What is non-drug treatment. Non-drug treatment of hypertension. Treatment at home

Transcranial magnetic stimulation. We stimulate brain cells with an alternating magnetic field. After a course of procedures, the interaction of various parts of the brain improves. Magnetic stimulation is effective for depression, migraine, tinnitus, neuralgia, neuropathic pain.

Light therapy. We act with light rays brighter than the light in the house, but not as bright as the light of the Sun. After light therapy, the circadian rhythm is restored, the person returns to the normal schedule of going to bed and waking up. Light therapy is effective for seasonal depressive disorders, sleep problems, feeling tired after waking up.

Electro sleep. Due to a specially tuned electromagnetic field, the overexcitation of brain structures decreases, which leads to the restoration of the nervous system. It is carried out on modern equipment.

. This is a modern method of restoring a neurological, mental and somatic state using special equipment, a monitor, computer programs and sensors that are installed on the patient. Helps with many neurological diseases, neurosis, overexcitation and sleep disorders.

Acupuncture. We put needles on acupuncture biologically active points. After acupuncture sessions, pain, spasms, a feeling of stiffness decrease, the psycho-emotional state normalizes. The method is effective for VVD, pain syndromes, neurotic conditions, panic attacks, sleep disorders.

Osteopathy. We act on the musculoskeletal system, internal organs with our hands without the use of medicines. After a session of osteopathy, pain in the back, joints, limbs decreases, spasms disappear, blood circulation improves. The method is effective in diseases of the musculoskeletal system, pain in various parts of the body, diseases of the gastrointestinal tract and the genitourinary system.

Manual therapy. We influence the spine, bones, intervertebral discs with massage movements. After a session of manual therapy, pain in the back and limbs decreases, blood pressure normalizes, chronic fatigue and insomnia disappear. The method of non-drug treatment is effective for pain of various etiologies, pinched vessels and nerves.

Massage and SPA treatments. We select a classic, relaxing, tonic massage. Massage sessions and spa treatments help to relax, get rid of pain and discomfort in the body, and normalize the psycho-emotional state. Effective for prolonged stress, after excessive stress, in recovery from injuries and operations.

diet therapy. Based on the assessment of the state, we select a healthy diet. According to indications, we use therapeutic starvation.

You are given only a part of the applied non-drug methods used in our clinic.

Why you should contact us

  1. We use proven methods. We use methods approved by WHO, the Ministry of Health, Russian and international health institutes.
  2. We select therapy individually. We assess the general state of health, the degree of the disease, the presence of contraindications. Depending on this, we select an effective and safe treatment.
  3. We conduct sessions in the clinic. We make appointments for non-drug procedures with the doctors of the clinic. If we do not have specialists of the relevant profile, we recommend trusted doctors in the city.

To learn more about the methods of treatment at the clinic or to make an appointment with a doctor, call us or use the form feedback. The administrator will call you back, answer questions, invite you to a consultation at a convenient time for you.

Content

High blood pressure for a long time is called hypertension (or hypertension). Essential hypertension is diagnosed in 90% of cases. In other cases, secondary arterial hypertension occurs. The treatment of hypertension involves a special scheme of application and a specific combination of drugs, which guarantees the effectiveness of treatment at different stages of the disease.

What is hypertension

A blood pressure of 120/70 (± 10 millimeters of mercury) is considered normal. The number 120 corresponds to systolic pressure (blood pressure on the walls of the arteries during the contraction of the heart). The number 70 is diastolic pressure (blood pressure on the walls of the arteries during relaxation of the heart). With a prolonged deviation from the norm, certain stages of hypertension are diagnosed:

Hypertension is a very common pathology. Until now, the reasons for its occurrence remain unclear. The type of essential hypertension refers to a disease with an unexplained etiology. Secondary hypertension, which occurs in 10% of patients, includes:

  • renal;
  • endocrine;
  • hemodynamic;
  • neurological;
  • stressful;
  • hypertension in pregnancy;
  • the use of biologically active additives;
  • taking contraceptives.

The human body has a system that regulates blood pressure. With an increase in blood pressure on the walls of large blood vessels, the receptors that are in them are triggered. They transmit nerve impulses to the brain. The vascular control center is located in the medulla oblongata. The reaction is vasodilation and a decrease in pressure. When the pressure drops, the system does the opposite.

An increase in blood pressure can be due to many reasons:

  • obesity, overweight;
  • violation of the kidneys;
  • thyroid dysfunction;
  • diabetes mellitus and other chronic diseases;
  • lack of magnesium;
  • oncological diseases of the adrenal glands, pituitary gland;
  • psychological stress;
  • heredity;
  • mercury poisoning, lead and other causes.

