DiaDENS-PC Operation Manual

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ООО «РЦ АРТ», Екатеринбург, Россия RU


Электростимулятор с внутренним и выносными
электродами портативный для стимуляции БАТ и
БАЗ и электропунктурной диагностики
ДиаДЭНС-ПК
РУКОВОДСТВО ПО ЭКСПЛУАТАЦИИ

РЦ АРТ 01.3-03.7-03 РЭ
ТУ 9444-002-35266303-2005

LLC “RC АRТ”, Еkaterinburg, Russia EN


Portable electrostimulator with built-in and remote elec-
trodes, for stimulation of Biologically Active Points (BAP) and
Biologically Active Zones (BAZ) and for electropuncture diag-
nosis
DiaDENS-PC
OPERATION MANUAL

RC АRТ 01.3-03.7-03 RE
TU 9444-002-35266303-2005

“RC АRТ” GmbH, Еkaterinburg, Russland DE

Tragbarer Elektrostimulator mit Innen- und Ausgangselek-


troden für die Stimulation von BAP und BAZ sowie für die
Elektropunkturdiagnostik
DiaDENS-PC
BETRIEBSANLEITUNG

RC АRТ 01.3-03.7-03 RE
TU 9444-002-35266303-2005
EN

CONTENTS

Part 1. Technical passport................................................71


1. Function.......................................................................71
2. Technical characteristics................................................72
3. Complete set................................................................75
4. Safety rules..................................................................76
5. Device system and function..........................................77
6. Technical maintenance................................................81
7. Possible problems and troubleshooting........................82
8. Storage and transportation...........................................84
9. Utilisation....................................................................84
10. Manufacturer warranty...............................................85

Part 2. Operation instruction............................................87


1. General considerations................................................87
2. Treatment conditions....................................................89
3. The electrostimulation intensity.....................................90
4. Operating methods.......................................................91
5. Modes of operation......................................................92
6. Recommended treatment zones and points..................123

Certificate of acceptance................................................191

Supplement 1.
Atlas of recommended treatment zones and points...........193

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This Operation Manual (OM) cover electrostimulator with


built-in and remote electrodes, the portable one for stimula-
tion of the BAP and BAZ and for electropuncture diagnosis Dia-
DENS-PC.
The Operation Manual includes Technical Passport and the
Operation Instructions.

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PART 1
TECHNICAL PASSPORT

1. FUNCTION
The DiaDENS-PC device is used for electric stimulation of
biologically active points and zones (BAP and BAZ), for auricu-
lar diagnosis, mini acupuncture diagnosis and the diagnosis by
the Voll method. The device is equipped with built-in and re-
mote electrodes.
The DiaDENS-PC device is intended for individual applica-
tion in therapeutic-prophylactic institutions and at home in
compliance with directions given by the attending physician,
autonomously, or along with computer diagnostics. The per-
sonal computer will be used for accumulation and storage of
the diagnosis data.

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2. technical characteristics
2.1. Electric impulses of the device (Fig.1) must have output
parameters as follows:
2.1.1. the impulse minimal parameters:
– duration of the impulse positive part,
us, not exceeding...........................................................5
– amplitude of the impulse positive part,
V, not exceeding............................................................10
– amplitude of the impulse negative part,
V, not exceeding............................................................10
2.1.2. maximal parameters of the impulse:
– duration of the impulse positive part, us................500±70
– amplitude of the impulse positive part, V.................30±10
– amplitude of the impulse negative part, V,
without load .........................................................350±70
with load (20 ± 5%) kOhm......................................300±70
2.1.3. Minimum load resistance under which the parameters
of the impulse keep, Rmin.......................................500 Ohm
Figure 1. Impulse form

Vpp*
Duration of the impulse

* Vpp — voltage peak to peak

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2.2. The device has the frequencies of impulse sequence


settings in Hz as follows:
2.2.1. Range 1:
– 10 ± 2 including MED and SCREENING modes
– 20 ± 2
– 60 ± 2
– 77 ± 2
– 77 ± 2 and 10 ± 2, modulated with frequency 2±0.1
– 77 ± 2 with modulation by amplitude
– 140 ± 5
– 200 ± 5
2.2.2. Range 2: from 1 to 9.9 with increment 0.1±0.05.
2.3. The maximal current
(voltage 9 V.)....................................not exceeding 40 mА.
2.4. Power supply:
battery of 6F22 type, voltage.........................................9 V
It will be admissible to use storage batteries of 6F22 type,
voltage at least 9 В*.
2.5. Mass of the device, kg, not exceeding...................0.35
2.6. With remote therapeutic and diagnostic electrodes,
kg, not exceeding............................................................0.7
2.7. Overall dimensions of the device, mm,
not exceeding..................................................210х55х45
2.8. Overall dimensions of therapeutic electrode,
mm, not exceeding................................................125х10
2.9. Overall dimensions of passive diagnostic electrode,
mm, not exceeding................................................100х20
Overall dimensions of active diagnostic electrode,
mm, not exceeding................................................130х10
2.10. The device is connected to the computer via serial port
by protocol RS-232.

* Order of Operation (types of chargers, charging methods)


is given in the Manual for accumulators; period of work of the
apparatus with accumulators depends on the accumulators’
specifications.

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2.11. The device will be automatically switched off not later


than in 10 minutes after the device has been idle or after last
application of electrodes to skin surface.
2.12. Operational conditions:
– surrounding temperature, °С..................................10-35
– air pressure..................................................70-100 kPa
– relative air humidity............................................30-93%
If the device was stored at the temperature lower than 10°С,
keep it under normal climatic conditions for at least two hours
prior to using it.
2.13. Amplitude at minimal power is 5% from amplitude at
maximum power.
The equipment fulfil the Electromagnetic compatibility (EMC)
in accordance with the IEC-60601-1-2 and the additional stand-
art of the IEC-60601-2-10.
This medical product bears the CE mark in accordance with
the Medical Device Directive (MDD) 93/42/EEC.

— an item of the B type with the operational part of the


F type.

Attention! The device contains fragile elements. Protect it


from blows.

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3. COMPLETE SET
3.1. The version of complete set of the DiaDENS-PC device
corresponds to the Table 1.
Таble 1
Name Number
Electrostimulator “DiaDENS-PC” 1
Operation Manual, including Technical Passport
1
and Operation Instructions
Electrode remote, therapeutic 1
Electrode, diagnostic 1
Connecting computer cable 1
CD, software 1

User Manual for the DiaDENS-PC software 1


Case 1
Cover for electrostimulator 1
Packaging 1
Power supply: battery of the 6F22 type 1

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4. SAFETY RULES
Read carefully all information contained in this Operation
Manual in respect to your safety, as well as recommen-
dations for correct use and maintenance of the device.
4.1. The device presents no danger for patients because
of using low-voltage inner power supply. When connected to
personal computer, the device presents no danger either when
used with connection a cable specifically designed for safety
operation.
4.2. The device can not be used for treatment or diagnosis of
patients who have implanted electronic devices (for instance,
cardiostimulator) or for treatment of patients with individual in-
tolerance of electric current.
4.3. During stimulation, the patient must not be connected to
any high-frequency electrical device other than personal com-
puter connected with a special cable provided in complete set.
4.4. During stimulation or diagnosis with the computer con-
nected to the device, one must not simultaneously touch the
patient and the computer frame.
4.5. Warning of potentially dangerous factors:
– simultaneous use of the device and other electric equip-
ment by the patient (apart from personal computer connected
with special cable) may cause burns and potentially damage
the device;
– operation of the device near (within about 1-metre dis-
tance) of a short-wave or microwave therapeutic equipment,
may induce instability of the device output data.

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5. DEVICE SYSTEM AND FUNCTION


5.1. The device consists of the frame 1 (Fig. 2) with built-in
electrodes 13 (Fig. 3); cover 14 (Fig. 3) for changing power
supply.
The complete assembly of DiaDENS-PC device includes:
– remote therapeutic electrode (Fig. 2.1).
– diagnostic electrode (Fig. 2.2).
In addition, to the device, other remote therapeutic elec-
trodes of the model series from the enterprise-manufacturer
can be attached.
Attention! The remote therapeutic electrode may only be
used in THERAPY mode.
Before using the remote electrode, the skin in the treatment
area should be dampened with water or treated with Malavti-
lin ointment by apply small amount of it until completely ab-
sorbed.
5.2. The device is equipped with a liquid-crystal indicator
“2” (Fig. 2).
5.3. The device has control buttons as follows (Fig. 2):
– key “3” (“B”) – for switching on the BIOREPER mode and
MiniAS mode (simultaneously with the key “9” – “On”);
– key “4” (“V”) – for switching on the VOLL mode and BIO-
VOLL mode (simultaneously with the key “9” – “On”);
– key “5” (“FREQUENCY +”) – for increasing the frequency
in THERAPY mode, for switching to the modes “7710”, “77АМ”,
“Screening”, “MED”;
– key “6” (“POWER +”) – for augmentation of the stimulation
power;
– key “7” (“FREQUENCY –”) – for decreasing the frequen-
cy in THERAPY mode and for switching o the modes “7710”,
“77АМ”, “Screening”, “MED”;
– key “8” (“POWER –”) – for decreasing the stimulation pow-
er;
– key “9” (“On”) – for switching the device on;
– key “10” (“Off”) – for switching the device off;

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5.4. The device has sockets as follows (Fig. 2):


– slot “11” – for connection of remote therapeutic elec-
trodes;
– slot “12” – for connection of diagnostic electrodes and
connecting to personal computer.

