CONFERENCE ABOUT FASTING THERAPY

2001 IN ULAN UDE – REPUBLIC OF BURYATIA

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 pharmaco-therapeutic 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 Centre, 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.

To be frank, here in Republic of Buryatia we are particularly 
pleased at the extension of topics in this direction. It is due to 
the fact that in Zabaikalye we have been engaged in studies of traditional 
(synonymous to folk) medicine, which has its own unique ethnic traits 
in Buryatia. In our Republic such institutions, like the Buryat Science 
Center of the Siberian Division of the Russian Academy of Sciences 
and the Center of Oriental Medicine under the Republic of Buryatia 
Health Ministry, have been successfully operating; along with licensed 
medical doctors belonging to contemporary orthodox medicine, there 
is a rather abundant group of folk physicians (emchi-lamas), trained 
and skilled in unique therapies of traditional Tibetan medicine, also 
providing therapeutic and health improvement services to the local 
population. So, the local community is susceptive to natural (traditional) 
therapies and health enhancement. However, potentialities 
and prospects of traditional medical therapies and techniques have 
not been extensively discussed in our Republic.

The Health Ministry of Republic of Buryatia supports and 
enforces the introduction of foreign and domestic scientific elaborations 
on fasting therapy and traditional medicine into practices of public 
health care institutions.

I wish you successful work and mutual enrichment with ideas 
and insights for the noble cause of health improvement of Russian 
citizens.

 V.KOZHEVNIKOV
Minister, Republic of Buryatia
Ministry of Public Health Care

THE EDITOR'S FOREWORD

The idea of organizing and hosting the Baikal Readings on a regular 
basis was forwarded at the 2001 Republican scientific-and-practical 
conference (Ulan-Ude), where issues of fasting therapy in treatment 
of internal diseases were dealt with, and was reflected in the conference 
resolution.

Having supported this idea in general, I immediately suggested the 
expansion of the topics of the will-be Readings: to raise and discuss 
issues not only of fasting therapy but of traditional medicine as 
well, proceeding from the fact that in both cases non-medicamental 
therapies are applied. Based on our observations we can assert that 
techniques of traditional medicine employed at a certain period of 
fasting therapy optimize results of fasting.

As the editor of the Baikal Readings' 1 proceedings, I have 
attempted to involve experts and adapts who have accumulated 
significant personal experience both in fasting therapy and 
various techniques of traditional medicine, in order to display 
their wide scope, therapeutic and valeological potentialities and 
virtual efficiency. I feel that discussion of all these issues 
in Republic of Buryatia, which is fortunate to have deep and unique 
roots of folk healing and Tibetan medicine, can be of certain interest 
for wide general public and local medical community. It can 
provide a good stimulus for mobilization of latent reserves for health 
enhancement of the locals within the Republic, as well as in some 
other regions of the Russian Federation.

Hopefully, that in this respect, the Baikal Readings'1 materials 
will attract attention of various medical specialists and give impetus 
for their willingness in mastering techniques of fasting therapy and 
traditional medicine, and, thus, perfect their personal professional 
skills for combating numerous diseases and health enhancement of 
the local population.

 Prof. Aleksei KOKOSOV,
Honored Scientist of the Russian Federation,
MD, Director on Science of the City Centre Fasting
(St. Petersburg)

THE PHILOSOPHY OF HEALTH FROM THE POINT
OF VIEW OF ORTHODOX (CONTEMPORARY)
AND TRADITIONAL (ORIENTAL) MEDICAL SYSTEMS, AS WELL AS THE GENERAL 
PRINCIPLES
OF TREATMENT OF PATHOLOGIES AND HEALTH ENHANCEMENT OF THE BODY

A. KOKOSOV

St. Petersburg, Russia

By orthodox (contemporary) medicine health is defined as the state 
of equipoise of the systems of biochemical homeostasis with their 
environment. Health is sustained by a dynamic complex of defensive-and-adaptive 
reactions, introduced in the impact of an extreme (pathogenic) 
stimulant, here the primary (adaptive) and secondary (defensive, compensatory) 
reactions are being distinguished. Traditional (Oriental) medicine 
assigns the paramount relevance in health conservation and sustaining 
to informational-and-energetic homeostasis. The human body is presented 
in the form of an energetic egg, in which only the internal 
envelope  coarse (physical) body exists on the anatomical 
level, the rest is on the mental one. The state of health is stipulated 
by the maximum harmony of all constituent envelopes or shells of the 
energetic egg. Its structure is a sustainable, self-regulating 
biological system with initially well-developed protection against 
external and internal pathogenic factors. Any disease begins from 
the change of biological energetics of a Man, namely his biological 
field. Recent investigations of biophysics allowed it to be 
visualized, what is important for definition of health quality. The 
general principles of treatment of pathologies and health enhancement 
of the body include the following major tenets, like: (1) to overcome 
endotoxicosis and to purge and evacuate wastes from the 
body in reliance upon efferent therapeutic and health enhancing techniques; 
(2) to create a (competing) leitmotif of health by diverse public 
outreach; (3) to stimulate and train mechanism of adaptation and 
sanogenesis; (4) to teach a (potential) patient's necessary skills 
of health enhancement and quality life maintenance.

Part I

PROSPECTS AND POTENTIALITIES
OF USE OF THERAPIES AND TECHNIQUES
OF TRADITIONAL MEDICINE WITHIN
THE PUBLIC HEALTH CARE SYSTEM
OF REPUBLIC OF BURYATIA

Life Quality and Health (P. Gorbenko; St. Petersburg)

Regarding the terms Life Quality and Health the author emphasizes 
saving health of the healthy people and supposes that the current 
social policy declared by the President of Russia creates preconditions 
for forming the social culture of Life Quality and Health as well 
as practical realization of the relevant social actions.

Potentialities and Perspectives of the Traditional Medicine 
in Medical Practice in Russia (A. Kokosov; St. Petersburg)

There are two different terms in international medical practice 
Health Improvement and Treatment. Although the world and the Russian 
health improvement experiences are very reach, they are not studied 
very well. The activity of folk healers therefore should be certified 
by state health organizations with the use of laboratory diagnostic 
methods of the evidence based medicine. All the methods of the traditional 
medicine should go the same way.

Buryatia Republic can become an experimental region for it as this 
work is supported by the Republic Health Ministry for the first time 
in Russia.

Traditional Medicine of Buryatia: Potentialities and Prospects 
in Therapy and Health Improvement of the Population (S.Nikolayev, 
B. Balzhirov, K. Malanov; Ulan-Ude)

The Tibetan tradition of healing in Buryatia has been widely spread. 
Nowadays it is, to a significant degree, complemented with data from 
Buryat folk medicine, experience of Buryat and Mongolian emchi-lamas, 
introduction of some practical therapies and techniques of health 
enhancement of the population from the legacy of other medical systems, 
like the Mongolian, Ayurvedic, Russian, and Persian ones, once popular 
throughout Russia and the Commonwealth of Independent States. Virtually, 
we have a modernized, as a result of purposeful scientific and 
research work, and adapted form of Tibetan medicine, which can 
be called traditional medicine of Buryatia. It regards traditional 
believes, climatic-and-geographical conditions in the region, life 
style of the local population, genetic memory, specific dietary patterns, 
traditions and culture of the ethnic groups inhabiting Buryatia. 
Prospects of further development of traditional medicine of Buryatia 
are undoubtedly related with continued research based on premises 
of the above traditions and new medical technologies of contemporary 
(orthodox) medicine. Their integration will guarantee a qualitatively 
new level of development of medical science and practical public health 
care within the region in the 21st century.

On the Buryat Tradition of Healing (V.Tarnuyev, G.Namsarayeva; 
Ulan-Ude)

Based on studies of numerous literary sources, the authors present 
their own version of the origin and formation of the Buryat healing 
tradition, as well as its evolution from old days up to now.

The Use of Therapies and Techniques of Traditional Medicine in 
Gerontological Practice (V.Zhernov; Moscow)

The portion of senior patrons has been growing throughout the world, 
and according to the UN data, will reach 1 billion by 2010. In Russia 
elderly people make one fifth of the entire population, 11% of them 
are over 80 year old.

So, problems in the solution of this issue are abundant and related 
not only with the fact of the elderly population growth, but also 
with insufficient material maintenance, unwillingness of the majority 
of medical doctors to deal with this group of patients who require 
more attention and medical erudition.

In the recent therapeutic practice the increase of a number of diseases 
in senior patrons is reported, what can be estimated as a manifestation 
of the population aging in the country. As a rule, at this age a patient 
usually suffers from 57 diseases at the same time, among them 
diseases of the cardio-vascular system can be focused. The most common 
ailments are arterial hypertension and ischemic disease of the heart.

At the Faculty of Traditional Medicine of the Russian University of 
Friendship among Peoples, effectiveness of therapies and techniques 
of traditional medicine, including reflexotherapy and hirudotherapy 
in gerontological patients, has been studied.

Prospects of Phytotherapy and Phytoprophylaxis of Diseases with 
Regard of Genetic Memory of Ethnic Groups (S.Lemza, S.Nikolayev; 
Ulan-Ude)

The paper presents a short survey of recent publications dealing with 
the important problem of enhancing efficacy of medicamental therapy 
of various diseases based on data on the functional role of genes 
and their polymorphic variants, coding enzyme systems, which catalyze 
biochemical transformations of xenobiothics and medicaments. The assumption 
on interesting prospects of studies on effectiveness of natural phytoremedies' 
application in populations with various genetic structure, as well 
as necessity of individual approach in phytotherapy of diseases with 
regard of genetic features of the body, is forwarded.

Fasting Therapy as a New Direction in Sanatroium-and-Resort Treatment 
(N.Batayeva, T.Syrenova; Goryachinsk Resort, Republic of 
Buryatia)

For optimization of generally-accepted sanataroium-and-resort 
treatment 575 patients with various somatic pathology were 
administered short-term (2436 h) fasting therapy with subsequent 
remedial diet to alleviate the period of their acclimatization. The 
authors assume that such preventive fasting therapy fosters optimization 
and complements the generally-accepted therapies provided at 
the sanatoria and resorts, it also serves as prophylactics of excercebations 
of clinical pathgologies and improves life quality of such patients. 
The efficacy of the therapy ranged from 75 to 98.7%, depending upon 
the character of the pathology.

The Attitude of the Doctors and Nurses of Buryatia toward Fasting 
Therapy (Information and Psychosocial Factors and the Results of the 
Anonymous Survey) (M. Mitupov, K. Godinya; Ulan-Ude)

The authors have conducted an anonymous survey among 314 doctors 
and nurses of different specialization from hospitals and other medical 
organizations of Ulan-Ude who had not done any special courses on 
fasting therapy about their attitude toward it. Different answers 
have been got. However, the majority of the doctors and nurses wished 
to have much more information on fasting therapy.

The Perspective of Wide Inculcation of Fasting Therapy Method 
to Practical Work of Healthcare Administrative Bodies of Republic 
of Buryatia (Based on the Patients' Questionnaire) (N.Batayeva, 
T. Angarova, N. Danchinova, A. Shagdurova, K. Godinya; Ulan-Ude)

The authors have interrogated 182 patients (76.3%  women, 
23.62% men), who underwent a course of fasting therapy. 
The patients have answered various questions about their attitude 
to fasting therapy, Oriental medicine and other non-medicamental 
methods, as well as to nutrition, bad habits etc. The results of the 
questionnaire show the demand of fasting therapy for people and 
good prospects for application of this method in Republic of 
Buryatia. 

The Role of Ulan-Ude Libraries in the Popularization of Fasting 
Therapy Method in Republic of Buryatia (E. Demkova, N.Petukhova, 
E. Ryabusheva, E. Ochirova, K. Godinya; Ulan-Ude)

In the city library, during the discussion of the application of fasting 
therapy at various pathologies, doctors and patients were anonymously 
interrogated. The authors showed an important role of city libraries 
in the process of application of fasting therapy in the work of healthcare 
administrative bodies of Republic of Buryatia.

 The Results of the Survey among the Patients Having a Second 
Course of Fasting Therapy (N.Batayeva, T.Angarova, 
Z.Teponasyan, K.Godinya; Ulan-Ude)

The authors have conducted a survey among 50 patients having a second 
course of fasting therapy in a hospital. The results have shown that 
a second and subsequent courses of fasting therapy are advisable as 
they improve psychological condition of the patients, reduce reception 
of medicines at chronic illness down to their full cancellation and 
give valuable information helping adopt fasting therapy in the system 
of traditional medicine.

Organization of Activities of Medical Doctors on Introduction of 
Fasting Therapy within the Public Health Care System of Republic 
of Buryatia and Obvious Prospects of these Activities (T.Shilina; 
Ulan-Ude)

The author reports that in Republic of Buryatia over 90 medical doctors, 
88.2% of physicians among them, have been recently trained in fasting 
therapy. According to the Republican Fasting Center schedule, these 
doctors meet on a regular basis with the local community; particular 
attention being focused on exchange of opinions and ideas among patients 
experienced in fasting therapy. The priorities of further introduction 
of fasting therapy into the public health care system of the Republic 
are enumerated.

Part II

FASTING THERAPY IN THERAPEUTIC
AND HEALTH ENHANCEMENT PRACTICES

Potentialities of Fasting Therapy in Treatment and Health Enhancement 
of the Body (A. Kokosov; St.Petersburg)

Health enhancement and treatment are different notions. Fasting therapy 
may be beneficial in both cases, though methodological approaches 
to health enhancement and treatment should be different, too. For 
health enhancement one can use health-improving fasting therapy following 
the techniques by P.Ivanov or P. Bragg on a short-term and regular 
basis (from the methodical point of view, either a moist 
or dry, not-drastic fasting therapy following Prof. A. Kokosov) 
supervised by a folk healer or a physician, experienced in applying 
these techniques aimed at health enhancement. For treatment of pathologies 
it is recommended to apply fasting therapy in various methodical variations 
(completemoist, drydrastic and not-drastic, stepped, combined 
fasting therapy following Prof. A.Kokosov) guided by indications 
and contraindications. The selection of a technique and duration of 
fasting depend upon the nature of pathology and polymorbism, the 
latter lengethening fasting. The treatment should be supervised 
by a physician, knowledgeable and experienced in the technique 
of fasting therapy.

Adaptive Reactions of the System of Immunity, Hemostasis, and Lipid 
Spectrum of Blood in Patients with Bronchial Asthma and Indications 
for Fasting Therapy (V. Mishlanov, A. Tuyev; Perm)

The conducted investigation has shown that fasting is an effective 
accessory therapy of bronchial asthma: plausible increase of Forced 
Expiratory Volume, decrease of eosinophilia of peripheral blood 
and index of allergic inflammation have been revealed. The results 
of assessment of effectiveness of the programs of basis medicamental 
and fasting therapy in patients with bronchial asthma have confirmed 
the major statements of the authors' concept on adaptive reactions 
of the systems of homeostasis under study. Indications for application 
of the accessory therapies and techniques, including fasting, should 
stipulate their effect on the state of compensatory-and-adjustment 
mechanisms of patients.

On the Problem of Prevention of Malignant Tumors with the Help 
of Fasting Therapy (B. Babinov, M. Naumov, N. Chernomorenko; 
Tyumen)

The staff of the specialized department of the oblast clinical onclogical 
dispensary has accumulated experience in applying fasting therapy 
for the primary and secondary prophylaxis of oncological pathologies, 
including premalignant diseases of the stomach, mammary glands, uterus, 
thyroid gland, gall bladder, prostate, larger intestine, and in the 
oncological pathology risk group. Fasting therapy was performed 
following the Yu.S.Nikolayev's technique (complete, 
moist fasting), the fasting period lasting in average 18 days. All 
the patients have successfully undergone the therapy. Among 
68 patients with premalignant diseases and benign tumors, the 
positive effect was achieved in 64: decrease and disappearance of 
the pathologies, what was verified by radiation, endoscopic and morphological 
examinations. In the oncological pathology risk group the patients 
have experienced improved stamina, normalization of the gastro-intestinal 
tract functioning, better working capacity. The authors consider 
that fasting therapy can be used for the primary and secondary prophylaxis 
of oncological pathologies.

Fasting Therapy in the Shumilov's Disease: Author's Recommendations  (V. 
Shumilov; Minsk)

Among the major synonyms of the Shumilov's disease, or otherwise, 
the disease of minor radiation dosages, are: primarily chronic radiation 
disease, radiation disease due to internal radiation, disease of accumulation 
of radionuclids (radiotoxins). The pathology is stipulated by introduction 
and accumulation of minor dosages of radionuclids, their pathological 
effect deteriorated with alcoholisation. As a therapy and prevention 
of advanced pathology, the efferent principle of acceleration of the 
transit of radionuclids throughout the victim body has been recommended 
(patent  N3352 of December 20, 1999, entitled The Technique 
of Removal of Radionuclids from the Body issued by the State 
Patent Committee of the Republic of Byelorussia, the author V.Shumilov, 
the patent owner the Byelorussian Social-and-Ecological Union Chernobyl). 
The Chernobyl Atomic Power Station disaster victims are recommended 
to undergo a regular detoxication by fasting therapy, with subsequent, 
predominantly vegetarian diet, in-between the repeated courses 
of fasting therapy. As a specific control of the detoxification, 
the individual dosimetry of radiotoxins' excretion following 
the spectrometry of bodily emanation is used. The author provides 
his recommendations on the technique of out-patient fasting 
therapy.

The Effect of Fasting Therapy on the Diastolic Function of the 
Left Ventricle of the Heart in Patients with Hypertension (S.Muravyev, 
G.Makarova, O.Andreyeva, I.Zmanovskaya; Tyumen)

Fasting therapy was administered to 183 patients with hypertensive 
disease of the 1st2nd stages following the classical technique 
of complete (moist) fasting, the average duration of fasting 
reaching 15.5 days, 40% of the patients undergoing repeated courses 
of fasting therapy. Along with the generally accepted clinical and 
laboratory examinations, during the fasting therapy dopplerechocardiography 
was performed on the patients prior, immediately after, and in three 
months after the fasting therapy, with identification of changes in 
the diastolic function of the left ventricle of the heart. The findings 
have shown the hypotensive effect of fasting therapy, all the patients 
experiencing the improvement of the diastolic function of the left 
ventricle of the heart, and positive changes retained in three months.

