schimbrilor dinamice ale ecografiei n tiroidita limfocitara cronica (CLT).

2. 2. Elaboration of Su Jok techniques in this kind of pathology. Elaborarea Su Jok tehnici n acest tip de patologie.

3. 3. Assessment of therapeutic effects on the basis of UST data. Evaluare a efectelor terapeutice, pe baza datelor UST.

4. 4. Theoretical explanation of obtained results using Onnuri medicine methodology. explicaie teoretic a rezultatelor obinute folosind Onnuri metodologie medicament.

Materials and methods Materiale i metode

We carried out observation and treatment of seven women at the age of 20 to 52 years old who had the diagnosis of chronic Am efectuat observaie i tratament de apte femei n vrst de la 20 la 52 de ani care au avut diagnosticul de cronice

lymphocytic thyroiditis. tiroidita limfocitara. In four patients the diagnosis was morphologically verified by puncture of both lobes of the thyroid under n patru pacieni, diagnosticul a fost verificat de ctre morphologically puncia ambii lobi ale tiroidei sub

US-control with obtaining cytologic material. SUA-control cu obinerea material citologic. In three patients the diagnosis was made on complete clinical and laboratory n trei pacieni diagnosticul a fost fcut pe complet clinice i de laborator

examination, including US findings. examinare, inclusiv concluziile SUA. For all patients thyroid hormones were estimated: T3 (triiodothyronine), T4 (thyroxine), Pentru toi pacienii hormoni tiroidieni au fost estimate: T3 (triiodotironina), T4 (tiroxina),

TSH. TSH. The programme of hormone estimation consisted of assessing their level prior to, immediately after treatment and six to Programul de estimare hormon a constat n evaluarea nivelului lor nainte, imediat dup tratament i ase pn la

twelve months after the last treatment course. dousprezece luni de la ultimul tratament curs. UST was taken in two steps: the first step included US examination of the thyroid UST a fost luat n dou etape: prima etap a inclus o examinare din SUA ale tiroidei

every second month during a six-month period without treatment: the second step was during treatment when US-monitoring was fiecare a doua lun n cursul unei perioade de ase luni, fr tratament: al doilea pas a fost n timpul tratamentului atunci cnd ne-a fost de monitorizare

conducted every month. efectuate n fiecare lun. Within twelve months following the treatment, every third mnonth US-examination was carried out with n termen de dousprezece luni de la tratament, fiecare al treilea mnonth SUA-Examinarea a fost efectuat cu

"Aloku-500" US-apparatus (Japan), by electronic linear transducer 7.5 Mhz in the "grey scale" mode by the standard method of "Aloku-500", ne-aparat (Japonia), prin traductorul liniar electronice 7.5 Mhz n "gri", modul prin metoda standard de

determining linear dimensions and volume on the basis of unified protocol of description of US-picture of revealed alterations determinarea dimensiunilor liniare i de volum pe baza de protocol unificat de descriere a SUA-imagine a relevat modificri

[11]. [11]. Puncture of thyroid lobes was carried out under US-control by "free hand" method with "Microfine-G25-G22" needles Puncia lobi tiroidieni a fost efectuat sub control-SUA de "mn liber" cu metoda "Microfine-G25-G22" ace

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(external diameter 0.4 to 0.6 mm). (Diametrul exterior de 0.4 - 0.6 mm). Obtained material was coloured by hematoxylin-eosin. Materialul a fost obinut de colorat hematoxilin-eozin.

Su Jok therapy included five-stage influence on the standard correspondence systems of the hands and feet, treatment by energy Su Jok terapie inclus etape influen cinci la sistemele de coresponden standard a minilor i picioarelor, tratament de energie

points, by Six Energies. puncte, de ase Energiile. Procedures were administered every day or every other day, depending on clinical characteristics of the Procedurile au fost administrate n fiecare zi sau n fiecare zi, n funcie de caracteristicile clinice ale

basic disease, patients' subjective complaints and their severity. bolii de baz, "subiective plngerile pacienilor i gravitatea lor. The treatment course comprised ten procedures. Curs de tratament cuprins zece proceduri. Two to three Dou pn la trei

courses were prescribed in succession with intervals ranging from two or three months up to six months. cursuri au fost prescrise ntr-o succesiune cu intervale variind de la dou sau trei luni pn la ase luni.

