Home

Operation manual

1. 75 16 CALCULATION OF CARDIOVASCULAR SYSTEM FUNCTIONAL STATE 8 17 17 RECOMMENDED APPLICATION TECHNOLOGY FOR COMPLEX USED FOR DIAGNOSTIC OF ANS STATE AND LOCALIZATION OF TREATMENT ZONES ON SKIN SURFACE FOR NEUROADAPTIVE ELECTROSTIMULATION Mona Pan LU EUN PA LEN I LOI LEM Ia 80 17 1 COMMON INFORMATION eene 80 17 2 SELECTION CRITERIA AND CHOOSING THE LEVEL OF THE EXPERT SYSTEM belt bean abad 81 17 3 TECHNIQUE OF RESEARCH AT THE FIRST LEVEL 85 17 4 TECHNIQUE OF RESEARCH AT THE SECOND LEVEL 87 17 5 TECHNIQUE OF RESEARCH AT INSTALLATION OF THE THIRD 91 18 TROUBLESHOOTING 94 I9 MAINTENANCE iit 95 1 INTRODUCTION The present User s Manual is intended to familiarize the users with the rules and order of the hardware software reflexodiagnostic Rista EPD complex hereinafter the complex operation The User s Manual con tains information necessary for correct complex operation and mainten ance The complex is intended for measuring recording into the computer memory and handling of induced conductivity resistance values in bio logically active points and skin zones Three types of load electrodermal tests are used to measurement Pa rameters of the tests are determined by the Nakatani method direct current up to 200UA at voltage up to 12V
2. Infium 2 Microsoft Visual Studio Realtek B FastStone Image Viewer Microsoft Works Reference Asser Firebird Microsoft NET RemObjects Soft Sal E Fig 7 6 23 Use double click or the vertical scroll bar to move within the levels of the Directory Tree Use the disk folder list bar Fig 7 7 to change the disk Program Files Fig 7 7 Click on the button to change the disk and the disk list of your computer Fig 7 8 will appear on the screen Click on the necessary disk and its directory tree will be displayed in the Choose Directory window 2 Program Files Rista 9 Data Fig 7 8 If a Card Index already exists in the selected directory the inscrip tion UsersDB GDB Fig 7 9 will appear in theCard Index Files field USERSDB GDB i sersDB adb p Fig 7 9 Click the button OK after the path is created using the Directory Tree The New Card Index window Fig 7 2 with the selected path in the Directory field will appear on the screen Click the button OK if this path is appropriate for you A new empty Card Index Fig 7 2 will appear on the screen 26 8 PATIENT CARD 8 1 CREATING A PATIENT CARD When a patient comes to the doctor for the first time the doctor has to create a Patient Card andAnamnesis in the following way Choose the command New in the Document menu or click the but ton on the toolbar The Choose Document type window wil
3. L Last Name First Mame s Mame EM 1 T patient gt 01 01 1980 07 03 2014 Dioz 03 2014 15 05 56 15 07 48 E 07 03 2014 11 05 2014 E CARD INDEX Anamnesis Fig 5 1 5 1 TITLE BAR The Title bar that shows the program name here RISTA3 is on the top of the main window The main window title bar is always highlighted in dark blue that testifies the window is active that is that you can start working with the window at the moment Window control buttons are on the right in the title bar Click the button to minimize the window into a button on the task bar Click the button amp F5 on the taskbar to open the window again Click the button Ell to maximize the window on full desktop 12 Click the button to restore the window to the size which it had be fore Click the button XI to close the window The button XI of the main window can be used to exit the program There are some other windows inside the main one You may use the above mentioned buttons to operate with them The windows inside the main one can be active the window title 1s highlighted in blue and inactive the window title 1s highlighted in gray You can operate only in active windows Click the title bar of a window to make it active This window will be located on top on top of all other opened windows 5 2 MENU BAR The Menu bar Fig 5 1 1s under the title bar You may choose the co
4. Click the icon of the document to be deleted in the patient s document list The document icon will be highlighted in dark blue Click Delete in the Document menu or click the button g on the main window toolbar The request to confirm the deleting Fig 12 8 will pop up Confirm x Delete dacument s Fig 12 8 If you wish to delete the document click the button Yes and the icon associated with the document being deleted will disappear from the docu ment list To reject the deletion click the button No and the document will not be deleted 12 5 PRINTING AN AURICULAR EXAMINATION DOCUMENT To print a document select a patient in the CARD INDEX window Click the icon of the reguired document in the document list and click View in the Document menu or double click the document icon The window with the processed results of the diagnostic examination Fig 12 5 will pop up 63 Click Print in the Document menu or click the button d on the tool bar The Preview window Fig 12 9 will pop up E an ni x Print 4 Pre gt Next Fittowidth v E E Inches 2 coe 2 Auricular Last Name New First Name Patient Middle Name Year of Birth 1976 Sex Male Age years 38 Date amp Time of observation 14 032014 12 57 a 80 7 60 E 4 30 20 10 Meas ured value 1 AP 82 Daphragm 54 4 AP 37 Cervical vertebras 50 2 3 AP 38 Sacrum and coccyx 78 20 4 1 Page
5. 19 Double click on the document icon in the Document List to view the document content The window for document viewing appears on the screen LUN Nakatani Suricular Cancel o E Hemody Conclusion Prescription Read data SCENAR Expertise from peri Fig 6 2 Document Delete use this command to delete the document from the Document List Select a document to be deleted in the Document List before using this command You may also use the hotkeys Ctrl Del or click on the toolbar but ton 2 to execute this command Document Print use this command to print the document being viewed The preview window will appear on the screen It shows how the document will look on the paper after printing You may also click on the toolbar button i to execute this command Document Exit use this command to exit the program Once this command is executed the desktop will appear on the screen You may also click on the toolbar button to execute this command 6 2 CARD INDEX MENU To work with the Card Index use the Card Index menu Fig 6 3 Card Index New use this command to create a new Card Index Once the command is executed in window appears on the screen Type the file path of the new Card Index 20 card Index Op New Open Fig 6 3 Card Index Open use this command to open the already existing Card Index Type the file path of already existing Card Index in window which wi
6. Small intestine meridian O 1 Neural degeneration of lumbosacral part of spinal Bladder Meridian 1a Autonamic nervous system ofthe peripheral and central nervous system E 1c Cerebral membranes of cerebrum and spinal col Fericardium Meridian O 2 Meural degeneration of the cervical and thoracic pz Triple Energizer Meridian O 3 Trunk of cerebrum and great brain Gall bladder Meridian Liver Meridian Conception Vessel Meridian Kidney meridian Governing Vessel Meridian Lymphatic meridian b Neural degeneration meridian Allergy meridian Fig 17 17 3 Measure chosen points and close a window Measurement After closing of Measurement in folder documents the new document Voll will appear dated the time of research 4 Open this document have a look at document content remember VNS tonus estimation and close the document fig 17 18 92 vall MA 17 03 2014 13 13 55 xj 65 55 0 0 Left Cervical ganglions 1a Estimation of Tonus Sympathic Tonus 80 30 70 70 60 B 50 250 40 40 30 30 20 20 10 A0 0 0 Severe degenerative process organ cirrhosis or fibrosis with the loss of function Evident degenerative process or tumor Considerable degenerative changes or benign non cancerous well differentiated tumors Marginal degenerative changes in organs or tissues Fig 17 19 5 Open the document Nakatani and after the analysis of docu
7. auricular method direct stabilized cur rent of lu A at voltage up to 1 5 V and R Voll s method direct current up to 12 25UA at voltage up to 2 07V Computerized data processing allows to obtain system evaluation of state of main vegetative functions and to find the functions whose activity differs from the conventional norm to obtain comparison evaluation of functional activity of the group of organs set by the therapist and to find those organs whose function al activity differs maximally from all the others in the examined group to examine the organs selected by the therapist and find their tissue damages including those at the early stage of formation to localize on skin optimal reflexogenic zones for normalization of the detected vegetative dysfunctions for organ functional activity reg ulation or therapy of the detected tissue damages to evaluate adequacy and efficiency of the chosen type of influ ence on the reflexogenic zones with respect to the treatment goals 2 INTRODUCTORY NOTES AND TECHNICAL TERMS A complete delivery set of the Rista EPD complex includes an in formation read and input unit with a set of connecting cables and electrodes hereinafter unit software recorded on a CD hereinafter software technical passport and the present User s Manual The complex operates together with PCs That is why to prepare com plex for operation the software has to be installed on y
8. 9 Prescription New Patient 13 03 2014 15 55 00 Vall al e el sj N Page 1 from 1 Fig 10 9 Using buttons s xl and the text field create necessary markers on the pattern After your work with the SCENAR PRESCRIPTION document is fi nished close the document by clicking the mouse on the button X in the upper right corner 49 10 5 EDITING A SCENAR PRESCRIPTION DOCUMENT Choose a desired patient in the Card Index window Click the icon of the SCENAR PRESCRIPTION document to be changed and choose Edit in the Document menu The SCENAR PRESCRIPTION window Fig 10 9 will pop up Click the button to delete the displayed pattern from the SCENAR PRESCRIPTION Click the button ia to add a pattern in the SCENAR PRESCRIPTION using the Add Page window Fig 10 7 Using the buttons and the text field create necessary makers on the pattern After completing your correction close the SCENAR PRESCRIPTION window by clicking the button X in this window All changes will be saved automatically in the document 10 6 VIEWING A SCENAR PRESCRIPTION DOCUMENT Choose a patient in the Card Index window Click the icon of a desired SCENAR PRESCRIPTION document in the document list and choose View in the Document menu or double click R on the document item The SCENAR PRESCRIPTION Fig 10 9 window will pop up After the viewing is completed click the button X in this window to close the
9. C By clinical data rescription Painful syndromes af upper extremities wr Sympath Eutonia Parasympath Fig 9 6 In the title bar there is a last name first name middle name of the pa tient who the given document refers to as well as the date and time of di agnostic examination 37 The linearized riodoraku map is on the left the Nakatani document Measured conductivity parameters are shown on the map as the markers A Representative scale markers from 0 to 100 units are located vertically on the map and notations of the meridians where measurements were car ried out are located across Under each meridian there are two values that correspond to the measurements on the left and right meridian branches The dark blue stripe on the map designates the physiological corridor If the conductivity values are out of the corridor limits it means that the giv en meridian may have a dysfunction Click on the meridian or conductivity value marker on one of its branches to receive the list of clinical symptoms that correspond to the dys function of the selected meridian The selected meridian is highlighted in a white square box and its name is displayed in the line above the rhyodora ku map The list of clinical symptoms is located under the linearized Nakatani map Use the vertical scroll bar on the right of the list to work with it If med the information about a clinical symptom does not 11 URF D
10. tic Choose AT 37 AT 38 AT 39 AT 40 points and then click OK Fig 17 12 C Bythe Zones Express AP 21 Heart vessels AP 37 Cervical vertebras AP 38 Sacrum and coccyx AP 39 Thoracic vertebras AP 40 Lumbar vertebras AP 87 Stomach AP 89 Small intestine AP 81 Large intestine AP 92 Urinary bladder AP 95 Kidney AP 96 Pancreas Left AP 96 Gall bladder Right AP 97 Liver AP 98 Spleen Left AP 100 Heart AD 4604 lI iine Cancel OOO UO UO OUO UO LUO LU K KIKI IE Fig 17 12 88 4 The window Measurement Fig 17 13 will be displayed In this window measure auricular points settled earlier Measure it by dry auricu lar probes If it is not specified measure on a leading ear After measure ment of all points close a window Measurement A new document will i appear dated time of research after closing of window Measurement in the folder Documents 99 Measurement On middle of the groove which separates helix crus from its ascending Fig 17 13 5 Open the document 9 Analyze it and select button Expert Prescription Fig 17 14 and the description of the necessary treatment scheme Fig 17 15 will be displayed 6 Take a look at description of the treatment scheme if it is necessary print and close all documents opened earlier After that in the folder Doc uments there will be a document Prescription L I dated time of its crea tion and con