Fasting Therapy in Allergic Pathology under Out-Patient Conditions 
(I.Shoizhalsanova; Ulan-Ude)

In the Town Center Fasting Therapy based in Polyclinic N1, 
fasting therapy was administered to 19 patients with allergic pathology, 
aged from 13 to 50, among them 13 women, 4 men, and 1 teenager. The 
pathology included bronchial asthma, atopic, mild, and medium severe 
8 cases; allergic dermatitis 4; polynosis 2; chronic 
cholecystitis 2; chronic gastritis 2. During 
the preparatory period the generally-accepted clinical-and-laboratory 
and functional examination was conducted, accompanied, if indicated, 
with ultrasound examination of the abdominal organs, fibrogastroduodenoscopia, 
and immunological examination. At that time vegetarian diet was recommended, 
excluding sharp, salty, pickled products and rich soups. Fasting therapy 
lasted 34 days. Unhealthy habits, like smoking and alcohol consumption, 
were also prohibited; also, cleansing enemas were performed daily, 
also there were recommended hygienic procedures, walking and hiking, 
daily examination by a physician, control over bodily weight, pulse 
frequency, arterial pressure, self-checkup log; and peakflowmetry 
in bronchial asthma. The recuperative period is 3 days. During that 
time the patient is offered to select 3 variants of diets: the juice-, 
cereal-, whey-based ones; salt was excluded, its amount being limited 
later. During the subsequent 1.5 months we recommend diet, similar 
to the one during the preparatory stage for fasting, one-day fasting 
once a week, and three-day fasting in every 6 months. The assessment 
of the results of fasting therapy has shown that the absolute majority 
of patients (89%) report improved well-being and display positive 
clinical-and-laboratory dynamics of the symptoms, and improved 
peakflowmetry indices in bronchial asthma. The majority of patients 
during the fasting therapy gave up supporting medicamental therapy. 
Following the above dietary recommendations (please see above), the 
most patients (68%) retained well-being; their clinical signs of the 
pathology and needs in basic medicamental therapy decreased; and the 
quality of life improved. The author provides brief clinical illustrations.

Fasting Therapy with Resumption of the Cambridge Diet in Patients 
with the Syndrome of Irritated Large Intestine (V.Maksimov, 
V.Panaikin, A.Lysov, K.Tarasov, G.Bazhenova; Moscow)

Having applied fasting therapy in patients with the syndrome of irritated 
large intestines, the authors investigate two variants of remedial 
nutrition the Cambridge diet and the diet generally accepted 
in our country. According to the results of the analysis of morphological 
data obtained from the patients under study, it is inferred that the 
Cambridge diet entails more frequent normalization of the mucous membrane 
structure of the large intestine in patients suffering from the syndrome 
of its irritation.

The Dynamics of Clinical-and-Anthropometric Indices in Patients 
with Alimentary-and-Constitutional Obesity under Dietary 
Interventions including Fasting Therapy (Ye.N.Lapteva, 
 Ye.S. Lapteva, M. Bolotova; St. Petersburg)

The authors conducted their research to study the dynamics of the 
body mass index depending on the character of the dietary interventions 
in the different periods of the treatment of the patients with alimentary 
and constitutional obesity. The results show the beneficial effects 
of the all used methods including the suggested reduced diet with 
the elements of the separate feeding. However, the patient's wish 
to change his lifestyle, the doctor's considerate attitude toward 
the patient as well as the regular implementation of the doctor's 
prescribing are crucial for the patients with alimentary and constitutional 
obesity.

Automated Correction of Diet during the Remedial Period of Fasting 
Therapy (M.Ashikhmina, V.Zhernov, M.Zubarkina, 
A.Ustinov, M. Kartseva; Moscow)

In the fasting therapy course of importance is the period of rehabilitative 
diet. Based on the analysis of literature and our own data about dietary 
features during the rehabilitative period of fasting therapy, we have 
developed an algorithmic software for the computerized system to assist 
a physician in compounding an individual dieting plan for a patient 
with regard of his or her disease, initial bodily weight, rehabilitative 
period dates. The suggested system allows us to facilitate a physician 
in conducting fasting therapy. In its administration the individual 
program of treatment is needed, which will include rehabilitative 
diet during the withdrawal from fasting. It is mandatory to observe 
the principle of individual-based administration of diet to a patient 
according to dates with due regard of his or her diseases, general 
state, age, duration of fasting. It is particularly important when 
the therapy is conducted in out-patient conditions. In a thorough 
and adequate approach it takes a while for a doctor to administer 
such diet.

Dosaged fasting therapy can be prescribed in stages III of hypertonic 
disease, stenocardia, obesity, initial arteriosclerosis, residual 
symptoms of infectious hepatitis, cholecystitis, pancreatitis, 
III type diabetes mellitus, ulcerous gastric and duodenal 
disease, nephrosonephritis, colitis, gastritis, bronchial 
asthma, skin ailments (eczema, psoriasis, neurodermitis, etc).

The Combination of Fasting Therapy and Acupuncture in Patients 
with Arterial Hypertension (Z.Vukolova, M.Ashikhmina, 
A.Oganova; Moscow)

125 patients with hypertension have been treated by fasting therapy 
combined with acupuncture. The main group consisted of patients 
with mild hypertension. Acupuncture has been employed 
with regard of the physiological model. In the acupuncture exertion 
there were used both classical and auricular points. In the selection 
of the classical points there were regarded the findings on patient 
examination following Nakatani. The statistically reliable 
decrease of arterial pressure and the cholesterol level has 
been reported. The given technique can be recommended for therapy 
of hypertensive disease.

Probable Complications of Fasting Therapy and Their Correction 
with the Help of Phytotherapy (A.Alifanov; Rostov Oblast)

The author has analyzed not-fatal complications and side effects of 
fasting therapy, lasting from 2 to 45 days, in 230 patients with different, 
mainly somatic pathology: 170 patients underwent fasting therapy in 
out-patient conditions, 60 in an in-patient hospital. Fasting 
in 200 patients was under control by a competent physician, and 30 
patients conducted it on their own, without medical assistance. The 
complications and side effects are categorized. The author provides 
his own experience of their successful correction by phytotherapy. 
He believes that long-term fasting should be conducted under in-patient 
conditions supervised by a competent physician.

On Possibilities of the Use of Homeopathic Preparations in Fasting 
Therapy (M.Ashikhmina; Moscow)

In this work the author has attempted to apprehend the possibility 
of combining fasting therapy with homeopathic treatment, to suggest 
the technique of their joint application. Homeopathic medicaments 
are believed to be innocuous, without side effects, as their action 
is realized within the subtle regulating systems. The variants of 
administering homeopathic medicaments to patients during different 
periods of fasting therapy have been described. The both techniques 
of traditional medicine are aimed towards stimulation of vital 
forces of the body. Intake of homeopathic remedies improves 
efficacy of fasting therapy, and allows the physician to find new 
key factors for checking fasting therapy.

Fasting Therapy and Phytotherapy in Treatment of Patients with 
Bronchial Asthma (A.Dolgodvorov, A.Kirsanov; St.Petersburg)

The authors present their experience in applying fasting therapy (classicalmoist 
technique) in patients with bronchial asthma (52individuals) 
combined with phytotherapy administered during the fasting period. 
The latter lasted in average 12 days. Aside from the clinical and 
functional examination, homeostasis of macro- and microelements 
in the fasting period of the therapy has been scrutinized. Juice derived 
from wheat sprouts has been used as a phytopreparation.

On Complex Use of Fasting Therapy and Phytotherapy in Treatment 
of Patients with Hypertension Complicated with a Relevant Pathology 
(A.Alifanov; Vsevolozhsk)

According to the author's many-year expertise, polymorbism 
(multiple somatic pathology) is another indication for applying fasting 
therapy. In conditions of polymorbism, fasting therapy combined 
with phytotherapy is advisable, with due regard of nature of the pathology. 
Fasting therapy courses enhance sensitivity of patients to medicaments, 
which may be used in a lesser dosage, as compared to the prior-fasting 
therapy period.

Endotoxicosis of the Patients with Bronchial Asthma and its Treatment 
Using Fasting Therapy and Gydrocolonotherapy (M.Kolpakov, 
V. Pogudina; Novosibirsk)

The authors used fasting therapy in conjunction with gydrocolonotherapy 
for treatment of endotoxicosis of the patients with bronchial asthma 
accompanied with digestion system disorders. Compared with the control 
group the quicker recovery of the laboratory parameters and the intestinal 
microflora along with the general positive effect were registered.

 The Initial Experience of Fasting Therapy Application at 
the Republican Dermatovenerologic Dispenser (N.Yermolayev; 
Ulan-Ude)

The author, chief physician of the Republican dermatovenerologic dispenser, 
narrates about how he got familiarized with fasting therapy and shares 
his initial expertise on the successful use of this therapy in patients 
with skin ailments at his dispenser. The patients totaled 12, with 
various pathologies, like psoriasis (6), neurodermite (3), eczema 
(2), lichen ruber planus (1). 3 of 12 patients with psoriasis repeated 
the course of fasting therapy to sustain healing effect.

Two Cases of Successful Application of Fasting Therapy in Combined 
Somatic Pathology (I.Afanasyev; Ulan-Ude)

2 cases of successful application of fasting therapy in two women, 
aged 75 and 51, with combined somatic pathology, ensuring appropriate 
life quality in the 75-year-old patient and retained working ability 
in the 51-year-old one, are described. The catamnesis was 1 year.

Principles of Clinical Systems' Psychotherapy in the Complex with 
Fasting Therapy in Psychogenic Reactive Depressions (V.Gurvich; 
Moscow)

In 75 patients with psychogenic (reactive) depressions of the medium 
and severe degrees entailing different psychogenies in the form of 
hysterical and melancholic depressions, the possibilities and traits 
of applying clinical systems' psychotherapy have been investigated 
in the fasting therapy course. The distinctive principles of adequate 
and successful application of psychotherapeutic effect in the 
complex of fasting therapy against psychogenic depressions have 
been revealed. The clinical and psychotherapeutic analysis has 
shown the necessity of emotional-and-empathic contact for an 
aimed purpose formation by the physician for conducting fasting 
therapy and performing accompanying psychotherapy; the relevance 
of apprehension by the psychotherapist of both the clinical and psychological 
aspects of the studied psychogenic states; the observation in clinical 
psychotherapy of regularities of staged dynamics of fasting therapy 
and staged duration of psychopathological and psychological manifestations 
of emotions; the significance of comprehension by the psychotherapist, 
while performing such psychotherapy of psychogenic depressions 
in the complex with fasting therapy, of the systems' nature of psychotherapy 
and him- or herself as the key component in the given functional system.

Spiritual Purification as an Element of Healing Effect of Fasting 
Therapy and Hirudotherapy (V.Savinov; Bryansk)

In the author's opinion, the programs of treatment and health improvement 
should stipulate the simultanious effect excerted by its components 
on the Spirit, Soul and the Body of the patient. Based upon the author's 
many-year experience, such programs should comprise fasting therapy 
and hirudotherapy, which, as compared to other factors of traditional 
medicine, provide the most comprehensive effect on the all three above-mentioned 
constituents of the human health. According to indications, these 
programs may include other factors of traditional medicine, like phytotherapy 
(phytoprophylaxis), products of apiculture, Russian steam bath, and 
others. Practical implementation of the programs of treatment and 
health improvement, following this principle, has revealed their 
high efficacy: complete recovery in 59% and significant improvement 
in 41% of cases, irrespective of the character of pathology.


Part III

TRADITIONAL MEDICINE IN THERAPEUTIC
AND HEALTH ENHANCEMENT PRACTICES

Traditional (Oriental) Medicine: the Content of the Notion and 
Prospects in Therapy and Health Enhancement of the Body (A.Kokosov; 
St.Petersburg)

@EP-3 = Dedicated to my pen-friend Mr Kenneth S.Jaffrey, famous 
naturopath of Australia

Traditional (Oriental) medicine is part of people's culture and employs 
therapies and techniques, their efficacy being corroborated by many-century 
practical experience of their use. In Russia, the doctrine of public 
health care still caters for orthodox medicine, though many doctors 
trained in orthodox medicine have mastered various techniques of traditional 
(Oriental) medicine, including acupuncture, phytotherapy, 
etc. Not rarely in their practices they combine techniques and devices 
of both orthodox medicine and traditional (Oriental) medicine. 
It is the onset of integrative medicine-to-be. Employment of 
folk healers, many of whom possess unique techniques of healing, 
has good prospects for primary prevention of diseases.

Quick Examination of Schoolchildren by Techniques of Traditional 
Medicine (N.Maksyutkin, T.Goncharova; Cheboksary)

The authors have accumulated a significant experience and expertise 
of examining the state of health in children by techniques of traditional 
medicine, including auriculodiagnostics, iridodiagnostics, and psychological 
testing. According to their observations, even in an obviously healthy 
appearance of a child the presence of changes at the auricular points 
should be regarded as the sign of overloading of the organs 
and systems, the state of pre-disease or latently occurring pathology. 
Iridodiagnostics reveals changes of the zones, corresponding to the 
internal organs and systems, as well as allows one to highlight 
constitutional weakness and hereditary predisposition to a certain 
pathology still at the stage of pre-disease. The data obtained with 
the help of auriculodiagnostics together with iridodiagnostics and 
based on the findings of psychological tests may be used for assessment 
of the general physical state of children and their resources; 
further, more profound and aimed examination by specialists, sound 
organization of school routine and recreation, search of optimum correlation 
of classes and physical training along with active recreation, in 
development of complex systems of valeological control and preventive 
correction of health in schoolchildren.

Hirudotherapy as a Method of Traditional Medicine (M.Zubarkina, 
V.Zhernov, M.Ashikhmina, G.Nikonov; Moscow)

Therapy with medical leeches is traced back to deep antiquity. Medical 
men in the ancient Egypt, China, India, Greece applied this therapy, 
what is testified by works of classical authors of the antique medicine.

Nowadays hirudotherapy as a method of traditional medicine is more 
widely used in clinical practices due to scientific underpinning of 
many therapeutic effects. Indications and contraindications have been 
verified, methods of medical leech culture, care and application have 
been worked out, as well as the algorithm of therapeutic outlines. 
It allows this method to be effectively applied as a pathogenetic 
and symptomatic therapy. Hirudotherapy can be applied both solo 
and as part of complex treatment. Good prospects of use of hirudotherapy, 
likewise other therapies and techniques of traditional medicine, are 
stipulated by its availability and accessibility, low costs, polymorphic 
character of therapeutic effect, good indurance, virtual absence of 
side effects (provided observation of all rules while selecting 
patients).

Hirudotherapy: Potentialities and Prospects (V.Savinov; 
Moscow)

Hirudotherapy is a therapy, using leeches, which secrete hirudin preventing 
blood coagulation, for medical purposes. This ancient therapy 
improves local blood circulation, disturbed in many, especially chronic 
ailments. The major indication for hirudotherapy is a disturbed arterial 
and venous blood circulation. The absolute contra-indication is hemophilia, 
the relative ones being pregnancy and anemia.

Phytotherapy and Homeopathy in Treatment of Patients with Bronchial 
Asthma (D.Koshechkin; St.Petersburg)

In experimental and clinical observations of patients with bronchial 
asthma, the efficacy of phytotherapy (usage of compounds derived from 
medicinal plants, including licorice) and the complex homeopathic 
preparation Pertudaron 12 produced by Welda Company, possessing 
of antihypoxic, cholinolytic, and expectorating effects, as well as 
potency to stimulate the adrenal gland functioning, has been 
shown. It allowed the medicaments administered by the author 
to be recommended for treatment of bronchial asthma of various 
degrees of severity, including its hormone-dependent form.

Phytotherapy and Phytoprophylaxis of the Syndrome of Endogenic 
Intoxication (T.Azhunova; Ulan-Ude)

Basic principles of enhancement of processes of detoxication of alien 
substances and endogenic metabolytes aimed towards decrease of manifestations 
of the syndrome of endogenic intoxication and increasing adaptive 
processes in exposure to different toxicants have been developed. 
The efficiency of the proposed plan of disintoxication is linked to 
absorption of xenobiotics, as well as products of endogenic genesis, 
their limited absorption, stimulation of alien substances' biotransformation 
and their accelerated removal from the body due to increased activity 
of the systems of disintoxication.

The Use of Means of Plant Origin in Hypoxic States (S.Chukayev, 
L.Balzhinimayeva, T.Shenoyeva; Ulan-Ude)

In vivo experiments conducted on Wistar-series white rats, 
the antihypoxic effect of dry extracts from roots of Baikal 
scullcap (Scutellaria baikalensis) and garden burnet (Sanguisorba 
officinalis L.), and leaves of big-sting nettle (Urtica dioica) 
has been studied. The animals were exposed to dosaged hypoxic load 
of submaximum intensity (raised in the pressure chamber to the conventional 
altitude of 9,000 m and exposed for 30 min to these conditions) 
at the background of the preliminary course administration 
of the remedy under study (100/300 mg/kg once a day during 5 days). 
It is shown that the protective effect of the studied phytoextracts 
is accompanied with the expressed inhibition of lipid peroxidation 
reactions and restored activity of one of the key enzymes, ensuring 
the functioning of the transportation chain of metachondriae 
succinatdehydrogenase.

The results obtained can be used for optimization of regimens of pharmacocorrection 
of hypoxic states with the help of remedies derived from plants.

Phytotherapy and Phytoprophylaxis of Alcohol-Related Intoxications 
(Zh. Dashinamzhilov, A.Dil, S.Naidanov; Ulan-Ude)

It is found that in patients with alcohol-related liver injuries pathological 
transformations manifesting through the syndrome of cytolysis and 
choleostasis, as well as increased lipid peroxidation and decreased 
activity of blood serum catalase, are typical. The course administration 
of Narkophyt significantly suppresses lipid peroxidation processes 
in the liver accompanied with increased serum catalase activity in 
patients' blood and diminishes indices of the syndromes of cytolysis 
and choleostasis. The antioxidant properties of Narcophyt are 
stipulated with the content of flavonoid combinations and ensures 
stabilization of membrane structures of hepatocytes, thus preventing 
the development of the syndromes of cytolysis and choleostasis. The 
results obtained corroborate advisability of the use of the new 
hepatoprotective remedy Narcophyt for therapy and prevention of 
alcohol-related intoxications jointly with other therapeutic-and-preventive 
activities.

Phytotherapy and Phytoprophylaxis of Nephropathies (A.Mondodoyev, 
Ye. Abgaldayeva, S.Batoyev; Ulan-Ude)

Nowadays of significance is search of new nephroprotective remedies 
for further improvement of phytotherapy and phytoprophylaxis of nephropathies. 
The studies of formulas based on many-century experience of traditional 
medicine, as well as transfer of galenic forms of medicinal means 
into summary extractive preparations have good prospects. Nephrophyt 
has an expressed pharmacotherapeutic effect in kidney injuries 
of various ethiology what allows it to be recommended for complex 
phytotherapy and phytoprophylaxis of nephropathies.

