TERMINOLOGY AND CLASSIFICATION IN THERMAL MEDICINE A CONTRIBUTION TO COMMON PROTOCOLS OF CARE

7/29/2019 TERMINOLOGY AND CLASSIFICATION IN THERMAL MEDICINE A CONTRIBUTION TO COMMON PROTOCOLS OF CARE

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Author: Fausto Bonsignori , Medical Director Petriolo

Terma spa Resort

TERMINOLOGY AND CLASSIFICATION

IN THERMAL MEDICINE

A CONTRIBUTION TO COMMON PROTOCOLS OF CARE


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Fausto Bonsignori , Medical Director Petriolo Terme spa Resort

IN ALL AREAS OF INTERNATIONAL COOPERATION

IS NECESSARY TO USE COMMON TECHICAL THERMS

IN THE MEDICAL FIELD IS VERY IMPORTANT ALSO SHARE PROTOCOLS FOR

RESEARCH AND FOR PRACTICE

THIS IS ALSO ONE OF THE OBJECTIVE OF OUR PROJECT

THIS PRESENTATION IS INTENDED AS A CONTRIBUTION

TO ACHIEVE THE OBJECTIVE


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THERMAL MEDICINE

MEDICAL HYDROLOGY is the branch of

medicine that studies the TERAPEUTIC

APPLICATION OF WATER WITH SPECIFIC

PHARMACOLOGICAL ACTIONS

CRENOTHERAPY ( from greek cren =

source ) is the branche of medicine that

studies the ACTION OF VARIUS

THERAPEUTIC MEANS OF THERMAL

ENVIRONMENT.

CRENOTERAPY stand for THERMAL

MEDICINE

THERMAL RESOURCE OF CARE

MINERAL WATER

MUD (Peloids)

SAND and SEAWEED

GAS

MICROCLIMATE

Fausto Bonsignori , Medical Director Petriolo Terme spa Resort 3


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MINERAL WATERSTHERAPEUTIC CLASSIFICATION

1. MAIN CRITERIA

1. TEMPERATURE

2. FREEZING POINT

3. RESIDUE AT 180 C

4. PREVAILING IONIC

COMPOSITION AND

SPECIAL PHYSICAL

CHIMICAL CHARACTERISTIC

5. MAIN BIOLOGICAL

ACTIVITY



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MINERAL WATERS main criteria of CLASSIFICATION

TEMPERATURE

cold water < 20 , hypo thermal 20-30 c ,thermal 30-40 c, hyperthermal > 40c

FREEZING POINT

hypotonic < 9 gr/lt salt, isotonic 9 gr/lt salt (fisiologic saline) , hypertonic > 9gr/lt salt

RESIDUE AT 180C

strict mineral R. > 1 gr/lt, mediomineral R. 200 mg-1g/lt oligomineral R. < 200 mg/lt

PHYSICAL-CHEMICACAL CHARACTERISTICChloro-sodic (saline) , solfate , bicabonate-calcium(alkaline and alkaline terrouse)

carbogaseus, sulfurrous, arseniacal-ferrinous, radiactive

MAIN BIOLOGICAL ACTIVITY : diuretic, purgative, antiphlogistic



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INTERNAL THERMAL MEDICINE

Drinking therapy

Irrigation

Inhalation therapy

Insufflation

EXTERNAL THERMAL MEDICINE

Balneotherapy

Therapeutic showers

Mud

MICROCLIMATE-THERAPYTHALASSOTHERAPY

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THERMAL MEDICINE : METHODS


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DRINKING THERAPY


WATER LOAD : the morning (empty stomac) in abaut 30

DIVIDED DOSES : the morning (empty stomac) or in the afternoon between

meals, in small spis during a walk

Dosage basis of 500cc + 10cc of water per Kg of body weight , at natural

temperature or slightly heated, pure or diluite

DIURETIC : oligomineral-mediomineral, usually in divided doses

modalityurinary lithiasis : water load modality

PURGATIVE : saline , saline and solfate, alkaline

DIGESTIVE : cold or warm, alkaline

HAEMOPOIETIC : arsenicale-ferruginous diluited in relation to the minerals

concentration

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IRRIGATION

Thermal water flow is in contact with the mucosa of open body cavity ( rectum,nose, mouth, vagina ) .

