| 摘要 |
FIELD: medicine. ^ SUBSTANCE: method involves administering allergenic diet and applying antihistamine, desensitizing, symptomatic and manual therapy. Visceral manual therapy is applied. Visceral manual therapy is carried out within three sessions. Visceral organ ligament out-of-balance condition correction is carried out during the first session, directly influencing bile-excreting system biomechanics, by achieving relaxation in stretching shortened right triangular hepatic ligament in cranial direction until full liver movement restoration is recovered in frontal plane, coronary one, in craniodorsal direction, until full restoration of physiological liver mobility in sagittal plane is achieved, left triangular ligament, in laterolateral direction, until full liver movement restoration is recovered in horizontal plane is achieved. Then, gallbladder fundus viscerospasm relaxation by applying deep palpation with physician thumbs in the right subcostal space with small amplitude vibration is done and followed step-by-step by a gallbladder fundus relaxation in a cranio-dorso-medial direction done with direct palpation, common bile duct mobilization with passive movement in a dorso-caudo-medial direction done with doctor hand and Oddi sphincter mobilization by applying rotational movements until tissue movement is recovered in all planes. The second session is given in one day (as regenerative period for internal organs after manipulations in abdominal cavity being done). It aimed at eliminating residual phenomena of pathobiomechanical changes in internal organs. Gastroenteric tract sphincter apparatus of patient is also treated. Plica cecalis is treated in turn, relaxing it in dorsal direction until painful response vanishes, with following ileocecal valve (Bauhin valve) dysfunction correction, moving the valve in caudoventrolateral or cranio-dorso-medial direction from restricted movement to recovery of physiological tissue mobility under manual treatment done by the physician. Cardioesophageal sphincter mobilization is carried out by drawing patient left hand 180° aside, fixing it with the physician left hand and shifting stomach fornix in dorsocaudal direction with the physician right hand until tissue resistance disappears as a result of manual treatment done by the physician. Oddi sphincter mobilization is carried with rotational movements towards restricting tissue movements to full recovery of the movements in all planes. Supervise Biomechanical visceral organs interrelations are controlled at the third session. Residual dysfunctions being found, additional correction is carried out with techniques used during the first and second sessions being applied. The second session is administered in one day after the first one, and the third one in 7 days later after the second one. ^ EFFECT: enhanced effectiveness of treatment. |