Energy points were influenced chiefly by means of acupuncture accompanied - in cases of marked energy deficiency and lower puncte de energie au fost influenate n principal prin intermediul acupunctura nsoit - n cazurile de deficit de energie marcat i inferioare

general tonus of the organism - by warming up these points with minimoxas making due accentuation of the points corresponding tonusului general al organismului - prin nclzirea aceste puncte cu minimoxas accentuare a face n mod corespunztor de punctele corespunztoare

to the thyroid gland level (Fig. 1) [1, 4, 6]. la nivelul glandei tiroide (Fig. 1) [1, 4, 6].

Fig. Fig. 1. Energy points to be accentuated in treatment of thyroid gland disorders (2, 3, 5, 1. Puncte de energie s se accentueze n tratamentul glandei tulburri tiroidiene (2, 3, 5,

6 - basic energy points; 1, 4 - additional energy points) 6 - puncte de energie de baz; 1, 4 - puncte de energie suplimentar)

Metaphysical Six Energies treatment was carried out along byol-meridians of the hands and feet. Metafizic ase Energiile tratament a fost efectuat de-a lungul meridianelor byol-a minilor i picioarelor. In our opinion, the basic n opinia noastr, de baz

therapeutic approach to this disease is combined sedation of Humidity in the thyroid structure. Abordarea terapeutic a acestei boli este combinat sedarea de umiditate in structura glandei tiroide. Since the thyroid is assigned to the Deoarece tiroida este atribuit

category of Heat in UM-Hotness, the first needle is to be introduced vertically in the Heat point on the brain byol-meridian. categorie de cldur n UM-hotness, acul prima s fie introdus vertical n punctul de cldur pe creier byol-meridianul. After Dup

this, on the UM-Heat meridian we apply the following prescription: sedation of Humidity, tonification of Wind, tonification of aceasta, pe-Heat meridianul UM vom aplica prescripie urmtoarele: sedare de umiditate, de tonifiere Wind, tonifiere of

Coldness. Rceal. The controlling needle on the Conception byol-meridian is sedation of Humidity (Fig. 2) [3, 5]. Acul de control cu privire la Concepia byol-meridianul este sedarea de umiditate (Fig. 2) [3, 5].

Fig. Fig. 2. Sedation of Humidity in thyroid gland structure by the combination method 2. Sedarea de umiditate in structura glandei tiroide prin metoda combinaie

Importance of working with correspondence points on one's own have been explained to each patient which found further Importana de a lucra cu puncte de coresponden pe cont propriu au fost explicate pentru fiecare pacient, care a constatat n continuare

realization in the Spirit of Intention to help oneself and considerably inhanced the effectiveness of treatment. realizarea n Duhul Intenia de a se ajuta i inhanced considerabil eficacitatea tratamentului. The patients were Pacienii au fost

given recommendations to use for self-treatment the massage of the thyroid correspondence points and areas corresponding to the recomandrile fcute de utilizat pentru auto-tratament masaj al punctelor de coresponden tiroida i zonele corespunztoare

related spinal segment (cervical spine level) in the standard correspondence systems of the hands and feet. spinrii segment conexe (nivelul coloanei vertebrale cervicale) n sistemele de coresponden standard a minilor i picioarelor. Additionally: seeds n plus: semine

application to these areas for the night. Cererea pentru aceste zone pentru noapte.