MAIN METHODS IN USE

RECTAL IRRIGATION

dose range 4-10 lt, flowed slowly (10-15) at temperature of 36-38c

VAGINAL or GYNECOLOGICAL IRRIGATION

dose range 2-3 lt . The supply pressure must be very low and the flow velocityvery slow (30) temperature 36-38c

NASAL , GUM AND ORAL WASHES

sprayed water (pressure 1-2 atm and temperature 38-40c) also with

anatomical mouthpieces



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INHALATION THERAPHY

THE CHOISE OF APPLICATION

TECHNIQUE IS CRUCIAL FOR

THERAPY

SPECIFIC RELATIONSHIP BETWEEN

WATER PARTICLES DIAMETER AND

SECTOR TO BE TREATED

LARGES PARTICLES ARE DEPOSITED

ON THE UPPER AIRWAYS (PHARYNX,

LARYNX, TRACHEA)

DROPLETS WITH A DIAMETER LESS

THAN 3 MICRON CAN GET TO

PULMONARY ALVEOL


DIAMETER RETENTION

RATE

MAX. LOCATION

> 10 100% Pharynx, larynx,

trachea

6 95 Larynx, trachea,

bronchi

4 90 Bronchi, bronchioles

2 80 Bronchioles, acini,

alveoli

1 60 Acini , alveoli

0,6 35 alveoli

< 0,1 variable alveoli


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MAIN TECHINIQUES FOR INHALATION THERAPY

IN THERMAL MEDICINE

THERMAL WATER FOG

in satured steam room ,Variable diameter particles wet or dry fog . Treatment

time : 15-20 the first 3 sessions then go to 60

INHALATION

individual equipmement that produces a jet of thermal steam (direct jet steam)

with large particles . Treatment time : 20

AEREOSOL

special equipment that divided themal water in tiny particles diameter 15 micron

Treatment time :15

HUMAGES

it take advantage of the gaseous content of some water . individual or collective.

Treatment time 20 (indiv) 30



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INSUFFLATIONonly thermal gas without water particles

POLITZER TECHNIQUE

ENDOTYMPANIC INSUFFLATION with

ITARD TUBAL CATHETER



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BALNEOTHERAPHY

CLASSIC BALNEOTHERAPY

ALL THERMAL WATERS

NATURAL OR DILUITED

AVERAGE TEMP. 33-35C

(VARIABLE)

TREATMENT TIME : 20

IMMERSION BODY

AFTER : REST PERIOD 20-30



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MAIN TYPES OF BALNEOTHERAPY


POOLSMax height 120-130 cm , diving handrail along perimeter 10 cm diving

chairs and beds ( 40 and 20 cm ) , whirpools

H. SINGLE BATH

standard size length 210-220 cm , width 85-90 cm , capacity 200-220 lt

LOCAL BALNEOTHERAPHY

h. baths for hands and feet

WATER PASSAGE

2 long (8-10 mt) and narrow pools , near but no connected, 50-60 cm, deep,

water with different temperature : 27-30c/24-26c . Whirlpools,

cobblestone floor.


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LOCAL BALNEOTHERAPY and WATER COURSE



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SHOWER


UNDERWATER SHOWER

Operator directs the underwater jet ( 1-3 atm ) toward the patient immersed

JET SHOWER

Operator directs, with specific method, a powerful ject of thermal water.

Patient standing at a distance of 2,5-3 m treatment time : 10

RAIN SHOWER ( VICHY SHOWER )

patient lying on particolar bed. Multiple filiform jets of thermal water on

the whole body. Treatment time : 15

SCOTTISH SHOWER

patient standind surrounded by dispenser that emit thermal water at

different temperature. Alternating or simultaneously. Treatment time 5


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RAIN SHOWER and SCOTTISCH SHOWER


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PEILODS


PELOIDS

INORGANIC

MUD

SILT

ORGANIC

PEAT

MILDEW

SUBSTANCE FORMED IN

NATURAL CONDITIONS UNDERTHE INFLUENCE OF GEOLOGICAL

PROCESS AND WICH IN

SMOOTHLY DIVIDED STATE AND

IN MIXURE WITH MINERAL

WATER ARE USED IN MEDICAL

PRACTICE

COMBINATION OF MINERAL

WATER AND ORGANIC-

INORGANIC SUBSTANCE

DERIVED FROM GEOLOGIC-

BIOLOGICAL PROCESSES


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APPLICATION TECHNIQUES

Fausto Bonsignori , Medical Director of PetrioloTerme spa Resort

MUD

Solid and liquid part ( clay + mineral water ) togheter for at last 6 months for the

maturation processes

THE STANDARD TEMPERATURE (43-45c) IS KEPT CONSTANT .