Existing theories about the causes of the disease have no scientific basis. Patients who are faced with this problem are forced to constantly resort to the help of drugs to alleviate the physical state. Treatment for hypertension is aimed at reducing and stabilizing blood pressure indicators, but does not eliminate the root cause.

Symptoms at different stages of the disease are different. A person may not feel the primary manifestations of pathology for a long time. Attacks of nausea, dizziness, weakness associated with overwork. Further observed: noise in the head, numbness of the limbs, decreased performance, memory impairment. With a prolonged increase in pressure, a headache becomes a constant companion. At the last stage of hypertension, dangerous complications can occur: myocardial infarction, ischemic stroke, damage to blood vessels, kidneys, and the formation of blood clots.

Treatment of arterial hypertension

All methods of treatment that are aimed at treating arterial hypertension can be divided into groups: drug, non-drug, folk, complex. Any of the chosen methods of treatment is aimed not only at normalizing the pressure in the arteries. These are therapeutic measures that prevent irreversible changes in the muscle tissue of the heart and arteries, are designed to protect target organs, and eliminate risk factors that contribute to the development of a pathological condition.

Principles of treatment of hypertension

At the initial manifestations of the disease and in order to prevent it, one must adhere to general principles treatments that will help correct the condition and avoid exacerbation:

  • reduced consumption table salt, it should not exceed 5 g per day (in severe conditions, complete desalination);
  • correction of body weight in the presence of extra pounds, obesity;
  • feasible physical activity;
  • quitting smoking, drinking alcohol and tonic drinks;
  • the use of sedative herbal preparations, herbal preparations with excessive emotional excitability;
  • limiting the influence of stress factors;
  • night sleep 7, and preferably 8 hours;
  • eating foods rich in potassium.

Standard of care

With diagnosed arterial hypertension, the key to successful stabilization of the patient's condition is constant medical supervision. Self-administration of tablets to reduce pressure is unacceptable. It is necessary to know the strength and mechanism of action of the drug. When mild or borderline hypertension is present, the standard of care is to reduce the amount of salt in the diet.

In severe forms of hypertension, drug therapy is prescribed. Strong drugs are Atenolol and Furosemide. Atenolol is a drug from the group of b-selective blockers, the effectiveness of which has been tested by time. This remedy is relatively safe for patients with bronchial asthma, chronic bronchitis and other lung diseases. The drug is effective provided that salt is completely excluded from the diet. Furosemide is a proven diuretic. The dose of medication is determined by the doctor.

Drug treatment of hypertension

Therapeutic measures for the treatment of hypertension are prescribed taking into account the data of laboratory tests, the individual characteristics of the patient's condition, the stage of development of the disease. The use of antihypertensive drugs is justified in the case of a long-term violation of blood pressure indicators and non-drug therapy methods have not yielded results.

Treatment regimens

In order to avoid complications from the work of the heart and other organs, drugs are prescribed to reduce pressure, taking into account the pulse indicators:

Form of hypertension

Clinical picture

Medicines

With a fast pulse

Pulse - 80 beats per minute, sweating, extrasystole, white dermographism

b-blockers (or Reserpine), Hypothiazid (or triampur)

With a slow pulse

Swelling of the face, hands, manifestations of bradycardia

Thiazide diuretics in three applications: single, intermittent, continuous.

No change in heart rate

No pronounced edema, tachycardia, cardialgia

Angiotensin-converting enzyme blockers, thiazide diuretics, b-blockers

Severe course

Diastolic pressure above 115 mmHg

The optimal combination of 3-4 drugs

Modern drugs for the treatment of hypertension

Many patients for the treatment of hypertension are prescribed drugs that need to be used constantly. The choice and use of drugs must be taken very seriously. With improper therapy, complications develop: there is a high risk of heart attack, heart failure. All drugs that are used in treatment regimens can be divided into groups:

Mechanism of action

Drug names

Angiotensin converting enzyme inhibitors (ACE inhibitors)

Blocking the enzyme that converts angiotensin I to angiotensin II

Enap, Prerstarium, Lisinopril

Angiotensin II receptor inhibitors (sartans)

Indirect reduction of vasospasm due to effects on the renin-angiotensin-aldosterone system

Losartan, Telmisartan, Eprosartan

B-blockers

Have a vasodilating effect

Atenolol, Concor, Obzidan

Calcium channel blockers

Block the transfer of calcium into the cell, reduce energy reserves to the cell

Nifedipine, Amlodipine, Cinnarizine

Thiazide diuretics (diuretics)

Remove excess fluid and salt, prevent swelling

Hydrochlorothiazide, Indapamide

Imidazoline receptor agonists (AIRs)

Due to the connection of these substances with the receptors of the brain and the vessels of the kidneys, the reverse absorption of water and salt, the activity of the renin-angitensive system are reduced.