11. zones The list of auricular zones will be displayed in the left list and the points associated with the selected zones will be displayed in the right list To move within the left and right lists use the vertical and horizontal scroll bars To select a zone click on its name which will be highlighted in dark blue The marker will appear before the zone name and the set of the given zone points will appear in the right list Click in the box before the point name to include it in the set of the examined points Do the same for all necessary points in the selected zones To carry out express diagnostics click on the diagnostics variant Ex press In case that this variant is chosen the left list is empty and the names of points are displayed in the right list To include a point in a set of the examined ones click in the box before the point name No matter which variant of diagnostics is chosen the point AP 82 the Diaphragm is included in the set of points to be measured automatically This point is presented first for the examination After the list of the points to be examined is formed click the but ton OK The block will beep three times which indicates the switch to the auri cular diagnostics mode and the Measurement window Fig 12 2 will pop up 58 x On middle of the groove which separates helix crus From its ascending part Fig 12 2 The block is ready for operation if the upper indicator
12. 1 of 1 97 Page View With Zoom Too left or right cick to zocenintout Click 8 drag with Hand Too to pan Fig 12 9 The operation in this window was described in the chapter 8 3 Printing Patient s Anamnesis therefore we ll consider the main steps briefly To print the current document Switch on the printer and insert paper Click the button S to print the document being viewed The Print window will pop up Click the OK button in the Print window to print the document or the Cancel button to reject printing To return to the auricular examination document window from the Preview window click the button Close 64 13 CREATING A SCENAR PRESCRIPTION DOCUMENT ACCORDING TO AURICULAR DIAGNOSTICS RESULTS To create a SCENAR PRESCRIPTION document Select a patient in the Card Index window In the document list click the icon of the required document with the AURICULAR examination results Click View in the Document menu or double click the document icon The window with the processed results of the diagnostic examination Fig 12 5 will appear on the screen Choose a parameter in relation to which the physiological corridor 1s to be created Click the button Corridor The measured parameters diagram will be changed in relation to the new conventional average value Parameters on the diagram show the functional activity of the organs and systems Analyze the newly created diagram Based on this analysis fo
13. 4 CARD INDEX WINDOW The Card Index window is always present in the Main window of the program There is atitle baron the top of the window The path where Card Index files are stored 1s indicated in the title bar One of the basic elements of this window is the patient list Fig 5 2 The list consists of records with the last first and middle names of the patients Click on the patient s last name to select the patient from the list The line with this patient is highlighted in dark blue and the sign gt appears on the right of the ini name an ni MER 12 02 1956 rm E 01 01 1950 Male 180 78 Fig 5 2 There are vertical and horizontal scroll bars are on the right and be low the patient listrespectively They are used when all information does not fit into the screen and requires up down or right left scrolling The moving slider _ indicates the current position in relation to the total in formation volume 14 Click the button or T on the vertical scroll bar to scroll the patient list up or down respectively Click the button 4 on the horizontal scroll bar to scroll the pa tient list to the left or to the right respectively You can scroll fast along the list by dragging the slider The scroll bars are used in other windows in the same way There is the Patient Name field above the patient list The field allows to select and display in the patient list only those patients whose n
14. OF ANS STATE AND LOCALIZATION OF TREATMENT ZONES ON SKIN SURFACE FOR NEUROADAPTIVE ELECTROSTIMULATION 17 1 COMMON INFORMATION The hardware software reflexodiagnostic complex Rista EPD is in tended for picking up and estimating of electro conductivity of the biologi cally active points BAP according to the Nakatani s method R Voll s method and auricular diagnostics A combination of these methods within one device gives wide oppor tunities not only for investigating of acupuncture point s state and func tional state of meridians but it also gives an opportunity to realize new ap proaches in estimation of functional state of autonomic nervous system ANS Besides the common functions specific for most types of electro diagnostics devices the complex carries out a specialized data processing which allows to detect any disordered organs and systems which regulate the vital body functions from the side of ANS and also estimate a functional state of human body to create the optimal treatment scheme of skin zones of patient by means of neuroadaptiv electrostimulation to calculated the main parameters of the cardiovascular system by measuring pulse and pressure in order to assess its initial state and response to therapy pulse and blood pressure are measured by conventional me thods and entered into the program manually The built in expert system assesses of the ANS state and makes the scheme of treatment zones
15. SCENAR PRESCRIPTION window 10 7 DELETING A SCENAR PRESCRIPTION DOCUMENT To delete the document with the Nakatani examination results Select a patient in the list Click the icon of the document to be deleted in the document list of the selected patient The selected document item will be highlighted in dark blue Choose the Delete item in the Document menu or click the button d on the toolbar A reguest to confirm the document deletion Fig 10 10 will pop up If you want to delete the document click the button Yes and the icon of the deleted document will disappear from the document list 50 To reject the document deletion click the button No and the document won t be deleted Confirm NE Delete dacument s Fig 10 10 10 8 PRINTING SCENAR PRESCRIPTION DOCUMENT To print a document Choose a patient in the CARD INDEX window Click on the document icon in the document list and click View in the DOCUMENT menu or click the document item twice The SCENAR PRESCRIPTION window Fig 10 3 will appear Click Print in the Document menu or click the button 5 the main window toolbar The Preview window Fig 10 11 will pop up FRtowidth E E HE inches aa KA s 2 Prescription NewP atient 13 03 2014 14 4947 H5 Right Depress Fig 10 11 51 We have already described the operation in this window in the chapter 8 3 while considering the Anamnesis printing Therefore we ll con
16. To save document to MS Word press button on the preview win dow toolbar This function reguires MS Word 2000 or higher To save document as web page press bal button on the preview window toolbar In the dialog shown select MHTML Archive as File Type Select directory to store result file and enter file name in File Name field Then press Save button File with mht extension containing the current docu ment will be created in the selected folder This file can be opened with internet browser or it can be sent by e mail 8 4 DELETING A PATIENT CARD Choose a necessary patient Choose the command Delete in the Document menu or click on the toolbar button lea The confirmation request for Patient Card deleting Fig 8 6 will pop up 31 confirm MEI Delete cardisi Fig 8 6 Click on the button Yes if you want to delete the selected Patient Card and the Card will be deleted All the documents belonging to this patient will be deleted as well Click on the button No otherwise 32 9 DIAGNOSTIC EXAMINATION ACCORDING TO THE NAKATANI METHOD 9 1 READING DIAGNOSTIC PARAMETERS Prepare the information read and input unit before starting the diag nostic examination Connect the measuring electrode for the Nakatani diagnostics to the jack Insert the moistened cottonwool wad into the electrode and switch on the unit Start the program and choose an existing patient or enter information fora new one in the Card Index ch
17. by another way Enter the menu Document New and choose Voll Select By Meridians mode then select Triple energizer meridian and choose a point la cervical ganglions in the right list Fig 17 17 then select Neural degeneration meridian and choose a point 3a KIP of para sympathetic intracranial ganglions in the right list Fig 17 17 and then click OK After that the Measurement window will be displayed 91 x Bythe CMPs f By the Meridians By the Aims Express 1 Adrenal gland and sexual glands Ol 1 1 Lymph vessels of endocrine and mammary d la Cervical ganglions 1h KIP af endocrine glands mammary glands an Lung Meridian Large Intestine Meridian Stomach Meridian spleen and pancressmerdian O dc Internal secretion of pancreas tail of pancreas Heart Meridian Ol 1c Internal secretion of pancreas the head and tl Small intestine meridian 1d Mammary gland Bladder Meridian Cl 2 Thyroid parathyroid and thymus glands Ol 3 Pituitary body hypophysis pineal gland tepiph MENDIAN O 4 Radiocarpal joint distal portion Pericardium Meridian O 14 Acromioclavicular joint 4 Triple Energizer Meridian 45 Joirts af upper extremities Gal bladder Meridian 17 Middle ear and tympanic cavity Liver Maridian 18 Internal ear and the temporal bone pyramid el O 19 G Gen meninges An alan cancel x Bythe CMPs fe By the Meridians C By the Aims Express
18. electrode or input pedal Since that moment the data input begins After 3 seconds there will be a beep and the measured value Fig 9 3 will be registered and displayed Press the button on the measuring electrode once again to go to the next measurement If you press the button before 3 seconds from the moment of the first pressing expire the data input will be terminated and the measurement result averaged for less than 3 seconds will be displayed Press the button once again to go to the next measurement If there was a mistake press the button Esc after a beep which indi cates that the measuring and registration of the measured value on the screen are terminated to measure the conductivity once again Repeat the process of measurement To repeat measurement in any other point press the button 4 to go to the point located after the current one or the button f to go to the point lo cated before the current one and repeat measuring 35 If you press the key T while being at the first measured point a mes sage saying that the given point s the first in the list will pop up Fig 9 4 HE x begin of list Fig 9 4 If you press the key 4 being at the last measured point a message say ing that the given point 1s the last in the list will pop up Fig 9 5 gt end of list Fig 9 5 Once the conductivity measuring at the last point is completed the message Fig 35 will pop up Click on
19. f 4 03 2014 17 59 esearch of primary indices Blood pressure at rest in lying position mm Ha Heart rate at rest in lying position beats per minute Oo ynamic state of circulatory regulation according to the cardiac index value l min m2 Actual Norm Index name Actual Proper or normal value Pulse pressure PP mmHg Average dynamic pressure DPa mmHg Cardiac output CO l min Cardiac index CI l min m2 Peripheral resistance PR dyne c cm 5 Stroke index 51 mlim2 Specific peripheral resistance SPR dynefc cm 5 Stroke volume SV ml Circulation reserve coefficient 95 Fig 16 2 Q Hemodynamic New Patient 14 03 2014 17 25 00 Recalculate Show scheme Close Patient s passport and anthropometric data Name New P Patient s stature cm 180 Body mass index m2 24 7 normal weight Date of Birth 23 01 1976 Body weight kg 80 Body surface area m2 2 00 Age years 38 Sex Male Date of examination 14 03 201 4 17 59 r Research of primary indices Blood pressure at rest in lying position mm Hg Heart rate at rest in lying position beats per minute hm ao Im odynamic state Pulse pressure PP mmHg Average dynamic pressure mmHg Cardiac output CO l min Cardiac index l minm2 Peripheral resistance PR dynejc cm 5 Stroke index 51 ml m2 Specific per
20. into the set of points to be examined click in the box before the CMP name After the click the checkmark indicating that the point is included into the set of points to be examined will appear in the box Repeat the given procedure to select all required CMPs Use the vertical and horizon tal scroll bars to move within the CMPs list Click on the examination variant By the Meridians that is intended for the diagnostic examination according to the given set of points of a se lected meridian The list of meridians is given in the left list and the points associated with the selected meridians are displayed in the right one To move within the left and right list use the vertical and horizontal scroll bars To choose a meridian click on its name and it will be highlighted in dark blue A sign will appear before the meridian name and the set of points of the given meridian will be displayed in the right list 68 Click in the box before the name of a point to include it in the set to be examined Repeat the given procedure to select all necessary points of the selected meridians Click on the examination variant By the Aims which 1s intended for diagnostics by the given set of points reflecting the state of a certain func tional system or organ The list of the organism organs and systems will be shown in the left list and the points associated with the selected organs and systems will be displayed in the right one To mo