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Fig.2.1
Remote
therapeutic
electrode

Fig. 2.2 Fig. 2


Remote diagnostic The DiaDENS-PC device
electrode

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Fig. 3
The DiaDENS-PC device (the reverse side)

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6. TECHNICAL MAINTENANCE
6.1. Daily technical maintenance must consist of the opera-
tions as follows:
– visual inspection of the device;
– disinfection.
For cleaning the electrodes, use standard disinfectants (e.g.
70% rubbing alcohol) and soft cleaning tissues.
6.2. Checking of the device function will be performed in
compliance with directions stipulated in the Section Modes of
Operation.
6.3. If the device will not be operated for a prolonged period
of time, it will be necessary to remove the power supply from
the battery block 14 (Fig. 3).
6.4. When the message CHANGE BATTERY appears, the
power supply should be replaced.
6.5. Replacement of rower source:
— open the cover of battery block 14 (Fig. 3);
— extract the power source from the device;
— put in the battery block new power source according to
polarity.
Use only power sources recommended by the manufactur-
er.

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7. POSSIBLE PROBLEMS AND TROUBLESHOOTING


Possible problems and troubleshooting are presented in Ta-
ble 2
Тable 2
Troubleshoot-
Problem Possible cause
ing
Device automatically
switches to THERAPY Electrodes are
p. 6.1
state from STAND-BY dirty
state
Device switches off if the Voltage of the
message CHANGE THE power supply is Replice the
BATTERY appears, or it less than power supply
does not switch on 7.9 V

No contact be-
tween the device Check the con-
and the remote tact of the slot
When using remote therapeutic elec- 11 (Fig. 2)
electrodes, the device trode
stays constantly in the
STAND-BY state
Swipe with
Dry skin tampon wetted
with water

No contact be-
tween the device Check the con-
and the remote tact of the slot
Device performs no diagnostic elec- 12 (Fig. 2)
measuring in the VOLL, trode
BIOFOLL and BIORE-
PER, MiniAS modes. Swipe with
Dry skin tampon wetted
with water

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Disrupted connec- Check the contact:


tion between the 1. Slot 12 (Fig. 2)
device and per- 2. Slot of computer
sonal computer connection
Device does not Reinstall software
transfer data to Software failure
from the CD
personal com-
puter Specify the COM-
port, to which device
Wrong COM-port is connected (see
specified “User Manual for the
DiaDENS-PC soft-
ware”)

Attention! All other problems will be repaired at the manu-


facturer’s or by manufacturer service centers

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8. STORAGE AND TRANSPORTATION


Transportation conditions:
– temperature -50°С to +50°С;
– relative air humidity up to 93% at the temperature +25°С.
Storage conditions:
– temperature -50°С to +40°С;
– relative air humidity up to 93% at the temperature +25°С.

9. UTILISATION
All packing material is environmentally safe and can be
reused.
Separate assemblage of electric and electronic equip-
ment.
Do not throw away device in the garbage! It contains valuable
materials that could be reused or recycled thus helping us pro-
tect the environment. Please, submit the materials to specially
designated places (consult with respective services in your re-
gion) for their collection and recycling.

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10. MANUFACTURER WARRANTY


10.1. The manufacturer guarantees the device complies
with requirements of Technical Specifications (TU) 9444-002-
35266303-2005 if the operational, transportation and storage
conditions are observed.
10.2. Device service life: 5 years.
When using the device properly, its service life can be con-
siderably longer.
10.3. The warranty period for the device: 24 months as of the
date of sale. The warranty period of the power supply will be
determined by its manufacturer.
10.4. Retailer (manufacturer) or organization functioning as
retailer (manufacturer) based on the contract concluded with it,
is not liable for defects if they occur after delivery of the device
to the user as a consequence of:
1) violating the rules of transportation, storage, maintenance
or operation by the user, as these rules are indicated in this Op-
eration Manual;
2) actions by third parties;
3) force majeure circumstances.
10.5. The warranty does not cover the items with damaged
manufacturer’s seals.
10.6. In the event of the device failure or defect discovered
during the warranty period or in the event of incomplete assem-
bly, the owner must send an application for repair (substitution)
to the manufacturer, indicating surname, name, patronymic,
address, telephone, brief description of the defect, date and
conditions of its occurrence.

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The address of the manufacturer:


LLC RC АRТ
620146, Russia, Ekaterinburg, 15 Postovskogo str.
telephone/fax: +7 (343) 267-23-30
http://www.denascorp.ru
e-mail: [email protected]

Official Representative in the European Union:


DENAS-Deutschland GmbH
Deutschland, 64347, Griesheim, Im Leuschnerpark, 3
(06155) 66–57–73

Representative in the European Union:


DENAS-CZ s.r.o., Chech Republik, 360 01, Karlovy Vary,
SHOPPING CENTER “atrium”, Karla IV. 505/1, office 209,
phone: (+420) 353 549 285; fax: (+420) 359 019 209

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PART 2
OPERATION INSTRUCTIONS

1. GENERAL CONSIDERATIONS
Use of reflex zones and points for prophylactics treatment
and rehabilitation of the body functions is one of the most an-
cient and efficient ways of physio- and reflex-therapy.
Numerous studies indicate that a multi-layer reflex and neu-
rochemical responses triggering a cascade of regulatory and
adaptive mechanisms of the organism underline the therapeu-
tic effect of the dynamic electroneurostimulation (DENS).
The device will be used with due consideration of concomi-
tant symptoms and syndromes:
— as an independent method of treatment the event of al-
lergic responses to pharmacotherapy as well as in presence of
contraindications for other methods;
— as a component of integrated therapy for reinforcing the
effect of basic medicinal, homeopathic or manual therapy, as
well as psychotherapy and other treatment techniques;
— as a symptomatic treatment for various diseases and syn-
dromes.

Attention! The first and often the only sign of a serious dis-
ease might often involve a sudden occurrence of pain of any
localization. Therefore if the pain occurs for the first time and
then repeatedly occurs again and intensifies, immediately con-
tact your physician.

EFFECTS OF ELECTRONEUROSTIMULATION
— anaesthetic;
— anti-inflammatory;
— regulation of vascular tone;
— improvement of microcirculation;
— antipyretic;
— immune-modulating and anti-allergy;
— regulation of smooth and skeletal muscle tone.

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INDICATIONS FOR APPLICATION:


– pain syndromes;
– respiratory diseases, digestive diseases, cardiovascular,
skeletal-muscle, uro-genital, nervous, endocrine systems,
OTO diseases, eyes and skin diseases in adults and children;
– rehabilitation and recovery following treatment, surgical
interventions, and lesions;
– effects of unfavourable pathogenic factors (stress, intense
physical or psycho-emotional loads, other unfavourable condi-
tions).

CONTRAINDICATIONS:
Absolutee:
– individual intolerance of electric current;
– presence of implanted cardiostimulator.
Relative*:
– epilepsy;
– neoplasms of any aetiology and localization (in advanced
stages of oncological process, the electrostimulation can be
performed as a palliative (auxiliary) measure including elimina-
tion of the pain syndrome;
– acute fevers of unknown aetiology;
– venous thrombosis;
– condition of acute mental excitement, alcohol or drug in-
toxication.
ATTENTION! Do not apply the device in the zone of direct
heart projection at the front!

* in these cases, application of the electrostimulator should


be first discussed with the attending physician

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2. TREATMENT CONDITIONS
No special conditions are required for performing the DENS.
The room for the electrotherapy must be dry, clean and well
lighted. During the electrotherapy session, the patient may be
seated or reclining comfortably. After the session, it is recom-
mended to have a 10-15-minute rest.
During the procedure, the electrostimulator must be held in
one hand and manipulated lightly. The device electrodes should
be in permanent contact with the patient’s skin during the pro-
cedure. Following each procedure, the device electrodes will
be treated with a standard disinfectant (e.g. 70% rubbing alco-
hol). The devices should be stored with dry electrodes.

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3. THE ELECTROSTIMULATION INTENSITY


Determining the dynamic electroneurostimulation intensity
will be done individually, based on patient’s subjective feelings.
The electrostimulation intensity will be conventionally divided
into three energy ranges: the minimal, comfortable and maxi-
mal those.
The first (at the threshold of feeling), minimal energy range
corresponds to effect of a weak intensity when the patient feels
either no subjective sensations or a slight vibration. It will be
used in working with elementary school children and preschool-
age children as well as with elderly patients.
The second (over the feeling threshold but lower than the
pain threshold), comfortable energy range corresponds to
the effect of medium intensity when the patient feels vibration,
pleasant pricking or slight burning but no pain. It will be used as
the main range of the energy effect.
The third (sensation at the pain threshold), maximal energy
range corresponds to a high intensity effect when the patient
feels painful pricking or burning. Such an intensity of effect
might be followed by involuntary muscle contractions in spots
near established electrode (the myo-stimulating effect). It will
be only applied in THERAPY mode in the event of obvious pain
syndrome in adolescents and in adults as well as for emergen-
cy treatments.
The electroimpulse effect is not recommended in the energy
range intolerable for the patient. At the treatment stages, the
electrostimulation power levels might be increased or decreased
depending on the patient sensitivity changes and elimination of
the pain syndrome.

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4. OPERATING METHODS
The dynamic electroneurostimulation will be performed in
three ways: stable, labile and labile-stable.
The stable method (fixed position of the electrode) will be
used when treating small zonal spots. In the labile way, the
built-in electrodes of the stimulator will be evenly shifted over
the affected zone, maintaining constant contact between the
electrode and the body surface, at the rate of 0.5 to 2-3 cm/
sec. The shifting will be performed with straight, anfractuous,
circular and other motions depending on the size and form (re-
lief) of the area under treatment.
In labile method, a delay (stabilising) of the built-in electrodes
will be admissible, for instance over the painful areas. Thus, the
labile-stable method of action will be performed.
The pressure of the device upon the skin will depend on pa-
tient’s subjective feelings.