Phytotherapy of Intestinal Dysbacteriosis (Ye. Bakhanova, 
S.Nikolayev; Ulan-Ude)

It is established that in the course administration of the extract 
derived from sprouts of Pentaphylloides fruticosa (L.) O. 
Schwarz (in the experimentally therapeutic dosage of 300 mg/kg) 
in Canamicin-induced dysbacteriosis, the normalization of indices 
of the microbe media of the intestinal tract was reported in white 
mongrel rats. The marked pharmacotherapeutic effect of the given phytoextract 
is revealed in the restoration of the level of the indigene microflora 
 bifidobacteriae and lactobacilles, as well as in the significant 
decline of the content of conditionally pathogenic bacteriae. This 
effect is likely to be achieved due to the aggregated action of biologically 
active combinations available in the extract under study.

Phytotherapy and Phytoprophylaxis of the Immune-Deficit State 
(S.Nikolayev, S.Zhamsaranova, V.Khobrakova; Ulan-Ude)

The authors have experimentally shown on CBA and F1 (CBAxC57/ 
B1/6) line mice of both sex the possibility of using remedies made 
ofplants: dry extracts from sprouts of Pentaphylloides fruticosa 
(L.) O.Schwarz; terrestrial parts of Gentianopsis barbata 
(Froel.) Ma, Odontites vulgaris Moench, Orthilia 
secunda (L.) House, and Panzeria lanata (L.) Bunge; tincture 
from roots of Euphorbia, tincture from flowers of Lilium 
pumilum; as well as multicomponent compounds of Tibetan medicine 
the extract Shi Zhid (shi byed in Tibetan, consisting of dry 
extracts of roots and rhizomes of Tangut rhubarb (Rheum tanhuticum 
Maxim), common ginger (Zingiber officinale), garden burnet 
(Sanguisorba officinalis L.), elecampane inula (Inula 
helenium L.), tincture Gum Brum (rkun 'brum in Tibetan, 
consisting of pot marigold (Calendula officinalis), common 
licorice (Glycyrriza glabra), European bistort (Polygonum 
bistorta L.), cinnamon (Cinnamomum cassia (L.) Blume), 
and raisins); decocted Dig da shi thang (tig ta bzhi thang 
in Tibetan, consisting of grass of Gentianopsis barbata 
(Froel.) Ma and Odontites vulgaris Moench, fruits of Siberian 
crab apple (Malus baccata (L.) Borkh, Sophora flavescens 
Soland) as immunomodulators in experimental immunodeficit 
induced with azatioprin.

Phytotherapy of Dyskinesiae of the Biliary Ducts (S.Nikolayev, 
A.Tsyrenzhapov; Ulan-Ude)

In the paper data on potentialities and prospects of phytotherapy 
of dyskinesiae of the biliary ducts are given. Preparations derived 
from officinal medicinal plants are focused. If phytotherapy of 
the primary forms of dyskinesiae is aimed towards removal of disturbances 
of the vegetative innervation of the biliary ducts, then phytotherapy 
of the secondary dyskinesiae implies suppression of mechanisms of 
the development of the secondary dyskinesiae in organic injuries 
of the gall bladder and biliary ducts. In the conclusion, the value 
of the application of many-century experience of traditional medicine 
combined with achievements of contemporary medicine, ensuring expressed 
pharmacotherapeutic effect along with improved life quality 
of patients, is highlighted.

Phytotherapy of Chronic Prostatitis by a Complex Natural Remedy 
(V.Mantatov, P.Darmayev, A.Markaryan, I.Bashelkhanov, 
V.Ivanov, S.Radnayeva; Ulan-Ude)

Nowadays the search of new remedies for protection of the prostate 
is still important in order to improve phytoprophylaxis and phytotherapy 
of chronic prostatitis. The studies of formulas based on many-century 
experience of traditional medicine, as well as transfer of galenic 
forms of medicaments of natural origin into summary extraction-based 
preparations have good prospects. Phytoprost has a marked pharmacotherapeutic 
effect in chronic prostatitis, what allows it to be recommended 
in complex phytotherapy and phytoprophylaxis of chronic inflammation 
of the prostate gland.

Experimentally-Studied Nootropic Activity of a Complex Plant 
Remedy (G.Namsarayeva, V.Tarnuyev, G. Damdinova; 
Irkutsk, Ulan-Ude)

Based on empirical experience of folk phytotherapy of Buryatia and 
data from literature about traditional plant medicamental means, the 
authors developed a multi-component phytopreparation from plant raw 
material, comprising 7 components. Its suggested nootropic activity 
has been experimentally studied on white mongrel rats following the 
method of the conditioned reflex of passive avoidance. The standard 
nootropic preparation pyrocetamum in a dosage of 200 mg/kg was 
used as a preparation of comparison. The results obtained have shown 
that in the preventive course administration of the preparation studied 
in doses of 50 and 200 mg/kg there is reported a significant stimulation 
of elaboration of the conditioned reflex of passive avoidance, 
and a more complete conservation of the memory trace is secured.

Correction of the Initial Forms of Vascular-and-Cerebral Deficiency 
by a Complex Plant Preparation (G.Namsarayeva, V.Tarnuyev; 
Ulan-Ude)

Having analyzed traditional empirical phytotherapy of Tibet, China, 
Mongolia, and Buryatia on the basis of therapy of neurological 
diseases, the authors compounded a complex plant preparation, 
comprising 7 components. This preparation was administered to 
31 patients (16 men, 15 women, aged from 38 to 69) suffering from 
initial forms of vascular-and-cerebral deficiency, with pathological 
symptoms manifested during 6 years. The preparation was administered 
in the form of a liquid extract in a dosage of 350 mg two times a 
day during 3 weeks. All patients reported improved health state. They 
stood the preparation well. The first clinical effects were noted 
on the sixth day of the therapy, and the positive dynamics of 
the neurological status by the end of the course; the neuropsychological 
testing revealed the improved functions of attention, memory, counting, 
associations, and kinetics.

Findings of Therapy of Herpes Labialis with the Oily Extract Derived 
from Thyme Flowers (A.Alifanov; Rostov Oblast)

The author suggests his experience of treating Herpes labialis 
with oily extract derived from thyme flowers by repeatedly lubricating 
affected sites of the skin. The therapy was a success, visible 
in 24 h, without side effects. The findings have been collected for 
one year of observations.

Aromatherapy: Potentialities and Prospects (V.Timchik, 
I.Zarembo; St.Petersburg)

From the today's point of view the authors explain the notion aromatherapy 
as one of the oldest traditional techniques of healing and health 
enhancement of the body, as well as define its place within the medical 
care system nowadays.

Some Aspects of the Use of Volatile Oils in a Chronical Obstructive 
Pulmonary Disease (I.Zarembo, V.Timchik; St.Petersburg)

The authors scrutinize the historical aspect of the use of volatile 
oils for therapy and health enhancement, illustrating it with their 
short-term experience of inhalation-based usage of compositions of 
volatile oils aerophytes in therapy of patients with a chronic 
obstructive pulmonary disease in the phase of subsiding acute condition 
of endobrochitis. The course is 10 days. The distinct improvement 
of the clinical picture occurred after 57 inhalations. 
The authors relate the efficacy of the therapy to the improved 
eliminative function of the lungs.

Our Own Experience of Applying Phytotherapy in Elderly and Very 
Old Patients (L.Vasilyeva; St.Petersburg)

The many-year experience of applying phytotherapy in a many-department 
hospital has been analyzed. The medicinal forms used were herbal mixtures 
for internal use in the form of extracts and infusions, powders, microclysters, 
and phytoapplications. The herbal mixtures were compounded with regard 
of age features of patients according to standard and individualized 
formulas, each compound including plants with angio-protective potency. 
All the phytopreparations were manufactured from officinal plants 
at the hospital drugstore. The one day dosage of dry raw material 
per person was 24 g. The treatment course ranged from 14 to 
20 days. 46% of the patients at the hospital were administered these 
phytopreparations. In this paper the author's personal expertise 
and observations over traits of phytotherapy in various somatic pathologies 
are given.

Acupuncture in Therapeutic Practices of a Many-Department Hospital 
(A.Krasnova; St.Petersburg)

Over 1,000 patients receive acupuncture at a many-department hospital 
during a year. By the frequency of employing acupuncture, the hospital 
departments may be placed in the following diminishing order: the 
neurological, traumatological, gastroenterological, pulmonological, 
and cardiological ones, much less in other departments. The predominant 
age of the patients undergoing acupuncture is 7075. The major 
indications are painful syndromes and abdominal pains. In 80% of the 
patients corporal acupuncture combined with cauterization was practiced, 
in 15% corporal and auricular acupuncture combined with the su-jok 
therapy, in 15% the auricular one only. In the patients older 60 the 
braking model was used, in the aged 4060 the transitional 
one, in the younger ones under 40 the stimulating 
one. The efficacy of the treatment does not depend upon the patients' 
age. The following three aspects were considered in the selection 
of the technique: (1) diagnosis; (2) predominant syndrome; (3) 
predominance ofthe braking or stimulated phase 
of a pathology. In painful syndromes the full efficacy was observed 
in 15%, the partial one in 65%, no effect entailed in 20%. In case 
of the full efficacy of the treatment, painful syndromes recurred 
very seldom: for 10 years in 5patients only.

Pointed Massage in Prevention and Therapy of Pulmonary Diseases 
(P.Gorbenko, Yu. Turkin; St.Petersburg)

In order to enhance adaptive potentialities of the body in prevention 
and therapy of pulmonary diseases, it is advisable to apply pointed 
massage on biologically active points, located on the head and thorax. 
This technique is easy, accessible, and physiological, and can be 
combined with other non-medicamental techniques for therapy and 
prevention of diseases. To achieve the needed effect, it is 
crucial to know, to anatomically locate biologically active points, 
and to master the technique of pointed massage.

Functional Diagnostics as the Factor of Objectivization of Results 
of Reflexotherapy of Gerontological Patients (V.Zhernov, 
M.Zubarkina, M.Ashikhmina, A.Lukashev, L.Goncharov, 
Z.Goncharova, M.Kartseva; Moscow)

Arterial hypertension in elderly and senile patrons is often combined 
with ischemic disease of the heart. It is rather difficult to select 
adequate medicamental therapy for a long-term intake for patients 
belonging to the senior age groups. It is related with side effects 
caused by many medicaments, their cumulation in the body what fosters 
manifestation of toxic effect of these medicaments. Also, prescription 
of some antihypertensive remedies is not possible due to 
polymorbidity in aged persons. The above appear a drawback for using 
medicamental therapy in gerontological practice. The application of 
reflexotherapy along with standard medicamental therapy allows hemodynamic 
parameters to be stabilized in shorter periods, the amount of medicaments 
used and their dosages to be diminished. Functional diagnostics permits 
to objectivize results of reflexotherapy and to display changes of 
hemodynamic parameters influenced by it.

Russian Steam Bath and Finnish Sauna as Traditional Efferent Techniques 
of Health Improvement (A.Kokosov; St.Petersburg)

Based on literature data and many-year personal experience, the author 
tells about accessible and effective technique of bath procedures 
which, if taken on a regular basis (once a week) foster bodily hardening 
and adaptation of the cardio-vascular system to acute fluctuations 
of environmental factors.

Manual Therapy, Turkish Bath, and Exercise Bicycling in Complex 
Rehabilitation of Patients with Diseases of the Bronchi and Lungs 
at a Climatic-and-Physiotherapeutic Sanatorium (K.Komissarov, 
G.Trubnikov, O.Romashin, N.Vorobyeva, B.Trofimova; Barnaul)

In a climatic-and-physiotherapeutic sanatorium 50 patients with chronical 
(common) non-obstructive bronchitis and a chronical obstructive 
pulmonary disease were administered a remedial complex, including 
manual therapy, Turkish bath, and exercise bicycling. The efficacy 
was estimated according to the somatic health quantity following 
the G.Apanasenko's test, the level of physical working capacity 
(the PWC AF test), and external respiration functioning parameters. 
After the above remedial complex in the main group of 26 patients, 
the average growth of the somatic health quantity was 53.6%, and of 
the physical working capacity 19.2%. The control group (24 patients) 
was given a generally accepted, mainly medicamental therapy, these 
indices were, respectively, 16.2 and 8.8%. After the treatment the 
external respiration functioning parameters in the main group 
increased, in average, by 14%, in the control one by 1%. All patients 
in the main group reported improved stamina, less or no short breath 
and cough, better removal of sputum. The dynamics of these symptoms 
in the control group was insignificant.

Potentialities of Naturotherapy in Filling Free Intervals 
in Radiation, Surgical and Chemiotherapeutic Treatment of Oncological 
Patients (Ye. Potyavina, S.Vershinina; St.Petersburg)

Naturotherapy can be applied at any stage of specific anti-tumor therapy 
of patients. The therapeutic program includes measures aimed to decreasing 
of endogenic intoxication, as well as risks of recurrences and metastases 
of a tumor, with the help of natural adoptogenes, hydrocolonotherapy 
(according to indications), and enterosorbents of plant origin. The 
correction of the affected immune system and systems of homeostasis, 
and elimination of dysbacteriosis with the help of phytopreparations, 
biologically active supplements and preparations eubiotics 
and prebiotics, are conducted, as well as the correction of microelement 
balance (according to the state of hair), vitamin balance, development 
of optimum individual diet, exercise regime, and improvement 
of life quality.

Traits of Sound Gymnastics in Obstructive Pathology of the Lungs 
(D.Shadrin, M.Devyatova; St.Petersburg)

As a remedial therapy for patients with pulmonary diseases, the technique 
of sound gymnastics, is traced back into the traditional breathing 
culture in Hatha-Yoga or Pranayama. The authors adjusted this technique 
with regard to obstructive pathology of the lungs in its acute and 
subacute conditions. The technique has successfully undergone a 
clinical trial among patients with obstructive pathology of the lungs 
at the Scientific-and-Research Institute of Pulmonology clinic.

Enhancement of Physical Endurance of the Body with Remedies 
of Natural Origin (L.Shantanova, I.Ivanova, Zh. Nimayeva, 
T.Dargayeva; Ulan-Ude)

In their experiments on mice and rats the authors have shown that 
their original complex preparation derived from raw material of natural 
origin (named Beverage Mumiyah (mumiyah or mineral exudate) 
has an expressed actoprotective effect: it tones up and stimulates 
physical endurance. Its preventive administration in hypodinamia 
and dosaged physical loads helps prevent the development of fatigue, 
accompanied with enhanced physical endurance in the animals.

Interpretation of Gastric Diseases according to Traditional Tibetan 
Medicine (V.Tarnuyev, L.Dymsheyeva, N.Motoyev; Ulan-Ude)

Familiarizing with Tibetan and Old Mongolian sources of medical knowledge, 
the authors believe that their interpretation of diseases of the gastro-intestinal 
tract is rather logic and unique, and its research might facilitate 
enrichment of contemporary medical practice.

Apitherapy of Patients with Bronchioobstructive Pathology (N.Trubkina, 
V.Kirusha; Vologda)

For many-year the authors have accumulated a beneficial experience 
of applying apitherapy in an in-patient hospital, particularly on 
patients with bronchioobstructive pathology. The therapy and its results 
are described in the paper.

On Visceral Chiropractice in Old Russian Medicine (A.Ogulov; 
Moscow)

Folk medicine in Russia has always been based not only on use of remedies 
of natural origin (by herbalists), but also on actions of manual character. 
The latter is exemplified by the method of visceral chiropractice 
or manual therapy of the internal organs revived and creatively developed 
by the author. Indications/contraindications and basic principles 
of pressuring the injured organ are provided.

A Case Study: Application of Su-Jok Acupuncture in Acute 
Dental Pathology (I.Afanasyev; Ulan-Ude)

The author describes a case when 3 procedures of energetic treatment 
with the application of Su-Jok acupuncture during 20 hours resulted 
in cupping a pain syndrome in periodontitis, thus preventing tooth 
extraction. For the next 2 years the toothache did not resume, all 
the teeth were sound.

Cases of Successful Application of Su-Jok Acupuncture in 
Stomatological and General Therapeutic Practices (I.Afanasyeva; 
Ulan-Ude)

Based on the personal experience from stomatological and general therapeutic 
practices, the author provides description of cases of successful 
symptomatic therapy using techniques of Su-Jok acupuncture in algesic 
syndromes of various genesis, faints, and other emergency cases.

Koumiss in Buryatia: a Historical Note by an Amateur Student of 
Local Lore, History and Economy (S.Bakhlayev; Ulan-Ude)

Koumiss, fermented mare's milk, has been long used in Buryatia as 
a nourishing, wholesome and tasty beverage both in everyday peaceful 
life and during warfare to treat in wounds and maladies, as well as 
for health enhancement, in general. In folk medicine in Buryatia there 
are regulations for partaking of certain amounts of koumiss, depending 
on the severity of disease, duration of its intake, as well as its 
combinations with other therapies and techniques of traditional medicine. 
For example, it was not recommended to combine the intake of koumiss 
with performance of acupuncture and moxibustion, with partaking 
of potato, onion and some sorts of meat. The author believes in the 
possibility and necessity of revival of koumiss-therapy in Buryatia.


Part IV

FASTING THERAPY AND TRADITIONAL MEDICINE APPLIED AT THE 
SPAS AND RESORTS
OF REPUBLIC OF BURYATIA

Insights on Application of Fasting Therapy in Resort-Based Practices 
(T.Syrenova; Ulan-Ude)

Findings on effective application of fasting therapy in various somatic 
pathologies at the resorts Goryachinks and Arshan located in Buryatia 
are given. The author infers that fasting therapy at resorts should 
be applied with regard of their natural factors; with dispenser-based 
followup of patients by a physician, experienced in this therapy, 
including, if necessary, preventive courses of fasting therapy. Fasting 
therapy is sufficiently effective against a wide spectrum of somatic 
ailments and allows an amount of medicaments administered to be 
canceled or significantly reduced.