21. is hig hlighted in green If the indicator is not highlighted in green switch on the unit Hardware not Found or was disconnect Fig 12 3 The elements of the Measurement window for the auricular diagnos tics are similar to those for the Nakatani diagnostics except for some dif ferences Calibration is not required before the auricular diagnostics and so there is no the Calibration button After measuring is completed the conductivity averaged value for the measuring period will be displayed in the field under the display scale 59 The parameters shall be measured according to the instructions for the auricular diagnostics Locate a measuring electrode on the auricle of the patient and press data input button From this moment the data input begins In 1 second a beep will sound and the measured value will be recorded and displayed on the screen Press the button once again to g0 to the next measurement You can move between the points in the same way as described in chapter 9 1 the Nakatani diagnostics After conductivity measurement in the last point is completed the message End of the list Fig 12 4 will pop up Click on the but ton OK and close the Measurement window by clicking the button XI in this window gt end of list Fig 12 4 12 2 EDITING AN AURICULAR EXAMINATION DOCUMENT Before introducing changes in the document with the diagnostic ex amination results prepare the infor
22. must be created preliminarily All required fields of the card must be filled Calculation techniques will give consistent index as sessments for men from 21 years old and for women from 20 years old For carrying out investigation it is necessary to Measure arterial blood pressure and pulse rate in horizontal position All measurement must be made with the help of standard methods of diag nostic in 3 5 minutes after a patient takes a horizontal position Enter the menu Document New and selected item Hemodynamic Fig 16 1 Choose Document Type 28 X a 1 i LY b ara N Eu Card Makatani Auricular Voll Cancel fram peri SCENAR Expertise Fig 16 1 You will see form represented on the Fig 16 2 Put mouse cursor in the systolic blood pressure input field 1 and type the setting value then put mouse cursor in the diastolic blood pressure in put field 2 and type the setting value put mouse cursor in the pulse rate input field 3 and type the setting value Press the button Recalculate All settings will be recalculated and in troduced in the form after pressing the button Fig 16 3 77 18 b Hemodynamic New Patient 14 03 2014 17 25 00 atient s passport and anthropometric data Name New P Patient s stature cm 180 Body mass index kg m2 24 7 normal weight Date of Birth 23 01 1976 Body weight kg 80 Body surface area m2 2 00 Age years 38 Sex Male Date of examination
23. necessary text using your keyboard When the text information exceeds the size of the Medical Conclusion document window the vertical scroll bar appears Using this bar you can view the whole text To close the Medical Conclusion window click the button XI in this window 11 2 EDITING A MEDICAL CONCLUSION DOCUMENT To make changes in the Medical Conclusion document 53 Select a patient in the Card Index window 9 conclusion New Patient 14 03 2014 11 45 29 Conclusion text Conclusion text Conclusion test Conclusion text Conclusion text Fig 11 2 Click the icon of the Medical Conclusion document to be edited in the document list of the selected patient and click Change in the Document menu The Medical Conclusion window with a text in it Fig 11 2 will pop up Make necessary changes in the document After completing the correction click the button XX in the Medical Conclusion window to close it All the introduced changes will be automat ically saved in the document 11 3 VIEWING A MEDICAL CONCLUSION DOCUMENT Select a patient in the CARD INDEX window Click the icon of the required Medical Conclusion document and click View in the Document menu or click the document icon twice The Medical Conclusion window Fig 11 2 will be displayed on the screen After viewing is completed close the Medical Conclusion window by clicking the button X in it 11 4 DELETING A MEDICAL CONCLUSION DOCUMENT
24. of the H2 meridian have to be stimulated activated Fig 9 9 39 Click the button 2 to generate SCENAR PRESCRIPTION docu ment on the basis of the information registered in the field for the SCENAR PRESCRIPTION creation Click the button to clear the field for the SCENAR PRESCRIPTION document creation To delete one row you can double click on this row with left mouse button The next button group is used to perform most frequently used tasks and methodics Enter BP amp HF m By clinical data Auricular Enter BP amp HR button allows you to enter or edit hemodynamic measures without editing the whole document 9 Enter hemodynamic data X Arterial blood pressure SP DP fen mmHg les h p m ae By clinical data button allows you to create automatically the R Voll examination with dedicated points examined to estimate ANS tone ANS tone estimation is displayed by the small blue arrow above corresponding button Auricular button allows you to create automatically the Auricu lar examination which can help in some situations to specify a deci sion 40 9 4 DELETING A NAKATANI EXAMINATION DOCUMENT To delete a document with the Nakatani examination results Select a patient in the list Click the icon of the document to be deleted in the list of documents for the selected patient The icon of a chosen document will be highlighted in dark blue Choose the Delete item in th
25. the corridor breadth and Y to decrease it To reset the default corridor width 10 units click twice in the field with the current corridor width value If the measured value lies within the permissible corridor it is consi dered to be the norm if it is above the corridor this indicates the hyperac tivity of the organ or system controlled by the measured point if it is below the corridor the hypoactivity exists In the right part of the window there is a list of organs and systems whose functional activity may require correction To move within the list use the vertical and horizontal scroll bars Below there is a field in which the organs and systems whose func tional activity is disordered are to be entered after analyzing the measured parameters diagram and asymmetry indexes Click the name of the organ or system twice to enter them in the field to create a SCENAR PRESCRIPTION The name of the chosen organ or system will be entered and displayed in the field Fig 12 7 There are two buttons near the SCENAR PRESCRIPTION creation field Aorta stomach pancreas Fig 12 7 62 Click the button 22 to clear the SCENAR PRESCRIPTION creation field Click the button LI to create a SCENAR PRESCRIPTION document bases on the information entered in the SCENAR PRESCRIPTION crea tion field 12 4 DELETING AN AURICULAR EXAMINATION DOCUMENT To delete a document with AURICULAR examination results select a patient in the list
26. the output tree there is a pic ture where the skin areas chosen in the output tree are shown Fig 9 9 To se lect an output tree element click on the appropriate abbreviation and the element will be highlighted in dark blue 8 The skin areas associated with the Biven element will be colored blue and red in the picture According to the Nakatani s meri dian classification every skin area has an associated group of meridians When an output tree element is selected not only skin areas are highlighted in the picture but also the conductivity values of the meridians associated with the selected skin areas are highlighted on the linea rized riodoraku map The values are hig hlighted in dark blue E and red The elements for the SCENAR PRESCRIPTION document creation Fig 9 10 are located to the right of the Fig 9 10 output tree Double click on a conductivity parameter on the Nakatani map to enter the designation of a standard prescription for the meridian associated with the parameter in the field for the SCENAR PRESCRIPTION DOCUMENT creation In this field the prescription designations are regis tered as abbreviations The first digit is the name of the meridian branch right R or left L then comes the meridian name and the last 1s the character of effect ACT activation or SED sedation For example LH2 ACT means that to normalize the revealed dysfunction the skin zones appropriate to the left branch
27. zones associated with the organs and sys tems to be normalized After completing the analysis click the button X in the Measure ment window to close it 14 4 DELETING A VOLL EXAMINATION DOCUMENT To delete a document with the R Voll examination results select a pa tient in the list Click the icon of the document to be deleted in the document list of the selected patient The selected document icon will be highlighted in dark blue Click Delete in the Document menu or click the button 2 on the toolbar A request to confirm the document deletion Fig 14 6 will pop up x 9 Delete documentis Fig 14 6 Click Yes to delete the document and the icon associated with the de leted document will disappear from the document list Click No to reject the deletion and the document will not be deleted 14 5 PRINTING A VOLL EXAMINATION DOCUMENT To print a document Select a patient in the CARD INDEX window Click the necessary document icon in the document list and click View in the Document menu or click the document icon twice The window with the processed results of diagnostics will pop up Click Print in the Document menu or click the button amp on the tool bar The Preview window Fig 14 7 will appear on the screen 73 M Preview Document cd Print 4 gt Next FitoWidh zi Hi Inches v d KN 6 m 22 Voll mi Lag Name New First Name Patient Middle Narre Year of Birt
28. BF fit the scroll box click on the selected clinical 17 URB DRB symptom and all the information will be displayed window below the list of clinical symptoms zl One of the most important elements of the Fig 9 7 given window is the tree of asymmetry parameters 07 the output tree Fig 9 7 and the average con ductivity parameter Fig 9 8 They are calculated by the program based on the measured parameters The differences of the conductivity values in vari 4 ous skin areas are shown in the output tree The first letters of the English words left right up Fig 9 8 down front back denote the skin areas For ex ample the shortcut ULF denotes the Upper Left Front skin area The output tree can have several nesting levels 1 the difference of conductivity between larger skin areas is displayed on top levels of the output tree and that between smaller ones on lower levels If there is a sign H near a skin area you can view the next level by clicking on this sign If there is a sign E near a skin area the given level is the lowest and hence you cannot go to a consequent lower level Click on the sign El to minimize the level and E will be replaced by Thus to move within the 38 output tree click on the signs H and Hl If the whole structure of the output tree doesn t fit in the box vertical and horizontal scroll bars appear to view the information outside the window boundaries Above
29. Index will be deleted and a new empty Card Index will appear on the screen Click on the No button to cancel the creation In this case your current Card Index remains on the screen 24 7 2 OPENING A CARD INDEX Choose Open the Card Index Menu to open an already exist ing Card Index The Choose Directory window Fig 7 5 will appear on the screen Form the path to your already existing Card Index in this window Click the button OK after the path is formed The selected Card In dex will be displayed If there is no Card Index in the selected directory the message will appear on the screen after the button OK is clicked and you ll return to your previous Card Index Data em LISERSDB GDE File Marne LIGERSDB GDB File Type UsersDB adb cancel Fig 7 5 The Directory Tree Fig 7 6 is the basic element of the Choose Direc tory window 3j Program Files tcr E3 7 Free Download Manager Movie Maker Sh audiograbber MW FreeCap MSBuild D Avira Free Commander msn gaming zone ic Borland GExperts For RAD Studio 2010 Multi Password Ri Canon ImgBurn 2 5 0 Portable NVIDIA Corporati 3 CDBurnerXP Inno Setup 5 3 OKB Ritm 3 Common Files Intel online Services IO ComPlus Applications Internet Explorer OpenOffice org 2 DAEMON Tools Lite Java 5 OpenVPN DBF Viewer 2000 JRE O Outlook Express O Embarcadero PuTTY Everest Microsoft Office
30. RITM OKB ZAO HARDWARE SOFTWARE REFLEXODIAGNOSTIC COMPLEX Rista EPD USER S MANUAL MANUFACTURER RITM OKB ZAO Petrovskaya 99 Taganrog 347900 RUSSIA tel fax 7 8634 623179 www okbritm com ru e mail medsc scenar com ru CONTENTS LFINTRODUCTIION merui 5 2 INTRODUCTORY NOTES AND TECHNICAL TERMS 6 3 PLACEMENT AND MOUNTING OF THE COMPLEX 7 3 1 GENERAL INSTRUCTIONS niei ea 7 32 SAFETY REGULATIONS eka man 7 3 3 PLACEMENT MOUNTING AND SOFTWARE INSTALLATION 8 3 4 FEATURES OF THE INFORMATION READ AND INPUT UNIT OPERATION 5o nan UMP Nd EE samaan 9 4 PROGRAM START 10 5 ELEMENTS OF THE PROGRAM MAIN WINDOW 12 renee ee eher 12 MENU oe tet taste es econ 13 SS TOOLBAR nan anne ono eee E 13 5 4 CARD INDEX WINDOW 2 2 1 14 5 5 DOCUMENTS LIST 17 6 REVIEW OF THE PROGRAM MENUES 19 6 1 DOCUMENT MENU utilice eiecit meme tod asesor todas 19 6 2 CARD INDEX MENU enam 20 6 3 OPTIONS MENU ooi tei soon aod gaan sesuatu 21 E dal Dicere 21 7 CARD INDEX 4 eto ea ARM 23 7 1 CREATING A CARD INDEX Mission maan 23 7 2 OPENINGA CARD INDEX ortan sarane 25 5 PATIENT CARD Itin dio tantang 2 8 1 CREATING A PA
31. TIENT 27 8 2 CREATING PATIENT ANAMNESIS 29 8 3 PRINTING PATIENT S ANAMNESIS 29 8 4 DELETING A PATIENT CARD 31 9 DIAGNOSTIC EXAMINATION ACCORDING TO THE NAKA FANI ME THON 5 e ote EO 33 9 1 READING DIAGNOSTIC PARAMETERS 33 9 2 EDITING A NAKATANI EXAMINATION DOCUMENT 36 9 3 ANALYZING NAKATANI EXAMINATION RESULTS 37 9 4 DELETING A NAKATANI EXAMINATION DOCUMENT 4 9 5 PRINTING A NAKATANI EXAMINATION DOCUMENT 4 10 CREATING A SCENAR PRESCRIPTION DOCUMENT 43 10 1 CREATING A SCENAR PRESCRIPTION USING THE NAKATANI DIAGNOSTICS RESULTS heboh nenas nm hahaa 43 10 2 INCLUDING ADDITIONAL TREATMENT ZONES MARKERS INTO THE SCENAR PRESCRIPTION TREATMENT PATTERN 45 10 3 INCLUDING ADDITIONAL TYPICAL PATTERNS INTO THE SCENAR PRESCRIPTIQON 5i uie epa geL dilas 47 10 4 CREATING PERSONAL ORIGINAL TREATMENT ZONE PAN KERING aan RA 49 10 5 EDITING SCENAR PRESCRIPTION DOCUMENT 50 10 6 VIEWING A SCENAR PRESCRIPTION DOCUMENT 50 10 7 DELETING A SCENAR PRESCRIPTION DOCUMENT 50 10 8 PRINTING A SCENAR PRESCRIPTION DOC