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5. MODES OF OPERATION
5.1. Schemes of the mode sequences in the device are pre-
sented in Tables 3, 4.
Table 3
Will be succes-
Will be successively Will be set au- sively changed
changed by push- tomatically on by pushing
ing FREQUENCY “–” switching the de- FREQUENCY
key* vice on “+” key **
1.0-9.9 Hz***
Screening

140 Hz
200 Hz
77AM
77.10
10 Hz
20 Hz
60 Hz
MED

77 Hz

* The modes will be switched back by pressing FREQUENCY


“+” key
** The modes will be switched back by pressing FREQUENCY
“–” key
*** Brief pressing the key: 0.1 Hz step of change,
long pressing the key: 1.0 Hz step of change

Table 4
Simultaneous Simultaneous
“V”
pressing of the “B” key pressing of the “B”
key
“F” and “On” keys and “On” keys

VOLL BioVOLL BIOREPER MiniAS

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5.1.1 ТЕSТ mode


ТЕSТ mode is intended for evaluation of functional condi-
tion of the body organs and systems by means of searching
for zones where the skin electrical resistance will sharply differ
from adjacent areas (the latent trigger zones (it is also intended
for treatment of the skin areas symmetrical to the complaint
projection (the symmetry principle).
Attention! In the ТЕSТ mode, search for latent trigger zones
will be performed rather than diagnosis.
The energy range: minimal or comfortable. The operating
method: stable (the electrodes will be shifted after receiving a
sound signal).
The ТЕSТ mode only works at the frequency of 10 Hz. In
treatment, the built-in electrodes only will be used.
Switch on the device.
To switch the device on press the “On” key. A
sound track will be played and manufacturer
information will be displayed on the screen
DENAS MS (20 sec).
code +7 (343)

Following that, the device will switch to the


STAND-BY STAND-BY state.
P00 F77 For emergency termination manufacturer
information, press and hold any key (except
the “Off”) until appearance on the screen of
the STAND-BY state.
Choose the MED mode.
Keep pressing “FREQUENCY –” key until
“MED” appears on the screen.
STAND-BY
P00 MED

Establish the device electrodes on the se-


lected skin area (Section 6).
Set the action power.

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Attention! The power control shall be done according to the


patient’s feelings, at the moment of the electrode contact with
skin surface. The pain sensitivity threshold should not be ex-
ceeded.
At the moment of switching the device on, the power value
will be zero.
For increasing of the power press and hold
“POWER +” key. The power will start in-
creasing evenly from 0 to 99 conventional
units. On the screen, the change of power
STAND-BY from P00 to P99 will be shown, for instance
P35.
P35 F10

For decreasing of the power press and hold


“POWER –” key. The power will start de-
creasing evenly from 99 to 0. On the screen,
the change of power from P99 to P00 will be
STAND-BY shown.
P00 F10

Attention! During operation of the device in the ТЕSТ mode,


the electrodes on the patient’s skin should be established in
the “stable” way, i.e. one must not shift the device electrodes
directly during its operation in the ТЕSТ mode.
Following establishment
STAND-BY TEST
of the action power, the
P20 F10 T=15 sec
message

“STAND-BY” will be substituted with the message informing


of the start of the ТЕSТ mode. In stabilising of the skin resis-
tance under the electrode, the device will
T=15 s emit a sound signal, and in the upper line of
T=00:00 the screen for a few seconds the time of the
testing action will be indicated.
In the ТЕSТ mode, you must not wait for termination of the
regime if the period lasts over one minute; you must shift elec-

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trodes to the adjacent area and regard this latter area as a la-
tent trigger one, and then to move over to treatment of the next
zone.
Make records of the obtained time values in respect to the
testing action in order to reveal the latent trigger zones.
Those zones whose ТЕSТ values differ considerably from the
majority of numbers either towards increase or decrease will be
the latent trigger zones. These should necessarily be treated in
the THERAPY mode during 1-5 minutes at the frequency 60 or
77 Hz.
To do this press the “FREQUENCY +” key
until F60 or F77 appear on the screen and
treat the zones at the second (comfortable)
energy level.
STAND-BY
P77 F77

5.1.2. The SCREENING mode


The Screening mode provides quick evaluation of the zone
condition prior to and after DENS treatment. The Screening
mode is intended for fast search of latent trigger zones. One
measurement of the skin surface resistance occurs within first
five seconds.
Attention! The mode is intended for fast search of latent
trigger zones rather than for diagnosing.
The action energy range: minimal or comfortable. The ope-
ration method: stable (the electrodes will be shifted after re-
ceiving the sound signal).
The Screening mode works at the frequency of 10 Hz.
During the operation, the built-in electrodes
only will be employed
Switch on the device.
To switch the device on press the “On” key. A
DENAS MS sound track will be played and manufacturer
code +7 (343) information will be displayed on the screen
(20 sec).

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For skipping manufacturer’s message,


press and hold any key (except the “Off”)
until STAND-BY appears on the screen.
Switch on the SCREENING mode.
SCR To do this, press the “FREQUENCY
STAND-BY –” key until the first line of SCR appears.

Establish the device electrodes on the se-


lected skin area (Section 6).
Set the action power.

Attention! The power control will depend on patient’s feel-


ings, at the moment of the electrode contact with skin surface.
The pain sensitivity threshold should not be exceeded.
At the moment of switching the device on, the power value
will be zero.
For increasing the power press and hold
“POWER +” key. The power will start in-
creasing evenly from 0 to 99 conventional
units. On the screen, the change of power
STAND-BY from P00 to P99 will be shown, for instance
P42 F10 P42.

For decreasing of the action power press


and hold “POWER –” key. The power will
start decreasing evenly from 99 to 00. On
the screen, the change of power from P99
STAND-BY to P00 will be shown.
P00 F10

Attention! During operation of the device in the SCRЕENING


mode, the electrodes on the patient’s skin should be estab-
lished in the “stable” way, i.e. one must not shift the device
electrodes directly during its operation in the SCRЕENING
mode.

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When the device finds contact of the electrodes with skin sur-
face, the message STAND-BY will be replaced with indication
of the stable time interval: 5 seconds, during which changing
of the trigger zone condition will be determined in response to
impulse sent by the device. On termination
SCR of the 5-second period, the device emits a
T=5s brief sound signal and displays measure-
ment result in the form of index ΔLT (with-
in the range from 0 to 100 units), e.g. = 8.
SCR Make notice of the value obtained.
ΔLT = 8 Move to diagnosing the next zone.
Those zones whose ΔLT values differ
considerably from the majority of num-
bers either towards increase or decrease
will be the latent trigger zones. These
zones must be treated in THERAPY mode
during 1-5 minutes at the frequency of
60 or 77 Hz. To do this, press the “FRE-
STAND-BY QUENCY +” key until appearance on the
P35 F77 screen of F60 or F77 and treat the zones
at the second (comfortable) energy level.

5.1.3. The THERAPY mode


The THERAPY mode operates:
– at frequencies of 1.0 to 9.9 Hz (with the minimal step 0.1
Hz);
– at frequencies of 10, 20, 60, 77, 140 and 200 Hz;
– in therapeutic modes 77.10 and 77AM.
At operation in THERAPY mode, both the zonal (with the aid
of inbuilt electrodes) and pointed (with the aid of remote elec-
trode) action.
Recommendations for choosing therapeutic frequencies:
– 1.0-9.9 Hz – “infraslow”. These will be used for action upon
biologically active points and zones with altered parameters
revealed after electropuncture diagnosis performed by the
method of VOLL or BIOVOLL. Treatment formula and choice of

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optimal frequency will be performed individually, after analyz-


ing the obtained diagnosis data. Additionally, these frequencies
can be used with the built-in electrode of the device with due
consideration of the indications presented in Table 5.
Таble 5
The list of frequencies used in the device
DiaDENS-PC for some diseases, syndromes and symptoms
within the range 1..9.9 Hz*
Fre-
quen-
Characteristics of the pathological condition
cy,
Hz
Autoimmune diseases, tachycardia, knee joint weak-
1.2
ness
1.6 Arthritis-arthrosis
Acne, abscess, hypotension, dermatitis, parodonto-
1.7
sis, sympathetic-tonic action, furunculosis, eczema
2.2 Fatigue, pustular eczema
Insomnia, vegetative disorders, hypermenorrhoea,
headache associated with the nasal sinus diseases.
haemorrhages, brain contusions, lesions, menor-
2.5
rhages, uterine myoma, oedemas, toxic and infec-
tious liver damages, hepatitis, cirrhosis, parodonto-
sis, sinusitis, contusions, eczema
Virile syndrome, haemorrhoids, headaches in liver
2.6
diseases, intestinal headache, dermatitis, impotence
Nephritis, nephrolithiasis, renal colic, nephrosclero-
2.8
sis, uremia
2.9 Rhinitis, sinusitis
Arteriosclerosis, hypertension, otosclerosis, toxic
and infectious liver damages (hepatitis, cirrhosis),
3.3 nephrolithiasis, renal colic, nephrosclerosis, uremia,
nephritis, furunculosis, hypertension against the
background of atherosclerosis

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Gall-stone disease, nephrolithiasis, renal colic, knee