Research results De cercetare rezultate

All patients complained of discomfort in the neck region, periodically appearing sense of compression in the thyroid. Toi pacienii au plns de disconfort n regiunea gtului, care apar periodic sensul de compresiune la nivelul tiroidei. General General

complaints of fast fatigue, unquiet sleep and irritability were reported by five patients. plngeri de oboseala rapid, somn zbuciumat i iritabilitate au fost raportate de cinci pacieni. Prior to treatment two patients had daily nainte de tratament doi pacienti au de zi cu zi

diffuse headaches and increased sweating in the first half of the day. dureri de cap difuze i transpiraie crescut n prima jumtate a zilei. On examination: three patients had first degree thyroid La o examinare: trei pacieni au avut primul grad tiroida

(WHO classification of 1994), four had zero degree. (OMS clasificarea din 1994), patru au avut zero grade. Prior to treatment the thyroid's size had not changed before. nainte de tratament tiroidian este mrimea nu s-au schimbat nainte.

By the end of the third course of treatment the following results could be noted: first degree hyperplasia was revealed in two Pn la sfritul cursului treia de tratament urmtoarele rezultate ar putea fi notat: hiperplazie de gradul nti a fost dezvluit n dou

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patients, zero degree in four patient. pacieni, de gradul zero n patru pacient. The thyroid decrease in one patient might be the result of cancelling her summer holiday in Scderea tiroidian la un pacient ar putea fi urmare a anulrii ei n vacan de var

the south. sud.

For all seven patients thyroid hormone indices were estimated prior to, during and after treatment. Pentru toate cele apte pacieni hormon tiroidian indicii au fost estimate nainte, n timpul i dup tratament. The results are shown in Table Rezultatele sunt prezentate n tabelul

1. 1.

Terms Termeni

No treatment Nici un tratament

Treatment Tratamentul

After treatment Dup tratament

Hormone Hormonul

norm norm

3 3

months luni

6 6

months luni

The end of Sfritul

the 1st course la 1 curs

The end of Sfritul

the 2nd course doilea curs

The end of Sfritul

the 3rd course al 3-lea curs

3 3

months luni

6 6

months luni

12 12

months luni

T3 (triiodothyronine) T3 (triiodotironina)

1,58 1,58

+0,31 +0,31

1,56 1,56

+0,40 +0,40

1,61+0,23 1,61 +0,23

1,66+0,44 1,66 +0,44

1,72+0,35 1,72 +0,35

1,70 1,70

+0,47 +0,47

1,71 1,71

+0,51 +0,51

1,73 1,73

+0,36 +0,36

1,2-2,8 1,2-2,8

T4 (thyroxine) T4 (tiroxina)

136,1 136,1

+6,0 +6,0

135,7 135,7

+6,3 +6,3

140,7+5,6 140,7 +5,6

142,0+5,2 142,0 +5,2

144,3+5,8 144,3 +5,8

141,7 141,7

+6,6 +6,6

143,9 143,9

+7,0 +7,0

144,5 144,5

+6,2 +6,2

60-160 60-160

TSH TSH

2,06 2,06

+0,5 +0,5

2,09 2,09

+0,8 +0,8

2,12+0,9 2,12 +0,9

2,13+0,9 2,13 +0,9

2,13+0,71 2,13 +0,71

2,11 2,11

+0,61 +0,61

2,10 2,10

+0,61 +0,61

2,09 2,09

+0,83 +0,83

0,17-4,06 0,17-4,06

Table 1. Thyroid hormone level in Su Jok context Tabelul 1 hormon. Nivelul tiroidei din Su Jok context

As can be seen in Table 1, in the "no treatment" column hormone fluctuations do not reflect any statistically reliable dynamics. Cum se poate observa n tabelul 1, n "nici un tratament" fluctuaii hormon coloana nu reflect nici o dinamica de incredere statistic. In n

all the patients they are within normal limits. toi pacienii care sunt n limite normale. After the first treatment course the hormone level tends to increase noticeably. Dup curs, primul tratament a nivelului hormonal tinde s creasc considerabil. The The

same tendency can be tracked after the second and third treatment courses. Aceeai tendin poate fi urmrit dup tere un tratament de cursuri i a doua.