32. To delete a Medical Conclusion document Select a patient in the Card Index Click the deleted document icon in the document list of the selected patient The document icon will be highlighted in dark blue Click Delete in the Document menu or click the button 2 on the toolbar The request to confirm the document deletion Fig 11 3 will pop up If you want to delete the document click the button Yes and the icon associated with the document to be deleted will disappear from the docu ment list 54 Click the button No to reject the Medical Conclusion deleting and the document will not be deleted Confirm E e Delete dacument s sA 1 Fig 11 3 11 5 PRINTING A MEDICAL CONCLUSION DOCUMENT To print a document Select a patient in the Card Index window Click the icon of a necessary document in the document list and click View in the Document menu or click the document icon twice The Medical Conclusion window with text information Fig 11 2 will pop up Click Print in the Document menu or click the button amp amp on the main window toolbar The Preview window Fig 11 4 will pop up 4 Print 4 Prey 5 net EL EL mhes OQ A A E Preview Document Conclusion Las Name New Firt Name Patient Middle Name Year of Birth 1976 Sex Mae Age years 38 Date amp Time of observation 14 03 2014 11 45 Conclusion tex Conclusion text C
33. UMENT 51 11 CREATING TEXT DOCUMENTS 93 11 1 CREATING A MEDICAL CONCLUSION DOCUMENT 53 11 2 EDITING A MEDICAL CONCLUSION DOCUMENT 53 11 3 VIEWING A MEDICAL CONCLUSION DOCUMENT 54 11 4 DELETING A MEDICAL CONCLUSION DOCUMENT 54 11 5 PRINTING A MEDICAL CONCLUSION DOCUMENT 55 12 AURICULAR DIAGNOSTICS 57 12 1 DIAGNOSTIC HYPOTHESIS FORMATION READ AND INPUT OF DIAGNOSTIC PARAMETERS INTO THE COMPUTER 57 12 2 EDITING AN AURICULAR EXAMINATION DOCUMENT 60 12 3 ANALYZING AURICULAR EXAMINATION RESULTS 61 12 4 DELETING AN AURICULAR EXAMINATION DOCUMENT 63 12 5 PRINTING AN AURICULAR EXAMINATION DOCUMENT 63 13 CREATING A SCENAR PRESCRIPTION DOCUMENT ACCORDING TO AURICULAR DIAGNOSTICS RESULTS65 14 R VOLL DIAGNOSTIC EXAMINATION 67 14 1 FORMING A DIAGNOSTIC HYPOTHESIS READING AND INPUTTING DIAGNOSTIC PARAMETERS 22222 2 67 14 2 EDITING VOLL EXAMINATION DOCUMENT 71 14 3 ANALYZING A VOLL EXAMINATION DOCUMENT 71 14 4 DELETING VOLL EXAMINATION DOCUMENT 73 14 5 PRINTING A VOLL EXAMINATION DOCUMENT 73 15 CREATING A SCENAR PRESCRIPTION DOCUMENT USING THE R VOLL
34. Zones Express Auricular lobe Zone O AP 20 External ear Tragus Zone AP 21 Heart vessels Anterior auricular groove Zane Intertradic notch Zone Posterior auricular groove Zane Antitragus Zone Antihelix Zane Antihelix Superior crus Zone Antihelix Inferior crus Zone Fossa triangularis Zane scapha Zone Helix Zane Fig 12 1 In the given window you can indicate the diagnostics variant and a set of points to be used for the diagnostics Let us consider elements of the given window 57 There are two diagnostics variants By The Zones and Express Their names are shown under the title bar To choose one of them click on the variant name and the marker will appear before it There are two lists below The auricular zones are displayed in the left list and the points asso ciated with the chosen zones are displayed in the right one Click the button to include all points from the right list in the set of points to be examined Click the button E to delete all the points in the right list from the set of points to be examined Click the button OK to start the diagnostics after the points are se lected Click the button Cancel to reject the diagnostics and return in the Card Index window Let us consider the points selection for each of the diagnostics variants Click on the examination variant By the Zones which is intended for diagnostics according to the given set of points on the selected auricular
35. according to several techniques chosen with the help of Level option in the Options menu This option allows you to ad just the software to the user s level of training In total there are 3 levels The higher the level the more knowledge and experience in acupuncture point s examination must have a user 80 17 2 SELECTION CRITERIA AND CHOOSING THE LEVEL OF THE EXPERT SYSTEM The complex can be adapted to the user s level of training and user can control it through the Option menu configurations User can set one of three performance levels of expert system Fig 17 1 Options f Options Options Tonus VNS clinical Tonus NS Clinical w Tonus VAS Clinical w Level 1 Level 1 Level 1 Level 2 w Level 2 Level 2 Level 3 Level 3 w Level 3 a b 17 1 If you set up software you automatically install the first level Fig 17 1a The first level considers minimum requirements to user s training and it can be applied even in everyday life For the first level the user must have practical skills in measuring of electro conductivity of the biologically active points BAP according to the Nakatani s method measuring of blood pressure and pulse rate A set of functions for the first level is speci fied in the menu represented in the Fig 17 2 Choose Document Type E x Fs Card Fig 17 2 If you install the second level of the program Fig 17 1b the user must have not only skills and knowledge require
36. ames correspond to the pattern or template entered in thePatient Name field For example if you need to identify patients whose names be gin with the letter A click in thePatient Name field and type A These pa tients will be shown in the patient list automatically This field has to be clear that is without any characters or symbols to show the whole list of patients Click list of patients to open Contextual menu Fig 5 3 Contextual menu is used to operate with a list of patients You can choose several pa tients by clicking the left button of the mouse and holdingCTRL on the keyboard Export to ML Import From XML Ti Export to Excel Fig 5 3 Function Export to XML let you to export patients examination data in XML format Examination data contain all tests and all observa tions These files can be sent to your colleagues or be saved as a backup copy If you choose menu item you open a standard dialog of file saving on external media Function Import from XML let you to import patients examina tion data saved in XML formatearlier Examination data contain all tests and all observations If you choose this menu item you also open a stan dard dialog of file opening Note before you open XML file make sure that it was created with the help of function Export to XML of RISTA EPD software or with the help of special converter for RISTA EPD from Para dox into FireBird 15 F
37. and three pathways an Cancel Six points an the face Three pathways on the vertebra Three pathways afthe cervical vertebra Three pathways of the thoracic vertebra Gall bladder meridian left depress Fig 10 7 The pattern name will be displayed in this field Fig 10 8 Lung meridian lefttone up Gall bladder meridian left depress Fig 10 8 Select Template item from the Standard recipes list to include a clear pattern that has a template without zones in the Recipes list Click the button OK to add selected patterns into the prescription Click either the Cancel button or the button XI to return to the SCENAR PRESCRIPTION window without making any changes To add the automatically created Nakatani pattern the upper list choose the side in the Position field and specify the character of influence then double click on the pattern name The pattern name will be displayed in the addition field In the low bar of the SCENAR PRESCRIPTION window the number of added patterns will be displayed 48 10 4 CREATING PERSONAL ORIGINAL TREATMENT ZONE PATTERNS Click the button amp to create a personal treatment zone pattern and introduce treatment zones in it The Add Page window Fig 10 7 will pop up Select standard scheme Template in the Add Page window After going to a newly added treatment zone pattern a picture without treatment zones will be displayed in the SCENAR PRESCRIPTION window Fig 10 9
38. apter 8 1 Choose the New item in the Document menu or click the button 2 on the toolbar The list of document types will be displayed Click on the Nakatani in the list and click the button OK The unit will beep twice to indicate the switching to the Nakatani mode and the Measurement window Fig 9 1 will pop up Simultaneously the icon that corresponds to a newly created docu ment will appear in the list of documents HEN The unit is ready for operation if the upper indicator is highlighted in green If the indicator is not highlighted in green switch on the unit In the left part of the Measurement window there is a scale that dis plays the conductivity measurements Fig 9 2 It consists of the column indicator and a dynamic curve that displays current conductivity values in the process of measurement When the measurement is completed the av erage conductivity value over the measuring period will appear in the field under the scale On the right under the display scale there is a button CALIBRATE for switching the calibration mode and two indicators The upper indi cator shows the state of the information read and input unit If the unit is switched on the indicator is highlighted in green 2 otherwise it is hig hlighted in gray The lower indicator shows the calibration mode status If the calibration mode is switched on the indicator is highlighted in red otherwise it is highligh
39. ays electric conductivity measurements The upper and lower parameter values are displayed in the fields after the conductivity measuring in a point is completed The mea surement time is shown to the right of the field that displays the upper pa rameter value Diagnostic parameters shall be measured according to the recommen dations for the R Voll s Method 69 At the head of the II phalanx of the ring Finger on the dorsal ulnar side Fig 14 2 Hardware not found or was disconnect Fig 14 3 Set the measuring electrode on the patient s skin press the data input button or pedal since this moment data input time reading begins When the parameter value stabilizes stops changing terminate measuring If the parameter does not stabilize within 10 seconds after beginning the mea surement there will be a beep and the lower and the upper value and the measurement time will be displayed Press the data input button or pedal once again to go to the next mea surement If the parameter value stabilized for less than 10 seconds and the but ton was pressed the data input will be terminated The result of the mea surement averaged for less than 10 seconds will be displayed To go to the next measurement press the button or pedal once again 70 During the diagnostic parameters reading the measurement correct ness is monitored automatically If upon the measurement termination the message Incorrect measurement appears
40. cument refers to and the date and time of prescription creation are shown The toolbar of the SCENAR PRESCRIPTION window and several in formation fields are located below Add the treatment zone pattern in the Prescription Delete current page Show previous page Show next page Add Label x ile le Delete Label Treatment zone patterns included into the SCENAR PRESCRIPTION are displayed in the window below the toolbar The total number of the patterns introduced in the prescription and the current pattern number are displayed below For example the inscription Page 2 of 3 means that the total number of patterns is three and at the present moment the second pattern is being displayed 10 2 INCLUDING ADDITIONAL TREATMENT ZONES MARKERS INTO THE SCENAR PRESCRIPTION TREATMENT PATTERN A treatment zone pattern is formed automatically to normalize each of the revealed dysfunctions introduced in the SCENAR PRESCRIPTION creation field However new treatment zones markers can be added in the pattern additional patterns can be included in the prescription and or new ones can be created Click the button on the automatically generated pattern to add a new marker In the left upper corner of the pattern a red marker consisting of an oval line segment and serial number of the marker Fig 10 4 will appear The current number of the marker Fig 10 5 will be displayed in the text field for the chosen marker 45 Set
41. d for the first level of the program but he must be able to find out and estimate not less than 5 points 81 on the ear auricle such as AT 37 Cervical vertebrae AT 38 Sacrum and coccyx AT 39 Thoracic vertebrae and AT 40 Lumbar verte brae and also AT 82 diaphragm so called the Zero point The second level requires from the user an acquirement of auricular techniques If you set up the second level you must open the Option menu and click the Level 2 A set of functions for the second level is specified in the menu represented in the Fig 17 3 Choose Document Type X Lx Card Makatani Auricular Cancel Conclusion Fig 17 3 If you set up the first and second levels of the program the option Tonus VNS clinical is disabled If this option is disabled the expert sys tem estimates the level of ANS functional activity based on the tonus es timation according to the measured blood pressure and pulse rate To view the Medical Conclusion document the user must click the mouse on the button VIK shown in Fig 17 4 If you set up the third level Fig 17 1c it provides the user with the most accurate estimation of the ANS To use the third level the user must have practical skills in application of three research methods of BAP diag nostic the Nakatani s method R Voll s method and auricular diagnostics To setup the level you should click Level 3 in this case the