Albarel, Moxonidine,

Combinations of antihypertensive drugs

The mechanism of action of antihypertensive drugs to lower blood pressure is different, so the drug treatment of hypertension involves the use of combinations of drugs. It is effective for complications of hypertension, lesions of other organs, kidney failure. About 80% of patients need complex therapy. Effective combinations are:

  • ACE inhibitor and calcium channel blocker;
  • ACE inhibitor and diuretic;
  • calcium antagonist and diuretic;
  • alpha blocker and beta blocker;
  • dihydropyridine calcium antagonist and beta-blocker.

Irrational combinations of antihypertensive drugs

Combinations of drugs must be made correctly. Do not have the desired therapeutic effect of drugs for hypertension in the following combination:

  • non-dihydropyridine dihydropyridine antagonist and calcium blocker;
  • beta-blocker and ACE inhibitor;
  • alpha-blocker in combination with other antihypertensive drugs (except beta-blocker).

Non-drug treatment

Any disease is better to prevent than to cure. At the first appearance of jumps in blood pressure, it is worth reconsidering your lifestyle in order to prevent the development of malignant hypertension. Non-drug treatment, for all its simplicity, is aimed at preventing the development of cardiovascular diseases. This complex of measures is central to the stabilization of the condition of those patients who are on long-term drug treatment.

Lifestyle change

Half of the patients diagnosed with the initial stages of hypertension manage to stabilize the condition at its first manifestations after lifestyle adjustments. Strict observance of the daily regimen, sufficient time for rest and night sleep, rational nutrition, physical activity, getting rid of bad habits contribute to pressure reduction.

Health food

The calorie content of the hypertonic menu should not exceed 2500 kcal. The daily diet includes 5 meals. The last dose is 2 hours before going to bed. Food is steamed, boiled, baked and cooked without salt. The daily amount of liquid is about 1.5 liters. The ratio of proteins, carbohydrates, fats 1:4:1. The diet should include foods rich in potassium, magnesium, vitamins B, C, R.

Allowed products include:

  • rye and bran bread, croutons;
  • lean soups;
  • meat soups no more than 3 times a week;
  • lean meat, fish;
  • vegetable stews;
  • cereals;
  • dairy products;
  • fruit casseroles;
  • seafood;
  • natural juices, weak tea with milk.

Physical exercise

Strong physical activity is essential for hypertension. It is worth giving preference to isotonic exercises. They affect the acceleration of blood circulation, activate the work of the lungs, reduce blood pressure. This is a gymnastics aimed at the large muscles of the limbs. Useful walking, cycling, swimming, easy running. The ideal option is an exercise on a home simulator. The optimal training regimen is 3-5 times a week.

ethnoscience

Among the recipes traditional medicine There are simple means aimed at stabilizing blood pressure. The most effective of them are:

  • Flax seeds. Three tablespoons of seeds per day (can be crushed in a combine) as an additive to salads, second courses normalizes fat metabolism, is the prevention of atherosclerosis of blood vessels, and stabilizes blood pressure.
  • Red pine cones. An alcohol tincture is made from this plant material. Pine cones (collected in June-July) are poured into a liter jar, poured with vodka or alcohol and insisted for 2-3 weeks. Take 3 times a day before meals, 1 teaspoon.
  • Garlic. Finely chop two cloves of garlic, pour a glass of boiled water, let it brew for 12 hours. The infusion is drunk and a new one is prepared. The course of treatment is 1 month, the infusion is consumed in the morning and in the evening.

Indications for hospitalization

Hypertension in severe forms is dangerous with complications, therefore, in some cases, hospitalization is necessary:

  1. A hypertensive crisis was diagnosed. This leads to a sharp deterioration in the general condition of the patient, poses a threat to his life, and there is a high risk of developing a heart attack or stroke. Urgent hospitalization is recommended.
  2. There are frequent jumps in blood pressure, the cause of which is unclear and requires a comprehensive examination of the patient and diagnosis. The protocol for hospitalization does not provide for such cases, but there is a high risk of exacerbation of concomitant diseases.
  3. The patient, in addition to high blood pressure, has suspicions of heart disease, for example, angina pectoris.

