M. H. Weber: The Intravenous Laser Blood Irradiation - Introduction of A New Therapy
M. H. Weber: The Intravenous Laser Blood Irradiation - Introduction of A New Therapy
M. H. Weber: The Intravenous Laser Blood Irradiation - Introduction of A New Therapy
Weber
1. Introduction
The method of intravenous laser blood irradiation was first introduced into therapy by the Soviet scientists
E.N.Meschalkin and V.S.Sergiewski in 1981 [32]. Originally this method was developed for the treatment of
cardiovascular diseases. Improvement of rheologic properties of the blood as well as improvement of
microcirculation and reduction of the area of infarction had been proved. Further reductions of dysrhythmia
and sudden cardiac death occured [4,21]. At first only the helium-neon-laser (632.8 nm) was used in this
therapy. For that a power of 1-3 mW and a period of exposure of 20-60 minutes were applied. The
treatments were carried out once or twice a day up to ten appointments in all. In the years after many, for
the most part Russian studies showed that helium-neon-laser had various effects on many organs and on
the hematologic and immunologic system. The studies were published mainly in Russian which were little
known in the West because of decades of political separation, and were regarded with disapproval.
Besides clinical research and application for patients the cell biological basis was developed by the
Estonian cell biologist Tiina Karu at the same time. An abstract is to be found in her work "The Science of
Low-Power Laser-Therapy". [19].
picture 2:
Increase
of ATP
with laser-
irradiation
(632 nm)
of HeLa-
cell
culture
source:
Karu [19]
3. The hypoxia of the tissue will be improved which leads to a normalization
of the tissue metabolism. In addition the fibrinolysis will be activated [35].
Apart from the elimination of hypoxia and the normalization of tissue
metabolism an increase of ATP-synthesis will occur with a normalization of
cell membrane potential. [44]. Additional vasodilatation is leading to de-
blocking of capillaries and collateral vessels in connection with the
described improved rheological properties of the blood together with an
improved trophicity of tissues and normalization of neurosensory
stimulation. The increased release of NO from monocytes obviously is of
critical importance [29].
Because of the described effects the intravascular blood-irradiation is used
in Russian surgical university-clinics pre-operatively to avoid
thromboembolic complications, and improve postoperative
woundhealing[12,27].
In addition there are laser specific analgetic, spasmolytic and sedative
effects [14] There are reports on patients with chronic glomerulonephritis
who had significant improvement of tolerability of medication
(glucocorticoids, cytostatic drugs, diuretics) and of kidney function [30],. picture 3: Ringshaped
In the same way an improvement of inflammation parameters in acute „Giant mitochondria"
pyelonephritis could be shown [7]. In necrotising pancreatitis an of irradiated human leucocytes
improvement of blood lab values and of the immunological parameters with helium-neon-laser
had been proved too. 632 nm
4. Intravenous blood irradiation was widely used in obstetrics and source: Manteifel et al. [32]
gynecology to stimulate utero-placental blood exchange and as a
prophylaxis and therapy of inflammations of the interior genitals [11].
5. Furthermore it was observed that mitochondria changed to so called "giant mitochondria" (picture 1)
after laser-irradiation with activation of various metabolic pathways and increased production of ATP
[31] (picture 2). The electron microscopy of “giant mitochondria” revealed intracellular annular ("ring-
shaped") structures (picture 1 and 3). These mitochondrial changes cannot be compared with
pathological giant mitochondria as they appear in certain clinical syndromes. In these syndromes we
can observe pathological swelling of the organelles and deposit of pathological paracrystalline albumins
leading to specific myopathies [47].
