DiaDENS Manual

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com
DENAS MC CORPORATION MEDICAL CENTRE
PART 2
DIADENS
Manual for dynamic electrostimuiation using DiaDENS-T and DiaDENS-DT devices
General Editor, V.V. Chernyshev, Medical Consultant for DENAS MC Corporation

Editor, K.Yu. Cheremkhin, Medical Director of DENAS MC Corporation
Authors:
A.A. Vlassov, Doctor of Medicine, Associate Professor, Head of Department of DENAS MC
Corporation;
V.V. Malakhov, Doctor of Medicine, researcher for DENAS MC Corporation;
N.B. Nikolaeva, researcher for DENAS MC Corporation;
A.A. Safronov, researcher for DENAS MC Corporation;
M.V. Umnikova, Doctor of Medicine, Assistant Professor, Internal Medicine and Advanced
Training Faculty at Ural State Medical Academy.
Reviewers:
A.M. Vassilenko, Doctor of Medicine, Professor, Head of Department of Reflex and Manual
Therapy at Moscow State Medical-Sanitary University (City of Moscow).
This publication is an appendix to "Manual for Dynamic Electrostimulation Using DENAS
Devices." The publication describes in detail the advantages of DiaDENS-T and DiaDENS-DT
devices as compared to DENAS devices, lists additional treatment methods for various diseases,
using the new expanded diagnostic and therapeutic possibilities afforded by DiaDENS devices.
© Author Collective, 2006
© Limited liability company RTS ART, 2006
© Limited liability company Tokmas-Press, 2006
© Limited liability company RIF SANED, 2006
CONTENTS
CHAPTER 1. DIADENS DEVICES.................... 6

1.GENERAL INFORMATION.............................. 6
Terminology......................................................... 6
A Comparative Description Using DENAS, DiaDENS-T
and DiaDENS-DT................................................. 9
Advantages of Using DiaDENS Devices........... 10
Indications and Counter-Indications
for Use of DiaDENS Devices............................. 11
Combination of DiaDENS device usage with
Other treatment techniques............................... 11
2. INFORMATION ON THE SPECIFICS
OF USING THE DIADENS DEVICE.................. 12
Appearance of the DiaDENS devices.
Control terminals............................................... 12
Ranges of the energy exposure and selection. . 12
Frequencies of Electric Impulse Application
and Their Selection............................................ 13
Apparatus working methods.............................. 14
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CHAPTER 2. DIAGNOSTIC CAPABILITIES AND OPERATION
MODES OF DIADENS-T AND DIADENS-DT DEVICES 15
1.PURPOSE AND APPLICATION OF TEST PROGRAMME 15
2.PURPOSE AND APPLICATION
OF SCREENING PROGRAMME....................... 17
3.PURPOSE AND APPLICATION OF FOLL PROGRAMME 18
General Information on Foil Method.................. 18
Preparation for Testing....................................... 19
Express Assessment of the Functional State
of Energy Meridians........................................... 20
Detailed Examination of the State of Energy Meridians Using
the "Index Decrease" Effect............................... 23
Medicated testing.............................................. 24
4.PURPOSE AND PRACTICAL APPLICATION
OF BIOREPER PROGRAMME......................... 26
Historical Note.................................................... 26
The Difference Between BIOREPER Method and Other
Electropuncture Diagnostics.............................. 27
Some Notes on Physiology and Anatomy of the Auricle 28
Auricle Examination........................................... 29
Preparation for Testing....................................... 30
Determining the Individual Testing Voltage........ 31
BIOREPER Testing Programme........................ 31
CHAPTER 3. THERAPEUTIC CAPABILITIES AND

FUNCTIONING MODES OF DIADENS DEVICES 33
1.THERAPY PROGRAMME.............................. 33
2.MED PROGRAMME...................................... 34
CHAPTER 4. DEVICE TREATMENT ZONES AND DATA

PROCESSING METHODS................................ 35
1. ZONE OF FRONTAL PROJECTION
OF PATIENT'S COMPLAINT.............................. 35
2. SEGMENTAL ZONES.................................... 35
Segmental Zones of Particular Applications...... 36
Segmental zones for general treatment............ 36
3.UNIVERSAL (GENERAL) ZONES................. 38
4.TRIGGER ZONES........................................... 40
5.VARIOUS SPECIAL ZONES.......................... 42
6.CONCORDANCE SYSTEM ZONES AND POINTS 47
7.THE MAIN ZONES OF RESUSCITATIVE THERAPY. 47
CHAPTER 5. RECOMMENDED TREATMENT PROCEDURES

AND DIADENS DEVICE TECHNIQUE............ 49
SCHEME 1. COMPLAINT IS COMPLEX AND LOCALISED,
DISEASE IS ACUTE.......................................... 49
SCHEME 2. COMPLAINT IS COMPLEX AND LOCALISED,
DISEASE IS CHRONIC..................................... 51
SCHEME 3. PRESENCE OF A NUMBER
OF DIFFERENT COMPLAINTS........................ 53
SCHEME 4. INDEFINITE COMPLAINTS......... 54
CHAPTER 6. AURICULOTHERAPY USING DIADENS

DEVICES IN MOST COMMON DISEASES..... 56
CHAPTER 7. AURICULOTHERAPY USING THE DIADENS

DEVICES IN SOME EMERGENCY SITUATIONS 60
1. The most frequently used auricular points in lesions and
in sports medicine (Fig. 26)............................... 60
2. The most frequently used auricular points in some
emergency conditions (Fig. 27)......................... 60
ALPHABETICAL INDEX.................................. 61
APPENDIX........................................................ 66
LIST OF ILLUSTRATIONS FOR FOREIGN DIADENS 71
CHAPTER 1 DIADENS DEVICES
1. GENERAL INFORMATION
Terminology
Dynamic Electroneurostimulation and its Hardware
DENS - dynamic electroneurostimulation is a new method of electroreflex therapy (registered
certificate from the Russian Federal Inspection Agency in health care and social development No.
ФС-2005/004, dated 04 March 2005)
DiaDENS - diagnostic dynamic electroneural stimulator with two models: DiaDENS-Tand
DiaDENS-DT.
DiaDENS-T'- has an in-built electrode and an external therapeutic electrodes with the MSSI
function (see below), and a broader range of therapeutic frequencies (20, 60, 77, 140 and 200 Hz),
the MED prevention programme (10 Hz) (registeredcertificate from the Ministry of Health, Russian
Federation No. 29/23030902/5391-03 dated 26 June 2003).
DiaDENS-DT- in addition to DiaDENS-T, this device has BIOREPER and FOLL programmes
(Registration Certificate of the Ministry of Health, Russian Federation No. 29/23030902/5391-03
dated June 26, 2003).
Technological specifics and functional capacities
of DiaDENS devices
Inbuilt electrodes - electrodes mounted within the device frame. They are also referred to as
being "zonal", as the DENS performed by them affects the neural elements of the skin area rather
than the active point.
External therapeutic electrode - the electrode outside the device frame, connected to the
device frame via a cable. Included in the shipment of DiaDENS devices.
Diagnostic electrode - an outside electrode for electropuncture diagnostics in BIOREPER and
FOLL programmes. Consists of a passive electrode and an active electrode. Included in the shipment
of DiaDENS devices.
LCD - liquid crystal display - a small display located on the front part of DiaDENS devices.
Skin impedance - full electrical resistance of the skin surface in the area beneath the
electrode.
MSSI - monitoring of surface impedance of skin in the TEST (the dosed process) and
SCREENING programmes. It enables the revelation of latent triggers (see below).
MED - programme of minimum effective dosage for treatment using the device.
TEST programme - dosed programme of the DENAS and Dia-DENS devices, which is
designed to assess the functional condition of organs and the bodily systems by determining the time
of stabilisation of the skin's electrical impedance beneath the electrode under stimulation with a
frequency of 10 Hz.
SCREENING programme - method used to measure the speed of change in surface
impedance of the skin. Designed to define the active points unique to DiaDENS devices.
BIOREPER programme - new method of electropuncture auriculodiagnostics (diagnostics
relating to the auricle) to assess the functional state of all internal organs and systems, unique to
DiaDENS-DT devices.
FOLL programme - method of electropuncture assessment of the state of energy meridians
and internal organs and systems in the human body. Can be used for testing and selection of
homeopathic and allopathic remedies and food supplements, unique to DiaDENS-DT devices.
THERAPY programmeme - constanttherapeutic programmeme carried out by DENAS and
DiaDENS devices. In DiaDENS devices, it operates at 20, 60, 77, 140 and 200 Hz.
Intensity of electric pulse effects of the DENAS devices
ER-1 - minimum energy range (see point 2 of Chapter 1).
ER-2 - comfortable energy range.
ER-3 - maximum energy range.
DiaDENS Application Programmes