High blood pressure is a reason to call an ambulance. Emergency doctors take effective therapeutic measures, as a result of which blood pressure and heart function return to normal. In this case, there are no indications for hospitalization of the patient, then he can be treated on an outpatient basis to stabilize his condition. In other cases, if improvement has not been achieved, he is hospitalized.

Treatment of hypertension with modern medications according to the schemes and folk remedies

Anonymous 192

I was diagnosed with arterial hypertension of the 2nd degree last year. At first, the treatment regimen changed, the main drug was the same - blood pressure lowering pills, but the dosage was changed. Optimally approached 5 mg, so I take it every morning, one such tablet is enough for the pressure to be normal. Well, I buy herbs at the pharmacy, I make mint tea, I add it to tea .. If you take care of your health, then stabilizing pressure is quite real.

3 days Answer

The goal of treating arterial hypertension is to prevent the long-term consequences of this pathological condition. Most patients require lifelong antihypertensive therapy, but first it is advisable to monitor the pressure for 4 to 6 months to assess the possibility of its spontaneous decrease, except in cases where immediate medical treatment is necessary (in case of damage to target organs: kidneys, brain, heart , vessels, as well as with the ineffectiveness of non-drug treatment).

Non-drug treatment means lifestyle change. The main measures of non-drug effects in arterial hypertension are diet, reduction of excess body weight, sufficient physical activity, and the rejection of bad habits. In 40 - 60% of patients with the initial stage of arterial hypertension with low numbers of blood pressure, it is possible to achieve its reduction with the help of non-drug treatment alone.

Non-drug treatments for hypertension

Treatment of hypertension should be accompanied by a drastic change in lifestyle: first of all, the mandatory introduction of regular feasible physical activity (this can be walking, jogging, calm swimming, cycling and other activities that you like). And of course, you can't do without a special diet.

In many patients with hypertension I and even II degree with the help, and medical nutrition it is possible to achieve a significant reduction in blood pressure, while simultaneously reducing the dose of drugs, which will increase the effectiveness of drug treatment and prevent its complications. Limiting the intake of salt to 4-5 g per day allows you to reduce blood pressure in a week, first by 4-6 mm Hg. Art., and then, as such a diet is followed for 2-3 weeks or more, sometimes to the norm. Salt restriction is especially effective in the elderly and in obesity. To improve the taste of food, you can use dried seaweed, herbs, onions, garlic, spices, tomato juice, citric acid, vinegar, and various salt substitutes.

However, the measure should be observed in everything, since the sodium and chlorine that are part of table salt are trace elements indispensable for our body. Therefore, if symptoms of their deficiency occur (muscle weakness, loss of taste, suppression of appetite, and others), it is necessary to increase the intake of table salt. How to ensure that it does not linger in the body?
  There is a way out: the use of foods rich in potassium, which helps to remove fluid from the body!

For your information

Healthy laughter relieves stress and relaxes muscles, as well as boosting immunity, which helps to treat hypertension. According to studies conducted in the USA, each explosion of laughter relieves the stress of the cardiovascular system for 45 minutes. This improves the elasticity of blood vessels and blood circulation.

Be sure to include cucumbers, dried fruits, nuts, beans, seaweed, peas, and potatoes in your diet. Sufficient potassium intake is also important to prevent potassium deficiency, which occurs with the use of certain diuretic drugs (eg, furosemide).

These medicines should be taken Strictly according to the doctor's prescription! Usually they are prescribed accompanied by potassium preparations (panangin, asparkam and others). And be sure to get tested! After all, if the increase in blood pressure is secondary and associated with kidney disease, you can harm yourself by eating potassium-containing foods.

It is desirable to enrich the diet with multivitamin preparations - no more than 1-2 tablets per day, especially in the winter-spring period. A decrease in body weight of at least 4-5 kg ​​almost always contributes to a decrease in blood pressure. Therefore, with hypertension and obesity, it is recommended first of all to adhere to low-calorie diets.

Medical treatment of hypertension

Treatment of arterial hypertension is carried out taking into account the stage of the disease, its clinical manifestations and complications. In the complex therapy of hypertension, antihypertensive, sedative, diuretic and other drugs are used.