The structure of mitochondria may vary strongly according to the type of cell. They can impress as
sausage shaped organelles, but may also appear as a highly branched intercommunicating tubular
network. Observations of fluorescence marked mitochondria in living cells have shown that they are
dynamic and may vary their shape strongly. Above all it is important that mitochondria may merge with
each other, or divide themselves. Probably the balance between fusion and division is decisive for the
shape and form of a mitochondrion [18]. It was shown in histological researches on helium-neon laser
irradiated lymphocytes that by development of so called giant forms the number of mitochondria was
diminishing simultaneously, but the total volume was unchanged. It was detected that the cause of the
development of "giant mitochondria" was a fusion of smaller mitochondria [2, 31]. Manteifel and Karu
proved big branched forms of mitochondria in germinating yeast cells, but after laser-irradiation an
expansion of the tubular network developed without damaging the organelles [32]. These mitochondria are
marked by a relative enlargement of surface of the mitochondrial cristae due to activation of the respiratory
chain and ATP-synthesis. It has to be mentioned that the description of the development of mitochondria
to giant mitochondria is discussed controversially. Heine (reviewer of this article) is pointing out that there
is no evidence that such pathological forms of mitochondria will lead to an activation of varied metabolic
pathways ways leading to an increase of ATP-production. Heine described the way of reproduction of
mitochondria in 1979: Whenever there is a need of additional ATP they will divide, but not fuse with each
other [17]. Obviously there seem to be generalized effects of the intravenous blood-irradiation on almost
every organ system so that this therapy may be employed in the treatment of various deseases causally or
additively. Gasparyan described the improvement of microcirculation especially in central nervous
structures. In particular, this is most imprtant in the hypothalamus which has a highly developed vascular
micro system. He assumes that the intravenous blood-irradiation is stimulating the functional activity of the
hypothalamus and limbic system leading to an activation of hormonal, metabolic, immunological and
vegetative processes with mobilization of adaptive reserves [11].
TABLE 1 Described effects of intravascular laser blood-irradiation
Stimulation of immune response, specific and non-specific
Increase of the immunoglobulines IgG, IgM and IgA
Stimulation of interferons, interleukins and TNF-alpha
Stimulation of the proliferation of lymphocytes
Increase of phagocytic activity of macrophages
Lowering of CRP
Improvement of the anti-oxidant enzymatic system with antitoxic effect
Improvement of regeneration of erythrocytes and of microcirculation
Reduction of aggregation of thrombocytes
Activation of fibrinolysis
Stimulation of the NO-production in monocytes with vasodilatation and improvement of endothelial
dysfunction
Fusion of mitochondria to "giant mitochondria" with increase of ATP-production in the respiratory chain
Normalization of the cell membrane potential
3. Comparison of intravenous laser with ultraviolet irradiation of the blood (UVB and HOT)
For the ultraviolet irradiation of the blood a certain amount of blood is taken out of the vein, anticoagulant
substances are added and after UV-C-irradiation led back to the body by reinfusion (UVB-therapy).
In haematogenous oxidation-therapy (HOT) the blood is frothed with oxygen additionally before it will be
irradiated with ultraviolet light [9]. As a result there are various positive effects, very similar to the effects of
intravenous laser blood-irradiation mentioned above. Basically it is not surprising because in both types of
therapy high-energy photons are administered to the blood - with stimulation of immunological and cellular
biological processes, and influences on rheology. Comparing both methods, the difference lies in the fact
that in intravenous laser blood-irradiation no blood has to be taken out and no additional anticoagulants are
required. The blood will not be cooled down or modified with intravascular therapy by means of a disposal
catheter. There is no risk of aggregation with causing of coagula, and constant observation of the patient is
not necessary.
The use of monochromatic laser-irradiation in contrast to non-monochromatic ultraviolet-irradiation is
considered to be an additional advantage. Since nowadays we have essential understanding of
absorption- and action spectra of the various intracellular macromolecules and electron-carrier-systems
[19], calculated biological effects can be set off with defined wavelengths in the catalytic centers of these
structures. It is a known fact that e.g. the cytochrome-C-oxidase-complex as the final part of the
mitochondrial respiratory chain is absorbing in the red- and infrared range, and the NADH-complex as the
first component is absorbing in the blue range. Another advantage of laser-light beside monochromasy is
the coherence of the radiation which by means of particular order functions (in-phase-conformity of the
waves) possibly has specific biological effects. A specific effect of coherence on cellular structures is
however discussed controversially.