Stationary - when the electrodes remain immobile on the skin surface for the duration of the
action exerted upon the suggested area.
Labile - when the inbuilt electrodes of the device are moved smoothly over the suggested
operating area, without breaking contact with the skin surface, at a velocity of 0.5 to 2-3 cm per
second.
Stationary-labile - when the device's electrodes can be held for some time in specific skin
areas.
Most frequently recommended treatment zones and points by the DiaDENS devices
AP - auricular point (a biologically active point on the auricle).
BAZ and BAP - biologically active zones and biologically active points.
Corporeal zones and points - active reflexogenous zones and points on the patient's body.
FPC - frontal projection of the complaint or of the bodily organ showing evidence of the
complaint (localised area of pain, lesion focus or organs with impaired function).
Trigger zones - zones of asymmetry where the skin electric impedance sharply deviates from
that in adjacent areas.
Segmental zones - areas of skin on the human body linked via neural pathways to respective
organs and parts of the human body.
Universal (general) zones - areas of skin which, when operated on, prompt a general
rehabilitative response from the organism.
Posterior zone of the meridian midpoint or the posterior midpoint line of the body - area
of skin with a universal trend. It covers the spinous processes of vertebrae (the central course) down
from the second cervical vertebra to the last sacral vertebra. The spinous processes of vertebrae are
situated on the back and can easily be felt in almost all people.
"Concordance points" orparavertebralzone - a paired skin area (right and left) following the
universal trend. It is situated next to the spine (lateral paths), parallel to the vertical zone of the
posterior meridian midpoint. In this area, BAPs are located as "concordance points"; furthermore, it is
the zone of frontal projection of the spinal cord root outlets. Together with the zone of posterior
median meridian, it forms the "Three paths" zone.
Trigeminal zone - skin area of frontal projection of the trigeminal nerve branch outlet on both
sides (the "six points" zone). It relates to the universal trend zones.
CCZ - cervical-collar zone. It relates to segmental zones of universal trend.
CC - zone "cervical circle". It relates to segmental zones of universal trend.
LSZ - lumbar-sacral zone. It relates to segmental zones of universal trend.
2 CV - skin area of frontal projection of the second cervical vertebra.
7 CV - skin area of frontal projection of the seventh cervical vertebra.
Systems of concordance. Zones and points - human body limited skin areas or mucous
membrane areas having zones and points representing all organs and systems of the organism. At
present, these will be distinguished as follows: maxi-systems (e.g. on the body, face, head), midi-
systems (e.g. on feet and hands - the main concordance system Su Jok), and mini-acupuncture
systems (e.g. in the ear).
A Comparative Description Using DENAS, DiaDENS-T and DiaDENS-DT
Characteristic DENAS Dia DENS-T Dia DENS-DT

Frequencies 10 Hz-TEST -(dose 10 Hz-TEST, SCREENING and MED
programme) 77Hz - programme. 20, 60, 77, 140, 200 Hz -
THERAPY (constant therapy frequencies in THERAPY
programmes). programme
Regulation of the From 0 up to 10 Step- From 0 up to 99 Gradual acceleration

power level of by-step acceleration according to the sensations of the patjent
treatment
Visualization of None Liquid crystal display
parameter changes
Remote electrodes None present
Opportunities of None Minimum effective dose programme

preventive influence
Diagnostics of Empirically according Objective parameters TEST programme:

trigger zones to the sensations of seconds; SCREENING programme-
the patient and ∆LT coefficient in standard units.
discretion of the
operator
Additional diagnostic none none The FOLL method is an
facilities electropuncture diagnostics
technique which works along
energy channels for the
assessment of the functional
condition of all internal organs of
the patient. This method is also
designed to test and select
homeopathic and allopathic
preparations for specific
patients. TheBIOREPER
method is a new form of
functional electropuncture
diagnostics on the auricle
(auricle diagnostics), which
reveals pathology at the pre-
disease stage, and aids the
selection of the optimum course
of treatment.
Advantages of Using DiaDENS Devices

•The DiaDENS-T and DiaDENS-DT are new devices used for a new method of treatment-
dynamic electric neurostimulation. The portable DiaDENS device combines the facilities of
reflex diagnostics and reflex therapy.
•DiaDENS devices have the constant function of monitoring the surface skin impedance
(biologic feedback) using TEST and SCREENING programmes.
•DiaDENS-T and DiaDENS-DT devices contain the exclusive diagnostic SCREENING
programme, which enables the assessment of the state of body systems before, during and
after treatment, thus assessing the effectiveness of the therapy.
•DiaDENS-DT device contains the unique BIOREPER programme and the time-tested FOLL
method programme, which allow for the fast assessment of the functional state of internal
organs and meridians, the ascertainment of compatibility between harmaceutical preparations
and cosmetics, and the prevention of administrating potentially dangerous allergens.
•DiaDENS devices have a wide variety of frequencies, from 20 to 200 Hz for therapeutic
treatment of various diseases, states and pain syndromes, and include the MED
microcomputer programme (testing minimum effective dosage), used for prevention of many
diseases and pathological states.
•Intensity of application (energy range) can be easily selected for patients of any age with any
level of pain sensitivity.
•In-built DiaDENS electrodes improve the effectiveness of DENS therapy, and allow
therapeutic treatment of biologically active points to be carried out.
•External therapeutic electrodes provide treatment of biologically active points on the auricle,
around the eyes and on the body.
•
Indications and Counter-Indications for Use of DiaDENS Devices
Same as with DENAS devices (see "Manual for Dynamic Electrostimulation Using DENAS
Devices").
Combination of DiaDENS device usage with other treatment techniques

If necessary, a combination of the DiaDENS devices with other reflex therapy techniques
(such as acupuncture and acupressure) is acceptable, as well as manual therapy, balneal water and
mud methods, phytotherapy, homeopathy, therapeutic physical exercises and dieting, as well as with
drug therapy. DENS combines well with symptomatic therapy, e.g. in simultaneous application of
analgesic (non-narcotic as well as narcotic range) and spasmolytic preparations, the dosage of
pharmacological drugs will then be reduced as well as the duration of their application. It is not
recommended to conduct DENS with the DiaDENS devices on the same day as physiotherapeutic
procedures (particularly electric-based treatment).
2. INFORMATION ON THE SPECIFICS OF USING THE DIADENS DEVICE
Appearance of the DiaDENS devices. Control terminals

More details on the appearance of DiaDENS devices (Fig. 1, 2,3, 4, 5) and control terminals
are given in the manual of the device.
Ranges of the energy exposure and selection
The intensity of the treatment is determined on an individual basis according to each patient's
subjective feelings, and is always started from the minimum level.
The intensity of electrostimulation will normally be divided into three ranges of energy
exposure: minimum, comfortable, and maximum.
The first (ER-1), minimum energy range (at the sensation threshold) amounts to an effect of
weak intensity, in which the patient feels either no sensations (pain, stinging, etc.) or feels a slight
vibration. This energy range is used mostly in TEST and SCREENING programmes as well as in
THERAPY programme for early age and preschool age children.
The second (ER-2), comfortable energy range (above the sensation threshold but below the
pain threshold) amounts to an effect of medium intensity, in which the patient clearly feels a vibration,
a pleasant stinging or burning but painless sensation. This range is used as the main DENS mode in
the TEST and SCREENING programmes, in the MED programme, and as the main range of energy
exposure in the THERAPY programme.
The third, maximum energy range (ER-3, sensations at the pain threshold) amounts to an
effect of high intensity, in which the patient feels painful stinging or burning. Such intense exposure
may be followed by a spontaneous muscle contraction next to the electrode (the myostimulating
effect). This energy range (ER-3) is only used in the regular THERAPY programme in pronounced
painful conditions in adolescent and adult patients, as well as when rendering emergency medical
aid.
! NOTE! Use of the electric pulse effect at an intensity exceeding the tolerable pain
threshold is not recommended.
ER-1 and ER-2 exposure is used, as a rule, in the head, neck and chest areas; ER-2 and ER-
3 is used in the area of abdomen, back and the extremities. During treatment, the level of intensity of
the electrostimulation may be increased or decreased depending on changes in the patient's
sensitivity as well as any elimination of the pain syndrome. Thus, in moderately pronounced disorders
of the peripheral nerve functions, for example (numbness, paresthesia, paresis), ER-1 and ER-2
exposure should be used, whereas in cases of obvious pain ER-3 is appropriate.
Frequencies of Electric Impulse Application and Their Selection