42. e Document menu or click the button on the toolbar The reguest to confirm the deleting Fig 9 11 will pop up x Delete dacument s Fig 9 11 If you wish to delete the document click the button Yes and the icon of the deleted document will disappear from the list of documents To cancel click the button No and the document will not be deleted 9 5 PRINTING A NAKATANI EXAMINATION DOCUMENT To print a document Select a patient in the Card Index window Click the document icon in the list of documents and choose the View item in the Document menu or double click the document icon The window with processed results of diagnostic examination Fig 10 1 will pop up In the Document menu choose the Print item or click the button on the main window toolbar The Preview window will be displayed on the screen before printing begins Fig 9 12 We have already described the operation in this window in the chapter 8 3 while considering the Anamnesis printing Therefore we ll consider only the main steps To print the current document Switch on the printer and insert paper 41 Click the button 53 to print the document and the Print window will pop up In this window click OK to print the document or the Cancel button to reject printing Click the button Close to close the Preview window M Preview Document 4 prey gt net FRtowdh E EL SE inches m O S as 2 4 ch
43. e vagus nerve x lait Thararis maria nf uario narina thoracic Zi mai EX Fig 14 1 In the given window you can indicate the diagnostic examination va riant and set of points to be used for diagnostics Let us consider the elements of the given window 67 There are four variants of the diagnostic examination suggested Their names are shown under the title bar To choose one of them click on the variant name and the marker will appear before its name There are two lists below The sets of points are shown in the left list and the points associated with the chosen sets groups are given in the right one Click the button OK to start the diagnostic examination after choosing a set of points Click the button Cancel to reject the diagnostic examination and re turn to the Card Index window Click the button ES to enter all the points from the right list in a set to be examined Click the button to exclude all the points the right list from set to be examined Let us consider the points selection for each variant of the diagnostic examination Click on the examination variant By the CMPs which is intended for diagnostic examination by control and measuring points CMP This va riant shows the state of the functional system or organ corresponding to the associated CMP After this variant 1s chosen the left list becomes empty and the CMP names are displayed in the right one To include a CMP
44. e window for SCENAR PRESCRIPTION crea tion using R Voll diagnostics results Fig 15 1 will pop up 9 Prescription New Patient 14 03 2014 16 16 25 Gal ele Fig 15 1 There are no processing patterns in the given window To create processing patterns the information obtained during the analysis of exami nation results is reguired Based on it project zones associated with the disordered organs and systems are mapped on the pattern Click the button i in the SCENAR PRESCRIPTION window and and then select Tempate in the list of standard recipes The name of the given processing pattern will be displayed in the addition list 75 Click the button OK and the SCENAR PRESCRIPTION window with the pattern template 1 e blank pattern will appear Fig 15 2 3 Prescription Patient N B 21 03 2014 10 56 12 alt a ere s xi EN Vell Page from 1 Fig 15 2 Using the buttons x and the text field make necessary markers on the processing pattern The markers correspond to the projected zones of the organs and systems to be treated Click on the button 2 in the upper right corner to close the SCENAR PRESCRIPTION document Created documents can also be printed 76 16 CALCULATION OF CARDIOVASCULAR SYSTEM FUNCTIONAL STATE INDICES Characteristics of the complex let us to estimate the basic indices of cardiovascular system functional state using means of calculation A patient s card
45. ent ATTENTION Disconnect your PC from the power supply and switch off the unit prior to mounting the complex on your workplace 3 3 PLACEMENT MOUNTING AND SOFTWARE INSTALLATION ATTENTION To connect the information read and input unit the PC shall have an unoccupied USB port Install the software before placing and mounting the complex on your workplace To connect the information read and input unit to a USB port Insert the CD in the CD drive and follow the Setup Wizard instruc tions ATTENTION If after inserting the CD in the CD drive the Setup Wizard doesn t run automatically run the setup exe file from the CD inserted After the Setup Wizard has completed installation remove the CD from your CD drive Then insert the CD with the complex s software in your CD drive and follow the Setup Wizard instructions ATTENTION If after inserting the CD in the CD drive the Setup Wizard doesn t run automatically run the setup exe file from the CD inserted After the Setup Wizard has completed installation remove the CD from your CD drive Now you can place and mount your complex Please place and mount the Rista EPD complex according to safety measures and general instructions of the present User s Manual in the following order place the complex elements on the workplace check up the computer grounding check up computer disconnection from the power supply check up the unit disconnection con
46. et the following re quirements The place where the patient is examined should be protected against the high power sources of electromagnetic fields If there are other electrical devices which are the sources of electro magnetic fields in the room they shall be switched off before examining the patient The seat or couch for the patient shall be preferably wooden The information read and input electronic unit shall be located near the doctor and not closer than 1 1 5 m from the computer The computer monitor shall be located in such a way that lighting would not produce flashes on the screen The distance between the screen and the doctor shall be not less than 70 cm The doctor shall sit in such a way that he she could work comfortably with the patient when measuring and reading the parameters Connect disconnect the unit only when it is switched off and the computer is deenergized The connecting cables of superficial cylindrical and measuring elec trodes shall be connected with the unit only to the appropriate sockets 3 2 SAFETY REGULATIONS Please study the present User s Manual carefully before using the complex and follow the instructions strictly Only the people who are familiar with the present User s Manual safety engineering instruction and those who have been instructed on the labor safety are allowed to work with the complex WARNING DO NOT contact simultaneously with the metal parts of the computer and the pati
47. gm Heart Aorta 90 ag Lungs 80 ag Esophagus 70 70 Stomach pancreas 60 60 Intestines 50 Liver and gall bladder Kidney and ureter 50 40 30 30 20 20 Se tissue of bladder nec 10 10 ne ate 0 Testicle Ovary 54 60 78 55 43 Body of the womb 4220315 eee Neck of the womb Kris gt Pactum Delta fio Corridor Expert Recipe Fig 12 5 The value in the AP 82 is a conventional average value in relation to which the limits of the permissible physiological corridor that is equal to 10 units by default is set AP 82 is located first on the measured parameters dia eram The corridor is shown as the dark blue bar and the corridor width value is displayed in the left lower corner Fig 12 6 61 Fig 12 6 There are two values under each marker on the diagram The first val ue is the measured parameter value and second one is the asymmetry in dex The assymmetry index is the deviation of the given parameter from the average value of all measurements including the AP 82 value The physiological corridor can be created in relation to any other measured parameter To do this click any parameter on the diagram to se lect it and click the button Corridor The measured parameters diagram will be built in relation to the new conventional average value To change the physiological corridor width use use arrow buttons located near corridor value Click T to increase
48. h 1976 Sex Male Age years 38 Date amp Tme of observation 14 03 2014 15 07 30 80 70 60 50 40 30 20 10 1 3 2 4 No Point Name Top vale Bottomvalue T 1 Cervical ganglions 1a Left 65 55 0 0 2 Cervical ganglions 1a Right 66 62 0 0 KIP of parasympathetic intrac ranial ganglions of 3 head 2a Left 45 40 0 0 KIP of parasympathetic intrac ranial ganglions of 43 41 0 0 head 3a Right H 4 am Page 1 of 1 Page View With Zoom Tool left or right click to zoom in out Click amp drag with Hand Tool Fig 14 7 The operation in this window has been already described in the chapter 8 3 Printing Anamnesis therefore we ll consider only the main steps which are necessary for document printing To print the current document Switch on the printer and insert paper Click the button S to print the document being viewed and the Print window will pop up Click OK in the Print window to print the document Click Cancel to reject printing 74 To close the Preview window click the button Close 15 CREATING A SCENAR PRESCRIPTION DOCUMENT USING THE R VOLL METHOD To create a document Select a patient in the CARD INDEX Click Document gt New or click the button on the toolbar The list of document types will appear on the screen Click on the SCENAR PRESCRIPTION bar in the list and then click OK The icon associated with the newly created document will appear in the document list And th
49. ick on the neces sary button to execute the button function Let us consider the functions of the toolbar buttons C3 Print Print the current document 4 bk Move to previous next page of the current document Fit to Page T Select preview page size Select page display mode show hide grid ld bw Save the current document in one of possible formats html mhtml MS Word Select mouse action Press EN for use mouse buttons to fil control page display size Press and move across page with left mouse button pressed Select page count to display simultaneously in preview window Close Close this preview window To print the current document Switch on the printer and insert paper Click on the button 39 to print the document the Print window Fig 8 5 will pop up Choose the name of the printer that is connected to your computer set the number of document copies you want to get and the pages to be printed Click on the button OK in the Print window To cancel printing click on the button Cancel in the Print window Click on the button Close to return from the Preview window to the Main program window 30 Prnt DITUUUSEDDUM MEN N AM Properties Status Ready Type HP Lasenet 2100 Senes PS Where Comment Print to file Print range Copies All C Pages from tor Mumber of capies 1 Cancel Selection Fig 8 5
50. ipheral resistance SPR dynejc cm 5 Stroke volume SV ml Circulation reserve coefficient of circulatory regulation according to the cardiac index value Ifminfm2 Actual z2 Hypokinetic Norm Index name Actual 1269 29 37 Medium low 70 80 70 89 Medium insufficiency Eukinetic Proper or normal value Fig 16 3 If it 15 necessary to view data in the form of diagram click the button Show scheme After that you will see the diagram on the screen of moni tor Fig 16 4 Hemodynamic State scheme i E DPa o oo Duet min mn Beta blockers oti Vasodilahars 180 Ca canal blockers Clear 170 bat 150 Vascular resistance Serat us FANS sympath activity volemia z FA ANS 140 m 130 120 110 io TC EN SN X P E 100 i z TAI 2 ET 71 eee niin nean nene ea E 5 F4 contractility E 50 L volemia Vascular resistance ANS ANS parasympath activity 40 5 i 3 3 45 7 1 1 19 29 37 60 50 90 1u0 AL aan Single cardiac efficiency Crit low High low Ned low Normal High Fig 16 4 After closing all windows a new document with the name Hemody namic dated by the time of its creation will appear in the document field 79 17 RECOMMENDED APPLICATION TECHNOLOGY FOR COMPLEX USED FOR DIAGNOSTIC
51. l be dis played Click on the Card item and click the OK button Fig 8 1 Choose Document Type A x 9 Makatani Auricular vol Cancel Hemody Conclusion Prescription Read data from peri SCENAR Expertise Fig 8 1 Form for patient Card creation Fig 8 2 will pop up Click the button OK a new record with a new Patient Card with blank fields Fig 8 3 will appear Click the button Cancel if you do not want to create a new Card Click on the Last name field and type the text in this field when the blinking cursor appears Click on the First name field and type the necessary information in this field All other fields except for Birthdate and Sex fields are filled in the same way 21 Type birthdate in the following format first two digits are the birthday next two digits are the month of birth and the following four digits are the birth year az Home address Heart defect Place of Job Anamnesis Fig 8 2 Fig 8 3 28 If you type less then four digits in the birth year the program auto matically completes the birth year up to four digits To enter data in the Sex field click on arrow button right to text of this field and select the appropriate patient sex from the drop down list Click the button Save to enter and save all typed information in the Card Index A new patient will appear in the Patient List E
52. ll appear on the screen after this command is executed The Card Index that was last in work before exiting the program opens automatically every time the program is started 6 3 OPTIONS MENU Options menu Fig 6 4 is needed to change Program s mode from calculated mode ANS Tonus to expert mode Options w Tonus VAIS Clinical Level 1 Level 2 w Level 3 Fig 6 4 6 4 MENU The Help menu Fig 6 5 is used to get information about software operation and diagnostic methods of the complex The Help menu is des ignated by the question mark in the menu bar Contents F1 By Ehe Points By the Methods About Fig 6 5 21 Contents use this command to get the list of help topics You may also use the hotkey F1 to execute this command Points use this command to get information about the points that are applied in diagnostic examinations Methods use this command to get information about diagnostic methods of the complex About use this command to get information about main features of the software 22 7 CARD INDEX The program can work simultaneously only with one Card Index all diagnostic data obtained during the examination is entered in this Card Index After installation the Card Index is not automatically created You must create Card Index before you can start work For example the Card Index may be created in C PROGRAM FILES RISTA data The pr