Results of the Work of the Department of Fasting Therapy at the 
Goryachinsk Resort (A.Shumilov, N.Batayeva; Buryatia)

The Goryachinsk resort is the oldest resort in Siberia, located on 
the sandy shoreline of Baikal. Among the principal natural therapeutic 
factors are mineral water and sapropels. The Department of Fasting 
Therapy was opened in October 1994, it was the pioneer endeavor in 
the resort practice throughout Russia. At the resort, pulmonary diseases, 
disorders of the joints, disturbed metabolism, ailments of the nervous, 
cardio-vascular, and digestive systems, gynecological, skin, and allergic 
maladies have been successfully cured; scientific research has been 
conducted. At the Department of Fasting Therapy we have developed 
special forms of medical documentation for the staff and patients. 
The successive character of the work of the medical personnel and 
catering staff is maintained through the patient's individual diet 
index card system. The index card reflects peculiar features of rehabilitative 
diet after fasting therapy and diet specificities of a patient. The 
dietetic nurse of the Department employs in her work specially designed 
forms of menu apportionments after fasting therapy, exemplary menu 
for the most important first five days of the recuperative period 
after the course of fasting therapy, and a seven-day menu to order, 
designed for patients starting from the sixth day after fasting. 
Two cooks and a waitress are supervised by the dietetic nurse. 
At the Department of Fasting Therapy cafeteria patients are asked 
once every two weeks to fill in questionnaires, this survey's results 
being used to improve the work of the Department in general. At 
the Department we treat patients with different somatic pathologies. 
Its efficacy, a significant improvement, ranges from 75 to 100%, depending 
upon the nature of pathology, advanced stage of disease, 
presence and number of accompanying pathologies, etc. 
For the majority of patients fasting therapy is combined with traditional 
(natural) therapeutic and balneotherapeutic techniques. In order to 
facilitate the effect of fasting therapy at the Department, we employ:

1) microclysters with mineral-and-oily emulsions, chamomile decocted, 
mineral water (since 1998);

2) pointed massage following the Su-Jok method (since 1998);

3) duodenal cleansing with mineral water of patients suffering from 
chronical cholecystitis, hepatitis, dyskinesia of the biliferous tructs 
(since 1995);

4) drinking of mineral nitrous-silicic water in chronic cholecystitis 
(since 2000);

5) applications of honey and grated beets for patients with mastopathy 
during fasting (since 2000);

6) microclyster-administered bio-biphivit to recover the intestinal 
microflora after fasting therapy (since 2000);

7) training of diaphragmal-and-relaxative breathing to patients undergoing 
the course of fasting therapy with the use of (apparatus) biological 
reverse relationship (since 2000).

For treatment at our Department several techniques of fasting therapy 
(complete, combined, step-by-step) are employed.

Patients administered fasting therapy at our Department pursue different 
goals: to treat pathologies, to cleanse or remove wastes from 
the body (antigene materials, endotoxins, xenobiotics), to lose 
weight, etc. The patient' decision to choose fasting therapy among 
other therapeutic techniques proposed at the resort is influenced 
by different factors, including friends, acquaintances, and relatives; 
the state of health improved after the previous fasting therapy (51.3%); 
resort physicians' recommendations (20%), popular medical literature 
and mass media (10.7%), recommendations of family physicians (9.5%). 
According to the data of surveys, the patients who have experienced 
fasting therapy report after the course of fasting therapy that they 
are more tranquil mentally and feel much better physically (27.8%), 
more patient (16.7%), with improved perception of the surrounding 
world (33.3%), more active (22.2%), and look younger their age 
(16.7%). Since its establishment the Department of Fasting Therapy 
of the Goryachinsk Resort has rendered this kind of therapy 
to 1.796 patients (83% of women, 17% of men), repeatedly to 246 patients 
(13.7%). 68% of them were residents of Republic of Buryatia, the rest 
from other Russian regions and 5 foreigners from Mongolia (1), the 
USA (1), Finland (2), and Japan (1). To conclude, the efficacy of 
fasting therapy depends upon the level of the organization and accurate 
coordination of various structural divisions of our Department, 
as well as optimized therapeutic processes, in reliance upon balneoprocedures 
and traditional and folk techniques.

The Effect of Fasting Therapy Combined with Balneotherapy on Non-Specific 
Adaptive Reactivity in Patients with Hypertensive Disease (N.Batayeva; 
Buryatia)

One of the method to treat and rehabilitate patients with hypertensive 
disease at the Goryachinsk resort is fasting therapy. Having prescribed 
fasting therapy with balneotherapy to such patients, the author investigated 
their non-specific adaptive reactivity following the L.Garkavi 
et al's method by estimating lymphocytes in the leucocytic formula 
prior and after the treatment. 90 patients aged from 30 to 60, including 
55 women and 35 men, were studied. All the patients were divided into 
two equal groups, comparable by their sex, age, and degree of the 
pathology severity. The first group was administered 10-day 
fasting therapy along with balneotherapy, the second one balneotherapy 
only; thermal (+54.5 C) weakly mineralized alkaline nitrous-siliceous 
sulfate-sodium water of the Goryachinsk resort was used. In the 
end of the treatment in both groups its hypotensive efficacy and state 
of non-specific adaptive reactivity of the patients were assessed. 
The general conclusion is as follows: in patients with hypertensive 
disease fasting therapy combined with balneotherapy, along with 
hypotensive effect, supports antistress reaction of training, 
entailing stable and enhanced activization of non-specific adaptive 
reactivity. It is advisable to include the so called adaptive therapy 
into the complex of therapeutic-and-rehabilitative activities prescribed 
to patients with hypertensive disease over 45 year old.

The Application of Fasting Therapy and Administration of the Mineral 
Water Arshan for Treatment of Diseases of the Biliferous Tracts (A.Shagdurova; 
Buryatia)

For treatment of pathology of the biliferous tract at the resort Arshan 
we have effectively used fasting therapy (complete moist fasting) 
combined with the administration of the mineral water Arshan. 
We have observed 93 patients. In the paper specific features of the 
pathology and therapy are described.

A New Approach to Peloidotherapy of Patients with Bronchial Asthma: 
Combined with Fasting Therapy (T.Zaripova, I.Antipova, 
I.Smirnova, I.Medvedeva; Tomsk)

A new approach to peloidotherapy of patients with bronchial asthma 
is suggested: its administration after a short (58 days) course 
of fasting therapy will allow clinical symptoms and inflammation to 
be cupped, and bronchial permeability to be restored. Such treatment 
will entail stabilized course of the disease with decreased medicamental 
load.


Experience of Application of Fasting Therapy at the Zdorovye Therapeutic-and-Rehabilitation 
Center in the Village of Sotnikovo (V.Amagyrov, T.Angarova, 
V.Tepanosyan; Ulan-Ude)

Fasting therapy has been used at our therapeutic-and-rehabilitation 
center since 1996. During this time fasting therapy was administered 
to 590 patients with various somatic pathology; 55 practically healthy 
patrons, according to their wish, for bodily cleansing and health 
enhancement underwent preventive fasting therapy. The patients' 
age ranged from 17 to 50. Different techniques of fasting therapy 
were used, like complete moist, combined, step-by-step therapeutic 
fasting therapy, with predominance of the complete moist one. The 
fasting period lasted from 5 to 21 days, the duration of the in-patient 
hospital-based remedial period reaching up to 7 days. During 
the fasting period side effects were noted rather rarely, elapsing 
without treatment, and without confining dates of the therapy. They 
did not affect its good results. In 2 patients only fasting therapy 
was discontinued due to aggravated chronic pyeolonephritis.

RETOUR A LA LISTE DES MEDIAS

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 optimisation of the fasting therapy response and elimination of subjective symptoms of acidosis.

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 akin 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.

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.

 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, glucoae-6-phoa-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 ffi possible. In this connection, fasting therapy is recommended to be combined with medications improving antioxidant defence.

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 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 process 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.

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, liepatoprotective, nephroproteetive, 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, polyphytocliol, 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.

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.

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 artliralgia. In the one third of the SL-1 patients without prescription of corticesteroids, 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 perfusion in 61% of SL-2 patients and 19% of SL-3 patients after the fasting. After 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 cortico steroids and to stimulate their endogenic synthesis. The attendant pathologies, like obesity, peptic ulcer and hypertension, serve as additional indications for fasting therapy.

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 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 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.

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 l a 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.

The author prescribed fasting therapy to 26 patients, aged from 20 to 60 years, at the hospital of the Eastern Medicine Center. 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. Oe 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, esopliagitis, chrome gastritis, duodenitis, chronic cholecystitis, acute and chronic pancreatitis, enteritis, and chrome colitis.

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 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 the 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.

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.

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).

The medical community and local populace of the Republic of Buryatia have been deeply familiarizing 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 treated it with skepticism. The health resort «Goryachinsk» was the first in Biiryatia to introduce this method, as four 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 marked 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 Zdorovyeo 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 practicing this method. The next stage was the organization of the workshop in Ulan-Ude entitled "The use of fasting therapy in the internal pathology", with Prof. A. N. Kokosov among the honored 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.

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 analyticalal material on the ways and experience concerning the optimization of the fasting therapy 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 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.

Optimization of tolerance to medications in patients with bronchial asthma, antibiotics in particular, remains a significant objective. The authors observed and 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.

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.

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 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.

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.

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 tills 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 and 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 lias good prospects for health improvement of a virtually healthy individual who displays no clinical signs of any pathology.

Non-medicamentous therapeutic methods are divided into; 1) the orthodox (contemporary) and 2) traditional (natural, naturopathic) ones. Traditional methods used in India, Tibet, China, and Russia are considered the most original ones. Fasting therapy refers to the traditional methods of treatment and health improvement. In the pre-revolutionary Russia, Prof. P. Vilyaminov of Moscow University (1889) and Prof. V. V. Pashutin of the Saint-Petersburg Military and Medical Academy (1902) contributed significantly to the fasting therapy development. In the 1950's Professor Yu. S. Nikolayev, psychiatrist by speciality (Moscow), prescribed fasting therapy for treating patients with schizophrenia, observing effect also in accompanying somatic pathologies, including bronchial asthma. In 1973 the former USSR Ministry of Public Health Care commissioned the then All-Union Research Institute of Pulmonology (now the Research Institute of Pulmonology of Saint-Petersburg Medical University named after the Academician I. P. Pavlov) to investigate the possibility of using fasting therapy in allergic bronchopulmonary pathology, including bronchial asthma. This long time research resulted in the development of fasting therapy, including identification of the indications and contraindications, methods, mechanism of the healing effect, possible complications, etc, and was reflected in relevant publications, methodical recommendations and aids for physicians. It was found that in fasting the human body switches over to endogenic nutrition; basal metabolism decreases, so does oxidative processes intensity, with predominant usage of rat resources, low expenditure of carbohydrates, and the minimum waste of proteins. Inevitable stress reaction to fasting reconstructs reactivity of the body and mobilises the mechanisms of sanogenesis. The therapeutic and health improving effect of fasting therapy is based on mortality of non-vital cellular structures, active discharge of final products of metabolism, endotoxins, accompanied with simultaneous stimulation of reparative processes-It is helpful in various pathologies of the internal organs, as well as for treatment of neuroses, everyday toxomania, reactive states. The efferent effect due to fasting may be used for preventive purposes, general health improvement, maintenance of proper efficiency, and creative activity of an individual.

The authors have been using fasting therapy for treating patients with bronchial asthma over 20 years. We have randomly chosen 700 cases among several thousands of patients to analyse in detail (without special selection):

242 men and 358 women aged from 17 to 65. Fasting therapy was prescribed in clinical conditions following the authors' methods: the treatment course lasted 3 weeks. The main indications for fasting therapy in bronchial asthma are as follows: tolerance to the generally adopted medicamentous therapy;

concomitant multiple pathologies: syndromes of drug and food allergy. The main contraindications include negative attitude of a patient to fasting therapy, marked emaciation, the 3rd stage of active inflammation of any localization, active stage of tuberculosis of the lungs, malignant tumours;

marked pulmonary, heart, renal, and liver insufficiency; helminthoses, and some mental disorders. The efficiency of fasting therapy is stipulated by a temporary switch-over from exogenic to endogenic nutrition, resulting in the acidotic crisis as a prolonged stress, which changes or decreases the bodily reactivity involving the emergency mechanisms of sanogenesis. Biologically active cells in bronchi mucosa are degranulated, its hyperreactivity decreases, cortizol secretion increasing by the adrenals; copper and zinc residues diminish thus improving the bronch permeability. The efficiency of fasting therapy does not depend on the age of a patient, it is of seasonal character: higher in spring and summer that is related to the availability of antioxidants in the body. The near results of fasting therapy are following: the positive effect has been found in 90% cases (including the excellent and good ones — 65% and satisfactory ones — 25%); the worsening of the bronchial asthma course due to fasting therapy has not been observed. The remote results are as follows: clinical remission in 50% cases, including medical rehabilitation in 10% and social rehabilitation in 10% cases. Side effects of fasting therapy, such as exacerbation of infection seats, liver and renal colics, cramps caused by hypokaliemia and orthostatic collapse, can be prevented and controlled without interrupting fasting therapy.

The experience of applying fasting therapy against various diseases has been analyzed. The high effectiveness of the given method virtually fully depends on how competently the restorative period is conducted. Its main principles are as follows: the maximum individualization; observation of diet regimen; mechanical, chemical, and thermal protection; gradual diversity of foodstuff balanced according to their chemical composition. The priority directions during the restorative period in fasting therapy are following: to introduce to the dietary various biologically active supplements and foodstuff with higher biological value.

The authors describe in detail the case when a 40-year-old patient suffering from severe blood hypertension of hereditary character, complicated by brain insults and multiple concomitant pathology has been treated with repeated courses of fasting therapy. The treatment facilitated to stabilize his condition and normalise his blood pressure without hypotensive therapy. The results are confirmed with 48-hour monitoring data of his blood pressure and dynamic echocardiography.

The problem of paramedics training within the system of the fasting therapy introduction for medical services of the Republic of Buryatia was brought up as soon as physicians who used this method appear in the Republic. Special training of nurses able to work with patients undergoing fasting is of great importance. As they maintain closer contacts with such patients, they ought to render them psychological support during fasting. At the Buryat Post-graduate Training Centre of the Ministry of Public Health Care, a special educational programme for nurses has been developed to provide theoretical training and classes at the clinics where fasting therapy is used, like the Centre of Eastern Medicine, the war and labour veterans hospital, and others.

At the basis of the municipal in-patient clinic the authors have been applying fasting therapy following the method of Prof. Yu. S. Nikolayev since 1994. They have treated 350 patients predominantly with cardiovascular pathology (54%), bronchopulmonary and gastrointestinal pathology (15% and 16% respectively); the pathology of the skin, kidneys. Joints, and the endocrinic pathology comprised 15%, all together. Among the patients, women aged 30-40 were predominant. During the preparatory period vegetarian diet with one hungry day a week was recommended, in descrete cases such preparatory period lasted up to 10 weeks. The duration of the period of fasting proper was from 11 to 15 days for the majority of the patients. During that time the intake of medications was cancelled, with the exception of some cases of supporting therapy; massage, remedial gymnastics, relaxation techniques, and indifferent inhalations were frequently administered. The clinical results of the fasting were as follows: in bronchial asthma, attacks of asphyxia became rarer and disappeared, similarly did short breath; bronchi drainage as well as speed and volume characteristics of spirogram improved. In hypertension, headaches and heart pains disappeared, arterial pressure and bodily weight decreased. In ischemic diseases of the heart, there decreased and disappeared heart pains and short breath; dose of nitrates diminished; the indices of electrocardiogram and echocardiogram, and central and intracardial hemodynamies improved. In gastrointestinal pathology, appetite arose; pain and dyspeptic syndromes vanished. The average loss of bodily weight was 7.07 kg (from 5 to 9 kg).

In general, the positive effect was reported for over 90% of the patients. During the recuperative period, there was recommended predominantly vegetarian diet with hungry day a week, with a repeated course of fasting in 6-12 months, out-patient supervision by a physician familiar with fasting therapy, with one or two examinations a month. 22% of the patients underwent repeated (two times) courses of fasting, 10% — three times repeated courses, and 8% of the patients — four times and more. It allowed the chronic course of the pathologies to be checked, assisting in keeping the patients in a good health state.

The paper deals with methods of oriental medicine used for the bodily cleansing. There are identified methods related to the limited use of discrete food products by practically healthy individuals during relevant seasons, as well as methods with the usage of some certain medications according to the scheme for bodily cleansing to combat diseases, to slow down aging, etc.

58 patients with different forms of hypothyrosis were examined before and after the fasting therapy course combined with acupuncture. After the treatment there was observed a marked decrease of the thyrotropic hormone level, of the antibody level to thyreoglobulin and microsomal fraction in the patients with postoperative hypothyroidism, as well as with autoimmune thyroiditis. No reliable changes of the level of the hormones — triodthyronin and general thyroxine were reported. The decrease of the antibody level to thyreoglobulin and microsomal fraction is assumed to have resulted from the correcting effect of fasting therapy on the immune system. The decrease of the thyrotropic hormone level in the patients with postoperative hypothyroidism was obviously connected with the stimulating effect of fasting therapy and acupuncture on the thyroid gland function. During the rehabilitation period of fasting therapy the prescribed dose of hormone medications was diminished by 3 times in 12% of the cases, by 2 times in 85% of the patients, and 3% remained at the initial dose.

The elaboration and optimization of the non-medicamentous methods of treatment including fasting therapy, as well as the revealing of their mechanisms of action compared with the action of the generally adopted medicamentous therapy, are of great importance. The authors observed and treated 80 patients with bronchial asthma who were divided into 4 groups according to sex, age and the disease gravity. The therapies were different:

25 patients were prescribed antiallergic iminunoglobuline, 18 patients — ronkoleukin, 21 patients — fasting therapy, and 16 — basic medicamentous antiinflammatory therapy. Fasting therapy was carried out following the method developed at the Research Institute of Pulmonology: a complete «wet» fasting. The clinical effect of fasting was manifested in the control of the bronchospastic syndrome, reliable decrease of the sympathomimetics inhalation need, and increase of the spirogram speed indices, decrease of eosinophiles in sputum and diminishment of endobronchitis manifestation; decrease of the IgG and IgM. After fasting therapy, the level of cortizol in the blood plasma has increased by 1.5 times.

The clinical effectiveness of fasting therapy with the period of complete fasting of 14-16 days was studied on 119 patients with alimentary-constitutional obesity. It was found that along with the bodily weight reduction, fasting therapy effectively stops clinical signs of the diseases accompanying obesity, like hypertension, ischemic disease of the heart, chronic gastroduodenitis, chronic cholecystitis, fatty hepatosis.

The complex studies of the functional and morphological state of the small intestine were carried out on 28 patients with obesity before the fasting period, on the 8th and 16th days of complete fasting, and on the 7th and 26th days of recuperative diet. Two characteristic groups of pathogenetic

changes in the mucous membrane were found during the fasting period:

first, its structural reconstruction with inhibition of mitotic activity of the krypt epithelium and development of reversible dystrophic processes, and, second, inflammatory reactions manifested with higher cellular infiltration of the stroma and compensatory-adaptive changes of the microcirculatory channel structure.

The adequate dietary therapy secures complete restoration of tissue parameters of the mucous membrane on the 26th day from the beginning of the food intake. One can consider the above changes as adaptive to the specific features of endogenic diet.