The TEST and SCREENING programmes, as well as the MED programme are always applied
at the frequency of 10 Hz. Dia-DENS devices can be used at frequencies of 20, 60, 77, 140 and 200
Hz for therapeutic purposes.
20 Hz Electric Impulse Frequency is recommended for internal organ diseases, in subacute
and remote trauma periods, to treat post-surgery pains, for tooth extraction, etc., to influence the
direct pain projection, any segmental or trigger zones and acupuncture points on the body and the
auricle. During the application of the device at a frequency of 20 Hz, the anesthetizing effect in most
patients is achieved within 15-20 minutes of DENS procedure and remains pronounced for a period
of 3-5 hours.
60, 77, 140 Hz Electric Impulse Frequencies are recommended for influencing the direct
pain projection zone, damaged areas and functionally diseased areas, any segmental or trigger
zones, and acupuncture points on the body and auricle. During the application of the device at such
frequencies, the anesthetizing effect is achieved faster (usually within 3-5 minutes), but remains
relatively unstable and may regress almost fully within 60-90 minutes following the DENS procedure.
200 Hz Electric Impulse Frequency is used for pronounced pain syndromes related to pathology of
the locomotive system (which includes following acute traumas) and the peripheral nervous system. It
is applied in direct complaint projection zone. The effect can be observed within the first several
minutes and continue for a period from several minutes to an hour. To improve the anesthetizing
effectiveness, after the pain subsides at 200 Hz, additional treatment is advised at 20, 60, or 77 Hz.
Apparatus working methods

The apparatus working methods are same as those of DENAS (see Manual for dynamic
electrostimulation using DENAS devices).
Only stationary TEST and SCREENING and MED programmes can be applied. In the
THERAPY programme all the modes (stationary labile and stationary-labile) can be used.
CHAPTER 2
DIAGNOSTIC CAPABILITIES AND
OPERATION MODES OF DIADENS-T AND DIADENS-DT DEVICES
1. PURPOSE AND APPLICATION OF TEST PROGRAMME
The TEST programme is designed to assess the functional condition of organs and the bodily
system by means of searching for zones where the skin impedance will be very different from that in
adjacent areas (latent trigger zones), as well as for treating the skin areas symmetrical to the
complaint projection.
The energy range of the treatment is either minimum (ER-1) or comfortable (ER-2). The
treatment method is stationary; the electrodes are moved after an audio signal. The TEST
programme operates at the frequency 10 Hz.
To enter the TEST programme, switch on the device and set the frequency to 10 Hz (pressing
the FREQUENCY+ button until F10 appears on the screen). Place the electrodes onto the skin. Set
the intensity level of the device (when the device is switched on, the intensity is set to zero). To
increase the intensity, press the INTENSITY button repeatedly until the patient experiences a light
pleasant tingling sensation.
! NOTE! The level of intensity is controlled subjectively according to the patient's

sensations when the skin surface comes into contact with the electrodes. The pain
sensation threshold should not be exceeded. When switching the device on, minimum
energy range will be automatically set.
Having stabilised the skin impedance of the skin under the electrode, the device emits an
audio signal. Subsequently, on the high part of the screen a T value of the device's time spent on the
zone is displayed. Write down the number. Next the device should be moved to an adjacent zone.
Those areas where the treatment time of the device differs considerably from that in adjacent areas
ether positively or negatively are referred to as latent trigger zones. These zones should be treated
using the THERAPY programme for 3-5 minutes at the frequency 60 or 77 Hz.
If the treatment time of the TEST programme is over 1 minute, the electrodes should be
moved to an adjacent area while continuing the process. This zone should be regarded as the latent
trigger zone. Move to the next zone for testing.
2. PURPOSE AND APPLICATION OF SCREENING PROGRAMME
The SCREENING programme is intended for the rapid assessment of homogeneity of

electrical resistance of the skin zone (ERSZ) before and after DENS treatment. One measurement of
the surface resistance of the skin is made within the first five seconds after the device is applied.
The energy range is either minimum (ER-1) or comfortable (ER-2). The treatment method is
stationary (electrodes are moved to another position after an audio signal sounds). The SCREENING
programme operates at frequency of 10 Hz. Only in-built electrodes are used in the process.
To enter the SCREENING programme, switch on the device. Press FREQUENCY- button
repeatedly until the word SCREENING appears on the screen. Place the electrodes onto the selected
skin zone. Set the level of intensity by pressing the INTENSITY+ button until the patient experiences
a light pleasant tingling sensation.
Upon application of electrodes on the skin surface the device automatically starts to measure
the change in electrical resistance on the skin in this zone in response to the impulse of the device.
After the measurement process the device emits a short audio signal and shows the
measurement results on the screen in the form of ∆LT index (from 0 to 100). Write down the shown
number and move on to diagnostics of the next zone.
Latent trigger zones are the skin zones where the ∆LT value is significantly different from the
mean value on both sides. After assessing the value of the zone, the affected zones should be
treated in the THERAPY programme for a period from 3 to 5 minutes at frequencies of 60 or 77 Hz at
the second (comfortable) intensity level.
3. PURPOSE AND APPLICATION OF FOLL PROGRAMME
The FOLL programme is relatively new; it appears in DiaDENS-DT to optimize the therapy
protocol and to assess the dynamics of change achieved during the treatment process. This is a
variant of acupuncture assessment of energy meridians and the state of bodily organs and systems.
The method is also intended to test and select medications, homeopathic remedies and
nutrient supplements.
NOTE! This programme is intended to assess the functional state of internal organs
! and systems and not to diagnose the disease.
General Information on Foil Method

The method was suggested by the German researcher R. Foil in the mid-20th century; it is
based on measurement of the current force at acupuncture points expressed in standard Foil units
(from 0 to 100 units). In his diagnostics Foil used several hundreds of acupuncture points (called
measuring points, ("MPs")), located on the 12 classical Chinese meridians and on 8 new meridians
as set out by Foil (the lymphatic system, joint degeneration, connective tissue degeneration, the
central nervous system, allergy, the skin, fatty degeneration, parenchyma degeneration and
epithelium degeneration).
To obtain valid results using the Foil method, it is necessary to observe a number of obligatory
requirements, including the optimum humidity of the skin, and the removal of any metallic attire.
There are some requirements for the premises where the procedure is held. There should be no x-
ray installations or sources of electromagnetic radiation nearby, or any sources of static electricity. To
eliminate diagnostic errors, Foil recommended that three measurements of the same area be carried
out, as well as 3 or 4 points of the same meridian.
It should be noted that Foil attached great importance to the operator being familiar with the
pattern of the meridians. In addition, he advised that the physician should speak with the patient,
paying attention both to the patient's complaints, and to morphological
changes which always give valuable information for diagnostics (pain, changes in the skin,
nails etc.).
DiaDENS devices offer several application techniques for the Foil method.
-Express diagnostics - estimation of the functional condition on nd points of energy meridians
(fig. 6) - for tentative assessment at home;
-Detailed study of energy meridians with the "falling pointer" effect;
-Testing of medications;
-Estimation of the functional condition of meridians in control points and others points*.
* Techniques of diagnostics on control and other points of various channels are described in
detail in the literature on this subject. Device operation does not differ from the express assessment
technique as shown below, but it requires that the operator be theoretically and practically prepared
for this diagnostics; some theoretical and practical issues thus fall out of the scope of the present
manual.
Preparation for Testing