3.5
joint weakness, menorrhages
3.6 Inflammation, moodiness, irritability
3.8 Allergy, haemorrhoids, spasms of various genesis
Neuralgia, sleep disorders (the phase of falling
3.9
asleep)
Adipose-genital dystrophy (obesity), asthma, virile
syndrome, haemorrhoids, hypermenorrhoea,
4.0 endocrine headache, dizziness, hypophyseal
disorders, impotence, menopause, menorrhages,
pancreatic disorders
Parathyroid gland functional disorders (effect upon
4.6
the calcium balance)
Virile syndrome, meningeal headache, climax,
4.9 menorrhages, obesity, occipital muscle rigidity,
furunculosis, monoalgias
5.5 Vascular headache
5.8 Otogenic headache, depressions
5.9 Spastic paralysis
Hypertension, headaches in liver diseases, occipital
6.0 muscle rigidity, extrasystoles, systolic hypertension,
for heightening alertness and mental capacity
Headaches due to cerebral angiospasms, neuroses,
6.3
irritability, brain concussion
6.8 Myalgia, muscle seizures
7.5 Neuralgia of the trigeminal nerve
7.7 Spastic paralysis
Headache of intestinal genesis, asthma, allergic
8.0
bronchitis
Diuretic action (including the effect upon potassium
8.1 and sodium balance), nephrolithiasis, renal colic,
nephritis, cystitis (pyelocystitis)
8.5 Insomnia

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8.6 Fractures, duodenal ulcer


Hypertension, otogenic headache, nephrogenic head-
ache, gout, diastolic hypertension, dermatitis, spastic
9.2 paralysis, nephrosclerosis, uremia, furunculosis, ec-
zema (including the one combined with renal function
disorders), diabetes mellitus
9.3 Flaccid paralysis
Adnexitis, obstructive bronchitis, hypertension, gas-
trogenic headache, intestinal headache, urogenital
headache, endocrine headache, duodenitis, impo-
9.4 tence, oedemas, paresthesias, paresis, prostatitis,
pectoral angina, erythema nodosum, furunculosis,
cystitis (pyelocystitis), eczema, parametritis, gastric
ulcer, ulcerous-necrotic endomyocarditis
Hypertension, headache of vascular genesis, climac-
9.5
teric hypertension, laryngitis, parodontosis
Arthritis-arthrosis, Bechterew’s disease, depressions,
9.6
spine lesions, osteochondrosis
Arthritis-arthrosis, sciatica, gout, nephrosclerosis,
9.7
uremia, rheumatism
Toxic and infectious damages to the liver, hepatitis, cir-
9.8
rhosis
* A.V. Samokhin, Yu.V. Gotovsky. The electropuncture diag-
nosis by the R. Foll technique. – M:, The Centre of Intellectual
Medical Systems IMEDIS, 2003. – 512 p.

– 10, 20 Hz – “low” frequencies. They will be used in problem


zone with direct projection, in universal zones and the zones re-
inforcing the systemic effect. This effect occurs within 20-60
minutes, lasting for several hours.
Indications: diseases of internal organs, muscular-skeletal
system including traumas (sub-acute and remote periods),
postoperative period.

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– 60, 77 and 140 Hz – “high” frequencies. These will be used


in problem zone with direct projection, segmental zones, trig-
ger zones. The effect occurs within 5-10 minutes, lasting for
one or more hours. Indications: inflammatory and functional
diseases of the internal organs with a moderate pain syndrome,
circular disorders.
– 200 Hz – “superhigh” frequencies. These will be used in
problem zone with direct projection. The effect occurs within
first minutes, lasting afterwards from several minutes to one
hour. To prolong the effect, after elimination of pain, the device
action can be continued at low or high frequencies. Indications:
sharp pain due to disease and lesion of the muscular-skeletal
system in acute period and pathological condition of the pe-
ripheral nervous system.
Auxiliary therapeutic modes:
– 77.10 – in this mode, alternation of pulses with frequen-
cies of 77 and 10 Hz, occurs with equal intervals. It produces
obvious relaxing effect in the form of reducing the wakefulness
level, induces relaxation and drowsiness. It can be effectively
used for elimination of pain, in sleep disorders, and anxiety
conditions.
– 77.АМ – in this mode, pulse alternation occurs with the fre-
quency of 77 Hz, with equal intervals and with even increment
and drop of the amplitude. This mode produces effects oppo-
site to those of the mode “7710”. It is effective when used as
a preventive and treatment of physical and mental fatigue, for
emotional stress, or depressions.
Switch on the device.
To switch the device on press the “On” key. A
sound track will be played and manufacturer
information will be displayed on the screen
DENAS MS (20 sec).
code +7 (343)

For skipping manufacturer information, press and hold


any key (except the “Off”) until “STAND-BY” appears on the
screen.

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Set the action frequency at 1.0-9.9, 10, 20, 60, 77, 7710,
77AM, 140 or 200 Hz.
On switching the device “On”, a 77 Hz fre-
STAND-BY quency will be automatically set.
P00 F77

To set the frequency 1.0 to 60 Hz, press the


“FREQUENCY –” key until desired frequency
appears on the screen.
To set the frequency 140 and 200 Hz, press
the “FREQUENCY +” key until “F 140” or “F
200” appears on the screen, respectively.

Attention! In the interval between 9.9 and 10 Hz, there are


Screening mode (described above) as well as MED mode
(as described below).

All frequencies will be switched on by pressing the “FRE-


QUENCY +” or “FREQUENCY –” key, except for frequencies
from 1.0 to 9.9 Hz, for which a brief pressing of the key will
correspond to alteration of the frequency with a 0.1 Hz step,
whereas a prolonged pressing will set a 1.0 Hz step.
Establish the device electrodes on the se-
lected skin area (Section 6).
Set the action power.

Attention! The power control will be adjusted based on pa-


tient’s feelings, at the moment of the electrode contact with
skin surface. The pain sensitivity threshold should not be ex-
ceeded.
At the moment of switching the device on, the power value
will be zero.
For increasing of the power press and hold
“POWER +” key. The power will start in-
creasing evenly from 0 to 99 conventional
units. On the screen, the change of power

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from P00 to P99 will be shown, for instance


STAND-BY P35.
P35 F200

For decreasing of the action power press
and hold “POWER –” key. The power will
start decreasing evenly from 99 to 00. On
the screen, the change of power from P99
STAND-BY to P00 will be shown.
P00 F200 After setting the action power, the message
“STAND-BY” will be replaced with the begin-
ning of THERAPY mode and indication of the
THERAPY action time.
T=00.07

The duration of procedure in THERAPY mode, in the zone of


direct projection of the pain or in functional disorder, will de-
pend on patient’s responses as follows:
– complaint is completely eliminated;
– patient feels much better;
– beneath the electrode, bright reddening of the skin occurs
as well as sensation of “formication”, warmth of lightness;
– patient falls asleep.
The duration of treatment of the latent trig-
ger zones is 1 to 5 minutes.
To switch the device off, press the “Off” key.
The device will display
GOOD GOOD the messages “GOOD
HEALTH BYE HEALTH” and “GOOD
BYE” and, after a musical
fragment, the device will
switch off.
5.1.4. The MED mode
The MED (Minimal effective dose) mode will be applied for
intense physical or mental work; in physical or mental strain, in
chronic fatigue syndrome, difficulties getting up in the morning,

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drowsiness, difficulty concentrating, and as preventive meas-


ure in cold and flu seasons.
It will be used once per session in a course treatment.
Switch on the device.
To switch the device on press the “On” key. A
sound track will be played and manufacturer
information will be displayed on the screen
DENAS MS (20 sec).
code +7 (343)
For skipping manufacturer information,
press and hold any key (except the “Off”)
STAND-BY until “STAND-BY” appears on the screen.
P00 F77
Set the action frequency to 10 Hz.
To do this press the “FREQUENCY –” key
until appearance of “F 10” on the screen,
once more press the key “FREQUENCY –”
and MED mode will switch on.
STAND-BY
P00 MED
Establish the device electrode on the HE-
GU zone.

Attention! The power control will be ad-


justed based on patient’s feelings, at the moment of the elec-
trode contact with skin surface. The pain sensitivity threshold
should not be exceeded.
Set the action power.
In switching the device on, the power value is zero.
For increasing of the power press and hold “POWER +” key.
The power will start increasing evenly from
0 to 99 conventional units. On the screen,
the change of power from P00 to P99 will be
shown.
STAND-BY
P99 MED For decreasing of the action power press

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and hold “POWER –” key. The power will


start decreasing evenly from 99 to 00. On
the screen, the change of power from P99
to P00 will be shown.
STAND-BY
P00 MED
Attention! During operation of the de-
vice in the MED mode, the electrodes on the
patient’s skin should be established in the “stable” way, i.e. one
must not shift the device electrodes during the procedure.
After setting the action power, the message “STAND-BY” will
be replaced with a message of beginning of
TEST the MED mode I phase: the TEST regime.
T=00:03 On stabilising of the skin resistance be-
neath the electrode, the device will emit
sound signal and in the upper line of the
T=15
screen for a few seconds the time of testing
T=00:03
action will be displayed.
Then the second phase of the MED
will begin: continuous stimulation for 5 minutes; a message
“THERAPY” will appear and time counting
THERAPY will begin in respect to minimally effective
T=05:00 dose of the device action. On termination of
the 5 minute period, a sound signal will be
emitted indicating completion of the MED
THERAPY
mode.
T=01:07
To switch the device off, press the “Off”
key. The device will display the messages “GOOD HEALTH” and
“GOOD BYE” and, after a musical fragment,
the device will switch off.