53. mation read and input unit for operation and switch it on Choose a necessary patient in the Card Index window Click the icon of the document to be edited and click Edit in the Doc ument menu The Measurement window Fig 12 2 will pop up The changes can be produced only in those points which were entered in the examination list when the document being edited was created Using the keys Tor 4 choose the points to be corrected and repeat measuring in them After completing the correction click the button XI to close the Mea surement window All changes will be automatically saved in the document 60 12 3 ANALYZING AURICULAR EXAMINATION RESULTS Choose a patient in the Card Index window Click the icon of the reguired document in the document list and click View in the Document menu or double click the document icon The window with the processed results of the diagnostic examination Fig 12 5 will pop up Let us consider the basic elements of this window The name of the patient who the given document refers to as well as the examination date and time are indicated in the title bar Below there is a bar where the name of the parameter chosen from the measured parameters diagram is displayed The diagram is located under the bar The chosen parameter is highlighted in red To select the parameter click its marker on the diagram 9 New Patient 14 03 2014 12 57 03 AP 82 Diaphra
54. ment content click on the button according to examination results wr Sympath Eutania Parasympath Conclusion will be displayed fig 17 9 Analyze its content and print if necessary 6 Click button Prescription and close the document Document Pre scription Fig 17 10 or the recommendation about necessity of additional researches will be displayed Fig 17 10 8 If the prescription is received use it for treatment and finish re search 9 If you get the recommendation about necessity of additional re searches close the document Conclusion and complete research according to auricular technique in horizontal position as it is described in section 17 5 03 18 TROUBLESHOOTING Fault events probable causes of troubles methods of their search and removal are indicated in the Table 18 1 Table 18 1 Probable cause When switching on the device No batteries or dis Install new batteries the LED is not glowing or charged batteries becomes dim after the beep The information does not pass No contact in USB Check the connector to the PC the switching indi connector breakage replace if necessary Probably driver for USB Re install the driver ev Toi ll MN The unit processor Switch off the unit and failure switch on it again in 3 4 seconds 94 19 MAINTENANCE The list of maintenance measures for the complex is shown in the Table 19 1 Table 19 1 Periodicity The information Daily befo
55. mmands to be executed from the Menu bar Click on the menu and then click on the selected command to execute it You don t have to hold the mouse button to keep the menu open If you have chosen the menu by mistake then click somewhere out side the menu or press the ESC key to close the menu The menu commands are black or light gray If a command is black it means that it can be executed The light gray command means that you have to make additional operations before its execution or it is not used in the given software version The dots after the name of the command means that additional di alog boxes will appear after clicking on the command You need to add some information in dialog boxes to elaborate the executed command Some commands can be executed by a keystroke or combination keys troke hotkey without using the menu Hotkeys are shown in the menu next to the name of the command The sign is used to indicate the combination keystroke For example the Ctrl Ins means press the key Ctrl hold it and press the Ins key then release both keys 5 3 TOOLBAR The Toolbar with the set of buttons 1s under the Menu bar Clicking on one or the other button of the Toolbar you can execute the appropriate command Let us consider the Toolbar buttons 13 create a new document delete the selected document print the document that is currently opened activate the Card Index window jo b 6 6 exit the program 5
56. nect the unit interface cable to a free USB port of the computer connect the cables of the superficial and measuring electrodes to the appropriate sockets of the unit 3 4 FEATURES OF THE INFORMATION READ AND INPUT UNIT OPERATION The unit is disconnected automatically in 10 minutes when there are no manipulations with the unit or when the supply voltage decreased down to 6 V in the latter case replace the accumulators To restart the unit disconnect it with the switch on off button located on the rear panel and switch it on again not earlier than in 3 5 seconds The unit gives the following signals while switching on the R Voll mode single signal while switching on the Nakatani mode double signal while switching on the Auricular mode triple signal while automatic disconnection continuous signal with the rising tone that has 1 second duration single signals with a decreasing pause between them from 10 to 0 5 seconds indicating that the accumulators are discharging soon The ac cumulators provide not less than 18 hours of continuous work When switching on the unit is automatically set in the Nakatani mode 4 PROGRAM START AND EXIT Before starting the complex software make sure that the unit is con nected to the computer and is switched on Check the connection of the information read and input unit to the computer visually Check the unit switching on by the LED indicator glo
57. nt in prone position and type the data into appropriate fields and close the window Document dl icon L M with the examination data according to the Nakatani method dated by the time of the examination will be added in the Documents list window after closing the window 5 You need to double click Nakatani Document to open it On screen you ll view a rhyodoraku map Fig 17 7 6 Take a look at its contents and click the button VIK You will see the Conclusion Fig 17 8 Take a look at its contents and if it is necessary to print it click the Print button 7 After analyzing of conclusion click on the button Prescription and close the Conclusion In this case the Prescription document will be displayed on the screen as it is shown in Fig 17 9 If necessary you can print Prescription and close the window After closing of a window Prescription a new Prescription docu Rb ment LI dated time of its creation will appear in the folder of documents It is the finishing of patient assessment for functional ANS state esti mation and receptions of the optimum scheme of influence zones 85 9 Nakatani New Patient 13 03 2014 11 56 35 Lung meridian 000000000 By measurement H1 eH Ine Ino Tali Jail EAR RARS Enter BP amp HR 47 LL p Prescription 3 Painful syndromes of upper extremities imi Disease of blood circulation function in pectoral cavity stagn Painful syndromes of u
58. ob BMI 29 9 BSA 1 68 Anamnesis Save Cancel Fig 5 4 16 WMT BMI 23 5 5 1 95 Fig 5 5 5 5 DOCUMENTS LIST WINDOW The Documents list window Fig 5 6 is always present in the main program window and is connected with selected patients The List includes all documents for this patient in chronological order If the patient has not been examined and hence there are no documents for him her then the document list is empty Documents i 08 05 2014 07 03 2014 15 05 56 15 07 48 Qzu3 2014 11 03 2014 15 27 00 9 30 94 11 05 2014 11 03 2014 3 31 19 9 33 48 Fig 5 6 There is contextual menu for the list of document You open contextual menu by clicking on the documents list Export to Analize data Fig 5 7 17 It is possible to export separate documents into XML file and that 15 the difference it is possible to choose several documents by clicking on them and holding CTRL button Use the contextual menu of the card in dex for data import therefore the import procedure will create the new pa tient in order not to mix up the data There are several types of documents and icons Each document type in the list has a special symbol icon The date and time when the docu ment was created is placed under the icon document with the examination data according to the Naka tani method document with the examination data according to the au
59. ogram enables to create additional Card Indexes and work with them in the same way as with the automatically created Card Index 7 1 CREATING A CARD INDEX Choose the command New in the Card Index Menu to create a new Card Index and the Browse For Folder window Fig 7 1 will appear on the screen Choose Directory 2 Quest Software 9 QuickTime Alternative Realtek Reference Assemblies 1 2 Rista ites UserManual Rista eng C RITM rg modgdoar ee m 4 k Create Folder Cancel E Fig 7 1 Choose the Directory of the new Card Index in the field Directory For example choose Data Click on the OK button and then click Yes in confirmation dialog A new empty Card Index Fig 7 2 will appear on the screen The path of the new Card Index Data is shown in the title bar 23 ATTENTION To work with the previous Card Index you have to open it again LINE sax Document CardIndex Options Last Name Name Middle Name StaturelWeight gt Fig 7 2 The confirmation request for new Card Index creation will appear on the screen Fig 7 4 if the entered path belongs to another already exist ing Card Index tonem ix In directory of C Program FilesiRista engYDaka card already exist Create new Te Fig 7 4 Click on the button Yes if you want to create a new Card Index instead of already existing one In this case the old Card
60. on the screen repeat the mea surement in the current point To do it press the data input button You can move among the measured points in the same way as in case of the Nakatani s diagnostics After electrical conductivity is measured in the last point the message Fig 14 4 will pop up Click on the OK button and close the Measurement window by clicking the button X in it E xl end of list Fig 14 4 14 2 EDITING A VOLL EXAMINATION DOCUMENT Before producing changes in the document with the diagnostic exami nation results prepare the information read input unit for operation and switch on it Select a reguired patient in the Card Index window Click the icon of the document to be edited and click Edit in the Doc ument menu The Measurement window Fig 14 2 will pop up Only the points which were included in the examination list while creating the document to be edited can be edited Using the keys Tor 4 select the points to be corrected and carry out re peated measurements in them After completing the correction click the button XI in the Measure ment window to close it All changes will be automatically saved in the document 14 3 ANALYZING A VOLL EXAMINATION DOCUMENT Select a patient in the CARD INDEX window 71 Click the icon of the reguired document in the document list and click View in the Document menu or double click the document icon The window with processed results of the diagnostic e
61. onclusion tex Conclusion te Conclusion tex Signature Date lt Io Page 1 of 1 9796 Fig 11 4 55 We have already described the operation in this window in the chapter 8 3 while considering the Anamnesis printing Therefore we ll consider only the main steps To print the current document Switch on the printer and insert paper Click the button 53 to print the document being viewed The Print window will pop up In the Print window click the button OK to print the document or the button Cancel to reject printing Click the button Close to return to the Medical Conclusion win dow from the Preview window Click the button XI to close the Medical Conclusion window 56 12 AURICULAR DIAGNOSTICS 12 1 DIAGNOSTIC HYPOTHESIS FORMATION READ AND INPUT OF DIAGNOSTIC PARAMETERS INTO THE COMPUTER Prepare the information read and input unit to start the diagnostics Connect the electrode for auricular diagnostics to the appropriate jack and switch on the unit Start the program and choose an existing patient or enter a new one in the Card Index Click New in the Document menu or click the button on the tool bar The list of available document types will be displayed click on the Auricular Diagnostics and then click OK The Choice window Fig 12 1 will pop up and the icon associated with your new created document will appear in the List of documents x Bythe
62. operate with the marker it has to be selected To do this click inside the oval The text of the selected marker is displayed in the text field To delete a created marker select it and then click the button the marker will be deleted from the pattern 10 3 INCLUDING ADDITIONAL TYPICAL PATTERNS INTO THE SCENAR PRESCRIPTION Click the button to introduce an additional treatment zone pattern into a prescription The Add page window Fig 10 7 will appear on the screen In the left part of the window there are lists that contain automatically created zone patterns for normalization of the revealed dysfunctions by the Nakatani and Auricular methods and Standard recipes Use the vertical scroll bars to scroll the lists To the right of the upper list there are fields for the specification of the patterns from the list Specify the side of the pattern left or right and the influence character to tone up or depress by clicking your mouse in the fields before choosing a desired pattern Double click on the pattern name from the upper or lower list to enter it in the addition field 41 Add Page asition Lung meridian lefttone up Lett Right H1 Lung meridian B Hz Pericardium meridian H3 Heart meridian H4 Small intestine meridian Tone up H amp Triple energizer meridian f Depress By functions te D4SP Aorta LEN Lungs C op Esophagus Stomach pancreas ERR Six points the face