The patients suffering from bronchial asthma and the systems injury of the gastrointestinal tract were treated with fasting combined with hydro-colonotherapy to optimise the therapeutic effect. This combination increased the efficiency of the cleansing and purging procedures that was important especially in the case of food allergy. The treatment was carried out in the out-patients' department. According to the methods elaborated by the author, such treatment is good for patients with mild forms of bronchial asthma. The fasting course lasts to 2 weeks. Hydrocolonotherapy is suggested to be performed during the initial period of fasting and after the acidotic crisis. The complications were not reported. The stable results are dependent on the subsequent regular cleansing procedures.

While treating patients with bronchial asthma and accompanying pathology of the gastrointestinal tract in the out-patients' department, the authors found that the rational combination of fasting and hydrocolonotherapy provided the comparatively better near and remote results as compared to basis pharmacotherapy. As the authors consider, it can be explained by intensified bodily purgation due to the combined rational application of the two non-medicamentous efferent methods of the traditional (fasting) and the orthodox (hydrocolonotherapy) character.

The authors examined 20 patients with bronchial asthma during their fortnight fasting according to the methods developed at the Research Institute of Pulmonology, in order to determine their antioxidant provision and lipid peroxidation state. The examinations were carried out on the 7th and 14th day of the fasting and on the 7th day of the rehabilitation period. The findings have shown that by the end of the fasting in the patient body the level of ascorbate and tocopherols increased and at the same time the level of the products of lipid peroxidation decreased. This occured due to the "release" of antioxidants out of the tissues into the general blood stream. By the 2nd day of the rehabilitation period of the treatment the content of antioxidants in the patient's body was reduced and at the same time the quantity of initial and final products of lipid peroxidation was increased. The above mentioned data correlate with the decrease of the clinical effect of the fasting.

From the authors' point of view, the prescription of antioxidants during the fasting period optimises the near and remote results of fasting.

Fasting therapy has been used at the balneological resort Arshan for the recent three years. As a rule the classical method of fasting therapy is used combined with mineral water intake (the usual duration of the fasting period is 7-15 days); in few cases the combined method is used: 24-36 hours of starvation followed by fasting therapy. The routine clinical laboratory test was carried out on all patients. The complex of the treatment embraces such therapeutic procedures like massage, sauna, exercise therapy, swimming, and outdoor hiking. 217 patients, predominantly women, aged from 10 to 60, underwent fasting therapy. According to the resort profile there prevailed gastro intestinal pathologies, like cholecystitis, cholangitis, post-chole-cystectomy condition (73; 47.7%); chronic gastritis, duodenitis (50; 32.65); chronic colitis (18; 11,7%); chronic pancreatitis (8; 5.2%); chronic hepatitis (2; 1.3%), etc. Side effects and complications after fasting occurred rarely (1 case of uterine hemorrhage, several cases of grave acidotic crises; chole-cystalgia and renal colics; gout attacks). The above mentioned pain syndromes were controlled with the Su-Jok therapy. The dietary menu during the rehabilitation period includes juices, fruit or cereals decoctions with gradual varying of diet. The findings have shown improvement in 87% cases, 19.6% of the cases — no changes. The remote results were studied in 30 patients (17.6%) who visited the resort once more; the next 6 or 11 months a prolonged remission was observed. The number of relapses decreased from 3-6 to 1-2 cases a year. The patients feel the improved life quality.

The author observed several patients, middle-aged men with pronounced gout, who underwent the repeated fasting therapy (in 6-8 months). Due to the treatment the patients recovered their capacity to work and improved their life quality.

The 48-year-old pharmaceutist, who lived in a remote rural area in Buryatia and suffered from polyorganic somatic pathologies, like chronic pielonephritis, prostatitia, hyperacidic gastritis, osteochondrosis, undertook three periods of fasting therapy of a month duration, each repeated in 6-8 months, after he familiarized with the essence and methods of fasting therapy in popular scientific publications. Due to the treatment conducted in out-patients' conditions, he restored his capacity to work and promoted his vitality and life quality.

The author — 52-years-old therapeutist, was attacked with acute respiratory virus infection (the bodily temperature rose to 37,8"C, with the ca-tarrhal syndrome in the upper respiratory tract). After a two-day starvation (the severe variant) and three-day fasting she completely recovered. It is interesting to note that temperature became normal and the catarrhal syndrome disappeared on the first day of the treatment. The patient did not cease her office duties.

The crisis of public health care in the post-perestroika Buryatia true for the whole Russia, has manifested through the unprecedented decrease of the population quantity. Preventive measures do not require significant investments both from the society and the individuals. The official statistics data on the Russian Federation and foreign data convincingly show that the significant number of cases of non-infectious diseases can be prevented. Natural methods of health enhancement are rooted in the ancient traditions of the people. In Buryatia, the indigenous population professing Buddhism has used for centuries natural methods of healing, among them sporadic abstention from meals occupied a significant part along with intake of herbal compositions, moxabustion, and acupuncture. The statistics shows that the state of health depends on several factors, diet and lifestyle comprising 50%. It is well known that periodical abstention from food, constant bodily weight correction have, even without medications, a positive health improving effect. The growing interest of the populace to the methods of bodily cleansing has its pros and cons. The latter includes the fact that many individuals fast following instructions from publications. In this case side effects, sometimes ruinous for health, happen which naturally discredit the fasting method. At the same time many physicians are hardly familiar with the method. The existing situation requires from the public health care bodies to organize a proper use of fasting for therapeutic and health improving purpose, in compliance with indications. To achieve it there was established the Republican Fasting Centre to coordinate training of physicians on the fasting method and to provide consulting and therapeutic services. The forms of the Centre's activity are diverse and stipulate constant information for medical workers and local public through mass media (press, radio, TV) about the essence and potentialities of fasting, regular meetings of experts on fasting with the community, polls and surveys, talks and the City Society of Physicians.

On the base of the well-known and scientifically proved data on the high efficiency of fasting therapy in the treatment of allergic diseases the authors elaborated the method of the short-term fasting where the quick therapeutic effect concerning the patients' condition and clinical laboratory data is regarded as an important factor of differentiation of the allergic and pseudoallergic nature of the disease.

Iridological examination which according to publications and personal experience of the authors, can visibly demonstrate cleansing effect of the efferent therapy, was carried out among 80 patients with bronchial asthma (58 men and 22 women), with the average age of 46.8 ± 0.2. They were treated in the in-patients' clinic following the method developed at the Research Institute of Pulmonology. Based on the iridological examination, the control group consisted of practically healthy individuals, comparable with the experimental group by age and sex. The results of the iridological examination of all the patients with bronchial asthma before starting fasting therapy differed plausibly from the ones of the control group persons. For the sick individuals, as compared to the healthy ones, more frequently were found the following:

the radial and lacunar type of the iris, deformed pupils, residued autonoumous ring, dull and faded colour of the iris, presence of pigment spots, and emergence of the adaptation nervous rings. After the fasting therapy the obvious positive dynamics was reported in the patients, particularly as compared with the healthy persons, as well as with their own state before the fasting. Particularly marked changes were noted for the residued autonomous ring; the colour of the iris became clearer; there lessened the number of the adaptation nervous rings and toxico-dystrophic signs. To the opinion of the authors, the changes of the iridodiagnostics indexes of the residueness of the body after fasting therapy can be objectively indicative of the efficiency of this kind of efferent therapy.

The significance of large-scale training of physicians for the organization of introduction of fasting therapy into the public health care system with due regard to the local population ready to accept this method along with other methods of the traditional and Oriental medical systems was stressed in the paper. Interesting findings obtained through surveys and interviews of physicians — fasting therapy practitioners on the relevance and contribution of the method into the alteration of their world outlook and interrelationships with the colleagues who are not familiar with fasting therapy are given. This experience is considered recommendable for other regions where the medical community and locals are interested in traditional medicine and resource sharing medical technologies.

TUYEV A. V., ZHADOVA T. A., MiSHLANOV V. YU., Perm

The aim was to study supplemental prognostication criteria of fasting therapy efficiency in patients with bronchial asthma. Materials and methods used were as follows: 315 patients with asthma and 30 healthy persons were examined. 20 patients with intrinsic asthma were examined before and after the 14th day of the fasting period. The spirometric parameters, immune status, and haemostasis were studied. There was calculated a new criterion of severity of asthma — the index of allergic inflammation (IAI). The IAI formula reflects the relationship between the T- and B-chains of the immune system activity.

The results showed correlation between the clinical data, functional criteria, and degree of immune disbalance reflected by the IAI. The correlation index between the IAI and the forced expiratory volume per 1 second in intrinsic asthma was r = -0.6457 (p < 0.0001). The sensitivity and specificity of the new diagnostic method of bronchial asthma severity were 83.3% and 81.5% respectively when the IAI was more than 0.080.

We revealed some new clinical and laboratory features of asthma in patients with lipid metabolism disturbance: the resistance to basis antiinflamiTiatory and broncholithic therapy, high frequency of polyvalent allergy, increase of lymphocytes and theophylline-resistant T-lympohocytes in venous blood, increase of phagocytic parameters and spontaneous aggregation activity of thrombocytes, high level of the correlation index between the spontaneous aggregation activity of thrombocytes and forced expiratory volume per 1 second, decrease of theophyl line-sensitive and theophylline-resistant T-lymphocytes relatively to the patients with severe bronchial asthma without lipid metabolism disturbance.

The significant improvement of the clinical picture after the fasting therapy was found in the patients with severe bronchial asthma, particularly in ones with lipid metabolism disturbance. Fasting promoted the decrease of eosinophiles, the ESR, spontaneous aggregation activity of thrombocytes and fibrinogen blood level, XII-dependent fibriolisis, and the time of autoco-agulation activity, trend to the IAI decrease, and increase of phagocyte activity.

The authors have come to the conclusion that it is recommendable to identify bronchial asthma in patients with lipid metabolism disturbance as a specific clinic variant of the asthma course, which require the usage of complementary therapeutic methods, like fasting, to the basis antiinflammatory and hroncholithic therapy. The positive additional prognostication criteria of fasting therapy effectiveness lie in the fact that the high levels of spontaneous aggregation activity of thrombocytes and the IAI before fasting decrease in the course of therapy.

After the thorough examination of a large group of patients with different forms of bronchial asthma before and after the fortnight course of fasting therapy, the authors established the relationship between the clinical-and-functional criteria of the bronchial asthma severity and the level of the immunological disbalance manifestation. In the cases of bronchial asthma concomitant with obesity, there were revealed the refractiones to the basic medicamentous therapy of bronchial asthma, high frequency of polyvalent allergy and some specificities of immunological reactiveness. In the cases of bronchial asthma concomitant with the second or third degree obesity, the authors consider fasting therapy as an alternative method of treatment.

The aim of the given research was to analyse fasting therapy efficiency in the treatment of patients with chronic obstructive bronchitis (below as COB) and bronchial asthma (below as BA) at sanatoria and health resorts.

There were observed 32 patients with COB and BA at the stage of subsiding exacerbation, and instable and full remission stages who were prescribed the 6- or 15-days fasting therapy course along with the regular therapies. The near results were evaluated according to the clinical and functional indices.

The usage of fasting therapy within the complex of sanatorium therapy allows the efficiency of COB and BA treatment to be significantly increased. The patients' age and the duration of the disease course did not effect the results of the fasting therapy. If the duration of the therapy is no less than 7 days, then the effect of fasting is much higher. On the other hand, the prolonged fasting does not secure improved results.

The author carried out treatment of bronchial asthma in two groups of patients with concomitant somatic pathologies. One group was administered a common adapted medicamentous therapy, and another fasting therapy. The analysis of the near and remote results of the treatment has shown that fasting therapy is inferior in the near results but excels the drug therapy in the remote results. Besides, fasting therapy has been shown to have a favorable effect on concomitant somatic pathologies.

in the treatment of 267 patients suffering from the moderately grave course of infection-dependent bronchial asthma, among them 117 patients treated with fasting in combination of auto infusions of ultraviolet-irradiated blood (photo hemotherapy) during the fasting proper period. The analysis of the findings obtained has demonstrated that the application of photohemo therapy during fasting therapy increases the efficiency of fasting, manifested in a faster positive clinical dynamics in 100% of patients, more favorable changes in the immune system, 2-timea decrease of the frequency of infectious exacerbation in the respiratory tract, as compared with patients, who were administered fasting therapy only.

To be frank, here in Republic of Buryatia we are particularly 
pleased at the extension of topics in this direction. It is due to 
the fact that in Zabaikalye we have been engaged in studies of traditional 
(synonymous to folk) medicine, which has its own unique ethnic traits 
in Buryatia. In our Republic such institutions, like the Buryat Science 
Center of the Siberian Division of the Russian Academy of Sciences 
and the Center of Oriental Medicine under the Republic of Buryatia 
Health Ministry, have been successfully operating; along with licensed 
medical doctors belonging to contemporary orthodox medicine, there 
is a rather abundant group of folk physicians (emchi-lamas), trained 
and skilled in unique therapies of traditional Tibetan medicine, also 
providing therapeutic and health improvement services to the local 
population. So, the local community is susceptive to natural (traditional) 
therapies and health enhancement. However, potentialities 
and prospects of traditional medical therapies and techniques have 
not been extensively discussed in our Republic.

The Health Ministry of Republic of Buryatia supports and 
enforces the introduction of foreign and domestic scientific elaborations 
on fasting therapy and traditional medicine into practices of public 
health care institutions.

I wish you successful work and mutual enrichment with ideas 
and insights for the noble cause of health improvement of Russian 
citizens.

 V.KOZHEVNIKOV
Minister, Republic of Buryatia
Ministry of Public Health Care

THE EDITOR'S FOREWORD

The idea of organizing and hosting the Baikal Readings on a regular 
basis was forwarded at the 2001 Republican scientific-and-practical 
conference (Ulan-Ude), where issues of fasting therapy in treatment 
of internal diseases were dealt with, and was reflected in the conference 
resolution.

Having supported this idea in general, I immediately suggested the 
expansion of the topics of the will-be Readings: to raise and discuss 
issues not only of fasting therapy but of traditional medicine as 
well, proceeding from the fact that in both cases non-medicamental 
therapies are applied. Based on our observations we can assert that 
techniques of traditional medicine employed at a certain period of 
fasting therapy optimize results of fasting.

As the editor of the Baikal Readings' 1 proceedings, I have 
attempted to involve experts and adapts who have accumulated 
significant personal experience both in fasting therapy and 
various techniques of traditional medicine, in order to display 
their wide scope, therapeutic and valeological potentialities and 
virtual efficiency. I feel that discussion of all these issues 
in Republic of Buryatia, which is fortunate to have deep and unique 
roots of folk healing and Tibetan medicine, can be of certain interest 
for wide general public and local medical community. It can 
provide a good stimulus for mobilization of latent reserves for health 
enhancement of the locals within the Republic, as well as in some 
other regions of the Russian Federation.

Hopefully, that in this respect, the Baikal Readings'1 materials 
will attract attention of various medical specialists and give impetus 
for their willingness in mastering techniques of fasting therapy and 
traditional medicine, and, thus, perfect their personal professional 
skills for combating numerous diseases and health enhancement of 
the local population.

 Prof. Aleksei KOKOSOV,
Honored Scientist of the Russian Federation,
MD, Director on Science of the City Centre Fasting
(St. Petersburg)

 THE PHILOSOPHY OF HEALTH FROM THE POINT
OF VIEW OF ORTHODOX (CONTEMPORARY)
AND TRADITIONAL (ORIENTAL) MEDICAL SYSTEMS, AS WELL AS THE GENERAL 
PRINCIPLES
OF TREATMENT OF PATHOLOGIES AND HEALTH ENHANCEMENT OF THE BODY

A. KOKOSOV

St. Petersburg, Russia

By orthodox (contemporary) medicine health is defined as the state 
of equipoise of the systems of biochemical homeostasis with their 
environment. Health is sustained by a dynamic complex of defensive-and-adaptive 
reactions, introduced in the impact of an extreme (pathogenic) 
stimulant, here the primary (adaptive) and secondary (defensive, compensatory) 
reactions are being distinguished. Traditional (Oriental) medicine 
assigns the paramount relevance in health conservation and sustaining 
to informational-and-energetic homeostasis. The human body is presented 
in the form of an energetic egg, in which only the internal 
envelope  coarse (physical) body exists on the anatomical 
level, the rest is on the mental one. The state of health is stipulated 
by the maximum harmony of all constituent envelopes or shells of the 
energetic egg. Its structure is a sustainable, self-regulating 
biological system with initially well-developed protection against 
external and internal pathogenic factors. Any disease begins from 
the change of biological energetics of a Man, namely his biological 
field. Recent investigations of biophysics allowed it to be 
visualized, what is important for definition of health quality. The 
general principles of treatment of pathologies and health enhancement 
of the body include the following major tenets, like: (1) to overcome 
endotoxicosis and to purge and evacuate wastes from the 
body in reliance upon efferent therapeutic and health enhancing techniques; 
(2) to create a (competing) leitmotif of health by diverse public 
outreach; (3) to stimulate and train mechanism of adaptation and 
sanogenesis; (4) to teach a (potential) patient's necessary skills 
of health enhancement and quality life maintenance.


Part I

PROSPECTS AND POTENTIALITIES
OF USE OF THERAPIES AND TECHNIQUES
OF TRADITIONAL MEDICINE WITHIN
THE PUBLIC HEALTH CARE SYSTEM
OF REPUBLIC OF BURYATIA

Life Quality and Health (P. Gorbenko; St. Petersburg)

Regarding the terms Life Quality and Health the author emphasizes 
saving health of the healthy people and supposes that the current 
social policy declared by the President of Russia creates preconditions 
for forming the social culture of Life Quality and Health as well 
as practical realization of the relevant social actions.

Potentialities and Perspectives of the Traditional Medicine 
in Medical Practice in Russia (A. Kokosov; St. Petersburg)

There are two different terms in international medical practice 
Health Improvement and Treatment. Although the world and the Russian 
health improvement experiences are very reach, they are not studied 
very well. The activity of folk healers therefore should be certified 
by state health organizations with the use of laboratory diagnostic 
methods of the evidence based medicine. All the methods of the traditional 
medicine should go the same way.

Buryatia Republic can become an experimental region for it as this 
work is supported by the Republic Health Ministry for the first time 
in Russia.