GOOD GOOD
HEALTH BYE

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5.5 VOLL mode


VOLL mode is based on the method developed by R. Voll. The
Voll method is a method of electropuncture diagnosis through
electric channels for evaluation of functional condition of all in-
ternal organs of the human body. The method is also intended
for testing and selection of individual medicinal, homeopathic
preparations and biologically active additives.
Attention! The mode is intended for evaluation of functional
condition of the organs and systems rather than diagnosings.
We may discuss conditions when the function is reduced, nor-
mal or activated.
The studies with the Voll method can be performed in several
ways:
1. Express-evaluation of the functional condition by the end
points of the meridians (which is enough for performing diag-
nostic procedures at home) (Supplement 1, Fig. 1, 2);
2. Evaluation of the functional condition by control or other
points of meridians*;
3. Medicinal testing.

Preparing for diagnosis


Two days prior to the diagnosis procedure, it is recommend-
ed that patient avoids tonics. On the day of the diagnosis, two
hours before the procedure, the patient should avoid taking
coffee, or tea, or food. Immediately before the procedure, it is
recommended for patient to sit in a comfortable position and
relax for about 15 minutes.
Prior to the session, remove all devices generating high-fre-
quency electromagnetic fields (cell telephones, pagers, high-
frequency ovens, TV-sets, irons, etc.). The patient will have to

* the methods of diagnosis by the control and other points of the


channels were described in detail in the reference for this theme.
These techniques, operation-wise, do not differ from the express-
evaluation but demand serious theoretical and practical training of
the operator-physician performing the diagnosis and will not be dis-
cussed in this Instruction.

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remove jewelry, glasses, and a watch. During the examination,


the patient must be seated or reclining comfortably.
Attention! During the session, do not touch the patient with
both two hands simultaneously.

Operating VOLL mode autonomously


Switch the device on.
To do this, press “On” key. A sound track
will be played and manufacturer information
will appear on the screen (20 sec).
DENAS MS Following that, the device will go into
code +7 (343) STAND-BY mode.
For skipping manufacturer information,
press and hold any key (except the “Off”)
STAND-BY until “STAND-BY” appears on the screen.
P00 F77 Connect the diagnostic electrodes to the
slot.
To switch to VOLL mode press “V” key.
Attention! The patient will hold passive
electrode in his/her hand opposite to the
side being tested (e.g. when testing the left
VOLL: Vhand or left foot, the passive electrode will
000 be held by patient’s right hand).

Express evaluation of functional condition


Wet the applicator of active diagnostic electrode with a wet
tampon prior to every establishment of the electrode on the skin.
Establish the active diagnostic electrode in the projection of
the measurement point, gradually enhancing the pressure of the
electrode until achieving stable measurements on the screen.
Attention! For measurement points situated on the finger
and toe phalanxes, establish the active electrode at a 450 angle
to the skin surface.

A deeper evaluation of the condition involves examina-


tion using the arrow drop effect.

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In revealing the maximal value, without breaking contact be-


tween the electrode and the measurement point and without
changing the pressure force applied to the skin, press keys
“POWER +”. On the screen, the maximal
value “MAX=…” will appear and then the de-
vice will perform two measurements with a 1
second interval, their values indicating dif-
MAX= 62 ference of current and the maximal magni-
> tude of electric current. The data will stay on
the screen for 3-4 seconds.
Values will be recorded in a special form
MAX= 62 (diagnostic chart) for subsequent analysis.
-02 > Then the device will return to its initial state
and display message “VOLL”: the measurement
procedure may be repeated for the next point.
MAX= 62 It is not recommended to perform meas-
-02 > -04 urements of the same point more than 3
times in a row as this will disturb haemody-
namics of this point leading to deviation of
VOLL: the parameters: they will no longer be accu-
000 rate for diagnostic purposes.

Medicinal testing
The first measurement of the parameters will be performed
with no medication. Then the substance to be tested will be
placed into the contour of the passive diagnostic electrode and
the measurement will be repeated for the same points.
Attention! Do not place the samples under study into the
passive electrode without packaging them first, as it is not re-
commended to wash the electrode, whereas particles of the
sample remaining on the electrode surface will distort values of
measurements obtained in subsequent diagnosis.
Comparing the parameters obtained, we may conclude on
the fact how the substance under study affects the state of the
meridians.
If necessary, we may continue the testing a different medi-
cine.

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Analysis of the results obtained


For the express-diagnosis, the normal values are about
50-65 units. Values over 65 units indicate hyperfunction of in-
flammation; whereas values below 50-30 units are specific for
hypofunction of degeneration condition; values lower than 20
units indicate atrophy or complete failure of the function.
For the express-diagnosis using the arrow drop effect, the
difference between the maximal and subsequent values must
not exceed 5 units (irrespective of the measurement sign); if
the difference is over 5 units (irrespective of the measurement
sign), this will indicate activation of pathological processes in
the organs located at a given meridian.
For medicinal testing: if the parameters obtained for the
sample under study are within the range of normal values (or
nearly normal) for a given patient, then the substance under
study will produce optimal effect upon the organism. And if the
parameters differ considerably from the average value, then
the substance under study will not be recommended for this
particular patient.
To exit from “VOLL”, press the “V” key.

To switch the device off, press the “Off”


key. The device will display the messages
“GOOD HEALTH” and “GOOD BYE” and, af-
ter a musical fragment,
GOOD GOOD the device will switch off.
HEALTH BYE

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Operating VOLL mode with connecting to personal com-


puter
Install software from the СD on personal computer (this has
to be done just once) according to the User Manual for the
DiaDENS-PC software.
Connect the device with the computer by cable from the
complete assembly, as shown in the Figure.
Switch the device on.
To do this, press “On” key. A sound track
will be played and manufacturer information
will appear on the screen (20 sec).
DENAS MS Following that, the device will go into
code +7 (343) STAND-BY mode.
For skipping manufacturer information,
press and hold any key (except the “Off”)
STAND-BY until “STAND-BY” appears on the screen.
P00 F77 Connect the diagnostic electrodes to the
slot.
To set the VOLL mode press “V” key. Start
the VOLL programme on the computer. For
further studies see the software reference
information.
Attention! The patient will hold passive electrode in his/her
hand opposite to the side under testing (e.g. when testing the
left hand or left foot, the passive electrode will be held by pa-
tient’s right hand).
Perform the studies: the technique and rules of the testing
are presented in the Section Operating VOLL mode autono-
mously.

5.6. BIOVOLL mode


The BIOVOLL mode is based on the method developed by R.
Voll (see Section 5.5. VOLL mode). BIOVOLL is a modification
of the R. Voll classic method; it differs by preliminary determin-
ing of testing voltage in In-Tan point. This improvement allows
you to take into consideration individual electric conductivity in

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testing which allows to obtain more precise parameters from the


BAPs and requires no wetting of electrode prior to testing the
point. The scale of the current under measurement and severity
of pathological condition corresponds to Voll’s scale system.
The method is also recommended for testing choosing medici-
nal, homeopathic preparations as well as biologically active in-
gredients for individual patients. The medicinal testing is based
on the remote action phenomenon, i.e. the device records the
responses of the body to remote material objects.
Attention! The mode is intended for evaluation of functional
condition of internal organs and systems rather than diagno-
sis.
The studies can be performed as follows:
– express-evaluation of the functional condition by meridian
end points (this will be enough for a preliminary evaluation when
testing at home) (Supplement 1, Figures 1, 2);
– medicinal testing;
– evaluation of the functional condition by the control and
other points of meridians*.

Preparing for the study


Two days prior to the diagnosis procedure, it is recommend-
ed that patient avoids tonics.
On the day of the diagnosis, two hours before the proce-
dure, the patient should avoid taking coffee, or tea, or food.
Immediately before the procedure, it is recommended for
patient to sit in a comfortable position and relax for about 15
minutes. Prior to the session, remove all devices generating
high-frequency electromagnetic fields (cell telephones, pag-
ers, high-frequency ovens, TV-sets, irons, etc.). The patient will

* the methods of diagnosis by the control and other points of chan-


nels are described in detail in the reference to this topic. These tech-
niques, in their operation with the device, do not differ from the ex-
press-evaluation but demand serious theoretical and practical train-
ing of the operator-physician performing the diagnosis and will not be
discussed in this Instruction.

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have to remove jewelry, glasses, and a watch. During the exam-


ination, the patient must be seated or reclining comfortably.

Operating BIOVOLL mode autonomously


Switch the device on.
To do this, press “On” key. A sound track
will be played and manufacturer information
will appear on the screen (20 sec).
DENAS MS Following that, the device will go into
code +7 (343) STAND-BY mode.
For skipping manufacturer information,
press and hold any key (except the “Off”)
STAND-BY until “STAND-BY” appears on the screen.
P00 F77 Connect the diagnostic electrodes to the
slot.
Attention! Only the remote electrodes designated for this
will be connected to the DiaDENS device slots. Connection of
other devices to the device slot is prohibited.
Switch the BIOVOLL mode by simultane-
ous pressing the “On” and “V” keys.

BioVOLL Determining of individual testing voltage:


Ut = ?

Put the active electrode to In-


Tan point situated on the mid-line
between eyebrows on the patient’s
nose.
Press and hold the “POWER +” key.
Selection of testing voltage will start, the
voltage values being displayed in the lower
right corner of the screen; in the lower left
BioVOLL
corner, value of proceeding current will be
0.1 196
displayed in In-Tan point.

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Attention! If the current 10 uA is


LOW not achieved, then the message “LOW
CURRENT
CURRENT” will appear and this will mean
that you failed to reach In-Tan point; it will
be necessary to change position of the active electrode.