For two days prior to the tests, the patient should discontinue taking any restorative
preparations, drinks or medications. It is also recommended that the patient does not drink or eat for
two hours before the tests. It is desirable that the patient relax for about 15 minutes in the
comfortable atmosphere before the testing commences.
Testing should not be carried out in near sources of high frequency electromagnetic fields
(such as cell phones, pagers, microwave ovens, TVs, irons, etc.). The patient must remove any
jewelry, glasses, and watches. During examination, the patient should sit or lie down comfortably.
! NOTE! During the tests, the operator must not touch the patient with both hands at the
same time.
To enter the FOLL programme, switch on the device, plug in the diagnostic electrodes to the
corresponding port and press F button.
! NOTE! The patient must hold the passive electrode in the hand opposite the side being
tested (for example, while testing the left hand or the left foot, the passive electrode
must be placed in the right hand of the patient and vice versa).
Express Assessment of the Functional State of Energy Meridians

Before each application the tip of the electrode must be moistened by a water-soaked cotton-
wool pad. Place the electrode on the projection of the measurement point, gradually increasing the
pressure until stable figures appear on the display screen. Write down the obtained measurements in
the special form (see the appendix).
NOTE! When measuring resistance of points on the fingers and the toes, place the
! electrode at an angle of 45 degrees to the skin surface.
Data Analysis: normal values amount to 50-65 Foil Units, which shows that the meridian is in a
balanced condition. Values higher than 65 units indicate power overflow, and values lower than 50
units indicate a lack of power on the selected meridian. During the express diagnostics, we measure
40 control points (on palms and feet) in twenty meridians. Some points show the functional capacity
of organs (for example, meridians of the heart and kidneys), while some show the condition of bodily
systems (meridians of blood circulation, or the endocrine system); others show the condition of
tissues and metabolism processes (meridians of connecting tissue and fatty degeneration). The
reasons for the deviation in figures for measurement points at each meridian are shown in Table 1.
Table 1
Possible Reasons for Deviation of Measurements from Normal Values
Meridians Possible Reasons for Deviation of figures for measurement
points
Lung P (1) Dysfunctions, diseases and pathological states of the respiratory
system, veins and arteries of the upper extremities.
ColonGI(ll) Dysfunctions, diseases and pathological states of the coecum,
transverse colon, sigmoid intes tjnej rectum and appendix,
amygdalas, nasal cavities, elbow and shoulder joints.
Stomach E (III) Dysfunctions, diseases and pathological states of the
esophagus, the stomach, mammary glands, thyroid, parathyroid,
and sex glands; talocrural, knee coxofemora| and
temporomandibular joints, arteries of the lower extremities,
lingual and palatine tonsils.
Spleen and pancreas RP Dysfunctions, diseases and pathological states of the pancreas;
(IV) blood, retroperineal and chest lymph nodes, talocrural and
coxofemoral joints.
Heart С (V) Dysfunctions, diseases and pathological states) of the heart:
valves, myocardium, endocardium, pericardium, and the
conduction system.
Small Intestine IG (VI) Dysfunctions, diseases and pathological states of the duodenum
and the small intestine, the anterior lobe of the hypophysis,
vestibular cochlear nerve, the outer ear and the auditory meatus;
shoulder and elbow joints, and the cervical section of the spine.
Bladder (urinary and Dysfunctions, diseases and pathological states of the urinary
reproductive system) V (VII) and the, talo crural and knee joints.
Kidneys R (VIII) Dysfunctions, diseases and pathological states of kidneys, the
renal duct, the rectum, various branches of nervus vagus, and
the stemoclavicular joint.
Pericardium (vascular Dysfunctions, diseases and pathological states of the blood
system) MC(IX) circulation system and the vascular system (arteries, veins,
lymphaticvessels); shoulder ande elbow joints
Triple heater (endocrine Dysfunctions, diseases and pathological states of endocrine and
system) TR (X) excretory glands (thyroid, parathyroid, hypophysis, epyphysis,
adrenal glands, the pancreas, the mammary glands and the sex
glands).
Gall bladder VB (XI) Dysfunctions, diseases and pathological states of the gall
bladder and gall ducts; bone marrow; various brain sections; the
trifacial nerve; the eye; talocrural and coxofemoral joints.
LiverF(XII) Dysfunctions, diseases and pathological states of the liver

(chronic hepatitis, cirrhosis, fatty de generation); sex glands,
veins of lower extremities, knee joints.
Lymphatic System LY(1) Dysfunctions, diseases and pathological states of the thoracic
and the right lymphatic ducts; vegetative, thyroid and thymus
glands, tonsils, sinuses, larynx; lungs; heart; pharynx,
esophagus, intestinal tract, liver and gall ducts.
Nervous deqeneration Dysfunctions, diseases and pathological states, of various
(nervous system) Dg(2) sections of central and peripheral nervous systems (vegetative-
vascular dystonia, (primary degenerative diseases, inflammatory
diseases of the nervous system and their consequences,
developmental defects, and tumours).
Allergy Dg(3) Allergy-related dysfunctions, diseases and. pathological
states of bodily system.
Dysfunctions, diseases and pathological states and epithelium
of the parenchyma (working cells) and epithelium of various
organs of the body.
Joint. degen Dg (5) Dysfunctions, diseases and pathological states eration of
cartilages of all joints
tionDg(6) Changes in this meridian indicate replacement Connectivetis- of
specific (working) cells of organs and tissues suedegenera- with
connecting (non-working) tissues in various parts and organs of
the body, including polyps and papillomas.
SkinDg(7) Changes in this meridian indicate skin pathology (inflammation,

allergy, scarring tissue at various localisations, etc.).
Fatty degeneration Functional disorders, illnesses and pathologic states related to

SkinDg(8) metabolism of lipids (fatty degeneration of organs, disorder of fat
metabolism era in endocrin disorders; thyroid disease, pathology
of gall ducts).
When measurements show deviations from normal values, the DENS treatment protocol
should include treatment of organs and systems with distorted energy levels regardless of the
complaints.
To assess the activity of pathological processes in organs and systems of the body, a detailed
examination of energy meridians must be carried out using the "index decrease" effect.
Detailed Examination of the State of Energy Meridians Using the "index Decrease"
Effect
To obtain the maximum value, do not remove the active electrode from the measuring point.
Without increasing the pressure of the electrode on the skin, press the POWER+ button. The MAX=
value on the screen will indicate the maximum value, after which the device will automatically take
two measurements one second apart, showing the difference between the current and the maximum
values, taking the indication into consideration. The data will be shown on the screen for 3-4
seconds.
Enter the value into the special form (the diagnostic card) to hold an analysis (see appendix).
Then the device will return to its initial state and show the FOLL message on the screen; after
which, the value of the next point can be measured.
It is recommended that the same point should not be measured more than three times in a row
because measurements distort the blood flow dynamics at the point of measurement and the
indicated values will have no diagnostic significance.
Analysis of Results: the difference between the maximum measurement and the consequent
measurements should not exceed 5 units (regardless of the measurement sign). When the difference
exceeds 5 points, this indicates activation of pathological processes in the organs included in the
meridian.
In addition to estimating reference values of measurements at end points and registration of
the "index decrease" effect, it is important to compare reference values of measurements in end
points of each meridian on the right and left palm and foot. The asymmetry of these measurements
will indicate a misbalance in the functions of corresponding organ or tissue systems.
Deviating parameters in points of measurement indicate that DENS procedures should include
treatment of all organs and systems with distorted energy values.
Medicated testing
Initial testing of current intensity should commence with the measurement of initial values in
Foil units at the end points of all meridians. Then the tested substance - in packaged form (testing
tube, blister package, paper package) - must be placed in the contour of the passive diagnostic
electrode, and the measurement should be repeated at the same points (see the appendix).
By comparing the obtained measurements, the influence the substance will have on the
meridians under observation can be concluded.
If necessary, other substances can be tested subsequently.
NOTE! Do not place unpacked samples inside the passive electrode as it is not
! recommended to wash the electrode, and particles of the sample remaining on the
surface of the eletrode will affect measurement values of subsequent testing of other
substances.
Analysis of Results: if the testing values are close to the norm or are within the limits of the
norm, the tested medication will have
a beneficial influence on the condition of organs within the given meridian. If measurements of
the tested substance deviate from the norm in comparison with the initial data, administration of the
given substance is undesirable (Table 2).
Table 2
Assessing the Dynamics in Values of Measuring Points In Testing of Medications using Foil
Method
Value After the Testing Compatibility of the Treatment
Original Value Substance ls Placed on the Substance and the Recommend
Passive Electrode Contour Body ations
Neutral; has no negative Treatment is
Norm Norm
influence on the body possible
Has positive influence Treatment is
Lower than Norm Norm
on the body beneficial
Has positive influence Treatment is
Higher than Norm Norm
on the body beneficial
Has negative influence Treatment is
Lower than Norm Still lower
on the body harmful
Has negative influence Treatment is
Higher than Norm Still Higher
on the body harmful
4. PURPOSE AND PRACTICAL APPLICATION OF BIOREPER PROGRAMME