As initial therapy for stages I and II of hypertension (mild and moderate hypertension), one of the first-line drugs (diuretic, angiotensin-converting enzyme inhibitor, beta-blocker, calcium antagonist, angiotensin II receptor antagonist or alpha-blocker) is usually prescribed. with a subsequent increase in dose with insufficient effect.
  However, today there is no doubt that essential hypertension is a heterogeneous disease due to the presence of a large number of factors that contribute to their development of vasoconstriction and the maintenance of elevated blood pressure. And monsiatherapy, aimed at correcting only one of the numerous pathogenetic links, does not allow achieving the desired level of blood pressure reduction: despite the increase in dose, the effectiveness of treatment with one drug is only 50-60%.
  And therefore, more and more often, experts recommend for adequate correction of blood pressure combination therapy- combination of antihypertensive drugs different groups. Combination therapy with diuretics and ACE inhibitors has significant advantages, since with the complex use of drugs of these groups, a decrease in blood pressure is more often achieved due to complementary effects.

It is also desirable to use light sedatives that relieve irritability (valerian, motherwort, corvalol). On the early stages GB resort to drugs that expand the lumen of blood vessels (papaverine, no-shpa, dibazol).

For your information!

  If you are taking antihypertensive and diuretic drugs, you must remember: when you quickly change the horizontal position of the body to vertical, blood pressure drops rapidly; it is fraught with loss of consciousness.
  Therefore, one should not abruptly rise and sit in bed, and even more so - abruptly get up after a night's sleep or a long lying down. This should be done slowly, in stages, so that the heart and blood vessels can compensate for the change in position.

If a patient suffering from hypertension does not have coronary heart disease, as a result of the above measures, it is possible to bring the pressure back to normal. However, in the presence of coronary disease, it is impossible to significantly reduce the indicators so as not to cause a deterioration in blood circulation in the heart muscle.

At the same time, for the prevention of a heart attack and other complications, lower pressure is of fundamental importance: we must strive to reduce it to normal, that is, to 80 mm Hg. Art.
The rate at which blood pressure falls is very important.. In the absence of emergency indications (worsening of the course of cardiac asthma, an attack of angina pectoris, a pre-stroke state), the decrease in pressure to the desired level must be carried out gradually, over several weeks.

And even if the emergency conditions listed above take place, it is still better to reduce the pressure not immediately, but during the day. A sharp decrease in blood pressure can cause acute circulatory disorders in the brain and heart, which creates the risk of developing an ischemic stroke or heart attack.


Attention! the information on the site is not a medical diagnosis, or a guide to action and is for informational purposes only.

Today it is impossible to find a person who has never taken synthetic drugs in his life. Moreover, pharmacological agents have become, in fact, a part of our life, like other household items or food, from birth to old age. We often do not think about it, taking it for granted. Is it correct?

Currently, according to the World Health Organization, the prevalence of complications of drug treatment has reached alarming proportions - for example, the consequences of the use of pharmacological agents took 5th place on the globe among the causes of death.

Examples of negative side effects of synthetic drugs are widely known. A large article could be devoted to this topic alone.

Many medical workers and people who do not have a medical education recognize the negative aspects of drug treatment (although they agree that at this stage in the development of medicine, one cannot do without it).

In this regard, the role of non-drug methods of treatment is increasing (we do not consider surgical methods in this case - this is a separate branch of medicine). These methods are becoming more and more in demand by patients seeking medical help.

Their main advantage is the absence of side effects inherent in medicines, a more physiological effect on the body.

Most common among non-drug methods treatments are the following:

  • Therapeutic acupuncture (acupuncture)
  • Phytotherapy (treatment with drugs prepared from medicinal plants)
  • Various methods of detoxification (plasmapheresis, hemosorption)
  • Ozone therapy
  • Bioresonance therapy
  • Homeopathy
  • Manual therapy
  • Osteopathy
  • Massotherapy
  • Breathing exercises
  • Physiotherapy
  • Hirudotherapy (treatment with medical leeches)
  • Other methods of traditional medicine


Within the framework of this topic, it is planned to highlight issues related to this vast branch of modern medicine. Moreover, there are different opinions about many of these methods, often diametrically opposed. Therefore, experts practicing in this field will be necessarily involved in the discussion so that the information is the most reliable and objective.