Within the first year following the treatment the hormone level gets stabilized. n primul an dup tratament, nivelul de hormon devine stabilizat. Because of a small number of cases, we do not Din cauza unui numr mic de cazuri, noi nu

think it possible to make statistically reliable conclusions, it would suffice to point to the positive increase of hormones during cred c este posibil s se fac concluzii fiabile statistic, ar fi suficient pentru a indica la creterea pozitiv de hormoni n timpul

treatment in all patients which, beyond doubt, has a prefentive effect with hypothyrosis. tratament la toi pacienii care, dincolo de ndoial, are un efect prefentive cu hypothyrosis.

All patients were referred by their doctors to US-examination for scrinning-diagnosis. Toi pacienii au fost menionate de ctre medicii lor de a SUA de examinare pentru scrinning-diagnostic. In three patients I to II degree hyperplasia n trei am pacienii s hiperplazie de gradul II

was revealed, in one - II degree hyperplasia. a fost dezvluit, ntr-un singur - hiperplazie de gradul II. In three patients the thyroid's size did not increase according to UST. La trei pacieni tiroidiene de dimensiuni nu a crescut n funcie de UST.

In all seven cases there were echostructural changes in both thyroid lobes: multiple hypoechogenic roundish 2 to 5 mm diameter n toate apte cazuri au existat schimbri n ambele echostructural lobi tiroidieni: hypoechogenic roundish multiple 2-5 mm diametru

formations, merging in some regions (Photo 1). formaiuni, care fuzioneaz n unele regiuni (foto 1). Gross-granular parenchymal structure in other portions. -Granular parenchimului structura brute n alte pri. No clear-cut nodulations. Nu clar nodulations.

On further US-examination in three and six months five patients showed stable negative dynamics: the number of hypoechogenic Pe mai departe SUA-examinare n ase luni i trei cinci pacieni au prezentat negativ dinamica stabil: numrul de hypoechogenic

structures in the lobes were constantly growing (Photo 2), their echogenic character getting lower. structuri n lobii au fost n continu cretere (Foto 2), ecogene caracterul lor obinerea mai mici. Some formations changed their Unele formaiuni schimbat

internal structure for the anechogenic one which could be assessed as cystic changes (Photo 3). structura intern pentru un anechogenic care ar putea fi evaluat ca modificrile chistice (foto 3). In two patients there were no La doi pacieni nu s-au

changes of echostructure. schimbri de echostructure.

Photo 1. Ultrasound tomography of right thyroid Fotografii 1. Tomografia cu ultrasunete de drept tiroidian

lobe (longitudinal position of the sensor) before lobul (poziia longitudinal a senzorului) nainte de

treatment tratament

Photo 2. Ultrasound tomography of left thyroid Poza 2. Tomografia cu ultrasunete de stnga tiroide

lobe (longitudinal position of the sensor) before lobul (poziia longitudinal a senzorului) nainte de

treatment tratament

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Photo 3. Ultrasound tomography of thyroid lobes (cross-sectional position of the Foto 3 (cu ultrasunete. Tomografie tiroidei de lobi a seciunii poziia cruce a

sensor) before treatment senzor) nainte de tratament

US picture of changes in chronic lymphocytic thyroiditis can be substantiated by thyroid tissue pathomorphism findings in case of Imaginea SUA de modificri n tiroidita limfocitara cronica pot fi justificate prin esut concluziile pathomorphism tiroidian n caz de

pathology. patologie. Parenchymal follicular structure is deformed by infiltrations of interlobular and interfollicular connective tissue with Parenchimului structura foliculara este deformat de infiltratiile de interfollicular esutului conjunctiv i interlobulare cu

lymphocytes and plasma cells. limfocite i plasmocite. Focal destruction of epithelium is observed, there are also lymphothytic infiltrations. distrugerea Focal de epiteliu se observ, exist, de asemenea infiltrri lymphothytic. Not Nu