The express-evaluation of functional condition:


– put the diagnostic pointed electrode to the measurement
point projection gradually increasing pressure by the electrode
until achieving stable measurements on the display screen.
Attention! For measurement points on the finger and toe
phalanxes, establish the active electrode at a 45° angle to the
skin surface.
Attention! During the study, the measurements will be per-
formed on both hands and both feet.

A deeper evaluation of the energy meridian condition may be


performed using the arrow drop effect:
On appearance of the maximal value,
without breaking contact between the active
electrode and the measurement point and
without changing the force of pressure of
the electrode upon the skin, press “POWER
MAX= 62
+” key. The maximal value “МАХ=…” will ap-
>
pear on the screen and then the device will
perform two measurements within a 1 sec-
MAX= 62 ond interval, indicating the difference be-
-02 > tween proceeding and maximal values of the
current. The data will be kept on the screen
for 3-4 seconds.. The value will be recorded
MAX= 62
in a special form (diagnostic chart) for sub-
-02 > -04
sequent analysis.
Then the device will return to its original
BIOVOLL: mode and display the message “BIOVOLL”.
000 The measurement procedure can then be
repeated for the next measurement point.

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It is not recommended to perform measurements for the


same point more than 3 times in a row as this will disturb haemo-
dynamics in this point leading to deviation of the parameters:
they will no longer be accurate for diagnostic purposes.

Medicinal testing:
First the evaluation of energy meridian initial condition will be
performed (see above).
The first measurement of the parameters will be performed
with no medication. Then the substance under testing will be
placed in the contour of the passive diagnostic electrode and
the measurement will be repeated for the same points.
Attention! Do not place the samples under study into the
passive electrode without packaging them first, as it is not re-
commended to wash the electrode, whereas particles of the
sample remaining on the electrode surface will distort values of
measurements obtained in subsequent diagnosis.
Comparing the parameters obtained, we may conclude on
how the substance under study affects the condition of the me-
ridians.
If necessary, we may continue the testing for a different
medicine.

Analysis of the results obtained


For the express-diagnosis, normal values are about 50-65
units indicating harmonious condition of the meridian. Values
over 65 units indicate energy levels above norm, whereas val-
ues below 50 units are specific for the energy insufficiency of
the meridian under study.
For the express-diagnosis using the arrow drop effect, the
difference between the maximal and subsequent values must
not exceed 5 units (irrespective of the measurement sign). If the
difference is over 5 units, this will indicate activation of patho-
logical processes in the organs located at a given meridian.
For the medicinal testing: if the values obtained in the course
of testing approximate normal those or are within the range of
normal values, then this substance will produce a favourable

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effect (will harmonise the meridian). If after introduction of the


substance under study the parameters differ considerably from
the normal values as compared with initial data, then the use of
this medicine is not recommended.

Operating BIOVOLL mode with connecting to personal


computer
Install the software from the СD to personal computer (this
will have to be done only once) according to the User Manual
for the DiaDENS-PC software. Connect the device to the com-
puter by cable from the complete assembly. Connect diagnos-
tic electrodes to the cable slot.
Switch the BIOVOLL mode by simultane-
ous pressing the “On” and “V” keys. Start
the programme. For further studies see the
software reference.
BIOVOLL The technique and rules of testing are
Ut = ? presented in the Section Operating BIOVOLL
mode autonomosuly.

5.7. The BIOREPER mode


Bioreper is a method of functional electropuncture auricular
diagnosis (on external ear). The study will be performed at test-
ing voltage individual for each patient, i.e. with due considera-
tion of individual electric conductivity.
Attention! The mode is intended for evaluation of functional
condition of internal organs and systems rather than diagnosis.
We can discuss conditions when the function is reduced, nor-
mal or activated.
Highly significant will be findings for specific organs (exis-
tence of points representing concrete organs).
The technique allows us to reveal pathological conditions at
“pre-disease” stage, select the optimal treatment procedure
and examination, to evaluate functional condition of diseased
organs and systems in dynamics, when performing another
testing. Due to low current (lower than 15 uA) in measurement
points, no morphological changes occur.

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Preparing for diagnosis


Two days prior to the diagnosis procedure, it is recommend-
ed that patient avoids tonics. On the day of the diagnosis, two
hours before the procedure, the patient should avoid taking
coffee, or tea, or food. Immediately before the procedure, it is
recommended for patient to sit in a comfortable position and
relax for about 15 minutes.
Prior to the session, remove all devices generating high-fre-
quency electromagnetic fields (cell telephones, pagers, high-
frequency ovens, TV-sets, irons, etc.). The patient will have to
remove jewelry, glasses, and a watch. During the examination,
the patient must be seated or reclining comfortably.
Attention! During the session, do not touch the patient with
both hands simultaneously.

Operating BIOREPER mode autonomously


Switch the device on.
To do this, press “On” key. A sound track
will be played and manufacturer information
will appear on the screen (20 sec).
DENAS MS Following that, the device will go into
code +7 (343) STAND-BY mode.
For skipping manufacturer information,
press and hold any key (except the “Off”)
STAND-BY until “STAND-BY” appears on the screen.
P00 F77 Connect the diagnostic electrodes to the
slot.
To switch on the diagnostic regime of
BIOREPER method, press “B” key.
The patient will hold passive electrode in
his/her hand (the patient’s hands must not
BIOREPER touch each other or cross).
0.0 000 Determining of individual testing voltage.
Put the active electrode to In-Tan point
situated on the mid-line between
eyebrows on patient’s nose. Press

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and hold the “POWER


BIOREPER +” key: selection of test-
10.0 196 ing voltage will start, the
voltage values being dis-
played in the lower right corner of the screen; in the lower left
corner, value of proceeding current will be displayed for In-Tan
point.
In the upper line of the screen, value of
UT=1.96 V the testing voltage will appear: “UT= “, in the
10.0 uA lower line – value of the proceeding current.
This will be the individual voltage for this pa-
tient for this procedure.
The device is ready for diagnosis.
Attention! If the current 10 uA is not
LOW reached, then the message “LOW CURRENT”
CURRENT
will appear and this will mean that you failed
to reach In-Tan point; it will be necessary to
change position of the active electrode.

Diagnosis
The passive electrode will be held in the palm on the side of
the auricle under testing. The active electrode will be put to the
auricle point of measuring (Supplement 2, Fig. 3) for period not
exceeding 2-3 seconds for each point. It will be necessary to
provide even and equal pressure, without slipping the electrode
off the point. It is not recommended to perform measurements
for the same point more than two times in a row or to perform
measurement for a single point for over 5 seconds.
The current values will be indicated in µA
UT=1.96 V in the lower part of the screen; they should
8.0 uA be recorded in a special form (diagnostic
chart) for subsequent analysis.

Analysis of the results obtained:


Following completion of the diagnostic session, the values
obtained will be analysed in compliance with Table 6. On the ba-

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sis of this information, a conclusion will be drawn that will reflect


probable condition of the pathological process, the character
and phase of the disease, and serve as the basis for develop-
ment of the device action formula and therapy algorithm.

Таble 6
Correspondence of current values for auricular points (AP)
and degree of severity of the pathological condition in points
and direction of the functional changes

Current
value in AP, < 1 1 2-3 4-7 8-11 12-15
µA
pathological condition

moderate and severe


Severity degree of

moderate
normal

severe
weak

weak
Direction of the func-
tional changes

hyperfunction
hypofunction

normal

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To exit BIOREPER mode, press “B” key.

To switch the device off, press the “Off”


key. The device will display the messages
“GOOD HEALTH” and “GOOD BYE” and, af-
ter a musical fragment,
GOOD GOOD the device will switch off.
HEALTH BYE

Operating BIOREPER mode with connecting to personal


computer
Install the software from the СD to personal computer (this
will have to be done just once). Connect the diagnostic elec-
trodes to the cable slot.
To go to BIOREPER mode, press “B” key.
Start the programme on the computer. For
further studies see the software reference.
The testing technique and rules are pre-
BIOREPER sented in the Section Operating BIOREPER
0.0 000 mode autonomously.

5.8. The МiniAS mode


МiniАS is a method of functional electropuncture diagnosis
within the MiniASupuncture systems of the hand, scalp, etc.
The study will be performed at voltage levels individual for each
patient, i.e. with due consideration of individual electric con-
ductivity of tissues at a given moment.
Attention! The mode is intended for express-evaluation of
functional conditions of internal organs and systems rather
than diagnosis.
The technique allows you to evaluate functional condition of
diseased organs and systems in dynamics, when performing
another testing.

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Preparing for diagnosis


Two days prior to the diagnosis procedure, it is recom-
mended that patient avoids tonics. On the day of the diagnosis,
two hours before the procedure, the patient should avoid tak-
ing coffee, or tea, or food. Immediately before the procedure,
it is recommended for patient to sit in a comfortable position
and relax for about 15 minutes. Prior to the session, remove
all devices generating high-frequency electromagnetic fields
(cell telephones, pagers, high-frequency ovens, TV-sets, irons,
etc.). The patient will have to remove jewelry, glasses, and a
watch. During the examination, the patient must be seated or
reclining comfortably.
Attention! During the session, do not touch the patient with
both hands simultaneously.