Traditional Medicine of Buryatia: Potentialities and Prospects 
in Therapy and Health Improvement of the Population (S.Nikolayev, 
B. Balzhirov, K. Malanov; Ulan-Ude)

The Tibetan tradition of healing in Buryatia has been widely spread. 
Nowadays it is, to a significant degree, complemented with data from 
Buryat folk medicine, experience of Buryat and Mongolian emchi-lamas, 
introduction of some practical therapies and techniques of health 
enhancement of the population from the legacy of other medical systems, 
like the Mongolian, Ayurvedic, Russian, and Persian ones, once popular 
throughout Russia and the Commonwealth of Independent States. Virtually, 
we have a modernized, as a result of purposeful scientific and 
research work, and adapted form of Tibetan medicine, which can 
be called traditional medicine of Buryatia. It regards traditional 
believes, climatic-and-geographical conditions in the region, life 
style of the local population, genetic memory, specific dietary patterns, 
traditions and culture of the ethnic groups inhabiting Buryatia. 
Prospects of further development of traditional medicine of Buryatia 
are undoubtedly related with continued research based on premises 
of the above traditions and new medical technologies of contemporary 
(orthodox) medicine. Their integration will guarantee a qualitatively 
new level of development of medical science and practical public health 
care within the region in the 21st century.

On the Buryat Tradition of Healing (V.Tarnuyev, G.Namsarayeva; 
Ulan-Ude)

Based on studies of numerous literary sources, the authors present 
their own version of the origin and formation of the Buryat healing 
tradition, as well as its evolution from old days up to now.

The Use of Therapies and Techniques of Traditional Medicine in 
Gerontological Practice (V.Zhernov; Moscow)

The portion of senior patrons has been growing throughout the world, 
and according to the UN data, will reach 1 billion by 2010. In Russia 
elderly people make one fifth of the entire population, 11% of them 
are over 80 year old.

So, problems in the solution of this issue are abundant and related 
not only with the fact of the elderly population growth, but also 
with insufficient material maintenance, unwillingness of the majority 
of medical doctors to deal with this group of patients who require 
more attention and medical erudition.

In the recent therapeutic practice the increase of a number of diseases 
in senior patrons is reported, what can be estimated as a manifestation 
of the population aging in the country. As a rule, at this age a patient 
usually suffers from 57 diseases at the same time, among them 
diseases of the cardio-vascular system can be focused. The most common 
ailments are arterial hypertension and ischemic disease of the heart.

At the Faculty of Traditional Medicine of the Russian University of 
Friendship among Peoples, effectiveness of therapies and techniques 
of traditional medicine, including reflexotherapy and hirudotherapy 
in gerontological patients, has been studied.

Prospects of Phytotherapy and Phytoprophylaxis of Diseases with 
Regard of Genetic Memory of Ethnic Groups (S.Lemza, S.Nikolayev; 
Ulan-Ude)

The paper presents a short survey of recent publications dealing with 
the important problem of enhancing efficacy of medicamental therapy 
of various diseases based on data on the functional role of genes 
and their polymorphic variants, coding enzyme systems, which catalyze 
biochemical transformations of xenobiothics and medicaments. The assumption 
on interesting prospects of studies on effectiveness of natural phytoremedies' 
application in populations with various genetic structure, as well 
as necessity of individual approach in phytotherapy of diseases with 
regard of genetic features of the body, is forwarded.

Fasting Therapy as a New Direction in Sanatroium-and-Resort Treatment 
(N.Batayeva, T.Syrenova; Goryachinsk Resort, Republic of 
Buryatia)

For optimization of generally-accepted sanataroium-and-resort 
treatment 575 patients with various somatic pathology were 
administered short-term (2436 h) fasting therapy with subsequent 
remedial diet to alleviate the period of their acclimatization. The 
authors assume that such preventive fasting therapy fosters optimization 
and complements the generally-accepted therapies provided at 
the sanatoria and resorts, it also serves as prophylactics of excercebations 
of clinical pathgologies and improves life quality of such patients. 
The efficacy of the therapy ranged from 75 to 98.7%, depending upon 
the character of the pathology.

The Attitude of the Doctors and Nurses of Buryatia toward Fasting 
Therapy (Information and Psychosocial Factors and the Results of the 
Anonymous Survey) (M. Mitupov, K. Godinya; Ulan-Ude)

The authors have conducted an anonymous survey among 314 doctors 
and nurses of different specialization from hospitals and other medical 
organizations of Ulan-Ude who had not done any special courses on 
fasting therapy about their attitude toward it. Different answers 
have been got. However, the majority of the doctors and nurses wished 
to have much more information on fasting therapy.

The Perspective of Wide Inculcation of Fasting Therapy Method 
to Practical Work of Healthcare Administrative Bodies of Republic 
of Buryatia (Based on the Patients' Questionnaire) (N.Batayeva, 
T. Angarova, N. Danchinova, A. Shagdurova, K. Godinya; Ulan-Ude)

The authors have interrogated 182 patients (76.3%  women, 
23.62% men), who underwent a course of fasting therapy. 
The patients have answered various questions about their attitude 
to fasting therapy, Oriental medicine and other non-medicamental 
methods, as well as to nutrition, bad habits etc. The results of the 
questionnaire show the demand of fasting therapy for people and 
good prospects for application of this method in Republic of 
Buryatia. 

The Role of Ulan-Ude Libraries in the Popularization of Fasting 
Therapy Method in Republic of Buryatia (E. Demkova, N.Petukhova, 
E. Ryabusheva, E. Ochirova, K. Godinya; Ulan-Ude)

In the city library, during the discussion of the application of fasting 
therapy at various pathologies, doctors and patients were anonymously 
interrogated. The authors showed an important role of city libraries 
in the process of application of fasting therapy in the work of healthcare 
administrative bodies of Republic of Buryatia.

 The Results of the Survey among the Patients Having a Second 
Course of Fasting Therapy (N.Batayeva, T.Angarova, 
Z.Teponasyan, K.Godinya; Ulan-Ude)

The authors have conducted a survey among 50 patients having a second 
course of fasting therapy in a hospital. The results have shown that 
a second and subsequent courses of fasting therapy are advisable as 
they improve psychological condition of the patients, reduce reception 
of medicines at chronic illness down to their full cancellation and 
give valuable information helping adopt fasting therapy in the system 
of traditional medicine.

Organization of Activities of Medical Doctors on Introduction of 
Fasting Therapy within the Public Health Care System of Republic 
of Buryatia and Obvious Prospects of these Activities (T.Shilina; 
Ulan-Ude)

The author reports that in Republic of Buryatia over 90 medical doctors, 
88.2% of physicians among them, have been recently trained in fasting 
therapy. According to the Republican Fasting Center schedule, these 
doctors meet on a regular basis with the local community; particular 
attention being focused on exchange of opinions and ideas among patients 
experienced in fasting therapy. The priorities of further introduction 
of fasting therapy into the public health care system of the Republic 
are enumerated.


Part II

FASTING THERAPY IN THERAPEUTIC
AND HEALTH ENHANCEMENT PRACTICES

Potentialities of Fasting Therapy in Treatment and Health Enhancement 
of the Body (A. Kokosov; St.Petersburg)

Health enhancement and treatment are different notions. Fasting therapy 
may be beneficial in both cases, though methodological approaches 
to health enhancement and treatment should be different, too. For 
health enhancement one can use health-improving fasting therapy following 
the techniques by P.Ivanov or P. Bragg on a short-term and regular 
basis (from the methodical point of view, either a moist 
or dry, not-drastic fasting therapy following Prof. A. Kokosov) 
supervised by a folk healer or a physician, experienced in applying 
these techniques aimed at health enhancement. For treatment of pathologies 
it is recommended to apply fasting therapy in various methodical variations 
(completemoist, drydrastic and not-drastic, stepped, combined 
fasting therapy following Prof. A.Kokosov) guided by indications 
and contraindications. The selection of a technique and duration of 
fasting depend upon the nature of pathology and polymorbism, the 
latter lengethening fasting. The treatment should be supervised 
by a physician, knowledgeable and experienced in the technique 
of fasting therapy.

Adaptive Reactions of the System of Immunity, Hemostasis, and Lipid 
Spectrum of Blood in Patients with Bronchial Asthma and Indications 
for Fasting Therapy (V. Mishlanov, A. Tuyev; Perm)

The conducted investigation has shown that fasting is an effective 
accessory therapy of bronchial asthma: plausible increase of Forced 
Expiratory Volume, decrease of eosinophilia of peripheral blood 
and index of allergic inflammation have been revealed. The results 
of assessment of effectiveness of the programs of basis medicamental 
and fasting therapy in patients with bronchial asthma have confirmed 
the major statements of the authors' concept on adaptive reactions 
of the systems of homeostasis under study. Indications for application 
of the accessory therapies and techniques, including fasting, should 
stipulate their effect on the state of compensatory-and-adjustment 
mechanisms of patients.

On the Problem of Prevention of Malignant Tumors with the Help 
of Fasting Therapy (B. Babinov, M. Naumov, N. Chernomorenko; 
Tyumen)

The staff of the specialized department of the oblast clinical onclogical 
dispensary has accumulated experience in applying fasting therapy 
for the primary and secondary prophylaxis of oncological pathologies, 
including premalignant diseases of the stomach, mammary glands, uterus, 
thyroid gland, gall bladder, prostate, larger intestine, and in the 
oncological pathology risk group. Fasting therapy was performed 
following the Yu.S.Nikolayev's technique (complete, 
moist fasting), the fasting period lasting in average 18 days. All 
the patients have successfully undergone the therapy. Among 
68 patients with premalignant diseases and benign tumors, the 
positive effect was achieved in 64: decrease and disappearance of 
the pathologies, what was verified by radiation, endoscopic and morphological 
examinations. In the oncological pathology risk group the patients 
have experienced improved stamina, normalization of the gastro-intestinal 
tract functioning, better working capacity. The authors consider 
that fasting therapy can be used for the primary and secondary prophylaxis 
of oncological pathologies.

Fasting Therapy in the Shumilov's Disease: Author's Recommendations  (V. 
Shumilov; Minsk)

Among the major synonyms of the Shumilov's disease, or otherwise, 
the disease of minor radiation dosages, are: primarily chronic radiation 
disease, radiation disease due to internal radiation, disease of accumulation 
of radionuclids (radiotoxins). The pathology is stipulated by introduction 
and accumulation of minor dosages of radionuclids, their pathological 
effect deteriorated with alcoholisation. As a therapy and prevention 
of advanced pathology, the efferent principle of acceleration of the 
transit of radionuclids throughout the victim body has been recommended 
(patent  N3352 of December 20, 1999, entitled The Technique 
of Removal of Radionuclids from the Body issued by the State 
Patent Committee of the Republic of Byelorussia, the author V.Shumilov, 
the patent owner the Byelorussian Social-and-Ecological Union Chernobyl). 
The Chernobyl Atomic Power Station disaster victims are recommended 
to undergo a regular detoxication by fasting therapy, with subsequent, 
predominantly vegetarian diet, in-between the repeated courses 
of fasting therapy. As a specific control of the detoxification, 
the individual dosimetry of radiotoxins' excretion following 
the spectrometry of bodily emanation is used. The author provides 
his recommendations on the technique of out-patient fasting 
therapy.

The Effect of Fasting Therapy on the Diastolic Function of the 
Left Ventricle of the Heart in Patients with Hypertension (S.Muravyev, 
G.Makarova, O.Andreyeva, I.Zmanovskaya; Tyumen)

Fasting therapy was administered to 183 patients with hypertensive 
disease of the 1st2nd stages following the classical technique 
of complete (moist) fasting, the average duration of fasting 
reaching 15.5 days, 40% of the patients undergoing repeated courses 
of fasting therapy. Along with the generally accepted clinical and 
laboratory examinations, during the fasting therapy dopplerechocardiography 
was performed on the patients prior, immediately after, and in three 
months after the fasting therapy, with identification of changes in 
the diastolic function of the left ventricle of the heart. The findings 
have shown the hypotensive effect of fasting therapy, all the patients 
experiencing the improvement of the diastolic function of the left 
ventricle of the heart, and positive changes retained in three months.

Fasting Therapy in Allergic Pathology under Out-Patient Conditions 
(I.Shoizhalsanova; Ulan-Ude)

In the Town Center Fasting Therapy based in Polyclinic N1, 
fasting therapy was administered to 19 patients with allergic pathology, 
aged from 13 to 50, among them 13 women, 4 men, and 1 teenager. The 
pathology included bronchial asthma, atopic, mild, and medium severe 
8 cases; allergic dermatitis 4; polynosis 2; chronic 
cholecystitis 2; chronic gastritis 2. During 
the preparatory period the generally-accepted clinical-and-laboratory 
and functional examination was conducted, accompanied, if indicated, 
with ultrasound examination of the abdominal organs, fibrogastroduodenoscopia, 
and immunological examination. At that time vegetarian diet was recommended, 
excluding sharp, salty, pickled products and rich soups. Fasting therapy 
lasted 34 days. Unhealthy habits, like smoking and alcohol consumption, 
were also prohibited; also, cleansing enemas were performed daily, 
also there were recommended hygienic procedures, walking and hiking, 
daily examination by a physician, control over bodily weight, pulse 
frequency, arterial pressure, self-checkup log; and peakflowmetry 
in bronchial asthma. The recuperative period is 3 days. During that 
time the patient is offered to select 3 variants of diets: the juice-, 
cereal-, whey-based ones; salt was excluded, its amount being limited 
later. During the subsequent 1.5 months we recommend diet, similar 
to the one during the preparatory stage for fasting, one-day fasting 
once a week, and three-day fasting in every 6 months. The assessment 
of the results of fasting therapy has shown that the absolute majority 
of patients (89%) report improved well-being and display positive 
clinical-and-laboratory dynamics of the symptoms, and improved 
peakflowmetry indices in bronchial asthma. The majority of patients 
during the fasting therapy gave up supporting medicamental therapy. 
Following the above dietary recommendations (please see above), the 
most patients (68%) retained well-being; their clinical signs of the 
pathology and needs in basic medicamental therapy decreased; and the 
quality of life improved. The author provides brief clinical illustrations.

Fasting Therapy with Resumption of the Cambridge Diet in Patients 
with the Syndrome of Irritated Large Intestine (V.Maksimov, 
V.Panaikin, A.Lysov, K.Tarasov, G.Bazhenova; Moscow)

Having applied fasting therapy in patients with the syndrome of irritated 
large intestines, the authors investigate two variants of remedial 
nutrition the Cambridge diet and the diet generally accepted 
in our country. According to the results of the analysis of morphological 
data obtained from the patients under study, it is inferred that the 
Cambridge diet entails more frequent normalization of the mucous membrane 
structure of the large intestine in patients suffering from the syndrome 
of its irritation.

The Dynamics of Clinical-and-Anthropometric Indices in Patients 
with Alimentary-and-Constitutional Obesity under Dietary 
Interventions including Fasting Therapy (Ye.N.Lapteva, 
 Ye.S. Lapteva, M. Bolotova; St. Petersburg)

The authors conducted their research to study the dynamics of the 
body mass index depending on the character of the dietary interventions 
in the different periods of the treatment of the patients with alimentary 
and constitutional obesity. The results show the beneficial effects 
of the all used methods including the suggested reduced diet with 
the elements of the separate feeding. However, the patient's wish 
to change his lifestyle, the doctor's considerate attitude toward 
the patient as well as the regular implementation of the doctor's 
prescribing are crucial for the patients with alimentary and constitutional 
obesity.

Automated Correction of Diet during the Remedial Period of Fasting 
Therapy (M.Ashikhmina, V.Zhernov, M.Zubarkina, 
A.Ustinov, M. Kartseva; Moscow)

In the fasting therapy course of importance is the period of rehabilitative 
diet. Based on the analysis of literature and our own data about dietary 
features during the rehabilitative period of fasting therapy, we have 
developed an algorithmic software for the computerized system to assist 
a physician in compounding an individual dieting plan for a patient 
with regard of his or her disease, initial bodily weight, rehabilitative 
period dates. The suggested system allows us to facilitate a physician 
in conducting fasting therapy. In its administration the individual 
program of treatment is needed, which will include rehabilitative 
diet during the withdrawal from fasting. It is mandatory to observe 
the principle of individual-based administration of diet to a patient 
according to dates with due regard of his or her diseases, general 
state, age, duration of fasting. It is particularly important when 
the therapy is conducted in out-patient conditions. In a thorough 
and adequate approach it takes a while for a doctor to administer 
such diet.

Dosaged fasting therapy can be prescribed in stages III of hypertonic 
disease, stenocardia, obesity, initial arteriosclerosis, residual 
symptoms of infectious hepatitis, cholecystitis, pancreatitis, 
III type diabetes mellitus, ulcerous gastric and duodenal 
disease, nephrosonephritis, colitis, gastritis, bronchial 
asthma, skin ailments (eczema, psoriasis, neurodermitis, etc).

The Combination of Fasting Therapy and Acupuncture in Patients 
with Arterial Hypertension (Z.Vukolova, M.Ashikhmina, 
A.Oganova; Moscow)

125 patients with hypertension have been treated by fasting therapy 
combined with acupuncture. The main group consisted of patients 
with mild hypertension. Acupuncture has been employed 
with regard of the physiological model. In the acupuncture exertion 
there were used both classical and auricular points. In the selection 
of the classical points there were regarded the findings on patient 
examination following Nakatani. The statistically reliable 
decrease of arterial pressure and the cholesterol level has 
been reported. The given technique can be recommended for therapy 
of hypertensive disease.

Probable Complications of Fasting Therapy and Their Correction 
with the Help of Phytotherapy (A.Alifanov; Rostov Oblast)

The author has analyzed not-fatal complications and side effects of 
fasting therapy, lasting from 2 to 45 days, in 230 patients with different, 
mainly somatic pathology: 170 patients underwent fasting therapy in 
out-patient conditions, 60 in an in-patient hospital. Fasting 
in 200 patients was under control by a competent physician, and 30 
patients conducted it on their own, without medical assistance. The 
complications and side effects are categorized. The author provides 
his own experience of their successful correction by phytotherapy. 
He believes that long-term fasting should be conducted under in-patient 
conditions supervised by a competent physician.

On Possibilities of the Use of Homeopathic Preparations in Fasting 
Therapy (M.Ashikhmina; Moscow)

In this work the author has attempted to apprehend the possibility 
of combining fasting therapy with homeopathic treatment, to suggest 
the technique of their joint application. Homeopathic medicaments 
are believed to be innocuous, without side effects, as their action 
is realized within the subtle regulating systems. The variants of 
administering homeopathic medicaments to patients during different 
periods of fasting therapy have been described. The both techniques 
of traditional medicine are aimed towards stimulation of vital 
forces of the body. Intake of homeopathic remedies improves 
efficacy of fasting therapy, and allows the physician to find new 
key factors for checking fasting therapy.