infrequently, the basal membrane is descructed without inflammation [10]. rar, membrana bazala este descructed fr inflamaie [10]. These findings of pathologic anatomy account for Aceste descoperiri de cont pentru anatomie patologica

appearance of hypoechogenic regions on US-display. apariia regiunilor hypoechogenic pe US-display. Pathological development enhances the degree of infiltration of dezvoltare patologic sporete gradul de infiltrare a

interfollicular connective tissue which results in further echogenic decrease up to anechogenic (cystic) structure of pathology sites esutului conjunctiv, care interfollicular rezultate n scdere ecogene n continuare pn la anechogenic (chistice) structura de site-uri patologie

on US-examination. pe noi de examinare. Along with infiltration parts there are hyperplastic changes of follicular cells with epithelium layer folds in mpreun cu piese de infiltrare exist modificri hiperplastice de celule foliculare cu strat de epiteliu n falduri

interfollicular stroma; there are uneven fibrosis zones which can appear on US-display as calcinate-type inclusions (dense echo- stroma interfollicular; exist fibroza zone inegale care pot aprea pe ecran ca-SUA-tip incluziuni calcinate (dens ecou-

positive linear inclusions) [11]. pozitiv incluziuni liniar) [11].

Revealed changes caused iatrogenic impairment in a patient's mental and emotional sphere [7]. schimbrilor revelate cauzat deprecierea iatrogene n pacientului mentale i emoionale sfera un [7]. Those patients who formerly Acei pacieni care anterior

refused to regard themselves as ill and rejected treatment, connecting their complaints with overstudy, professional exposures, a refuzat s se n vedere ca i a respins relelor tratamente, de legtur cu plngerile lor overstudy, expuneri profesionale,

social and domestic problems, on revealing negative dynamics by US methods expressed the desire to undergo treatment but ruled interne i probleme sociale, pe care dezvluie o dinamic negativ prin metode SUA i-a exprimat dorina de a urma un tratament, dar a decis

out intake of thyroid hormones. aportul din hormoni tiroidieni.

Taking the foregoing into account, we offered a monotherapy technique based on Su Jok acupuncture. Lund n considerare cele de mai sus, am oferit o tehnica monoterapie bazat pe acupunctura Su Jok.

US findings were accepted as an objective method of assessing the effectiveness of Su Jok therapy. constatrile din SUA au fost acceptate ca o metod obiectiv de evaluare a eficacitii terapiei Su Jok. Our conclusions are not based Concluziile noastre nu sunt bazate

on the patients' statements of feeling better, although all of them reported considerable decrease of discomfort in the neck region, asupra pacienilor "declaraiile de simt mai bine, dei toate dintre ele au raportat scderea considerabil de disconfort n regiunea gtului,

four patients pointed to disappearance of headaches and sweating, and enhanced efficiency right after the first treatment course. patru pacieni a artat la dispariia de dureri de cap i transpiraie, i dreptul de eficien sporit i dup curs primul tratament.

However, since this research work was meant to exclude subjective evaluation of Su Jok therapeutic effects, we relied upon UST Cu toate acestea, din moment ce aceast lucrare de cercetare a fost menit s exclud evaluarea subiectiv a efectelor terapeutice Su Jok, ne-am bazat pe UST

findings. constatri. All studies were recorded on videoprinter in standard positions. Toate studiile au fost nregistrate pe videoprinter n poziii standard. After the first treatment course in four patient we noted Dupa curs de tratament n patru pacient am observat

the appearance of another kind of echostructure replacing previous cystic or hypoechogenic formations. apariia unui alt tip de echostructure nlocuirea formaiuni chistice sau hypoechogenic anterioare. Those were individual Acestea au fost individuale

calcinate-type echo-positive linear 1 to 2 mm long inclusions (Photo 4). calcinate de tip echo-liniar pozitiv 1-2 mm lungime incluziuni (foto 4). In three patients echostructure did not change by the end n trei echostructure pacienii care nu au schimbat pn la sfritul anului