63. option Tonus VNS clinical will be switched on automatically A set of func tions for the third level is specified in the menu represented in the Fig 17 5 82 9 Nakatani New Patient 13 03 2014 11 56 35 Lung meridian 000000000 By measurement PA Ink lak dno ddai dew a l decb dem ol foo EL LIEN T Degan rescription Painful syndromes of upper extremities C Disease of blood circulation function pectoral cavity stagn Painful syndromes of upper extremities Nakatani Auricular Wall Cancel Conclusion Prescription Fig 17 5 If the option Tonus VNS clinical is switched on in order to esti mate functional activity of ANS user must explicitly specify the form of estimation of VNS tonus for the expert system by clicking on the one of the buttons shown in the Fig 17 6 83 Nakatani New Patient 13 03 2014 11 56 35 By measurement Lung meridian ___enerpeann oo pasar Byctinical data Prescription Suricular Painful syndromes of upper extremities Fig 17 6 The option Tonus VNS clinical can be used when you switch on the first or the second level Then the assessment of functional activity of VNS will be formed independently of blood pressure and pulse rate In many cases the assessment of the ANS and the schemes of treat ment zones obtained with the help of Ist 2nd and 3rd levels are the same However if you e
64. ose Nakatani 4 Prin Last Name New First Name Patient Middle Name Year of Birth 1976 Sex Male Age years 38 Date amp Tme of observation 13 03 2014 11 56 Hi H2 H4 Conclus ion Hemodynamic Fig 9 12 42 10 CREATING A SCENAR PRESCRIPTION DOCUMENT 10 1 CREATING A SCENAR PRESCRIPTION USING THE NAKATANI DIAGNOSTICS RESULTS To create the SCENAR PRESCRIPTION document using the Nakata ni diagnostics results Select a patient in the Card Index window Click the icon of the necessary document with the Nakatani examina tion results in the document list and choose the View item in the Docu ment menu or click the document icon twice The window with the processed diagnostic examination results Fig 10 1 will pop up Using the output tree select the most asymmetric skin areas of the pa tient Click on the output tree abbreviation that corresponds to the selected areas In this case the selected skin areas in the picture and conductivity val ues of the meridians that are associated with the areas on the linearized rhyodoraku map Fig 10 1 will be highlighted in red and blue 9 Nakatani New Patient 13 03 2014 11 56 35 Lung meridian By measurement 2 eh Ip IA Enter amp HR 47 By clinical data Prescription Auricular e a 7 ULF DLF 2 ULB DLB 10 URF DRF 1 Metabolic disease connected with e
65. our PC from the CD and the unit has to be connected to one of standard ports Some introductory notes and technical terms regarding the software installation and operation are given in the present chapter To carry out most of the computer operations one have to indicate an object on the screen and press the mouse button When you move the mouse along the desktop the mouse pointer moves along the screen To carry out some operations you have to locate the pointer on the object and press the mouse button once or twice click or double click the object The mouse pointer usually looks like an arrow but it may have any other shape The most typical operations carried out with the mouse are given be low Click press once and release the left mouse button Double click press twice and release the left mouse button Right button click press once and release the right mouse button Dragging locate the mouse pointer on the object Then this object press and hold the left mouse button and move the mouse pointer to the place where you want to transfer the object and then release the mouse button Hereinafter we shall use the above mentioned technical terms For ex ample instead of Move the mouse pointer to the Start up button and press the left mouse button we will say Click on the Start up button 3 PLACEMENT AND MOUNTING OF THE COMPLEX 3 1 GENERAL INSTRUCTIONS The room for work with the complex should me
66. pper extremities Mean of the all values of electrical conductivity of representative BAP of meridians c u a7 Blood pressure at rest in lying postion mm Hg 120 go Heart rate at rest in lying position beats per minute ee Moderately increased Tone of autonomic nervous system ANS dinically Parasympathicotonia I 21 Functional activity balance of segmental apparatus parts Disturbed Age years Patient s stature cr 180 Body weight kg 80 Body mass index kg m2 24 7 normal weight Body surface area m2 2 00 Date of examination state Type of circulatory regulation according to the cardiac index value 2 Actual 22 Hypokinetic Norm 2 9 Eukinetic Index name Proper or normal value 13 03 2014 11 56 35 The meridians from the group of H1 H3 F1 F3 whose electroconductivities are increased Segmental and projection zones of standard Pulse pressure PP mmHg prescription are not to be treated to decrease ANS Functional activity Average dynamic pressure DPa mmHg Cardiac output CO l min 5 8 Cardiac index CI l min m2 2 9 Peripheral resistance PR dynejc cm 5 1269 Stroke index SI mijm2 29 37 Medium low Specific peripheral resistance SPR 636 dynej c cm 5 Stroke volume SV ml 70 80 70 89 Medium insufficiency Circulation reserve coefficient Fig 17 8 86
67. re start Cotton napkin read input unit cleaning ing operation Cleaning of the surface Before each diag Cotton tampon Disinfectant and measuring electrodes nostic procedure solution according to the elements that are in con Standard OST 42 21 2 tact with the body using a 3 hydrogen peroxide so cotton tampon wetted with lution according to the Rus the disinfectant solution sian Standard GOST 177 The cotton tampon in the Before every di Cotton wool hollow of the measuring agnostic proce electrode for the Nakata dure ni s diagnostics Battery replacement As required Battery PP rated voltage 9 V 95
68. rescription New Patient 17 03 2014 11 29 02 bI x Balaor Left Tone up s xli LF2 Ton Page 1 from 1 Fig 17 9 17 4 TECHNIQUE OF RESEARCH AT THE SECOND LEVEL The user has to set up the second level of program before the begin ning of research In the menu option Tonus VNS clinical is switched off Level 2 is included This option can be set once and will remain until the user change it see Fig 17 1b You have to create the patient card before procedure 1 Follow steps 1 5 the same as for Level 1 2 If you use the level 2 in cases when at installation of the first level the Prescription 6 face points and three pathways was formed by choos ing Prescription there is formed the message on necessity of additional research of a condition of a backbone according to auricular technique Fig 17 10 2 Research the spine on the auricular diagnostics Fig 17 10 3 If you get the recommendation that it is necessary to make research on auricular technique choose OK and also close document Conclusion 87 button Close In the Nakatani form click on Auricular button and then Enter BP amp HR clinical data Confirm x a want to create Auricular document now s click Yes Fig 17 11 There is another way to create Auricular diagnostic document con taining specified points Enter into the menu Document New and choose Auricular diagnos
69. ri cular method document with the examination data according to the R Voll method the Hemodynamic document the SCENAR prescription document the Conclusion document 18 6 REVIEW OF THE PROGRAM MENUES 6 1 DOCUMENT MENU In the Menu Document Fig 6 1 you can work with various electron ic documents that contain data on the patient state Document Card Index Gp Mew Ctrl Edit H Views Ctrl Import From Export to PALM E Delete Ctrl Del Print Ctrl P Import From XML Export Dac s to XML amp Exit Fig 6 1 Document New use this command to create a new document To execute this command you may also use the hotkeys Ctrl N or click on the toolbar button lt Once the command is executed the Choose Document Type window Fig 6 2 appears The window contains the list of available document types Click on the required document type and click on the OK button The window that corresponds to the document type will appear on the screen Document Edit use this command to edit the content of the docu ment which have been already created Select a document to be edited in the Document List before using this command Once the command is executed a corresponding edit window appears on the screen Document View use this command to view the content of the docu ment which have been already created Select a document of a patient in the Document List before using this command
70. rm a list of the organs and systems whose functional activity requires correction Enter the names of the organs and systems in the SCENAR PRESCRIPTION creation field Click the button LI to create the SCENAR PRESCRIPTION docu ment based on the information entered in the SCENAR PRESCRIPTION creation field The icon associated with the newly created document will appear in the document list and the SCENAR PRESCRIPTION Fig 13 1 win dow will appear on the screen We have already considered operation in this window when describ ing the prescription creation according to the Nakatani method Therefore we ll discuss only the main stages To add an additional treatment pattern into the prescription click the button the Add Page window Fig 13 2 will the screen Double click on the name of the treatment pattern in the By functions list to enter it in the addition field The treatment pattern name will be dis played in this field 65 After entering all the reguired patterns in the addition field click the button OK After completing work with the SCENAR PRESCRIPTION document close it by clicking the button X in the right upper corner 9 Prescription New Patient 14 03 2014 14 24 55 al Sl l Page 1 from 2 Fig 13 1 Add Page H1 Lung meridian H2 Paricardium meridian H3 Heart meridian B H4 Small intestine meridian HS Triple energizer meridian By function
71. s 14 R VOLL DIAGNOSTIC EXAMINATION 14 1 FORMING A DIAGNOSTIC HYPOTHESIS READING AND INPUTTING DIAGNOSTIC PARAMETERS Prepare the information read and input unit before starting the diag nostic examination Connect the electrode for R Voll diagnostics into the plug of the mea suring electrode and switch on the unit Start the program and select an existing patient or register a new one in the Card Index Click Document gt New or click the button 2 on the toolbar The list of document types will appear on the screen click there on R Voll and click OK V The Choice window Fig 14 1 will pop up and the icon ASSO ciated with the newly created document will appear in the document list Choise Bythe CMPs Bythe Meridians C Bythe Aims Express Lung Meridian O 2 The lower part oftemporomandibular joint Large Intestine Meridian LI 3 Paratid gland b Stomach Meridian L1 4 Mandihle O 5 Maxillary sinus Spleen and pancreas meridian O 6 Parotid gland Heart Meridian 7 Maxillatemparal joint Small intestine meridian 8 Lateral wall af mandible 5 6 teeth Bladder Meridian 3 Parathyroid gland Kidne idi 10 Thyraid gland 10a Vagus Pericardium Meridian 111 Thymus Triple Energizer Meridian 12 Cammioan carotid artery and carotid sinus Gall bladder Meridian 113 Upper part of the esophagus Liver Meridian 14 Down ofthe esophagus 15 Esaphagus plexus ofth
72. sider only the main steps To print the current document Switch on the printer and insert paper in it Click the button 5 to print the viewed document and the Print win dow will pop up In this window click the button OK to print the document or click the button Cancel to reject printing To return into the SCENAR PRESCRIPTION window from the Preview window click the button Close After printing is completed close the SCENAR PRESCRIPTION window by clicking the button X in the window 22 11 CREATING TEXT DOCUMENTS 11 1 CREATING A MEDICAL CONCLUSION DOCUMENT The complex software enables to create the documents in which any text information can be registered In particular a Medical Conclusion i e medical report of the patient examination can be formed as a text docu ment To create a Conclusion document Select a patient in the Card Index window Click New in the Document window or click the button on the toolbar The list of document types will be displayed Click on the Medical Conclusion bar and click the button OK An icon associated with the newly created Medical Conclusion document will appear in the list of documents and a text window Fig 11 1 will appear on the screen The name of the patient who the document refers to as well as the date and time of the Medical Conclusion creation are shown in the title bar of the window 9 Conclusion New Patient 14 03 2014 11 45 29 Fig 11 1 Type a
73. taining the description of treatment scheme It is the end of research 89 17 03 2014 12 10 47 82 Diaphragm Aorta Lungs Esophagus Stomach pancreas Intestines Liver and gall bladder Kidney and ureter Bladder walls Mucoid tissue of bladder neck Prostate Testicle Ovary Body of the womb 45 44 56 34 45 nq 343118 Neck of the womb 4 gt Dartiim Delta 0 Corridor Expert Recipe 2 Fig 17 14 9 Prescription M A 17 03 2014 12 25 29 dago sacrum and coccyx 2g E 27 sacrum and Page 1 from 1 Fig 17 15 90 17 5 TECHNIOUE OF RESEARCH AT INSTALLATION OF THE THIRD LEVEL The user has to install the third level as well as the second before the be ginning of research In the menu option Tonus VNS clinical is switched on Level 3 is switched on too This option can be set once and will remain until it will be changed by the user Fig 17 1c For research it is necessary to do following 1 Complete steps 1 4 as for Level 1 2 Make a research according to the Voll s method in a horizontal po sition To start an examination click on button By clinical data in the Na katani form and then ckick Yes Enter BP amp HR Suricular x Do yo want to create vall document now b Fig 17 16 You also can create Voll examination containing specified points