Fasting Therapy and Phytotherapy in Treatment of Patients with 
Bronchial Asthma (A.Dolgodvorov, A.Kirsanov; St.Petersburg)

The authors present their experience in applying fasting therapy (classicalmoist 
technique) in patients with bronchial asthma (52individuals) 
combined with phytotherapy administered during the fasting period. 
The latter lasted in average 12 days. Aside from the clinical and 
functional examination, homeostasis of macro- and microelements 
in the fasting period of the therapy has been scrutinized. Juice derived 
from wheat sprouts has been used as a phytopreparation.

On Complex Use of Fasting Therapy and Phytotherapy in Treatment 
of Patients with Hypertension Complicated with a Relevant Pathology 
(A.Alifanov; Vsevolozhsk)

According to the author's many-year expertise, polymorbism 
(multiple somatic pathology) is another indication for applying fasting 
therapy. In conditions of polymorbism, fasting therapy combined 
with phytotherapy is advisable, with due regard of nature of the pathology. 
Fasting therapy courses enhance sensitivity of patients to medicaments, 
which may be used in a lesser dosage, as compared to the prior-fasting 
therapy period.

Endotoxicosis of the Patients with Bronchial Asthma and its Treatment 
Using Fasting Therapy and Gydrocolonotherapy (M.Kolpakov, 
V. Pogudina; Novosibirsk)

The authors used fasting therapy in conjunction with gydrocolonotherapy 
for treatment of endotoxicosis of the patients with bronchial asthma 
accompanied with digestion system disorders. Compared with the control 
group the quicker recovery of the laboratory parameters and the intestinal 
microflora along with the general positive effect were registered.

 The Initial Experience of Fasting Therapy Application at 
the Republican Dermatovenerologic Dispenser (N.Yermolayev; 
Ulan-Ude)

The author, chief physician of the Republican dermatovenerologic dispenser, 
narrates about how he got familiarized with fasting therapy and shares 
his initial expertise on the successful use of this therapy in patients 
with skin ailments at his dispenser. The patients totaled 12, with 
various pathologies, like psoriasis (6), neurodermite (3), eczema 
(2), lichen ruber planus (1). 3 of 12 patients with psoriasis repeated 
the course of fasting therapy to sustain healing effect.

Two Cases of Successful Application of Fasting Therapy in Combined 
Somatic Pathology (I.Afanasyev; Ulan-Ude)

2 cases of successful application of fasting therapy in two women, 
aged 75 and 51, with combined somatic pathology, ensuring appropriate 
life quality in the 75-year-old patient and retained working ability 
in the 51-year-old one, are described. The catamnesis was 1 year.

Principles of Clinical Systems' Psychotherapy in the Complex with 
Fasting Therapy in Psychogenic Reactive Depressions (V.Gurvich; 
Moscow)

In 75 patients with psychogenic (reactive) depressions of the medium 
and severe degrees entailing different psychogenies in the form of 
hysterical and melancholic depressions, the possibilities and traits 
of applying clinical systems' psychotherapy have been investigated 
in the fasting therapy course. The distinctive principles of adequate 
and successful application of psychotherapeutic effect in the 
complex of fasting therapy against psychogenic depressions have 
been revealed. The clinical and psychotherapeutic analysis has 
shown the necessity of emotional-and-empathic contact for an 
aimed purpose formation by the physician for conducting fasting 
therapy and performing accompanying psychotherapy; the relevance 
of apprehension by the psychotherapist of both the clinical and psychological 
aspects of the studied psychogenic states; the observation in clinical 
psychotherapy of regularities of staged dynamics of fasting therapy 
and staged duration of psychopathological and psychological manifestations 
of emotions; the significance of comprehension by the psychotherapist, 
while performing such psychotherapy of psychogenic depressions 
in the complex with fasting therapy, of the systems' nature of psychotherapy 
and him- or herself as the key component in the given functional system.

Spiritual Purification as an Element of Healing Effect of Fasting 
Therapy and Hirudotherapy (V.Savinov; Bryansk)

In the author's opinion, the programs of treatment and health improvement 
should stipulate the simultanious effect excerted by its components 
on the Spirit, Soul and the Body of the patient. Based upon the author's 
many-year experience, such programs should comprise fasting therapy 
and hirudotherapy, which, as compared to other factors of traditional 
medicine, provide the most comprehensive effect on the all three above-mentioned 
constituents of the human health. According to indications, these 
programs may include other factors of traditional medicine, like phytotherapy 
(phytoprophylaxis), products of apiculture, Russian steam bath, and 
others. Practical implementation of the programs of treatment and 
health improvement, following this principle, has revealed their 
high efficacy: complete recovery in 59% and significant improvement 
in 41% of cases, irrespective of the character of pathology.


Part III

TRADITIONAL MEDICINE IN THERAPEUTIC
AND HEALTH ENHANCEMENT PRACTICES

Traditional (Oriental) Medicine: the Content of the Notion and 
Prospects in Therapy and Health Enhancement of the Body (A.Kokosov; 
St.Petersburg)

@EP-3 = Dedicated to my pen-friend Mr Kenneth S.Jaffrey, famous 
naturopath of Australia

Traditional (Oriental) medicine is part of people's culture and employs 
therapies and techniques, their efficacy being corroborated by many-century 
practical experience of their use. In Russia, the doctrine of public 
health care still caters for orthodox medicine, though many doctors 
trained in orthodox medicine have mastered various techniques of traditional 
(Oriental) medicine, including acupuncture, phytotherapy, 
etc. Not rarely in their practices they combine techniques and devices 
of both orthodox medicine and traditional (Oriental) medicine. 
It is the onset of integrative medicine-to-be. Employment of 
folk healers, many of whom possess unique techniques of healing, 
has good prospects for primary prevention of diseases.

Quick Examination of Schoolchildren by Techniques of Traditional 
Medicine (N.Maksyutkin, T.Goncharova; Cheboksary)

The authors have accumulated a significant experience and expertise 
of examining the state of health in children by techniques of traditional 
medicine, including auriculodiagnostics, iridodiagnostics, and psychological 
testing. According to their observations, even in an obviously healthy 
appearance of a child the presence of changes at the auricular points 
should be regarded as the sign of overloading of the organs 
and systems, the state of pre-disease or latently occurring pathology. 
Iridodiagnostics reveals changes of the zones, corresponding to the 
internal organs and systems, as well as allows one to highlight 
constitutional weakness and hereditary predisposition to a certain 
pathology still at the stage of pre-disease. The data obtained with 
the help of auriculodiagnostics together with iridodiagnostics and 
based on the findings of psychological tests may be used for assessment 
of the general physical state of children and their resources; 
further, more profound and aimed examination by specialists, sound 
organization of school routine and recreation, search of optimum correlation 
of classes and physical training along with active recreation, in 
development of complex systems of valeological control and preventive 
correction of health in schoolchildren.

Hirudotherapy as a Method of Traditional Medicine (M.Zubarkina, 
V.Zhernov, M.Ashikhmina, G.Nikonov; Moscow)

Therapy with medical leeches is traced back to deep antiquity. Medical 
men in the ancient Egypt, China, India, Greece applied this therapy, 
what is testified by works of classical authors of the antique medicine.

Nowadays hirudotherapy as a method of traditional medicine is more 
widely used in clinical practices due to scientific underpinning of 
many therapeutic effects. Indications and contraindications have been 
verified, methods of medical leech culture, care and application have 
been worked out, as well as the algorithm of therapeutic outlines. 
It allows this method to be effectively applied as a pathogenetic 
and symptomatic therapy. Hirudotherapy can be applied both solo 
and as part of complex treatment. Good prospects of use of hirudotherapy, 
likewise other therapies and techniques of traditional medicine, are 
stipulated by its availability and accessibility, low costs, polymorphic 
character of therapeutic effect, good indurance, virtual absence of 
side effects (provided observation of all rules while selecting 
patients).

Hirudotherapy: Potentialities and Prospects (V.Savinov; 
Moscow)

Hirudotherapy is a therapy, using leeches, which secrete hirudin preventing 
blood coagulation, for medical purposes. This ancient therapy 
improves local blood circulation, disturbed in many, especially chronic 
ailments. The major indication for hirudotherapy is a disturbed arterial 
and venous blood circulation. The absolute contra-indication is hemophilia, 
the relative ones being pregnancy and anemia.

Phytotherapy and Homeopathy in Treatment of Patients with Bronchial 
Asthma (D.Koshechkin; St.Petersburg)

In experimental and clinical observations of patients with bronchial 
asthma, the efficacy of phytotherapy (usage of compounds derived from 
medicinal plants, including licorice) and the complex homeopathic 
preparation Pertudaron 12 produced by Welda Company, possessing 
of antihypoxic, cholinolytic, and expectorating effects, as well as 
potency to stimulate the adrenal gland functioning, has been 
shown. It allowed the medicaments administered by the author 
to be recommended for treatment of bronchial asthma of various 
degrees of severity, including its hormone-dependent form.

Phytotherapy and Phytoprophylaxis of the Syndrome of Endogenic 
Intoxication (T.Azhunova; Ulan-Ude)

Basic principles of enhancement of processes of detoxication of alien 
substances and endogenic metabolytes aimed towards decrease of manifestations 
of the syndrome of endogenic intoxication and increasing adaptive 
processes in exposure to different toxicants have been developed. 
The efficiency of the proposed plan of disintoxication is linked to 
absorption of xenobiotics, as well as products of endogenic genesis, 
their limited absorption, stimulation of alien substances' biotransformation 
and their accelerated removal from the body due to increased activity 
of the systems of disintoxication.

The Use of Means of Plant Origin in Hypoxic States (S.Chukayev, 
L.Balzhinimayeva, T.Shenoyeva; Ulan-Ude)

In vivo experiments conducted on Wistar-series white rats, 
the antihypoxic effect of dry extracts from roots of Baikal 
scullcap (Scutellaria baikalensis) and garden burnet (Sanguisorba 
officinalis L.), and leaves of big-sting nettle (Urtica dioica) 
has been studied. The animals were exposed to dosaged hypoxic load 
of submaximum intensity (raised in the pressure chamber to the conventional 
altitude of 9,000 m and exposed for 30 min to these conditions) 
at the background of the preliminary course administration 
of the remedy under study (100/300 mg/kg once a day during 5 days). 
It is shown that the protective effect of the studied phytoextracts 
is accompanied with the expressed inhibition of lipid peroxidation 
reactions and restored activity of one of the key enzymes, ensuring 
the functioning of the transportation chain of metachondriae 
succinatdehydrogenase.

The results obtained can be used for optimization of regimens of pharmacocorrection 
of hypoxic states with the help of remedies derived from plants.

Phytotherapy and Phytoprophylaxis of Alcohol-Related Intoxications 
(Zh. Dashinamzhilov, A.Dil, S.Naidanov; Ulan-Ude)

It is found that in patients with alcohol-related liver injuries pathological 
transformations manifesting through the syndrome of cytolysis and 
choleostasis, as well as increased lipid peroxidation and decreased 
activity of blood serum catalase, are typical. The course administration 
of Narkophyt significantly suppresses lipid peroxidation processes 
in the liver accompanied with increased serum catalase activity in 
patients' blood and diminishes indices of the syndromes of cytolysis 
and choleostasis. The antioxidant properties of Narcophyt are 
stipulated with the content of flavonoid combinations and ensures 
stabilization of membrane structures of hepatocytes, thus preventing 
the development of the syndromes of cytolysis and choleostasis. The 
results obtained corroborate advisability of the use of the new 
hepatoprotective remedy Narcophyt for therapy and prevention of 
alcohol-related intoxications jointly with other therapeutic-and-preventive 
activities.

Phytotherapy and Phytoprophylaxis of Nephropathies (A.Mondodoyev, 
Ye. Abgaldayeva, S.Batoyev; Ulan-Ude)

Nowadays of significance is search of new nephroprotective remedies 
for further improvement of phytotherapy and phytoprophylaxis of nephropathies. 
The studies of formulas based on many-century experience of traditional 
medicine, as well as transfer of galenic forms of medicinal means 
into summary extractive preparations have good prospects. Nephrophyt 
has an expressed pharmacotherapeutic effect in kidney injuries 
of various ethiology what allows it to be recommended for complex 
phytotherapy and phytoprophylaxis of nephropathies.

Phytotherapy of Intestinal Dysbacteriosis (Ye. Bakhanova, 
S.Nikolayev; Ulan-Ude)

It is established that in the course administration of the extract 
derived from sprouts of Pentaphylloides fruticosa (L.) O. 
Schwarz (in the experimentally therapeutic dosage of 300 mg/kg) 
in Canamicin-induced dysbacteriosis, the normalization of indices 
of the microbe media of the intestinal tract was reported in white 
mongrel rats. The marked pharmacotherapeutic effect of the given phytoextract 
is revealed in the restoration of the level of the indigene microflora 
 bifidobacteriae and lactobacilles, as well as in the significant 
decline of the content of conditionally pathogenic bacteriae. This 
effect is likely to be achieved due to the aggregated action of biologically 
active combinations available in the extract under study.

Phytotherapy and Phytoprophylaxis of the Immune-Deficit State 
(S.Nikolayev, S.Zhamsaranova, V.Khobrakova; Ulan-Ude)

The authors have experimentally shown on CBA and F1 (CBAxC57/ 
B1/6) line mice of both sex the possibility of using remedies made 
ofplants: dry extracts from sprouts of Pentaphylloides fruticosa 
(L.) O.Schwarz; terrestrial parts of Gentianopsis barbata 
(Froel.) Ma, Odontites vulgaris Moench, Orthilia 
secunda (L.) House, and Panzeria lanata (L.) Bunge; tincture 
from roots of Euphorbia, tincture from flowers of Lilium 
pumilum; as well as multicomponent compounds of Tibetan medicine 
the extract Shi Zhid (shi byed in Tibetan, consisting of dry 
extracts of roots and rhizomes of Tangut rhubarb (Rheum tanhuticum 
Maxim), common ginger (Zingiber officinale), garden burnet 
(Sanguisorba officinalis L.), elecampane inula (Inula 
helenium L.), tincture Gum Brum (rkun 'brum in Tibetan, 
consisting of pot marigold (Calendula officinalis), common 
licorice (Glycyrriza glabra), European bistort (Polygonum 
bistorta L.), cinnamon (Cinnamomum cassia (L.) Blume), 
and raisins); decocted Dig da shi thang (tig ta bzhi thang 
in Tibetan, consisting of grass of Gentianopsis barbata 
(Froel.) Ma and Odontites vulgaris Moench, fruits of Siberian 
crab apple (Malus baccata (L.) Borkh, Sophora flavescens 
Soland) as immunomodulators in experimental immunodeficit 
induced with azatioprin.

Phytotherapy of Dyskinesiae of the Biliary Ducts (S.Nikolayev, 
A.Tsyrenzhapov; Ulan-Ude)

In the paper data on potentialities and prospects of phytotherapy 
of dyskinesiae of the biliary ducts are given. Preparations derived 
from officinal medicinal plants are focused. If phytotherapy of 
the primary forms of dyskinesiae is aimed towards removal of disturbances 
of the vegetative innervation of the biliary ducts, then phytotherapy 
of the secondary dyskinesiae implies suppression of mechanisms of 
the development of the secondary dyskinesiae in organic injuries 
of the gall bladder and biliary ducts. In the conclusion, the value 
of the application of many-century experience of traditional medicine 
combined with achievements of contemporary medicine, ensuring expressed 
pharmacotherapeutic effect along with improved life quality 
of patients, is highlighted.

Phytotherapy of Chronic Prostatitis by a Complex Natural Remedy 
(V.Mantatov, P.Darmayev, A.Markaryan, I.Bashelkhanov, 
V.Ivanov, S.Radnayeva; Ulan-Ude)

Nowadays the search of new remedies for protection of the prostate 
is still important in order to improve phytoprophylaxis and phytotherapy 
of chronic prostatitis. The studies of formulas based on many-century 
experience of traditional medicine, as well as transfer of galenic 
forms of medicaments of natural origin into summary extraction-based 
preparations have good prospects. Phytoprost has a marked pharmacotherapeutic 
effect in chronic prostatitis, what allows it to be recommended 
in complex phytotherapy and phytoprophylaxis of chronic inflammation 
of the prostate gland.

Experimentally-Studied Nootropic Activity of a Complex Plant 
Remedy (G.Namsarayeva, V.Tarnuyev, G. Damdinova; 
Irkutsk, Ulan-Ude)

Based on empirical experience of folk phytotherapy of Buryatia and 
data from literature about traditional plant medicamental means, the 
authors developed a multi-component phytopreparation from plant raw 
material, comprising 7 components. Its suggested nootropic activity 
has been experimentally studied on white mongrel rats following the 
method of the conditioned reflex of passive avoidance. The standard 
nootropic preparation pyrocetamum in a dosage of 200 mg/kg was 
used as a preparation of comparison. The results obtained have shown 
that in the preventive course administration of the preparation studied 
in doses of 50 and 200 mg/kg there is reported a significant stimulation 
of elaboration of the conditioned reflex of passive avoidance, 
and a more complete conservation of the memory trace is secured.

Correction of the Initial Forms of Vascular-and-Cerebral Deficiency 
by a Complex Plant Preparation (G.Namsarayeva, V.Tarnuyev; 
Ulan-Ude)

Having analyzed traditional empirical phytotherapy of Tibet, China, 
Mongolia, and Buryatia on the basis of therapy of neurological 
diseases, the authors compounded a complex plant preparation, 
comprising 7 components. This preparation was administered to 
31 patients (16 men, 15 women, aged from 38 to 69) suffering from 
initial forms of vascular-and-cerebral deficiency, with pathological 
symptoms manifested during 6 years. The preparation was administered 
in the form of a liquid extract in a dosage of 350 mg two times a 
day during 3 weeks. All patients reported improved health state. They 
stood the preparation well. The first clinical effects were noted 
on the sixth day of the therapy, and the positive dynamics of 
the neurological status by the end of the course; the neuropsychological 
testing revealed the improved functions of attention, memory, counting, 
associations, and kinetics.

Findings of Therapy of Herpes Labialis with the Oily Extract Derived 
from Thyme Flowers (A.Alifanov; Rostov Oblast)

The author suggests his experience of treating Herpes labialis 
with oily extract derived from thyme flowers by repeatedly lubricating 
affected sites of the skin. The therapy was a success, visible 
in 24 h, without side effects. The findings have been collected for 
one year of observations.

Aromatherapy: Potentialities and Prospects (V.Timchik, 
I.Zarembo; St.Petersburg)

From the today's point of view the authors explain the notion aromatherapy 
as one of the oldest traditional techniques of healing and health 
enhancement of the body, as well as define its place within the medical 
care system nowadays.