THIKNESS 10 cm , no total body .

TREATMENT TIME : 20 and after SHORT WARM BATH OR SHOWER andfollowing a RELAX PERIOD (30) COVERED.

SILT ( SEAMUD )

Formed in shallow marine ( lagoon or lake ) . Curing time is very long : decades

STANDARD APPLICATION AS THE MUD

MEDALLION METHOD

SHIRT METHOD


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APPLICATION TECHNIQUES

Fausto Bonsignori , Medical Director of PetrioloTerme spa Resort

PEAT

Formed by decomposition of waste vegetable ( RAW PEAT ) soaked in mineral

Water.

STANDARD APPLICATION AS MUD

APPLICATIONS AS SILT

RAW PEAT AS ENRICHMENT OF BALNEOTHERAPY

MILDEW

Mucilaginous substance ( derived from algae ) that are formed with sulphurosous

water.

APPLIEN IN VERY THIN LAYER , TREATMENT TIME 15

WRAPS METHOD

FACE MASKS


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MICROCLIMATE THERAPHY


PARTICULAR MICROCLIMATES (WARM OR COLD, WET OR DRY) PRESENT IN

NATURAL OR ARTIFICIAL CAVITIES USED FOR THERAPEUTIC PURPOUSE

HOT WET CAVITY

Variables levels of temperature ( 32-43c ). Usually relative humidity 90-95%

Treatment time : differente than the temperature ( 15-50 ) HOT DRY CAVITY

Temperature up to 70-75c .

Treatment time : 20-30

COLD DRY CAVITY

Constant temperature ( 9-12c ) .

Treatment time : minimum 120

SALT CAVE : HALOTHERAPY


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THALASSOTERAPY


DEFINITION

THE THERAPEUTIC UTILIZZATION OF FISIC AND CLIMATIC

STIMULETS CAUSED BY PECULIAR ENVIRONMNENTS OR MEANS

DERIVED FROM THE SEA-SIDE

THE COMBINATE USE FOR PREVENTION OR CURE OF ALL THE

BENEFICIAL ASPECTS OF THE SEA ENVIRONMNENTS : THE

CLIMATE, SEAWATER, SEAMUD, SEAWEED, SAND AND OTHER

SUBSTANCES DERIVED FROM THE SEA


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THALASSOTERAPY

A CHAPTER OF MEDICAL THERMALISM TO WICH IT RESEMBLES,FOR THE SIMILAR USE OF MINERAL WATER FOR THERAPEUTIC

STARTEGY, FOR GENERAL INDICATIONS AND

CONTROINDICATIONS, AND FOR EMPLOYEMENT OF THE SAME

HYDROTHERMAL TECHIQUES AND METHODOLGIES

IN MEDICAL PRACTICE


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MARINE

CLIMATOLOGY

SEAMUDTHERAPY

SEAWEEDTHERAPY

PSAMMOTHERAPY

BALNEO

THERAPYCOLD , WARM

WITH ELEMENTS

HELIOTHERAPY

IONIZINGWALKS

SEAPOOLS,

INDIVIDUALBATHS,WATER

PASSAGES

IRRIGATION

INHALATIONMARINE

HALOTHERAPY

SHOWER

AFFUSIONJET

SCOTTISCH

UNDERWATER

THALASSOTHERAPICMETHODS

Fausto Bonsignori Medical Director Petriolo terme spa resort


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EVEN THE MONKEYS USE THE THERMAL BATHS

FOR THEIR HEALT

Fausto Bonsignori , Medical Director Petriolo Terma spa Resort24

MANY THANKS FOR YOUR ATTENTION

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TERMINOLOGY AND CLASSIFICATION IN THERMAL MEDICINE A CONTRIBUTION TO COMMON PROTOCOLS OF CARE

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