Massage in complex treatment chronic diseases gastrointestinal tract prescribed to provide a normalizing effect on the neuroregulatory apparatus of organs abdominal cavity to help improve their secretory activity, improve the function of smooth muscles of the intestines and stomach, and strengthen muscles abdominals.

Massage for chronic gastritis. Indications: chronic gastritis, developed as a result of irregular nutrition, chronic intoxication, metabolic disorders, endocrine disorders, etc.

Massage plan: impact on paravertebral zones and reflexogenic zones of the back, neck and abdomen, stomach massage, abdominal muscle massage. The patient's position is lying down.

Methodology. Massage of the paravertebral zones of the spinal segments D 9 - D 5 and C4 - C 3: planar deep stroking, circular rubbing with the ends of the fingers, shading, sawing; kneading longitudinally, vibration - continuous, patting. Massage of the broad muscles of the back and trapezius muscles: stroking, rubbing - shading, sawing, kneading, vibration. Stroking, rubbing with fingers and the elbow edge of the palm of the inner edge and corner of the left shoulder blade. Massage of the sternocleidomastoid muscles. Front surface massage chest: large pectoral muscles- stroking, rubbing, kneading; stroking the intercostal spaces, III-VI ribs on the left, rake-like rubbing from the sternum to the spine, stroking and rubbing the supra- and subclavian zones on the left and the costal arches from the sternum to the spine. Massage of the reflexogenic zones of the sun

hepatic plexus- stroking and rubbing circularly with the ends of the fingers and the palmar surface of the hand from the sternum to the navel. Massage: stomach: circular strokes from right to left in the stomach area, at first gentle flat, then deeper as the muscles relax. Rake-like gentle rubbing of soft tissues in the left hypochondrium. Continuous vibration of the stomach with the palm of the hand: shaking the stomach with fingers placed in a rake-like manner on the epigastric region on the left, pushing the stomach. Gentle superficial continuous and intermittent vibration in the cecum area. Abdominal muscle massage: stroking, rubbing - planing, sawing, crossing, kneading - longitudinal, transverse, stretching, compression, shifting, rolling, vibrations - continuous vibration stroking, gentle patting. Abdominal shaking. Shaking the belly. Procedure time - 10-15 minutes. The course of treatment is 12-15 procedures, every other day.

Massage for chronic colitis and dyskinesia of the gastrointestinal tract. Indications: chronic colitis, accompanied by spastic and atonic constipation, weakening motor function stomach and intestines, strengthening the motor function of the stomach.

Massage plan: impact on paravertebral zones and reflexogenic zones of the torso (Fig. 67), abdominal massage, massage of the stomach and intestines, shaking of the abdomen and pelvis. Breathing movements and movements to strengthen the abdominal muscles. The patient's position is lying down.

Methodology. Massage of the paravertebral zones of the spinal segments L 2 - L b D 12 - D 5, C 4 - C3: plane superficial and deep stroking, transverse rubbing with the ends of the fingers - longitudinal, circular, shading, sawing; kneading - longitudinal, shifting, pressing; continuous vibration with the palm, intermittent vibration with the tips of the fingers, patting, chopping. Stroking, rubbing and kneading the broad muscles of the back and trapezius muscles. Massage of the scapular area on the left: rubbing, vibration; stroking and rubbing the vertebral edge and angle of the scapula, costal arches and iliac crests. Abdominal massage. Plane superficial and deep circular stroking from right to left around the navel; stroking towards the axillary and inguinal glands. Rubbing the tissues of the anterior abdominal wall: hatching, sawing, grinding,

67. Localization of reflex changes in intestinal diseases (according to O. Glezer and A. V. Dalikho, 1965): a - in front; b - behind

crossing. Longitudinal kneading of the rectus abdominis muscles in the direction from the symphysis pubis to the xiphoid process. Stroking and kneading the oblique abdominal muscles. Vibrations in the form of puncturing techniques, gentle patting with the palm, quilting and vibration stroking. Concussion of the abdomen in the longitudinal and transverse directions. Concussion of the pelvis. Massage: solar plexus areas

nia: circular stroking, rubbing and gentle vibration from the xiphoid process to the navel. Massage the stomach area. Planar circular stroking in the stomach area. Gently rubbing the skin with your fingertips, subcutaneous tissue and muscles of the left hypochondrium. Light tremors of the epigastric region on the left with the ends of the fingers placed in a rake. Pushing the stomach. Vibrating stroking of the stomach area. Intestinal massage. Alternating with the techniques of circular stroking of the front wall of the abdomen, they perform techniques of intermittent vibration with the ends of the fingers and alternating pressure on the abdominal wall over the entire surface of the abdomen. Colon massage is performed clockwise, first affecting the ascending colon, then the transverse colon, and then the descending colon. Apply stroking with the ends of the fingers along the intestines and ironing, superficial and deep; circular rubbing with the ends of the fingers and a weighted brush, shading; vibrations - continuous and intermittent, with the ends of the fingers, gentle pressure, shaking and pushing of individual areas of the colon; gentle vibration of the cecum area. Finish the massage with gentle patting and shaking of the abdomen, and circular planar stroking. Breathing movements. Movements to strengthen the abdominal muscles. Procedure time - 12-15 minutes. The course of treatment is 12 procedures, every other day.