The BIOREPER programme is a method of functional electropuncture auricular diagnostics.
The diagnostic procedure is carried out using individually selected testing power, taking into
consideration the individual electrical conductivity of the patient's tissues at a given time.
The method enables the exposure of the pathology before any symptoms appear and
selection of an optimal treatment mode (primarily the DENS procedure) and the diagnostic
procedure, the assessment of the functional state of the diseased organs and systems and the
comparison of the findings during repeated testing.
• NOTE! This programme is intended to assess the functional state of internal organs
! and systems and not to diagnose the disease.
Historical Note
The treatises of Chinese national medicine say that the auricle is the centre of the main
meridians through which the ear is connected to other organs of the body. Ancient Greeks thought
that the auricle was connected to brain sections and internal organs. Doctors in many countries of the
world have independently long ago established that the auricle is the point of tenderness for many
ailments on the skin; cauterization or acupuncture of these points was shown to have a favorable
influence on the progression of the disease. The first-ever full topographical map of points and zones
on the auricle, projections of certain parts of the body and its internal organs was published by a
Lyons doctor, P. Nogier in 1956. In 1969 Nogier produced an ingenious hypothesis, which was later
proven to be true, when he noted that the shape of the ear resembled that of an embryo in the womb
(fig. 7).
Almost simultaneously with Nogier's works reports were written claiming that electric
resistance in acupuncture points of the body is much lower than in other points of the skin. Various
electric detectors (stigmascopes, punctoscopes, microammeters, and ohmmeters) were designed
which enabled the easy location of the precise localisation of acupuncture points on the body. Further
electrometric
research has shown that the auricle of a healthy person usually has no points with low
resistance. After a disease develops, lower resistance is observed in zones and points of the ear that
correspond to the affected organs or systems.
The Difference Between BIOREPER Method and Other Electropuncture Diagnostics

This new method of electropuncture auricular diagnostics is patented under the name of
BIOREPER ("bio" meaning life, and "reper" meaning the sign or spot which acts as a reference point
in geodesy or as a fire adjustment point in artillery). This method considerably exceeds all other
known methods of electropuncture diagnostics in terms of accuracy, reproducibility of results and
concurrence with the clinical diagnosis established on the basis of officially accepted objective
standards of medical examination. The DiaDENS-DT device provides users the opportunity to apply
this method in practice.
Consumers' growing interest in medical devices and reflex diagnostics devices is quite clear,
as their practical application allows the quick exposure of pre-clinical pathological manifestations of
acute diseases, and latent symptom-free chronic pathological processes.
Methods of reflex diagnostics, while being completely harmless to the patient (as opposed to,
for example, x-ray or endoscopic methods), allow for the continuous monitoring of the patient's state
of health and expedient decision-making concerning the effectiveness of treatment. The reflex
diagnostics method, which is based on measurement of bioelectric parameters in acupuncture points
is currently the most popular, and the Foil method described above is the best known of those
methods, as is also the method of Japanese doctor I. Nakatani, which is also based on the
assessment of energy meridians.
The method of auricle diagnostics, which has been developing since middle of the last century,
allows for the quick exposure of the centre of disease, the character and the phase of the
pathological process. It helps the doctor to choose an effective medical algorithm using both auricular
active points, and active points and zones on the body.
However the majority of known methods of auricular diagnostics, just as methods of meridian
diagnostics, do not account for the variety of factors influencing the electrical conductivity of active
points, including conductivity disorders of the skin, which may depend on a variety of external or
internal conditions.
Studies held at the Federal Scientific Clinical Experimental Centre of Traditional Methods of
Diagnostics, the Medical Treatment of the Russian Federation's Ministry of Health, the Faculty of
Reflex Medicine and Chiropractics of Moscow State University of Medicine and Dentistry offer the
community of electric reflex diagnostics fans a new method, which appears to have none of the
shortcomings of the previously used methods. The method is based on the tentative estimation of the
general level of electrical conductivity in special reper points with the subsequent relative
measurement of all the necessary points of concern on the auricle. This method has been nicknamed
the BIOREPER method, and it enables the examination of the functions of internal organs and
selection of the optimum DENS treatment protocol.
This method does not exclude the use of instrumental and laboratory methods in diagnostics
of diseases, but may lead to a lessening of their role in the diagnostic process.
Some Notes on Physiology and Anatomy of the Auricle

The auricle (auricula) until recently had been only as a body part which allowed a human being
to capture sounds. But during the second half of the last century, many studies demonstrated that the
auricle represented a special reflex or acupuncture system with internal organs and parts of the body
schematically shown. At present, of the entire range of mini-acupuncture systems there are only two
included in the WHO'S International Acupuncture Nomenclature. One of these two is the auricular
microacupuncture system (MA in WHO terminology).
The majority of modern scientists believe that the "secret" of auricular diagnostics and
auricular therapy consists in a particular innervation of the auricle, where numerous nerves are
concentrated, including branches of the trigeminal (V) nerve, cervical plexus (C2-C3), facial nerve
(VII), intermediate glossopharyngeal nerve (IX) and the nervus vagus (X).
The shape of certain parts of the ear, its size, age changes, and the difference between the
right ear and the left ear are individual.
However, any auricle will always have certain anatomic parts (fig. 8) in any case.
Auricle Examination
Determining the Degree of Pain Tolerance
Aches and pains and other sensations in the auricle, the condition of the skin (such as
hyperaemia (reddening of the skin), pustules or scarring), and the study of the auricle's sensitivity to
pain allow to obtain valuable information on the state of organs and systems of the body.
During the BIOREPER examination, special attention must be paid to points with increased
sensitivity to pain. When determining the degree of the auricle's sensitivity to pain, the electrode
should be held perpendicular to the skin. The pressure on the skin must be equal and even, not
strong. Be careful not to allow the sensor to slide on the surface of the auricle. It is recommended to
apply pressure to the point for no more than 10-15 seconds.
Points with maximum level of sensitivity must be treated in the THERAPY programme at the
frequency of 60 or 77 Hz in ER-2 mode for 2 or3 minutes (no more than 3 separate points per
session).
Positioning of Auricular Points

There are various coordinate systems to find auricular points (APs) on the auricle. One such
system is the system of angle (tangent) coordinates (fig. 11), based on the application of a stencil
model onto the auricle and the drawing of coordinate lines. The stencil is placed along the vertical
line between 0° и 180°, passing through the top point of the ear (AP 78), the zero point (AP 82) and
the point in the middle of the ear lobe passing through the point of the eye (AP 8). The centre of the
coordinate system is point zero (AP 82). However, the APs are most easily determined after a careful
study of 18 projections, or topographic zones of the auricle (fig. 9). The APs can be easily located
within the said zones. Each auricular zone is responsible for a particular organ or part of the body.
The head and the face are projected on the ear lobe (zone 1).
The head and the brain - on the antitragus (zone VI).
The lower part of the head, the mouth cavity, the nasal cavity and the larynx - on the tragus
(zone II) и posterior auricular groove (zoneV).
Glands of internal secretion zones are located in the intertragic notch (zone IV).
The torso and the spine are projected onto the anthelix (zone VII).
The projection of the upper extremities is located in the navicula (zone XI).
The lower extremities correspond to the superior peduncle of the antheiix (zone VIII).
The buttocks correspond to the inferior peduncle of the anthelix (zone IX).
The pelvic cavity and internal sexual organs are projected onto the triangula fossa (zone 10).
The diaphragm is projected onto the helix crus (zone XIII).
The gastrointestinal tract corresponds to the zone adjacent to the helix crus (zone XIV).
The abdominal cavityis projected onto the cymba conchae (zone XV).
The thoracic cage corresponds to the cavity of the concha.
World practice tends to refer to points as a combination of letters and numbers (e.g., AP
100XVI - heart, or AP (XVI) 100 - heart). This means that the auricular point (AP) under number 100
is located in the XVIth zone of the auricle (concha zone) and serves to indicate the condition of the
cardiovascular system; this zone also serves as the active point for correction of this state. There are
a total of some 200 APs on the surface of the auricle.
This publication does not intend to inform the reader about all APs; its function is to teach you
to determine the location of APs which are most often used in diagnostics and therapy.
See chapters 6-7 for a more detailed discussion of the topography of auricular points most
often used in diagnostics and therapy.
Preparation for Testing