Operating MiniAS mode autonomously


Switch the device on.
To do this, press “On” key. A sound track
will be played and manufacturer information
will appear on the screen (20 sec).
DENAS MS Following that, the device will go into
code +7 (343) STAND-BY mode.
For skipping manufacturer information,
press and hold any key (except the “Off”)
STAND-BY until “STAND-BY” appears on the screen.
P00 F77 Connect the diagnostic electrodes to the
slot.
Attention! Only the remote electrodes designated for this
will be connected to the DiaDENS device slots. Connection of
other devices to the device slot is prohibited.
To switch MiniAS diagnosis on, press si-
multaneously the “On” and “B” keys.
The patient will hold passive electrode in
his/her hand (the patient’s hands must not
* MiniAS * touch each other or cross).
0.0 000

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Determining individual testing voltage


Put the active electrode to In-
Tan point situated on the mid-line
between eyebrows on the patient’s
nose.
Press and hold the “POWER +” key: se-
lection of testing voltage will start, the volt-
age values being displayed in the lower right
* MiniAS * corner of the screen; in the lower left corner,
0.1 196 value of proceeding current will be displayed
for In-Tan point.
In the upper line of the screen, value of
UT=1.96 V the testing voltage will appear: “UT= “, in the
10.0 uA lower line – value of the proceeding current.
This will be the individual voltage for this pa-
tient for this procedure.
Attention! If the current 10 uA is
LOW not reached, then the message “LOW
CURRENT CURRENT” will appear and this will mean
that you failed to reach In-Tan point; it will
be necessary to change position of the active electrode.

The MiniAS testing technique


The patient will hold passive electrode in his or her free hand.
The active electrode will be put to the necessary measurement
point – for maximum of 2-3 seconds for each point.
It will be necessary to provide even and equal pressure, with-
out slipping the electrode off the point. It is not recommend-
ed to perform measurements for the same
UT=1.96 V point more than two times in a row or to
8.0 uA perform measurement for a single point for
over 5 seconds.
The current values will be indicated in uA in the lower part of
the screen; they should be recorded in a special form (diagnos-
tic chart) for subsequent analysis.

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Operating MiniAS mode with connecting to personal


computer
Install the software from the СD to personal computer (this
will have to be done just once) according to the User Manual for
the DiaDENS-PC software. Connect the device to the compu-
ter by cable from the complete assembly. Connect diagnostic
electrodes to the cable slot.
Switch the device over to the MiniAS
mode by simultaneous pressing the “On”
and “B” keys. Start the programme on the
computer. For further studies see the soft-
* MiniAS * ware reference.
0.0 000 The testing technique is presented in the
Section Operating MiniAS mode autono-
mously.

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6. RECOMMENDED TREAMENT POINTS AND ZONES

6.1. Local zone of the damage focus (the zone of direct


projection of the patient’s complaint)
One of the simplest and most effective ways of the DENS per-
formance involves direct treatment of the area of detailed and
localised zone of pain, damage focus or direct surface (skin)
projection of the organ with disturbed function. The zone will
be treated in the THERAPY mode until achieving a clinical ef-
fect. For instance, in lumbalgia, on the small of the back zone;
in knee joint damage, directly upon the damaged joint area.

6.2. Metamer-segmental zones


The location and distribution of the spinal nervous roots,
nerves, nervous plexuses and of the vegetative nervous system
nodes will be subject to the law of metamerism. The same spi-
nal segments will serve, at that, as the innervation device and,
respectively, the device of information transfer from an internal
organ and a certain skin area and back. The existing recom-
mendations (Table 1) make it possible to perform the DENS in
patient’s complaint within the zone of a certain dermatomer
(Supplement 1, Fig. 4, 5), which produces a regulating ef-
fect on the respective segment of the spinal cord and sympa-
thetic ganglion and leads to the necessary therapeutic effect.
Treatment of metamer-segmental zones is simple and efficient,
and is scientifically substantiated from the standpoint of the
modern neurophysiology.

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Таble 7
Peripheral parts of the metamer-segmental zones (der-
matomers) recommended for the device treatment for pain
syndromes and diseases of the locomotor system
Dermato-
Symptoms and diseases
mers
tension of the occipital muscles, torticollis, tension
C1-C2 and poor mobility of the spine muscles, pain in the
shoulder area, hemiplegia;
damage of muscles in the occiput area, pain in
the occiput, torticollis, damage of the shoulder
C3-D1
joints and shoulder muscles, back muscles,
hemiplegia;
– sensation of tension in the spine,
– spasms of the neck and back (contractions),
Th1-Th2 – tension of the occipital muscles, pain in the
scapulae area, pain syndrome in damage of knee
joints, paralysis of the upper extremities;
– pain and tension of muscles in the area of
Th2-Th3 the back, small of the back, shoulder, occiput,
torticollis, intercostals neuralgia
movement disorders in the neck area, tension
of the occipital muscles, pain in the area of the
Th3-Th4 shoulder external surface, in the shoulder-blade,
chest, in the lumbar area, abdomen, damage to
the spine lumbar segment and sacrum;
diseases of the neck, damage of muscles and
Th4-Th5
spine at the shoulder-blade level;
tension of muscles in the area of the back and
spine, pain in the back and chest at respective
Th5-Th6
level, intercostals neuralgia, pain in the spine and
spastic muscles of the back (contracture);
sensation of tension in the occiput area, pain in the
Th6-Th7 back and neck, limitation of the spine mobility, back
muscles contractions, intercostals neuralgia;

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damage of muscles and joints of the lower


Th7-Th8 extremities, lumbar area, paravertebral muscle
contracture (spastic muscles along the spine);
damage of the muscles and skeleton of the lumbar
Th9-Th10
area and lower extremities;
– damage of the muscles of the anterior abdominal
Th10- wall, small of the back;
Th11 – contractions and mobility disturbance in the
spine;
Th11-
pain in the back, weakness of extremities;
Th12
Th12-L1 pain in the stomach, back and spine;
pain and contractions in the lumbar area, tension of
L1-L2 the spine and small of the back muscles, oedemas
of the lower extremities;
pain and tension in the back and small of the
back, sensation of tension in the spine muscles,
L2-L3
pain in the hip, paralysis of the lower extremities,
lumbalgia;
damage of muscles, skeleton and soft tissues of
L3-L4
the small of the back;
pain in the lumbar area and lateral part of the pelvis;
anaesthesia (absence of sensitivity) of the leg skin
L4-L5
(the Prot disease), pain on external surface of the
knee joint, paralysis of the lower extremities;
paralysis of the lower extremities, lumbalgia,
L5-S1
lumbago, sciatica;
pain in the abdomen, sacrum and hip joint,
S1-S2
lumbago;
pain in the sacrum, small of the back, spine,
S2-S3 damage of the knee joint, pain in the lower
extremity joints;
pain in the small of the back, sciatica, pain in the
S3-S4
spine;

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pain in the small of the back, back, sacral-


coccygeal area, pain in the area of lateral surface
of the buttock, lumbalgia, sciatica, tension of the
S4-S5
spine muscles, weakness of the leg muscles,
paralysis of the legs, paralysis of muscles of the of
the shin, foot.

6.3. Zones of general treatment


These zones will be included in the action formula when it is
necessary to stabilise therapeutic effect of local and segmen-
tal response and to obtain a general adaptive response of the
body.
1) The back midline as well as two paravertebral lines (next to
the spine) – Supplement 2, Fig. 6, 7;
2) Projections of the trigeminal nerve branch endings on the
face (Supplement 1, Fig. 8);
3) Hands and feet (the hands will be treated from the radio-
carpal joint to the finger tips on their palm and dorsal surfaces,
the feet will be treated from the ankle-joint to the toe tips on the
sole and dorsal surfaces).
The common zones will be studied in ТЕSТ mode or
SCREENING mode. On finding latent trigger zones (see be-
low), they will be treated in THERAPY mode.

6.4. Trigger zones


Disturbances of function and structure of internal organs
will lead in certain limited skin areas, muscles, tendons, peri-
osteum to appearance of areas with distorted coloration, dis-
turbed sensitivity, enhanced painfulness, dense areas, changed
electric conductivity and other changes usually not observed
in a healthy organism, and absent in symmetrical body areas.
These pathological zones and points were named the trigger
zones [12].
The trigger zones (ТZs) will be conventionally divided into ac-
tive and latent.
The active TZs will be located by physician in the course of

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interviewing the patient and his or her examination; these are


local zones of reflected painfulness and enhanced sensitivity,
for instance Supplement 1, Fig. 9, 10.
The latent TZs will be determined in the ТЕSТ mode by differ-
ence of parameters in the points under testing. On finding la-
tent trigger zones, they will be treated in the THERAPY mode.

More detailed information is presented in the following re-


ference:
1. The Manual of Dynamic Electroneurostimulating
Therapy DENAS, The 2nd edition, revised and updated//
Chernyshev V.V., Malakhov V.V., Vlassov A.A., Rubtsova O.I.,
Ivanova N.I. – Ekaterinburg, 2002 – 284 p.
2. The Universal Register of the DENS-therapy//
Chernyshev V.V., Malakhov V.V., Riavkin A.Yu., Riavkin S.Yu.
– Ekaterinburg, 2003. – 165 p.

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ПРИЛОЖЕНИЕ 1
SUPPLEMENT 1
ANHANG 1

АТЛАС РЕКОМЕНДУЕМЫХ ЗОН


И ТОЧЕК ВОЗДЕЙСТВИЯ

THE ATLAS OF RECOMMENDED TREATMENT


ZONES AND POINTS

ATLAS DER ZUR BEHANDLUNG EMPFOHLENEN


ZONEN UND PUNKTE

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Рисунок 1. Расположение концевых точек меридианов тыльной


поверхности кистей.
Точки соответствия: 1 – лимфатическкая система; 2 – легкие; 3 –
толстая кишка; 4 – нервная дегенерация; 5 – перикард; 6 – аллергия; 7
– сосудисто-паренхиматозно-эпителиальная дегенерация; 8 – тройной
обогреватель; 9 – сердце; 10 – тонкая кишка.
Figure 1. Location of meridian end points of the hand dorsal surface
Correspondence points: 1 – lymphatic system; 2 – lungs; 3 – colon; 4 – nerv-
ous degeneration; 5 – pericardium; 6 – allergy; 7 – vascular-parenchymatose-
epithelial degeneration; 8 – triple heater; 9 – heart; 10 – small intestine.
Abbildung 1. Lage der Meridianendpunkte auf dem Handruecken. Die
Punkte entsprechen jeweils: 1 – Lymphsystem; 2 – Lungen; 3 – Dickdarm; 4 –
Nervendegeneration; 5 – Perikard; 6 – Allergie; 7 – parenchymatoes-epiteliale
Gefaessdegeneration; 8 – dreifacher Erwaermer; 9 – Herz; 10 – Duenndarm.