of the first course. de la primul curs. By the end of the second treatment course the number of such calcinate-type inclusions was much greater in Pn la sfritul cursului doilea tratament, numrul de calcinate de tip incluziuni astfel a fost mult mai mare n

three patients. trei pacieni. In one woman their number grew considerably (10 to 15 in both lobes). ntr-o singur femeie numrul lor a crescut considerabil (10 la 15 n ambii lobi). In two patients analogous individual La doi pacieni similare individuale

inclusions appeared for the first time. incluziuni a aprut pentru prima dat. Only in one woman the thyroid echostructure was without change. Intr-o singura femeie echostructure tiroida a fost fr modificri. By the end of the third Pn la sfritul celei de a treia

course in five patients the number of inclusions reached 30 to 40 in both lobes (Photo 5). desigur, n cinci pacienti numrul de incluziuni a ajuns la 30 la 40 la ambii lobi (foto 5). One patient displayed individual Un pacient a afiat individuale

calcinates, another - partially hypogenic echostructure. calcinates, un alt - parial echostructure hypogenic. (These patients produced no US dynamics). (Aceti pacieni nu au produs nici dinamica SUA).

Photo 4. Ultrasound tomography of left thyroid Fotografia 4. Tomografia cu ultrasunete de stnga tiroide

lobe (longitudinal position of the sensor) after first lobul (poziia longitudinal a senzorului), dup primul

treatment course tratament curs

Photo 5. Ultrasound tomography of left thyroid Fotografia 5. Tomografia cu ultrasunete de stnga tiroide

lobe (longitudinal position of the sensor) after lobul (poziia longitudinal a senzorului) dup

second treatment course al doilea tratament curs

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The given approaches were applied as basic in dealing with a group of patients with cystic changes in the thyroid gland. Abordrile dat au fost aplicate de baz n relaiile cu un grup de pacieni cu modificri chistic la nivelul glandei tiroide. Analysis Analiza

of energy constitutions revealed that the majority of the patients with cystic thyroid changes had the constitution of excessive UM- constituiilor energie a artat c majoritatea pacienilor cu tiroida modificri chistice avut constituirea excesive UM-

Humidity and UM-Heat energies. Umiditate i cldur-energii UM. The treatment removed a number of subjective and objective disorders: weakness, increased Tratamentul eliminat o serie de obiective i tulburri subiective: slbiciune, a crescut

sweating, headaches, periodic diarrhea, rhynitis which is dynamically confirmed by longitudinal observations of the patients and transpiraie, dureri de cap, diaree periodice, rinite care este dinamic confirmat de observaiile longitudinal al pacienilor i

is indicative of the patients' energy constitutions being corrected. este orientativ de "energie constituiilor pacieni fiind corectat.

The results of treatment have driven us to the conclusion that the basic pathogenic energy of a cyst, Humidity, was corrected Rezultatele tratamentului ne-au condus la concluzia c energia patogen de baz a unui chist, Umiditate, a fost corectat

primarily by the energy of Coldness (multiple calcinates). n primul rnd de energie de frig (calcinates multiple). In the given example, the sanogenic mechanism is clearly demonstrated, n exemplul dat, mecanismul de sanogenic este clar demonstrat,

namely, out of the two energies of Wind and Coldness offered by combined techniques, the organism has chosen Coldness energy i anume, din cele dou energii de vnt i frig oferite prin tehnici combinate, organismul a ales energie rceal

as the most rational to remove the dominating pathogenic energy of Humidity in the thyroid structure. ca cel mai raional pentru a elimina patogene energie dominant de umiditate n structura glandei tiroide.