Massage at chronic diseases liver and bile ducts. Indications: chronic hepatitis in remission.

Massage plan: impact on the reflexogenic zones of the chest, massage of the solar plexus area, massage of the abdomen, liver and gall bladder. Breathing movements. The patient's position is lying down.

Methodology. Massage of the paravertebral zones of the spinal segments C3 - C4, D 6 - Di 0 - planar and enveloping stroking, vibration stroking, circular rubbing with the ends of the fingers, shading, comb-like rubbing, sawing, kneading - longitudinally, shifting, stretching, vibrations - puncturing, patting, tapping , transversely with a fist, chopping. Stroking, rubbing, kneading and vibrating the trapezius muscles, stroking and rubbing the area right scapula, corner and its inner edge, rake-

various stroking and rubbing of the intercostal muscles in the area of ​​the VII-IX ribs on the right and in the area of ​​the right axilla. Neck massage: transverse kneading, rubbing and stroking, pincer-like stroking and kneading of the sternocleidomastoid muscles. Chest massage: flat and grasping stroking from the white line of the abdomen to armpits, rubbing and kneading the pectoralis major muscles, stroking and rubbing the supra- and subclavian zones on the right and the sternum area, vibration stroking the chest. Stroking and rubbing the costal arches. Massage of the solar plexus area - circular stroking, rubbing and intermittent vibration from the xiphoid process to the navel. Chest concussion. Abdominal massage. Planar, superficial stroking from right to left around the navel, gentle circular rubbing and shading of the skin, subcutaneous tissue and muscles of the right hypochondrium with the ends of the fingers. Kneading the anterior abdominal wall - longitudinally and transversely, shifting and stretching. Massage of the right rectus abdominis muscle - rubbing, kneading, vibration. Gentle small-amplitude shaking of the abdomen in the longitudinal and transverse directions. Massage: liver: gentle stroking with the tips of the fingers and palm in the liver area from below to the left and to the right upward towards the gate of the liver; rubbing the right hypochondrium with the ends of the fingers in circular directions, gentle intermittent vibration of the edge of the liver under the costal arch with the ends of the fingers, intermittent and continuous gentle vibration of the liver area with the palm. Liver push. Concussion of the liver. With atony of the gallbladder walls - massage: gallbladder: gentle planar circular stroking, rubbing and continuous vibration with the ends of the fingers, rhythmic light shallow pressure. The massage ends with stroking the abdomen and chest, and breathing movements. Procedure time - 12-15 minutes. Course - 12 procedures, every other day.

Massage with ulcerative stomach diseases And duodenum. Indications: peptic ulcer stomach and duodenum in the remission stage in the absence of pain on palpation, nausea, vomiting and other symptoms of exacerbation of the inflammatory process.

Massage plan: impact on the reflexogenic zones of the back, chest and cervical sympathies

tic nodes, massage of the stomach area. Breathing movements. The patient's position is sitting and lying down.

Methodology. Massage of the paravertebral zones of the spinal segments D 9 - D 5, C7 - C3 - plane deep stroking, rubbing with the ulnar edge of the palm, sawing, planing, longitudinal kneading, shifting, pressing, patting, chopping, vibration stroking. Massage of the latissimus and trapezius muscles - stroking, rubbing, kneading, vibration. Stroking and kneading the sternocleidomastoid muscles. Stroking and rubbing the interscapular and left scapular areas, the inner edge and angle of the left scapula, V-IX intercostal spaces and costal arches. Stroking and kneading the pectoral muscles. Rubbing the sternum with the ends of the fingers, stroking and rubbing the sub- and supraclavicular areas on the left and from the xiphoid process of the sternum to the navel. Abdominal massage: superficial stroking from right to left around the navel. Gently rubbing the left hypochondrium area with the tips of the fingers. Kneading the anterior abdominal wall - longitudinally, transversely, shifting, stretching, rolling. Gentle small-amplitude shaking of the stomach and colon from the right iliac region up to the right costal margin towards the left hypochondrium and downwards colon. Finish the abdominal massage with circular flat strokes. Compression and stretching of the chest, shaking of the chest, abdomen with a small amplitude in the direction from left to right and from bottom to top. Concussion of the pelvis. Breathing movements. Procedure time - 15 minutes. Course of 12 procedures, every other day.

Massage is contraindicated in acute stage diseases of internal organs, for diseases of the gastrointestinal tract with a tendency to bleeding, for tuberculous lesions, for neoplasms of the abdominal organs, for acute and subacute inflammatory processes of the female genital organs, during pregnancy, in the postpartum and post-abortion periods for 2 months.

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The cause of the disease may be postoperative adhesions in the abdominal cavity, various chronic inflammatory processes in the female genital organs, etc. The disease is characterized by paroxysmal burning or boring pains that occur in the epigastric region, sometimes spreading throughout the entire abdominal area, radiating to the chest and lumbar regions spine. On palpation painful sensations appear in the epigastric region between the xiphoid process and the navel. In addition, a patient with solar plexus neuralgia may have bloating, constipation, or diarrhea.