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Рисунок 2. Расположение концевых точек меридианов тыльной


поверхности стоп.
Точки соответствия: 1 – поджелужочная железа, селезенка; 2 – печень;
3 – суставная дегенерация; 4 – желудок; 5 – соединительнотканная
дегенерация; 6 – кожа; 7 – жировая дегенерация; 8 – желчный пузырь; 9
– почки; 10 – мочевой пузырь.
Figure 2. Location of meridian end points of the foot dorsal surface
Correspondence points: 1 – pancreas, spleen; 2 – liver; 3
– joint degeneration; 4 – stomach; 5 – connective tissue degen-
eration; 6 – skin; 7 – fat degeneration; 8 – gall bladder; 9 – kidneys;
10 – bladder.
Abbildung 2. Lage der Meridianendpunkte auf dem Fussruecken. Die
Punkte entsprechen jeweils: 1 – Bauchspeicheldruese; 2 – Leber; 3 –
Gefaessdegeneration; 4 – Magen; 5 – Bindegewebsdegeneration; 6 – Haut; 7
– Fettdegeneration; 8 – Gallenblase; 9 – Nieren; 10 – Harnblase.

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Рисунок 3. Ушная раковина с точками воздействия (картография).


Figure 3. Auricle with treatment points (mapping).
Abbildung 3. Ohrmuschel mit den Wirkpunkten (Kartographie).

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1 – upper point of analgesia in tooth extraction; 2 – palate (the point of


the upper part of oral cavity); 3 – bottom of oral cavity; 4 ‑ tongue; 5 ‑ maxilla;
6 ‑ mandible; 7 ‑ lower point of analgesia in tooth extraction; 8 ‑ eyes, the first;
9 – inner ear; 10 ‑ tonsil, the fourth; 11 ‑ cheek‑bone (cheek); 12 – apex of
the hircus; 13 – adrenal gland; 14 – external nose; 15 – pharynx and larynx;
16 ‑ nasal cavity; 17 – thirst; 18 ‑ hunger; 19 ‑ hypertension; 20 – external ear;
21 ‑ heart, the second; 22 – endocrine glands; 23 ‑ ovary; 24b ‑ vision, the
first; 24а ‑ vision, the second; 25 ‑ brainstem; 26 ‑ toothache; 26а ‑ epiphysis;
27 – larynx and teeth (the point of molars); 28 ‑ hypophysis (the brain point);
29 ‑ occiput; 30 ‑ parotid gland; 31 – regulating respiration; 32 ‑ testicle;
33 ‑ forehead; 34 – brain cortex; 35 – tai‑yan (temple); 36 – apex of the skull
(the vertex point); 37 ‑ cervical segment of the spine; 38 ‑ sacral segment of the
spine; 39 ‑ thoracic segment of the spine; 40 ‑ lumbar segment of the spine;
41 ‑ neck; 42 ‑ chest; 43 ‑ abdomen; 44 ‑ mammary gland; 45 ‑ thyroid gland;
46 ‑ toes; 47 ‑ heel; 48 ‑ ankle joint; 49 ‑ knee joint; 50 ‑ hip joint; 51 ‑ sympa-
thetic nervous system (sympathetic point); 52 ‑ sciatic nerve; 53 ‑ buttock; 54
– lumbalgia (the pain point of the small of the back); 55 ‑ shen‑men (the CNS
point and the point of anaesthesia in surgery); 56 ‑ pelvic cavity (uterine cervix);
57 ‑ hip; 58 ‑ uterus (sexual point); 59 ‑ decreasing the blood pressure, the
first (hypotensive point); 60 ‑ asthma (broncholytic point); 61 ‑ hepatitis, the
first; 62 ‑ fingers (chzi); 63 ‑ clavicle; 64 ‑ shoulder joint; 65 ‑ shoulder; 66 ‑ el-
bow; 67 ‑ hand; 68 ‑ appendix, the first; 69 ‑ appendix, the second; 70 ‑ ap-
pendix, the third; 71 ‑ urticaria; 72.1 ‑ helix, the first; 72.2 ‑ helix, the second;
72.3 ‑ helix, the third; 72.4 ‑ helix, the fourth; 72.5 ‑ helix, the fifth; 72.6 ‑ helix,
the sixth; 73 ‑ tonsil, the first; 74 ‑ tonsil, the second; 75 ‑ tonsil, the third; 76
– the yan syndrome of the liver, the first; 77 ‑ the yan syndrome of the liver, the
second; 78 – the ear apex; 79 ‑ genitalia; 80 ‑ urethra; 81 ‑ rectum; 82 ‑ dia-
phragm (point “zero” ‑ by P. Nogier); 83 ‑ branching (point of the solar plex-
us, by P. Nogier); 84 ‑ mouth; 85 ‑ oesophagus; 86 ‑ cardial; 87 ‑ stomach;
88 ‑ duodenum; 89 ‑ small intestine; 90 ‑ appendix, the fourth; 91 ‑ colon;
92 ‑ bladder; 93 ‑ prostate gland; 94 ‑ ureter; 95 ‑ kidney; 96 ‑ pancreas (on
the left) and gall bladder (on the right); 97 ‑ liver; 98 ‑ spleen; 99 ‑ ascites;
100 ‑ heart, the first; 101 ‑ lung; 102 ‑ bronchi; 103 ‑ trachea; 104 – three
parts of the body; 109 – lower part of abdomen; 110 – upper part of abdo-
men; 111 – nasal‑ophthalmic; 112 ‑ naupathia; 113 ‑ excitation; 114 – exter-
nal abdomen; 115 ‑ warmth; 116 ‑ knee; 117 ‑ constipation; 118 ‑ nephritis;
119 ‑ anus: 120 ‑ haemorrhoids; 121 – minor occipital nerve; 122 ‑ pancreati-
tis; 123 ‑ bronchoectasia; 124 ‑ hepatitis, the second; 125 ‑ eyes, the second;
126 ‑ tuberculosis; 127 ‑ enlarged liver; 128 – cirrhosis of the liver.

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Рисунок 4. Сегментарная иннервация тела человека (передняя


поверхность).
Figure 4. Segmental innervation of the human body (anterior surface).
Abbildung 4. Segmentäre Innervation des menschlichen Körpers
(Vorderseite).

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Рисунок 5. Сегментарная иннервация тела человека (задняя


поверхность).
Figure 5. Segmental innervation of the human body (posterior surface).
Abbildung 5. Segmentäre Innervation des menschlichen Körpers
(Rückseite).

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Рисунок 6. Схема обработки срединной линии спины. Цифрами указана


последовательность перемещения аппарата.
Figure 6. Treatment scheme for back mid-line. The figures indicate the se-
quence of the device shifting.
Abbildung 6. Bearbeitungsschema der Rückenmittellinie. Die Ziffern geben
die Reihenfolge an, in der das Gerät zu versetzen ist.

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Рисунок 7. Схема обработки паравертебральных линий. Цифрами


указана последовательность перемещения аппарата.
Figure 7. Treatment scheme for paravertebral lines. The figures indicate the
sequence of the device shifting.
Abbildung 7. Bearbeitungsschema der paravertebralen Linien. Die Ziffern ge-
ben die Reihenfolge an, in der das Gerät zu versetzen ist.

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Рисунок 8. Схема обработки проекции выхода ветвей тройничного


нерва. Цифрами указана последовательность перемещения аппарата.
Figure 8. Treatment scheme for the trigeminal nerve branch exits. The fig-
ures indicate the sequence of the device shifting.
Abbildung 8. Bearbeitungsschema der Projektionen der Trigeminusnervzweige.
Die Ziffern geben die Reihenfolge an, in der das Gerät zu versetzen ist.

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Рисунок 9. Топография триггерных зон при некоторых внутренних


заболеваниях на коже передней поверхности тела (зоны болевых
ощущений и кожной гиперестезии Захарьина-Геда).
Figure 9. Topography of trigger zones in some internal diseases on the skin
of anterior body surface (zones of painful sensations and skin hyperaesthesia
by Zakharyin-Ged).
Abbildung 9. Topographie der Triggerzonen auf der Vorderseite des men-
schlichen Körpers bei einigen Erkrankungen der inneren Organe (Zonen der
Schmerzempfindung und der Hauthyperesthesie nach Suchanin-Ged).

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Рисунок 10. Топография триггерных зон при некоторых внутренних


заболеваниях на коже задней поверхности тела (зоны болевых ощущений
и кожной гиперестезии Захарьина-Геда).
Figure 10. Topography of trigger zones in some internal diseases on the skin
of posterior body surface (zones of painful sensations and skin hyperaesthesia
by Zakharyin-Ged)
Abbildung 10. Topographie der Triggerzonen auf der Rückseite des men-
schlichen Körpers bei einigen Erkrankungen der inneren Organe (Zonen der
Schmerzempfindung und der Hauthyperesthesie nach Suchanin-Ged).

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