For two days before the examination the patient should discontinue taking any tonic
preparations, drinks or medications. It is also recommended that the patient does not drink or eat for
two hours before testing. It is suggested that the patient relax for about 15 minutes in a comfortable
atmosphere before the testing commences.
The testing should not be carried out in the premises with sources of high frequency
electromagnetic fields (such as cell phones, pages, microwave ovens, TVs, irons, etc.). The patient
must remove all jewelry, glasses, and watches. During the testing the patient should sit or lie down
comfortably.
• NOTE!. ! During the examination the physician must not touch the patient with both
! hands at the same time. During the testing the patients arms and legs must not be
crossed or touch each other.
Switch on the device.

Insert the diagnostic electrodes into the corresponding sockets.
To enter the BIOREPER programme, press В button. Let the patient hold the passive
electrode in his or her hand.
Determining the Individual Testing Voltage

Place the active electrode in the in-tan position on the middle line between the eyebrows on
the bridge of the nose (fig. 10).
Press and hold INTENSITY+ button. The device will automatically select the testing voltage
and show the parameter in the lower right-hand corner of the screen. The lower left-hand corner will
show the force of the current passing through the in-tan point.
When the force of the current passing through the in-tan point will reach 10 mkA, the upper
line of the screen will show the testing voltage as UT=... This will constitute the individual voltage for
the testing of the patient.
The device is ready for the diagnostic procedure, emitting the current of the specified power
value.
• NOTE! Should the current ever reach the value of 10 mkA, the screen will read LITTLE
! CURRENT, which will mean thatthatthe in-tan point has been missed, and the active
electrode must be repositioned.
BIOREPER Testing Programme

The patient must hold the passive electrode in his or her palm on the side of the auricle being
tested. The active electrode is then placed in the measuring point reflecting the state of a certain
organ. The electrode must be pressed only slightly, but evenly, without allowing the electrode to slip
off the point. The testing time in each point must not exceed 2 or 3 seconds. It is recommended that
the value of any point should not be measured more than two times in a row.
After the diagnostic electrode touches the skin, the lower part of the screen shows the growing
value of the current in mkA in the point being tested. After 1 or 2 seconds the value of the current
stabilizes (freezes), thus indicating the current value in the point. After writing down the value of the
point in the diagnostic card, proceed to the next point.
Analysis of Results: Following the diagnostics the values are analysed in accordance with the
table found below. Based on this information conclusions are drawn on the energy levels of separate
organs and a therapeutic procedure is chosen. The points showing maximum deviations from the
normal value (in either direction) must be treated in THERAPY programme at the frequency of 20, 60,
or 77 Hz in ER-2 mode for 2 to 3 minutes each (no more than 3 points per procedure). Therapy may
include influence on the points and zones on the body, using both in-built and external electrodes
(see protocols for various conditions, Chapter 6).
Repeated testing may be used to assess the changes in the state of the organs.
Table 3
Current Values in Auricular Points (APs) In Terms of Degree of Intensity and Direction of
Functional Changes in Organs Under Examination
Current value in APs in mkA ≤1 1 2-3 4-7 8-11 12-15

Moderate and
Intensity of Pathology Slight Normal Slight Moderate Expressed
Expressed
Functional Change
Hyperfunction Normal Hyperfunction
Direction
CHAPTER 3
THERAPEUTIC CAPABILITIES AND FUNCTIONING MODES OF DIADENS DEVICES
1. THERAPY PROGRAMME
The THERAPY programme is intended for emergency aid, the elimination of acute sources of
complaints, and treatment of acupuncture points, using in-built and external electrodes for therapy of
points or zones, and paraorbital electrodes.
The THERAPY programme inthedeviceoperatesatfrequenciesof 20, 60,77,140, and 200 Hz.
For recommendations concerning the choice of therapeutic frequencies see "Ranges of Energy
exposure and Their Selection(p.)and "Frequenciesof ElectriclmpulseandTheirSelection," (P-).
In order to set the mode of the THERAPY programme, carry out the following steps:
Switch the device on.
Select the frequency of 20, 60, 77, 140, or 200 Hz, pressing FREQUENCY+ to increase the
frequency, and FREQUENCY - to decrease the frequency. When the device is switched on, the au-
tomatic frequency value is set at 77 Hz. If the intention is to use the in-built electrode, place the
electrode on the relevant zone. When operating external electrodes for points or zones, insert one of
the electrodes into the corresponding socket on the right-hand side of the device, and place the
electrode onto the skin.
Select the power of influence as shown in the section entitled "Range of Energy exposure and
Their Selection" (Chapter 1, Point 2).
The duration of treatment in the THERAPY programme application in the direct projection of
pain or functional disease is determined by the patient's reaction:
-the complaint subsided fully;
-the patient feels considerably better;
-the skin under the electrode becomes bright red, the patient experiences a feeling of
"gooseflesh", warmth or lightness;
-the patient falls asleep.
The duration of influence on latent trigger zones amounts to 1 to 5 minutes.
2. MED PROGRAMME
The MED (minimum effective dose) programme is the microcomputer programme applied for
prophylactics in anticipation of heavy physical or intellectual strain, following physical or intellectual
strain, in cases of chronic fatigue syndrome, lack of wakefulness in the morning, sleepiness during
the day, lack of attention and concentration, and for prevention of colds during epidemics. MED
allows the body to improve its adaptability. During the administration of the treatment protocol, the
MED programme is applied once per treatment session.
The MED programme works at a frequency of 10 Hz and consists of TEST programme
treatment on the selected point, after which the device is automatically switched to the THERAPY
programme and continues stimulating the point at a frequency of 10 Hz for another 5 minutes in the
stationary mode.
To enter the MED programme, carry out the following steps:
Switch on the device.
Set the frequency to 10 Hz by pressing the FREQUENCY-button until the value F 10 appears.
Place the in-built electrodes onto the skin (e.g. the he-gu zone (see fig. 23 in Part 1 of the
Manual) ju-san-li (see fig. 24 in Part 1 of the Manual), or any other zone.)
Set the frequency as shown above (see Chapter 1, Point 2).
•
! NOTE! Do not move the electrodes on the skin while operating I in the MED programme!
After the power capacity has been reached, the WAITING message will change to the 1 st
phase of the MED programme, TEST. Having stabilised the skin impedance of the skin under the
electrode, the device emits an audio signal, and the time of the treatment on the point will appearfor
several seconds in the top line of the screen. The next stage of the MED process consists of an on-
going stimulation of the point for a period of 5 minutes (the screen will display the THERAPY
message and show the treatment time on the point). After 5 minutes the device will emit the audio
signal and the MED programme will stop.
CHAPTER 4
DEVICE TREATMENT ZONES AND DATA PROCESSING METHODS
1. ZONE OF FRONTAL PROJECTION OF PATIENT'S COMPLAINT