Conslusions Conslusions

According to UST, cystic changes in the thyroid were consistently replaced by focal parenchymal calcynate-type induration. Potrivit UST, modificrile chistice n tiroida au fost n mod constant nlocuite cu focal calcynate tip induraie parenchimale. This Acest

is connected with disappearance of indications of inflammatory infiltration in the thyroid and their replacement by marked focal este conectat cu dispariia de indicaii de infiltrare inflamator la nivelul tiroidei i nlocuirea acestora cu focale marcate

fibrosis of the tissue. fibroza a tesutului. Such an outcome is optimal with the given nosologic form of the disease in medical practice. Un astfel de rezultat este optim cu forma nozologic dat a bolii n practica medical. From the Din

theoretical standpoint, of course, the ideal result would be complete disappearance of infiltration areas and restoration of the punct de vedere teoretic, desigur, rezultatul ideal ar fi dispariia complet a zonelor infiltrare i restaurare a

normal structure of the thyroid gland. structurii normale a glandei tiroide. This is possible, however, when CLT is "caught" at the initial stage, autoimmune response Acest lucru este posibil, cu toate acestea, atunci cnd CLT este "prins" la etapa iniial, rspuns autoimune

is minimal and autoantibody titre low. este i autoanticorpi titru minim redus. At this stage clinical symptoms are scarse and specifically unpronounced, patients do not n acest stadiu simptomele clinice sunt scarse i specific unpronounced, pacienii nu

turn for qualified medical help and undergo treatment for other disorders (neurocirculatory dystonia, chronic fatigue syndrome, rndul su, pentru ajutor medical calificat i urmeze un tratament pentru alte tulburri (distonie neurocirculatory, sindromul oboselii cronice,

etc.). etc). To summarize the above-mentioned, we can conclude that: Pentru a rezuma de mai sus, putem concluziona c:

1. 1. Su Jok therapy, including five-stage influence on the correspondence systems of the hands and feet, treatment by energy points Su Jok terapie, inclusiv etape influen cinci n sistemele de coresponden ale minilor i picioarelor, tratamentul de puncte de energie

and Six Energy treatment are highly effective for treating cystic changes of the thyroid in chronic lymphocytic thyroiditis; ase i un tratament de energie sunt foarte eficiente pentru tratarea schimbri chistice ale tiroidei n tiroidita limfocitara cronica;

2. 2. Su Jok acupuncture allows to evaluate an organism's sanogenic mechanisms in CLT, which, in turn, is an important predictive Su Jok acupunctura permite s evalueze organismului sanogenic mecanismele o n CLT, care, la rndul su, este un important predictiv

factor (however, for the results to be objective a greater number of patients should be observed for a longer (5 to 8 years) period of factor (cu toate acestea, pentru ca rezultatele s fie obiectiv un numr mai mare de pacieni ar trebui s fie respectate pentru o (5-8 ani) perioad mai lung de

time); timp);

3. 3. The level of thyroid hormones (T3, T4, TSH) tends to increase during treatment; Nivelul de hormoni tiroidieni (T3, T4, TSH) tinde s creasc n timpul tratamentului;

4. 4. UST is highly effective for objectification of the results of treating CLT by Su Jok therapeutic techniques; UST este foarte eficient pentru obiectivare a rezultatelor de tratare a CLT prin tehnici terapeutice Su Jok;

5. 5. Appearance of calcinates in the parenchyma of the thyroid can be assessed as a positive effect of treatment; Aspectul calcinates n parenchimul a glandei tiroide poate fi evaluat ca un efect pozitiv de tratament;

6. 6. Successful application of the discussed techniques demonstrates potential expediency of Su Jok treatment for individual cystic aplicarea cu succes a tehnicilor de discutat oportunitatea demonstreaz potenialul Su Jok pentru tratament chistice individuale

nodules of the thyroid which is extremely important for chosing the least invasive method of treatment in this category of patients. noduli a glandei tiroide, care este extrem de important pentru alegerea metoda cea mai puin invaziv de tratament n aceast categorie de pacieni.

REFERENCES REFERINE

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Successful application of the discussed techniques demonstrates potential expediency of Su Jok treatment for individual cystic