74. ted in gray 33 CALIBRATE 1 0 irculation characteristics Blood pressure SP DP HR in ling position D 98 0828 Anterior area of the wrist between proximal and distal radiacarpal folds at the anterior edge of palmaris longus radiopalmar line of the hand Hardware not Found or was disconnect 6 1 CALIBRATE 0 88 Fig 9 2 34 The diagnostic process begins with the calibration of electrodes If the unit is switched on and the upper indicator is highlighted in green MS click the button CALIBRATE to switch on the calibration mode In this case the lower indicator becomes red and the inscription Ca libration Fig 9 3 will appear under the button CALIBRATE If the upper indicator is gray which means that the unit is switched off switch on the unit and then click the button CALIBRATE to switch on the calibration mode CALIBRATE Calibration Fig 9 3 Short circuit the measuring and ground cylindrical electrodes through tampon and press the data input button on the measuring electrode Do not short circuit electrodes directly by metal pads since it will lead to in correct calibration A calibration coefficient value will be displayed under the button CALIBRATE and the calibration mode indicator will become gray Now you may start measuring diagnostic parameters Place the measuring electrode on the patient s skin press the data in put button on the measuring
75. the button OK and close the Measurement window by clicking the button X in this window 9 2 EDITING A NAKATANI EXAMINATION DOCUMENT Prepare the information read and input unit for operation and switch it on before making changes in the document with the diagnostic examination data Select a necessary patient in the Card Index window Click the icon of the document to be edited and choose the Edit item in the Document menu The Measurement window Fig 9 1 will pop up Calibrate the electrodes Choose the points to be adjusted using the keys T or 4 and repeat mea suring When the adjustment process is completed click the button XX to close the Measurement window 36 All changes will be automatically saved in the document 9 3 ANALYZING NAKATANI EXAMINATION RESULTS Choose a patient in the Card Index window In the document list click on the icon of the necessary document and choose the View command in the Document menu or double click the document icon The screen will show the window with the processed diagnostic exami nation results Fig 9 6 Let us consider the basic elements of this window b Nakatani New Patient 13 03 2014 11 55 35 By measurement Lung meridian Hi H2 H3 H4 H5 H Fi F2 F3 F4 F5 F is oc of L LL tao ES PE ES SR PE 7 Bs M Wing position Paintul syndromes of upper extremities Enter BP amp HR FAz4AT
76. the mouse pointer into the inside of the oval and holding the left mouse button drag the oval on the new zone in the treatment zone pattern 4 Prescription New Patient 13 03 201 Dal Of Riot Depress Fig 10 4 wx 2 Fig 10 5 Set the mouse pointer on the zone serial number and holding the left mouse button drag it at the necessary distance from the marker To resize the displayed oval hold the right mouse button and move the mouse pointer in the required direction the mouse pointer being inside the oval Holding the right mouse button move the mouse pointer up to in crease the vertical size of the oval Holding the right mouse button move the mouse pointer down to de crease the vertical size of the oval Holding the right mouse button move the mouse pointer to the right to increase the width of the oval Holding the right mouse button move the mouse pointer to the left to decrease the width After the marker is located in a necessary place and the appro priate size is set you can change the marker number or type a text instead of the marker number 46 Click the mouse in the text field of the marker A blinking cursor will appear in the field The information entered in the given field will be displayed near the marker Fig 10 6 Nag oo x 2g nearthe Label RH5 Sed Text near the Label a Fig 10 6 Further you can create a desired number of markers in the same way To
77. unction Export to EXCEL let you to export examination data ac cording to NAKATANI method for selected patients for the following sta tistical analysis If Excel is not installed on your computer you ll get an error message Each patient has the Card Fig 5 4 You need to double click the Patient cardto chose the appropriate patient and then choose Change in the program menu When you open a card window you can fill or change appropriate fields Choose a Card in the dialog of creating a new document to create a new patient card The Patient card consists of the set of various fields To fill in these fields click in the appropriate field and type infor mation when the blinking cursor appears The only one exception is a field SEX In the Sex field simply click on the black triangle and choose an appropriate patient sex Male or Female Anamnesis of the patient is a field where you can type appropriate text information The patient Anamnesis field is filled automatically if you type birth height and weight data of the patient See Fig 5 5 When you change the data you need to press the Save button in order to save information and Cancel to undo changes Pay attention to the highlighted fields Those fields are mandatory LINER 210 Client Last Name First Name Middle Name Stature Patient 153 Birthdate Sex Phone Weight 12 02 1956 Male gt Home address es Heart defect Place of J
78. ve within the left and right lists use the vertical and horizontal scroll bars To select an organ or system click on its name and it will be hig hlighted in dark blue The sign will appear before the name and the set of points that reflect the state of the functional system or organ will be shown in the right list Click in the box before the name of the point to include it in a set to be examined Repeat the given procedure to select all necessary points Click on the examination variant Express which is intended for test ing the adequacy of the chosen treatment mode After choosing the given variant the left list becomes empty and the names of the points are displayed in the right list To include a point in a set to be examined click in the box before the point name After the set of points to be examined is formed click the button OK The unit will beep once to indicate the switch to the R Voll mode and the Measurement window Fig 14 2 will pop up The unit is ready for operation if the upper indicator is hig hlighted in green If the indicator is not highlighted switch on the unit The elements of the Measurement window the R Voll s diagnostics are similar to those of Measurement window for the Nakatani s diagnostics except for some differences As the calibration before the R Voll s examination is not required there is no Calibration button There are two fields below the scale that displ
79. very time you click on the name of the patient you can see his filled card You can make any changes in the Card in the following way Select patient record to be edited in the patient list Choose the commane Edit in Document menu Make necessary changes and save card as shown above All changes will be entered and saved in the Card Index 8 2 CREATING PATIENT ANAMNESIS Place cursor at Anamnesis field in the Patient Card Type not more than one text page in the Anamnesis field 8 3 PRINTING PATIENT S ANAMNESIS Choose a necessary patient Choose the command Print in the Document menu or click on the main window toolbar button The Preview window Fig 8 4 will pop up Preview Document ED 10 AH Print 4 Pr b y Fktowikh E E i Inches M 2 Coe E Anamnesis Last Name N ew First Name Patient Middle Name Year of Birth 1976 Sex Mae Age years 38 Anamnesis Signature Date K 4 b Page 1 of 1 96 Page View With Zoom Tool left or right click to zoom in out Click amp drag with Hand Tool to pan Fig 8 4 29 This window is used for printing all documents The document in this window looks in the same way as after printing Click on the document page to zoom it and use horizontal and vertical scroll bars to move within the document Click left or right mouse button on the document page to zoom it in or out There is a toolbar with buttons under the title bar Cl
80. wing on the in formation read and input unit front panel The LED indicator is glowing when the unit is switched on To start the program click the Start button and go to the Programs menu Choose the Rista3 item and click on Rista3 item The Main window of the program shown in the Fig 4 1 will appear on the screen if there is no information about patients in the database If there is some information in the database the Main window will look as shown in the Fig 4 2 Document Index Options T Last Name FirstName Middle Name Birthday Sex Ststwe weis H Fig 4 1 10 b CIE KS Rae TB Tue 12 02 1956 01 01 1980 07 03 2014 15 05 56 9 OF 00 2014 15 27 00 11 03 2014 9 33 48 12 09 2014 13 52 40 Fig 4 2 Document CardIndex Options Fig 4 3 To exit the program click on the button which is in the program Toolbox Fig 4 3 It is advisable to create the Rista3 label and locate it on the Desktop to make work with the software easier 11 5 ELEMENTS OF THE PROGRAM MAIN WINDOW After the start of the program the main window Fig 4 1 or Fig 4 2 appears on the screen Let us consider its elements Fig 5 1 Some ele ments are typical for all windows in Windows some are specific only for the complex software b Lic d EE C x Document Cardindex Options 1 Program Menu PREIRAR Program Toolbar Card indes F gvr DEB rista4 D2010 Firebird
81. xamination Fig 14 5 will pop up Let s consider the basic elements of the window The name of the patient who the given document refers to and the date and time of the diagnostic examination are shown in the title bar The upper and lower value of a chosen parameter time of measure ment lateralization and the parameter name are displayed in the bar below The selected parameter is highlighted red To select the parameter click its mark on the measured parameters diagram in the center of the window 9 vall New Patient 14 03 2014 15 07 08 Estimation of Tonus Sympathic Tonus Severe degenerative process organ cirrhosis or fibrosis with the loss of function Evident degenerative process or tumor Considerable degenerative changes or benign non cancerous well differentiated tumors Marginal degenerative changes in organs ortissues Kal Fig 14 5 The dark blue band on the diagram indicates the physiological corri dor If an electric conductivity value is out of corridor limits this indicates a probable disorder in the associated organ or system The list located below is used to clear up the character of the disorder Use the vertical scroll bar to move within the list Based on the information obtained during the diagnostics analysis a number of organs and systems that need to be normalized is formed This information will be necessary for SCENAR PRESCRIPTION creation which will include the projection
82. xamine people with cardiovascular diseases children elderly people and athletes the test results can be different It will be more reasonable to use the third level for examination for these categories of people the third level of examination is intended to get an assessment of balanced tonus according to R Voll method or clinically Below you can find the recommended procedures for applying this complex for each of three levels of users However this does not exclude the possibility of creating by the user his original scheme of the examina tion using a methodological support of the complex as well as making schemes of general treatment zones 84 17 3 TECHNIOUE OF RESEARCH AT THE FIRST LEVEL The first level is installed automatically when you install the software In the Settings menu you must choose the following settings option To nus VNS clinical off Level 1 on see Fig 17 1a A patient card must be created before the procedure To carry out the research it is necessary 1 Place the patient on the couch and prepare him for examination ac cording to Nakatani method bare hands and feet 2 You need to double click the surname in the list of patients to choose the appropriate patient 3 In the menu choose the item Document New and select Nakata nij make the calibration and measure the electrical conductivity of 24 points represented on the hands and feet 4 Measure blood pressure and heart rate of patie
83. xternal respiration dysfu 23 URB DRB 1 L R 1 F B Painful syndromes of upper extremities hal F Sympath Eutonia Parasympath 43 If some blue and or red values are out of the physiological corridor limits ask the patient if he she has the clinical symptoms corresponding to the highlighted values from the list Click on the notation of the selected meridian or conductivity value marker on one of its branches After the information obtained from the patient is analyzed and the main dysfunctions are discovered the structures selected for stimulation shall be entered in the field for the SCENAR PRESCRIPTION creation On the riodoraku map click twice on the conductivi ty value associated with the dominant dysfunction The data will be entered in the field Fig 10 2 Click the button to generate the SCENAR PRESCRIPTION document on the basis of the informa tion in the field for the SCENAR PRESCRIPTION crea tion Fig 10 2 The icon of the newly created SCENAR PRESCRIPTION will appear in the list of documents And the SCENAR PRESCRIPTION win dow Fig 10 3 will pop up 9 Prescription New Patient 13 03 2014 14 49 47 Title Ba dai ERES e Zone Name xl Labels RH5 Page 1 from 2 Page Number Fig 10 3 44 Let us consider the basic elements of the window In the title bar the last name first name middle name of the patient who the given do

Operation manual

Contents

Download Pdf Manuals

Related Search

Related Contents