Light of the visible and the infrared spectrum is regarded as less dangerous than ultraviolet light. Today
there is a well known borderline of 320 nm beyond that, ultraviolet light may cause fractures of the DNA-
chains.
This risk does not exist in the visible and near infrared spectrum.
8. Clinical studies:
8.1 The Results of eastern studies
An extensive study of the Academy of Medicine Wolgograd on 175 patients with chronic liver diseases,
including forms of chronic hepatitis and cirrhotic liver was published in German translation, 2002 [47]. After
a series of 10 treatments with 630nm 1mW red light laser for 40 min a significant improvement of the
antioxidant enzyme system and a long lasting significant reduction of pathological increased liver
parameters were achieved. In 2002 several most interesting articles on the influence of long term
complications and fat metabolism disorders connected with diabetes mellitus, were published by the
Russian doctor Tatjana Kovalyova ( Department, 2. Municipal Clinic Izhevk, Russia) translated by Prof.
Marti, Institut für LLLT & Naturheilkunde, Thun/Switzerland [24, 25]. The patients were treated in three
series with 10 sessions every day over a span of six months.
This therapy was performed as so called combined laser therapy, that means besides the intravenous
laser-application additionally the regions of liver, pancreas and spleen were irradiated transcutaneously.
An almost statin-equivalent reduction of lipid parameters was described as well as a significant reduction
of various typical diabetic complications such as retinopathies and angiopathies [24]. D. Siposan and
colleagues of the Bucharest University, Romania, could prove in a study on 40 patients in August 2004 a
significant improvement of the aggregation tendency of erythrocytes and a stabilization of the erythrocyte
membranes [44].
Even an improvement of the life-threatening situation of hemorrhagic shock could be shown in a study by
Kozura and colleagues in 1993 [26]. Spasow and colleagues described in September 2000 a significantly
improved tolerability of medication on patients with chronic hepatitis [48]. Khotiainsev et al. described the
effects of the electrophysiological efficiency of laser blood irradiation in acute coronary syndromes on 200
patients in 1996 with the conclusion that this therapy results in distinct positive changes of
electrophysiological characteristics of the cardiovascular system with corresponding antiarrhythmic effects
[21].
8.2 Results of the first own pilot study 2004
Since the described method after reviewing the available literature
seems to have an astounding scientifically interesting potency, the
author decided to reproduce at first the most remarkable results of
the studies of the Russian literature. The quoted study of
Skvorcov et al. on treatment of chronic liver diseases [46] and the
large-scaled studies of Kovalyova on treatment of diabetics with
fat metabolism disorders [24, 25] were taken as a basis. For
verification of the mentioned studies, 20 patients with diabetes
mellitus and 15 patients with chronic liver diseases were included
in a first pilot study in 2004 and were treated according to the
Russian schedule with intravascular red light laser therapy (632
nm, 1,5 mW, 30 min) and transcutaneous irradiation of liver,
pancreas, and spleen at the points Lv 13, Lv 14 right side, and CV
12 with infrared laser (810 nm, 100 mW) for 20 minutes. picture 6: Zertifiziertes
Laserblutbestrahlungssystem mit
The intravascular treatments were carried out with the new type of biokompatiblem Einmalkatheter Quelle:
laser blood irradiation system "weberneedle blood" of weber M. Weber [53]
medical, Lauenförde (Germany) (picture 6) [53]. For the external
irradiation the weberneedle-basic laserneedle acupuncture system
with infrared laser needles was used.
Picture 12 shows the treatment of a patient suffering of severe allergy with intravascular laser blood
irradiation combined with laserneedle acupuncture.
Picture 11 demonstrates the treatment of a diabetic patient with intravenous laser therapy and external
laser irradiation of an ulcus cruris.