Physical factors have diverse physiological and therapeutic effects, affect various links in the pathogenesis of the disease, providing anti-inflammatory, resolving, bacteriostatic and dehydrating effects. When prescribing physiotherapeutic procedures, individual characteristics and reactivity of the organism, the nature of disorders of organs and systems, and the degree of allergization are taken into account. In substantiating indications for the rational use of physical factors in the general medical complex, it is important to determine the severity and nature of the course of the disease, its activity and the presence of concomitant diseases. They are included in the general medical complex along with drug therapy, a rational daily regimen and nutrition.
In acute diseases, physiotherapy procedures through humoral mechanisms and the central nervous system, in combination with other measures, contribute to strengthening the body's defenses, reducing allergic reactions and eliminating the pathological process in a shorter time.
In chronic disease processes, physiotherapeutic measures are prescribed more intensively in order to eliminate residual pathological phenomena and normalize the impaired functions of various organs and systems. For the purpose of rehabilitation, it is more expedient to widely use sanatorium-resort factors.
In staged treatment, the complex use of a number of physical factors that contribute to an increase in sanogenetic mechanisms and a rational restructuring of the body is important.
Modern physiotherapy has a wide range of natural and preformed physical factors. The introduction of technological advances into medical practice makes it possible to widely use electrical energy by transforming it into various other types and forms of energy for an active impact on the human body.
When treating gynecological patients with physical factors, certain rules should be observed. So, careful contraception is required to prevent pregnancy. In order to prevent ectopic pregnancy in a number of inflammatory diseases contraception is required until cure. During menstruation, physiotherapeutic procedures should not be stopped, but it is advisable to reduce the dose of physical irritant, and replace intravaginal procedures with skin ones. The choice of the method of physical influence should be carried out taking into account the etiology of the disease, its clinical manifestations, individual characteristics and the state of the body. When treating, it is necessary to take into account the immediate and long-term reactions of patients to physiotherapy (activation of the pathological process, positive results obtained, functions of other organs and systems). There should be constant oncological alertness, especially in the presence of organic changes in the female genital organs.
Often several physical factors are applied at the same time and, as a rule, in combination with other methods of treatment. In these cases, it is very important to follow the sequence and phased prescription of both all types of therapy and various physical factors, since physiotherapeutic effects increase the sensitivity of a woman's body to certain medicines(biostimulants, hormones, etc.). Permanent medical supervision of physiotherapy treatment is mandatory.
In the treatment of gynecological patients, sanatorium treatment is widely used. There are many classifications of resorts according to the presence or predominance of one or another medical physical factor. Among this multitude of resorts in the treatment of gynecological diseases, two types can be conventionally distinguished: with a predominance of balneological and with a predominance of mud factors. Based on the characteristics of the mechanism of action of a particular gas dissolved in water, or the type of mud, indications and contraindications for the treatment of gynecological patients in various resort conditions are determined.
In the conditions of the antenatal clinic, it is often necessary to use various physical factors simultaneously or alternately in a continuous mode or at intervals. Therefore, it is advisable to know the basic rules for the complex use of therapeutic factors: it is not recommended to prescribe more than two procedures on one day: procedures on the same reflexogenic zone are incompatible on the same day; , mud and ozokerite treatment); procedures of multidirectional action (paraffin applications and cold baths) are not carried out on the same day; procedures that excite and depress the functions of the central nervous system and the main nervous processes are not recommended on the same day; two electrotherapy procedures on the same day are inappropriate; when combining hydrotherapy procedures and phototherapy, general irradiation should be carried out first, and then hydrotherapy. At the same time, it should be remembered that there are no absolutely incompatible procedures in physiotherapy. So, physiotherapy procedures that are incompatible on the same day, if indicated, can be prescribed on different days. By varying methodological techniques (sequence, intensity, duration, localization), it is possible to reasonably and purposefully use any two, even opposite physical factors.
The basic principle of complex physiotherapy is synergism, which provides for the inclusion of physical factors of a unidirectional action in the medical complex. The effects of various physiological systems can be summed up, thereby increasing the action, it is also possible to potentiate the action of one factor by another. The principle of antagonism takes place when contrasting hydrotherapy procedures are used to harden the body and in the treatment of functional diseases. The principle of the sensitization mechanism is that one procedure brings the body or individual systems into a state that is more sensitive to the action of another physical factor. The application of local procedures should precede the general ones. Usually, in practice, physiotherapy is combined in such a way that the effects that have a predominant effect on a particular system are complemented by procedures of a sedative (electrosleep, baths, franklinization), restorative (UV irradiation, heliotherapy) or stimulating (showers, contrast baths) nature. The use of a complex of physiotherapeutic factors should be carried out taking into account the age of the patient, the reactivity of the body, the severity of the clinical symptoms of the disease, the presence of concomitant diseases and the nature of other medical procedures.