Some Aspects of the Use of Volatile Oils in a Chronical Obstructive 
Pulmonary Disease (I.Zarembo, V.Timchik; St.Petersburg)

The authors scrutinize the historical aspect of the use of volatile 
oils for therapy and health enhancement, illustrating it with their 
short-term experience of inhalation-based usage of compositions of 
volatile oils aerophytes in therapy of patients with a chronic 
obstructive pulmonary disease in the phase of subsiding acute condition 
of endobrochitis. The course is 10 days. The distinct improvement 
of the clinical picture occurred after 57 inhalations. 
The authors relate the efficacy of the therapy to the improved 
eliminative function of the lungs.

Our Own Experience of Applying Phytotherapy in Elderly and Very 
Old Patients (L.Vasilyeva; St.Petersburg)

The many-year experience of applying phytotherapy in a many-department 
hospital has been analyzed. The medicinal forms used were herbal mixtures 
for internal use in the form of extracts and infusions, powders, microclysters, 
and phytoapplications. The herbal mixtures were compounded with regard 
of age features of patients according to standard and individualized 
formulas, each compound including plants with angio-protective potency. 
All the phytopreparations were manufactured from officinal plants 
at the hospital drugstore. The one day dosage of dry raw material 
per person was 24 g. The treatment course ranged from 14 to 
20 days. 46% of the patients at the hospital were administered these 
phytopreparations. In this paper the author's personal expertise 
and observations over traits of phytotherapy in various somatic pathologies 
are given.

Acupuncture in Therapeutic Practices of a Many-Department Hospital 
(A.Krasnova; St.Petersburg)

Over 1,000 patients receive acupuncture at a many-department hospital 
during a year. By the frequency of employing acupuncture, the hospital 
departments may be placed in the following diminishing order: the 
neurological, traumatological, gastroenterological, pulmonological, 
and cardiological ones, much less in other departments. The predominant 
age of the patients undergoing acupuncture is 7075. The major 
indications are painful syndromes and abdominal pains. In 80% of the 
patients corporal acupuncture combined with cauterization was practiced, 
in 15% corporal and auricular acupuncture combined with the su-jok 
therapy, in 15% the auricular one only. In the patients older 60 the 
braking model was used, in the aged 4060 the transitional 
one, in the younger ones under 40 the stimulating 
one. The efficacy of the treatment does not depend upon the patients' 
age. The following three aspects were considered in the selection 
of the technique: (1) diagnosis; (2) predominant syndrome; (3) 
predominance ofthe braking or stimulated phase 
of a pathology. In painful syndromes the full efficacy was observed 
in 15%, the partial one in 65%, no effect entailed in 20%. In case 
of the full efficacy of the treatment, painful syndromes recurred 
very seldom: for 10 years in 5patients only.

Pointed Massage in Prevention and Therapy of Pulmonary Diseases 
(P.Gorbenko, Yu. Turkin; St.Petersburg)

In order to enhance adaptive potentialities of the body in prevention 
and therapy of pulmonary diseases, it is advisable to apply pointed 
massage on biologically active points, located on the head and thorax. 
This technique is easy, accessible, and physiological, and can be 
combined with other non-medicamental techniques for therapy and 
prevention of diseases. To achieve the needed effect, it is 
crucial to know, to anatomically locate biologically active points, 
and to master the technique of pointed massage.

Functional Diagnostics as the Factor of Objectivization of Results 
of Reflexotherapy of Gerontological Patients (V.Zhernov, 
M.Zubarkina, M.Ashikhmina, A.Lukashev, L.Goncharov, 
Z.Goncharova, M.Kartseva; Moscow)

Arterial hypertension in elderly and senile patrons is often combined 
with ischemic disease of the heart. It is rather difficult to select 
adequate medicamental therapy for a long-term intake for patients 
belonging to the senior age groups. It is related with side effects 
caused by many medicaments, their cumulation in the body what fosters 
manifestation of toxic effect of these medicaments. Also, prescription 
of some antihypertensive remedies is not possible due to 
polymorbidity in aged persons. The above appear a drawback for using 
medicamental therapy in gerontological practice. The application of 
reflexotherapy along with standard medicamental therapy allows hemodynamic 
parameters to be stabilized in shorter periods, the amount of medicaments 
used and their dosages to be diminished. Functional diagnostics permits 
to objectivize results of reflexotherapy and to display changes of 
hemodynamic parameters influenced by it.

Russian Steam Bath and Finnish Sauna as Traditional Efferent Techniques 
of Health Improvement (A.Kokosov; St.Petersburg)

Based on literature data and many-year personal experience, the author 
tells about accessible and effective technique of bath procedures 
which, if taken on a regular basis (once a week) foster bodily hardening 
and adaptation of the cardio-vascular system to acute fluctuations 
of environmental factors.

Manual Therapy, Turkish Bath, and Exercise Bicycling in Complex 
Rehabilitation of Patients with Diseases of the Bronchi and Lungs 
at a Climatic-and-Physiotherapeutic Sanatorium (K.Komissarov, 
G.Trubnikov, O.Romashin, N.Vorobyeva, B.Trofimova; Barnaul)

In a climatic-and-physiotherapeutic sanatorium 50 patients with chronical 
(common) non-obstructive bronchitis and a chronical obstructive 
pulmonary disease were administered a remedial complex, including 
manual therapy, Turkish bath, and exercise bicycling. The efficacy 
was estimated according to the somatic health quantity following 
the G.Apanasenko's test, the level of physical working capacity 
(the PWC AF test), and external respiration functioning parameters. 
After the above remedial complex in the main group of 26 patients, 
the average growth of the somatic health quantity was 53.6%, and of 
the physical working capacity 19.2%. The control group (24 patients) 
was given a generally accepted, mainly medicamental therapy, these 
indices were, respectively, 16.2 and 8.8%. After the treatment the 
external respiration functioning parameters in the main group 
increased, in average, by 14%, in the control one by 1%. All patients 
in the main group reported improved stamina, less or no short breath 
and cough, better removal of sputum. The dynamics of these symptoms 
in the control group was insignificant.

Potentialities of Naturotherapy in Filling Free Intervals 
in Radiation, Surgical and Chemiotherapeutic Treatment of Oncological 
Patients (Ye. Potyavina, S.Vershinina; St.Petersburg)

Naturotherapy can be applied at any stage of specific anti-tumor therapy 
of patients. The therapeutic program includes measures aimed to decreasing 
of endogenic intoxication, as well as risks of recurrences and metastases 
of a tumor, with the help of natural adoptogenes, hydrocolonotherapy 
(according to indications), and enterosorbents of plant origin. The 
correction of the affected immune system and systems of homeostasis, 
and elimination of dysbacteriosis with the help of phytopreparations, 
biologically active supplements and preparations eubiotics 
and prebiotics, are conducted, as well as the correction of microelement 
balance (according to the state of hair), vitamin balance, development 
of optimum individual diet, exercise regime, and improvement 
of life quality.

Traits of Sound Gymnastics in Obstructive Pathology of the Lungs 
(D.Shadrin, M.Devyatova; St.Petersburg)

As a remedial therapy for patients with pulmonary diseases, the technique 
of sound gymnastics, is traced back into the traditional breathing 
culture in Hatha-Yoga or Pranayama. The authors adjusted this technique 
with regard to obstructive pathology of the lungs in its acute and 
subacute conditions. The technique has successfully undergone a 
clinical trial among patients with obstructive pathology of the lungs 
at the Scientific-and-Research Institute of Pulmonology clinic.

Enhancement of Physical Endurance of the Body with Remedies 
of Natural Origin (L.Shantanova, I.Ivanova, Zh. Nimayeva, 
T.Dargayeva; Ulan-Ude)

In their experiments on mice and rats the authors have shown that 
their original complex preparation derived from raw material of natural 
origin (named Beverage Mumiyah (mumiyah or mineral exudate) 
has an expressed actoprotective effect: it tones up and stimulates 
physical endurance. Its preventive administration in hypodinamia 
and dosaged physical loads helps prevent the development of fatigue, 
accompanied with enhanced physical endurance in the animals.

Interpretation of Gastric Diseases according to Traditional Tibetan 
Medicine (V.Tarnuyev, L.Dymsheyeva, N.Motoyev; Ulan-Ude)

Familiarizing with Tibetan and Old Mongolian sources of medical knowledge, 
the authors believe that their interpretation of diseases of the gastro-intestinal 
tract is rather logic and unique, and its research might facilitate 
enrichment of contemporary medical practice.

Apitherapy of Patients with Bronchioobstructive Pathology (N.Trubkina, 
V.Kirusha; Vologda)

For many-year the authors have accumulated a beneficial experience 
of applying apitherapy in an in-patient hospital, particularly on 
patients with bronchioobstructive pathology. The therapy and its results 
are described in the paper.

On Visceral Chiropractice in Old Russian Medicine (A.Ogulov; 
Moscow)

Folk medicine in Russia has always been based not only on use of remedies 
of natural origin (by herbalists), but also on actions of manual character. 
The latter is exemplified by the method of visceral chiropractice 
or manual therapy of the internal organs revived and creatively developed 
by the author. Indications/contraindications and basic principles 
of pressuring the injured organ are provided.

A Case Study: Application of Su-Jok Acupuncture in Acute 
Dental Pathology (I.Afanasyev; Ulan-Ude)

The author describes a case when 3 procedures of energetic treatment 
with the application of Su-Jok acupuncture during 20 hours resulted 
in cupping a pain syndrome in periodontitis, thus preventing tooth 
extraction. For the next 2 years the toothache did not resume, all 
the teeth were sound.

Cases of Successful Application of Su-Jok Acupuncture in 
Stomatological and General Therapeutic Practices (I.Afanasyeva; 
Ulan-Ude)

Based on the personal experience from stomatological and general therapeutic 
practices, the author provides description of cases of successful 
symptomatic therapy using techniques of Su-Jok acupuncture in algesic 
syndromes of various genesis, faints, and other emergency cases.

Koumiss in Buryatia: a Historical Note by an Amateur Student of 
Local Lore, History and Economy (S.Bakhlayev; Ulan-Ude)

Koumiss, fermented mare's milk, has been long used in Buryatia as 
a nourishing, wholesome and tasty beverage both in everyday peaceful 
life and during warfare to treat in wounds and maladies, as well as 
for health enhancement, in general. In folk medicine in Buryatia there 
are regulations for partaking of certain amounts of koumiss, depending 
on the severity of disease, duration of its intake, as well as its 
combinations with other therapies and techniques of traditional medicine. 
For example, it was not recommended to combine the intake of koumiss 
with performance of acupuncture and moxibustion, with partaking 
of potato, onion and some sorts of meat. The author believes in the 
possibility and necessity of revival of koumiss-therapy in Buryatia.


Part IV

FASTING THERAPY AND TRADITIONAL MEDICINE APPLIED AT THE 
SPAS AND RESORTS
OF REPUBLIC OF BURYATIA

Insights on Application of Fasting Therapy in Resort-Based Practices 
(T.Syrenova; Ulan-Ude)

Findings on effective application of fasting therapy in various somatic 
pathologies at the resorts Goryachinks and Arshan located in Buryatia 
are given. The author infers that fasting therapy at resorts should 
be applied with regard of their natural factors; with dispenser-based 
followup of patients by a physician, experienced in this therapy, 
including, if necessary, preventive courses of fasting therapy. Fasting 
therapy is sufficiently effective against a wide spectrum of somatic 
ailments and allows an amount of medicaments administered to be 
canceled or significantly reduced.

Results of the Work of the Department of Fasting Therapy at the 
Goryachinsk Resort (A.Shumilov, N.Batayeva; Buryatia)

The Goryachinsk resort is the oldest resort in Siberia, located on 
the sandy shoreline of Baikal. Among the principal natural therapeutic 
factors are mineral water and sapropels. The Department of Fasting 
Therapy was opened in October 1994, it was the pioneer endeavor in 
the resort practice throughout Russia. At the resort, pulmonary diseases, 
disorders of the joints, disturbed metabolism, ailments of the nervous, 
cardio-vascular, and digestive systems, gynecological, skin, and allergic 
maladies have been successfully cured; scientific research has been 
conducted. At the Department of Fasting Therapy we have developed 
special forms of medical documentation for the staff and patients. 
The successive character of the work of the medical personnel and 
catering staff is maintained through the patient's individual diet 
index card system. The index card reflects peculiar features of rehabilitative 
diet after fasting therapy and diet specificities of a patient. The 
dietetic nurse of the Department employs in her work specially designed 
forms of menu apportionments after fasting therapy, exemplary menu 
for the most important first five days of the recuperative period 
after the course of fasting therapy, and a seven-day menu to order, 
designed for patients starting from the sixth day after fasting. 
Two cooks and a waitress are supervised by the dietetic nurse. 
At the Department of Fasting Therapy cafeteria patients are asked 
once every two weeks to fill in questionnaires, this survey's results 
being used to improve the work of the Department in general. At 
the Department we treat patients with different somatic pathologies. 
Its efficacy, a significant improvement, ranges from 75 to 100%, depending 
upon the nature of pathology, advanced stage of disease, 
presence and number of accompanying pathologies, etc. 
For the majority of patients fasting therapy is combined with traditional 
(natural) therapeutic and balneotherapeutic techniques. In order to 
facilitate the effect of fasting therapy at the Department, we employ:

1) microclysters with mineral-and-oily emulsions, chamomile decocted, 
mineral water (since 1998);

2) pointed massage following the Su-Jok method (since 1998);

3) duodenal cleansing with mineral water of patients suffering from 
chronical cholecystitis, hepatitis, dyskinesia of the biliferous tructs 
(since 1995);

4) drinking of mineral nitrous-silicic water in chronic cholecystitis 
(since 2000);

5) applications of honey and grated beets for patients with mastopathy 
during fasting (since 2000);

6) microclyster-administered bio-biphivit to recover the intestinal 
microflora after fasting therapy (since 2000);

7) training of diaphragmal-and-relaxative breathing to patients undergoing 
the course of fasting therapy with the use of (apparatus) biological 
reverse relationship (since 2000).

For treatment at our Department several techniques of fasting therapy 
(complete, combined, step-by-step) are employed.

Patients administered fasting therapy at our Department pursue different 
goals: to treat pathologies, to cleanse or remove wastes from 
the body (antigene materials, endotoxins, xenobiotics), to lose 
weight, etc. The patient' decision to choose fasting therapy among 
other therapeutic techniques proposed at the resort is influenced 
by different factors, including friends, acquaintances, and relatives; 
the state of health improved after the previous fasting therapy (51.3%); 
resort physicians' recommendations (20%), popular medical literature 
and mass media (10.7%), recommendations of family physicians (9.5%). 
According to the data of surveys, the patients who have experienced 
fasting therapy report after the course of fasting therapy that they 
are more tranquil mentally and feel much better physically (27.8%), 
more patient (16.7%), with improved perception of the surrounding 
world (33.3%), more active (22.2%), and look younger their age 
(16.7%). Since its establishment the Department of Fasting Therapy 
of the Goryachinsk Resort has rendered this kind of therapy 
to 1.796 patients (83% of women, 17% of men), repeatedly to 246 patients 
(13.7%). 68% of them were residents of Republic of Buryatia, the rest 
from other Russian regions and 5 foreigners from Mongolia (1), the 
USA (1), Finland (2), and Japan (1). To conclude, the efficacy of 
fasting therapy depends upon the level of the organization and accurate 
coordination of various structural divisions of our Department, 
as well as optimized therapeutic processes, in reliance upon balneoprocedures 
and traditional and folk techniques.

The Effect of Fasting Therapy Combined with Balneotherapy on Non-Specific 
Adaptive Reactivity in Patients with Hypertensive Disease (N.Batayeva; 
Buryatia)

One of the method to treat and rehabilitate patients with hypertensive 
disease at the Goryachinsk resort is fasting therapy. Having prescribed 
fasting therapy with balneotherapy to such patients, the author investigated 
their non-specific adaptive reactivity following the L.Garkavi 
et al's method by estimating lymphocytes in the leucocytic formula 
prior and after the treatment. 90 patients aged from 30 to 60, including 
55 women and 35 men, were studied. All the patients were divided into 
two equal groups, comparable by their sex, age, and degree of the 
pathology severity. The first group was administered 10-day 
fasting therapy along with balneotherapy, the second one balneotherapy 
only; thermal (+54.5 C) weakly mineralized alkaline nitrous-siliceous 
sulfate-sodium water of the Goryachinsk resort was used. In the 
end of the treatment in both groups its hypotensive efficacy and state 
of non-specific adaptive reactivity of the patients were assessed. 
The general conclusion is as follows: in patients with hypertensive 
disease fasting therapy combined with balneotherapy, along with 
hypotensive effect, supports antistress reaction of training, 
entailing stable and enhanced activization of non-specific adaptive 
reactivity. It is advisable to include the so called adaptive therapy 
into the complex of therapeutic-and-rehabilitative activities prescribed 
to patients with hypertensive disease over 45 year old.

The Application of Fasting Therapy and Administration of the Mineral 
Water Arshan for Treatment of Diseases of the Biliferous Tracts (A.Shagdurova; 
Buryatia)

For treatment of pathology of the biliferous tract at the resort Arshan 
we have effectively used fasting therapy (complete moist fasting) 
combined with the administration of the mineral water Arshan. 
We have observed 93 patients. In the paper specific features of the 
pathology and therapy are described.

A New Approach to Peloidotherapy of Patients with Bronchial Asthma: 
Combined with Fasting Therapy (T.Zaripova, I.Antipova, 
I.Smirnova, I.Medvedeva; Tomsk)

A new approach to peloidotherapy of patients with bronchial asthma 
is suggested: its administration after a short (58 days) course 
of fasting therapy will allow clinical symptoms and inflammation to 
be cupped, and bronchial permeability to be restored. Such treatment 
will entail stabilized course of the disease with decreased medicamental 
load.


Experience of Application of Fasting Therapy at the Zdorovye Therapeutic-and-Rehabilitation 
Center in the Village of Sotnikovo (V.Amagyrov, T.Angarova, 
V.Tepanosyan; Ulan-Ude)

Fasting therapy has been used at our therapeutic-and-rehabilitation 
center since 1996. During this time fasting therapy was administered 
to 590 patients with various somatic pathology; 55 practically healthy 
patrons, according to their wish, for bodily cleansing and health 
enhancement underwent preventive fasting therapy. The patients' 
age ranged from 17 to 50. Different techniques of fasting therapy 
were used, like complete moist, combined, step-by-step therapeutic 
fasting therapy, with predominance of the complete moist one. The 
fasting period lasted from 5 to 21 days, the duration of the in-patient 
hospital-based remedial period reaching up to 7 days. During 
the fasting period side effects were noted rather rarely, elapsing 
without treatment, and without confining dates of the therapy. They 
did not affect its good results. In 2 patients only fasting therapy 
was discontinued due to aggravated chronic pyeolonephritis.

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