Shishonin A Yu, Bekkushe I, Vetcher A A, Pavlov V I
Complementary and Integrative Health Clinic of Dr. Shishonin, Moscow, Russia.
Peoples' Friendship University of Russia, Moscow, Russia.
Vopr Kurortol Fizioter Lech Fiz Kult. 2024;102(4):52-59. doi: 10.17116/kurort202410104152.
There is a long-observed relationship between the pathology of the spine and arterial hypertension. There are a number of explanations for this, including one based on reflex effects and obstruction of blood flow to the cerebral vasodilatory centre localized in the rhomboid fossa projection. Obstruction can be absolute and relative, preventing the increase of blood flow during stress, when the brain turns on additional energy demand (phenomenon of «selfish brain»). In conditions of insufficient blood supply anaerobic metabolism is included, requiring in the future, the addition of anaerobic glycolysis products. This leads to the persistence of an elevated level of AD and is part of the theory of centralized compensation of aerobic-anaerobic balance (theoretical aerobic-anaerobic energy concept, TAAEBC). The existing methods of manual manipulation and physical action on the spine, mainly the atlantoacral section of the cervical spine, have, according to existing publications, varying degrees of effectiveness. The modern approach to treatment of arterial hypertension and correction of metabolic disorders by A. Shishonin is promising. It is based on the TAAEBC concept and assumes a system approach and long-term effect through a consistent three-step manual and physical interventions aimed at restoring, retaining and long-term support of the vertebral blood flow.
脊柱病理学与动脉高血压之间存在着长期以来被观察到的关系。对此有多种解释，其中一种基于反射效应以及位于菱形窝投影处的脑血管舒张中枢的血流受阻。这种受阻可以是绝对的和相对的，在压力期间当大脑开启额外能量需求（“自私大脑”现象）时，会阻止血流增加。在血液供应不足的情况下，无氧代谢被激活，这在未来需要添加无氧糖酵解产物。这会导致AD水平持续升高，并且是有氧 - 无氧平衡集中补偿理论（理论有氧 - 无氧能量概念，TAAEBC）的一部分。根据现有出版物，现有的对脊柱进行手法操作和物理作用的方法，主要是颈椎的寰枢椎部分，具有不同程度的有效性。A. 希绍宁治疗动脉高血压和纠正代谢紊乱的现代方法很有前景。它基于TAAEBC概念，并通过一致的三步手法和物理干预，旨在恢复、保持和长期支持椎骨血流，采用系统方法并产生长期效果。