Only the complaint presented by the patient him/herself can determine the primary treatment
zone, using the in-built electrodes of DiaDENS devices using the THERAPY programme. For
instance, in cases where the patient complains of knee joint pain, the electrodes are placed on the
impaired joint area, whereas in diseases of the broncho-pulmonary system they are placed on the
chest area.
In areas of pain or in localised absence of sensitivity, the energy range ER-2 or ER-3 will be
applied. In other situations and prepubescent children, the ER-1 range should be used.
In most cases the treatment should be carried out at a frequency of 60 or 77 Hz. Where the
pain is acute, the procedure should begin at a frequency of 200 Hz until the pain subsides, and then
continued at frequencies of 77 and 20 Hz, with 3-5 minutes being spent at each frequency. For
treatment of the frontal projection zone, both the stationary and the labile ways of treatment can be
used, as well as the labile-stationary way.
The duration of the treatment on the zone depends on the presence or absence of the pain
syndrome. If the patient's main complaint is pain, then the device action will be continued until the
pain has completely disappeared or has considerably diminished. If there is no pain, then the action
will be continued until the central complaint has disappeared (e.g. stuffiness of the nose, coughing,
shortness of breath, palpitation, skin sensitivity disorders, etc.) or until redness appears beneath the
electrode, a sensation of "goose flesh", a feeling of warmth or lightness. The treatment of the device
in a single zone often causes the patient to relax and fall asleep; in this case, the DENS should also
be stopped.
2. SEGMENTAL ZONES
Segmental zones can be included in the treatment procedure in any diseases or pathological
processes to increase the effectiveness of the DENS procedure.
Segmental zones can be conditionally divided into zones of particular and universal trends.
Segmental Zones of Particular Applications

A detailed description of segmental zones of particular applications recommended in various
conditions, complaints, symptoms and diseases can be found in Part 1 of the Manual ("Manual for
Dynamic Electrostimulation Using DENAS Devices," Chapter 2, Point 2).
Treatment of segmental zones of particular application is geared toward regulation of functions
of certain organs (such as liver, kidneys, prostate, etc.).
Segmental skin zones of particular application (hereinafter, segmental zones) are signified by
letters and numbers. There are 8 cervical segmental zones (C1-C8), 12 thoracic zones (D1-D12), 5
lumbar zones (L1-L5), and 5 sacral zones (S1-S5). Segmental zones can be represented as
transverse rings on the body, hence the term "segmental ring zone," often found in special literature.
On the extremities the segmental zones are represented as lateral bands (see figs. 3 and 4 in Manual
Part 1).
In case of complaints the segmental zone is treated using the THERAPY programme at the
frequency of 60 or 77 Hz in the ER-2 range, from the osseous processes of the vertebrae to the
lateral areas of the body on both sides. The width of the area treated by the device must correspond
to the width of the patient's hand. Move or relocate the electrodes at the speed of 1-3 cm per second.
Stop when the complaint subsides or disappears altogether. When there are no longer any
complaints, segmental zones of particular applications must be treated using the TEST or
SCREENING programmes at the ER-2 range. The latent trigger zones (see Chapter 4, Point 4) must
be treated using the THERAPY programme.
Segmental zones for general treatment
Aside from the above segmental zones, in operating DENS, general treatment zones are used
efficiently. They consist of the cervical-collar zone (CCZ) and lumbar-sacral zone (LSZ). TheCCZ will
be treated if the pathologic process is localised in the head, neck and upper extremities; the CSZ - in
pathologic processes of the abdominal cavity organs, those of retroperitoneal space, pelvis minor,
and in lower extremities.
Cervical-collar zone (CCZ) (See Fig. 5 in Part 1 of the Manual). The upper limit of this zone
passes along the outer surface of the neck at the level of spinous process of the second cervical
vertebra. The lower limit is an imagined horizontal line drawn at the level of the scapulae. The lateral
limits lie in the lateral surfaces of the neck, shoulders, and upper arms on both sides.
The device treatment of this zone is performed using the TEST or SCREENING programmes
in the stable mode at ER-1 or ER-2, with revealing the trigger zones.
Apart from segmental responses, treatment of this zone will result in a general adaptive
response, in the form of normalization of the vegetative nervous system functional condition on a
widespread basis. This makes it possible to use treatment of the cervical-collar zone in diseases of
the brain vessels, chronic inflammatory conditions in the head and neck areas, in neuroses, in
changes of arterial blood pressure of various aetiologies, and in other diseases.
•IMPORTANT!
! When treating the cervical-collar zone one should take the following into consideration:
•in diseases whose symptoms include increased intracranial and arterial pressure (blood
pressure - BP), the direction of the device movement along the zone in the THERAPY
must always be top-down;
•in diseases whose symptoms include decreased BP and in conditions of shock, the
direction of the device movement along the zone in the THERAPY programme must
always be bottom-to-top;
•the ER-3 action will always increase BP in patients;
•in stable normal BP, the direction of the device movement along the CCZ must always
be horizontal;
in unstable BP, prior to use of the device over the CCZ, it is advisable, first of all, to
measure the BP and to continue working according to concrete values
"Cervicalcircle" Zone (CC) (see Fig. 6 in Part 1 of the Manual). The device treatment will be
performed in the TEST or SCREENING programmes at the minimal or comfortable energy level,
starting from posterior central line of the neck and then moving the device along the neck
circumference, bypassing the zone of the lower third of the neck in the front (the frontal projection of
the thyroid gland) and closing the circle on the back of the neck.
In the zone of "cervical circle", large nervous branches and nodes of the vegetative nervous
system, large blood vessels and lymphatic nodes are localised. The "cervical circle" is included in the
DENS prescription when dealing with any problems associated with diseases of the head (pathologic
changes in the brain, hearing organs, poorvision, diseases of throat and nose, etc.) and neck
(laryngitis, pharyngitis, tracheitis, etc.).
The lumbar-sacral zone (LSZ) (see Fig. 7 in Part 1 of the Manual) is situated on the body's
back surface. The zone's upper limit is the twelfth rib, and the lower limit is where sacrum meets the
coccyx. From the sides, it is restricted by the lateral surfaces of the body on both sides.
Treatment upon this zone is performed using the TEST or SCREENING programmes at the
ER-2 range, with exposure of the trigger zones.
In this zone, DENS treatment has an effect upon blood supply and trophism of the small pelvis
and the lower limbs. Treatment of the lumbar-sacral zone is given in instances of diseases of the
lower limbs, intestine, in enuresis, functional disorders of the male sexual sphere, functional and
inflammatory diseases of female sex organs, in secondary infertility, in the rehabilitation period after
diseases and injuries of the spinal cord, and in some other diseases.
Apart from particular segmental responses, treatment of the lumbar-sacral zone induces
complex general responses manifested by a aponic effect upon the whole organism, improvement of
sleep, appetite, raising of the general tonicity.
3. UNIVERSAL (GENERAL) ZONES