On the whole the described results of the Russian literature could be confirmed. Actually there was a
significant decrease of chronically increased liver and lipid parameters, but the reduction of LDL-
cholesterol was significant above all. In individual cases a drop of pathological HbA1c values was
observed, but the validity of the figures is limited because the majority of diabetics were already been
well adjusted. On ethical grounds a discontinuation of a preceding antidiabetic medication could not be
justified. A maximum of improved laboratory parameters was observed as a rule mostly after six to
twelve weeks. Because of this characteristic course one could conclude that the postulated long term
cellular changes were modified at first and without any therapeutical procedures, had an effect with
temporary delay only. However immediate effects were observed, especially a tendency of
hypoglycemia on stabile adjusted diabetics.
8.3 Own Treatment data 2005
114 patients with a variety of clinical syndromes had been treated and evaluated in the year 2005 by the
author himself. The treatments were carried out according to Russian instructions as combined treatments
with laserneedle acupuncture. Partly it concerned patients who previously showed unsatisfactory results
with acupuncture exclusively.
• fat metabolism disorders (n = 20)
• diabetes mellitus (n = 20)
• chronic pain syndrome (n = 12)
• rheumatoid arthritis (n = 5)
• polyneuropathies (n = 4)
• chronic-inflammatory bowel diseases (n = 5)
• fibromyalgia (n = 7)
• hypertension (n = 6)
• tinnitus (n = 3)
• macular degeneration (n = 4)
• multiple sclerosis (n = 9 )
• burn-out-syndrome (n = 9)
• allergies and eczemas (n = 10)
The following effects could be verified by a questionnaire survey and the evaluation of clinical tests and
laboratory parameters:
General Effects
Since its introduction and certification in March 2005 the laser blood irradiation method was established in
more than 300 centers in Germany, Austria, Switzerland, Italy and Australia until the end of 2006. From
the amount of ordered disposable catheters one can find out that there were carried out approximately
100,000 treatments in the various centers because the disposable catheter is not available elsewhere. A
major poll was held at the end of 2006. On the occasion the following points should be considered:
• Acceptance by the patient
• Side effects
• Effects on the general state of health
• Presentation of special effects on the basis of case studies
This survey was a first major multicenter evaluation. A scientific evaluation of precise data will be made at
a later time since the method is still new and many centers applied this therapy just in the course of 2006.
After the evaluation of the questionnaires the above effects on the general state of health and general
fitness and on the special effects of the provided case studies could be confirmed entirely. The
acceptances from the patients were rated to be good by everyone, and there was no report on severe side
effects. There are exceptionally interesting case studies that will be published later.
Multiple sclerosis (MS) is an isolated central nervous system disorder of unclear origin. Initially
inflammatory processes predominate, degenerative developments ensue during the following
progress. Disturbances of the motor and sensitive system come to the fore of symptomatology,
culminating in restrictions of visual capacity due to inflammatory processes of the central nervous
system. A massive chronic exhaustion subsequently often ensues, which may cause inability to
work and for which no effective therapy is known. Concordance with the HLA system is known,
affecting the autoimmune and inflammatory processes. In terms of aetiology, an autoimmune,
neurodegenerative and inflammatory origin is discussed.
The current prevailing doctrine assumes that a T-cell-dependent disorder with initial secondary
macrophage activity and myelin sheath destruction is concerned. An immunosuppressive
treatment is normally carried out nowadays.
10. Discussion:
The various positive effects of intravenous laser blood irradiation that are described in the
literature could be affirmed to a large extent by the author and described pilot studies. But how
the administered photon-energy reaches the particular organ-cells is not finally clear until today.
Whether it is a matter of transfer of information of bio-photons or it concerns a transport of
energy through other ways of metabolism with increased ATP-production at the end, needs an
intensive scientific research in the next years. In former explanation models the transfer of
electrons is responsible for the separate steps in energy transport of the cell. There are various
electron carriers in the mitochondria like cytochrom-systems, flavins, Fe-S-complexes and
others. One can measure typical absorption maxima for electromagnetic radiation for the various
carrier-systems. At the absorption maximum the system can pick up the maximum
electromagnetic energy and by that speed up the process of oxidative phosphorylation. For
further research the calculated use of specific wavelengths that orientate towards the absorption
maxima of the divers biochemical structures should be of fundamental importance. By this way
stimulation or inhibition of enzymes of the metabolic pathways can be investigated.
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