1. Grinding with strokes.

2. Stroking the end phalanges of the middle and ring fingers.

In the area of ​​increased muscle tone:

3. Light mechanical vibration.

If, as a result of vigorous impact, the person being massaged in the area bottom corner Should the shoulder blades develop pain, a feeling of numbness and itching, then it is necessary to perform a stroking technique in the area under the porch cavity.

You can massage the epigastric region only after reducing the muscle tone of the areas on the back. In the solar plexus area, you should not press hard on painful points, because this can cause a sharp decrease in blood pressure, slow pulse, spasm peripheral vessels. The massage session should last 5-10 minutes.

Healing points of our body. Practical atlas Dmitry Koval

Relaxation of the solar plexus area

The solar plexus contains the nerve endings of all internal organs. This center controls cardiac activity and breathing. It is located in the upper abdomen, under the sternum. Impact on the solar plexus projection zone relaxes the whole body. Working with this zone, as well as with the diaphragm zone, is mandatory within the session (I usually move it to the end), and outside it is very effective for insomnia and nervous breakdowns. Massage of the solar plexus area perfectly helps children when they are capricious, overexcited, and cannot sleep. While massaging this area, the patient is advised to breathe deeply from the lower abdomen. If you are doing a massage small child, adjust to the rhythm of his breathing.

They work with the solar plexus zone when:

High blood pressure;

Bronchial asthma;

Migraine;

Pain of any origin and location;

Emphysema;

Stomach ulcer;

Fatigue, overwork;

Stress, worry, anxiety, fears (with deep breathing).

The reflex zone of the solar plexus is located on the transverse arch of the foot, in the fossa, in the center of the diaphragm line.

To massage the solar plexus area, we will use the previous technique - when working with the diaphragm area, we always include the solar plexus area. But it’s better to work with it separately. Feel for a hole on the line of the diaphragm, press it firmly with the pad of your thumb, then release it. Repeat several times. You need to work with both feet at the same time. Thumbs When applying pressure, keep it in an upright position.

In combination with deep breathing, the impact on the solar plexus area is more effective. Deep breathing helps relieve tension and saturate the body's cells with oxygen. Pressure is applied to the reflex zone while inhaling. As you exhale, gradually release the pressure.

Most people don't know how to breathe correctly. Therefore, I will give some explanations on this matter.

Usually we breathe with our chest. With this type of breathing, air penetrates only into top part lungs. This is only a third of their total volume! To fill the lungs completely, you need to straighten your back, relax your upper body as much as possible and place your palms on the area just below the navel - right on top of left. Inhale deeply, allowing the air to pass into bottom part belly. At the same time, the stomach protrudes slightly, as if a balloon is being inflated in it. Note this feeling of abdominal expansion. When you have completed your inhalation, pause for a moment. Then breathe out calmly. Air should enter and exit the lungs without tension, due to the work of the respiratory muscles; there is no need to try to draw in as much air as possible.

The solar plexus contains the nerve endings of all internal organs. This center controls cardiac activity and breathing. It is located in the upper abdomen, under the sternum. Impact on the solar plexus projection zone relaxes the whole body.

Working with this zone, as well as with the diaphragm zone, is mandatory within the session (I usually move it to the end), and outside of it it is very effective for insomnia and nervous breakdowns. Massage of the solar plexus area perfectly helps children when they are capricious, overexcited, and cannot sleep. While massaging this area, the patient is advised to breathe deeply from the lower abdomen. If you are giving a massage to a small child, adjust to the rhythm of his breathing.

They work with the solar plexus zone when:

❖ high blood pressure;

❖ bronchial asthma;

❖ migraine;

♦> pain of any origin and location;

❖ hiccups;

❖ emphysema;

❖ stomach ulcer;

❖ fatigue, overwork;

❖ stress, worry, anxiety, fears (with deep breathing).

To massage the solar plexus area, we will use the previous technique - when working with the diaphragm area, we always include the solar plexus area. But it’s better to work with it separately. Feel for a hole on the line of the diaphragm, press it firmly with the pad of your thumb, then release it. Repeat several times. You need to work with both feet at the same time. Keep your thumbs in a vertical position when pressing.

In combination with deep breathing, the impact on the solar plexus area is more effective. Deep breathing helps relieve tension and saturate the body's cells with oxygen. Pressure is applied to the reflex zone while inhaling. As you exhale, gradually release the pressure.

Most people don't know how to breathe correctly. Therefore, I will give some explanations on this matter.

Usually we breathe with our chest. With this type of breathing, air penetrates only into the upper part of the lungs. This is only a third of their total volume! To fill the lungs completely, you need to straighten your back, relax your upper body as much as possible and place your palms on the area just below the navel - right on top of left. We inhale deeply, allowing the air to pass into the lower abdomen. At the same time, the stomach protrudes slightly, as if a balloon is being inflated in it. Note this feeling of abdominal expansion. When you have completed your inhalation, pause for a moment. Then breathe out calmly. Air should enter and exit the lungs without tension, due to the work of the respiratory muscles; there is no need to try to draw in as much air as possible.