Universal zones comprise those areas where visible large nervous structures are situated (the
spinal cord, vegetative ganglia, trigeminal nerve) or areas rich in microcirculatory passages. The
universal zones include the posterior median meridian zone (skin zone which corresponds with the
body's posterior median line) and the "concordance points" zone (the paired paravertebral zone, as
well as the trigeminal zone and the hands and feet zone). These zones are included in the TEST,
SCREENING and THERAPY treatment programmes in situations where it is necessary to stabilize
the therapeutic effect and reduce or eliminate the causes of the disease (pathogenetic treatment) and
obtain a clear general adaptive response from the organism.
In the universal zones DENS will be preferable also in those cases where it is unnecessary to
localisedize the reflex effect precisely but where, on the other hand, it is essential to provide a reliable
long-lasting general (systemic) response, to eliminate exhaustion, to raise the capacity for work, to
influence the central nervous system functions in order to normalize treatment of the endocrine
system and the balance between the processes of excitation and inhibition.
Posterior zone of the meridian midpoint or the posterior midpoint line of the body (See
Fig. 8 in Part 1 of the Manual). In this zone, the BAP of the posterior meridian midpoint is localised. It
covers the spinous processes of vertebrae from the top to the second cervical vertebra to the last
sacral vertebra. The spinous processes of vertebrae are located on the back and can easily be felt in
almost all people.
The treatment is performed using the TEST or SCREENING programmes at minimal or
comfortable energy level (ER-1 or ER-2) in order to reveal latent trigger zones (see below, point 4 of
this Section). The stable treatment mode is applied.
The "concordance points" zone or paravertebral zone В (See Fig. 9 in Part 1 of the
Manual). The paired skin zone (right and left). It is situated paravertebrally, i.e. next to the spine and
parallel to the Posterior zone of the meridian midpoint. In projection of this zone, sympathetic ganglia
of the vegetative nervous system are situated. Besides, it is a zone of frontal projection of the spinal
cord root exits.
When treating the "concordance points" zone using the TEST or SCREENING programmes,
the device electrodes are established in the order indicated with numbers in the Figure 9. The LT
zones (see below point 4 of this Section) are shown when comparing parameters in symmetrical
areas. The treatment energy level will either be minimal or comfortable.
The trigeminal zone (see Fig. 10 in Part 1 of the Manual) is a zone of frontal projection of the
passage of the upper, middle and lower branches of the trigeminal nerve on the right and left sides.
The points of the trigeminal nerve branch passages are located on the face:
•the first pair of points (the upper branch) are in the eyebrow area, near bridge of nose;
•the second pair of the points (the middle branch) are ectad from the nasal wings;
•the third pair of the points (the lower branch) are a little below the corners of the mouth.
Treatment in this zone is performed in the following way: the first pair of points followed by the
second and the third ones will be treated using TEST or SCREENING programmes. The results
obtained at symmetrical areas should be compared in order to reveal the LTZ (see below, point 4 of
this Section).
The hands and feet zone. The organism's responses to stimulation of the hand and foot skin
are general responses owing to presence in these zones of rich neural-receptor apparatus and a
microcirculatory bed. Additionally, the Su Jok therapy concordance system of all internal organs and
related parts of the body are situated in the hands and feet.
During the procedure, the hands and feet are treated in pairs using the "TEST,"
"SCREENING," or THERAPY programmes with the search for latent trigger zones (see below, point 4
of this Section).
4. TRIGGER ZONES
Trigger zones (TZs) are specific abnormal zones at certain areas and zones of the human
body. As a rule, healthy people should not have trigger zones. This is a phenomenon brought about
by specific neural-reflex connections of the skin, sinews and muscles with internal organs and organ
systems.
Disorders in the functioning and the structure of internal organs, in certain limited skin areas, in
sinews, muscles, periosteum, lead to an occurrence of colour disturbances, sensitivity, enhanced
painfulness, areas of induration, changes in electric conductivity and other changes not characteristic
of a healthy body and not found in other symmetrically positioned parts of the body. These have been
referred to as "trigger" zones.
The trigger zones can be active (visible) and latent (hidden).
Active TZs
Active TZs can be revealed by the operator by means of questioning the patient, through
examination of the latter, and with palpation (with the fingers) and percussion on the body surface.
The active TZs comprise:
•localised projections of complaint (e.g. pain in certain parts of the body or the extremities);
•localised painfulness occurring after palpitation with fingers or following movement;
•localised disruption of skin sensitivity, sweating, temperature;
•reddening or paling of separate skin areas;
•localised induration in the skin, focal painful swellings, "goose flesh" on a restricted skin area,
spots of abnormal pigmentation or flaking, etc.;
•localised change in the muscle tonus, induration of muscle tissue in various places, of various
shape and extension (varies from a few millimetres to a few centimetres).
The active TZs in patients with internal organ diseases are often manifest in localised areas
with enhanced sensitivity and/or reflected painfulness in respective areas (segments) of the body (the
Zakharyin-Ged zones).
Latent TZs
The appearance of latent TZs is associated with localised changes in electric skin impedance
and with a localised vegetative response that will occur in segmental or general zones, or in the zone
of frontal projection of the organ in case of its function disorder.
The main differences between latent and active TZs can be seen in the following:
•Latent TZs appear on the human body in the preclinical stage of any acute disease or as an
exacerbation of a chronic pathologic process, i.e. prior to the appearance of complaints and
active TZs in the patient.
•Latent TZs are not revealed by ordinary techniques of examination (in physical examination,
palpation, percussion, listening, etc.).
•Latent TZs can only be revealed using DENS.
Latent TZs can be revealed both in the TEST and the THERAPY programmes.
In the TEST programme, the following indications of latent TZs will be in evidence:
1.Sensitive asymmetry - localised change of the skin sensitivity during DiaDENS Device
treatment in any programme, but at the same ER (in this area, in comparison to others, the
patient feels either an enhanced or a weakened piercing sensation).
2.Localised change in skin colour. Following treatment of a skin area under the device
electrode (contact asymmetry) or in another body area (distant asymmetry), reddening or
paling appears, distinguishing this particular area from others.
3.Temporary asymmetry. Zones where the treatment time of the device in the TEST
programme up until the signal sounding is considerably different from that of the treatment in
other areas, either greater or less, or zones where the treatment time is over one minute.
4.Change in ALT index in the SCREENING programme on adjacent or symmetrical sections of
the skin, either increase or decrease.
5.Change in the operational sound of the device in a localised skin area during treatment in
using the THERAPY programme in the labile mode.
6.When moving the device in the THERAPY programme, the operator has to make an effort
when moving the electrodes in a separate skin area (the "sticking effect").
The active and the visible latent TZs are subject to mandatory treatment in the THERAPY
programme at ER-2 during 3-5 minutes.
5. VARIOUS SPECIAL ZONES

Second cervical vertebra zone (2CV) (See Fig. 11 in Part 1 of the Manual) is positioned on
the border between the head and the neck (along the lower hairline).
It is treated in diseases and injuries of the head and neck involving increased intracranial
pressure; as well as dizziness, headaches, neuralgia of the occipital nerve, etc.
Treatment is performed in the stable or labile mode in the THERAPY programme at frequency
60, 77 or 10 Hz at the ER-2 range for 2-3 minutes. In painful disorders, the treatment will be
continued until there is an improvement in the patient's general wellbeing or until pain has been fully
eliminated.
Seventh cervical vertebra zone (7CV) (See Fig. 12 in Part 1 of the Manual) - the last cervical
vertebra, its spinous process, which can always be felt in palpation along the middle posterior line in
the lower part of the neck.
Treatment is performed in cases of allergic, autoimmune or any inflammatory processes and
diseases.
Treatment is performed out in the stable mode in the THERAPY programme at frequency of 60
or 77 Hz at the ER-2 range for 3-5 minutes.
Jugular fosse zone (See Fig. 13 in Part 1 of the Manual) is positioned on the edge of the
border between the neck and the sternum.
Treatment of the jugular fosse is performed in cases of any allergic diseases, suffocation,
coughing, disorders of swallowing.
DENS is performed in the stable mode in the THERAPY programme at frequency of 60 or 77
Hz at the minimal or comfortable energy level for 3-5 minutes.
Tongue zone (See Fig. 14 in Part 1 of the Manual) is positioned on the middle third of the
tongue.
Owing to abundant blood supply and specific nervous connections, treatment for the tongue
zone can used in cases of mouth cavity diseases (mucous membrane, teeth, tongue, sore throat),
speech disorders, pharyngitis and laryngitis, constipation, etc. One should remember that the action
upon the tongue zone exerts a stimulating effect on the central nervous system, therefore it is
recommended that it is not carried out in the evening and prior to patient going to sleep. The tongue
zone may be treated in patients of any age.
The tongue zone is treated using the THERAPY programme at frequency of 60 or 70 Hz at the
minimal energy level for 2-3 minutes.
Speech zones (See Fig. 15 in Part 1 of the Manual) are positioned in a cross formation
around the area of the mouth: the upper lip, the lower lip, the left and right crners of the mouth.
This zone is subject to treatment for any speech disorders (motor aphasia resulting from a
stroke, stuttering, etc.).
The speech zones are treated using the THERAPY programme at at frequency of 60 or 77 Hz
at the ER-1 range for 2-3 minutes in each position.
Eye area and the paraorbital zones (See Fig. 16 in Part 1 of the Manual). The eyes are
treated through closed eyelids via points situated at the upper and lower margins of the orbit, in
medial and lateral corners of the eye.
Zone of frontal projection of the carotid arteries (See Fig. 17 in Part 1 of the Manual) is
positioned in the middle third of the neck, in front and medially of the right and left muscles used for
nodding.
It is used in diseases of cardiovascular system, hypertensive crises, high fever.
Treatment is performed in the stable mode using the THERAPY programme at frequency of 60
or 77 Hz at the ER-1 range for 1 -2 minutes on each side.
Zone of frontal projection of the adrenal glands (See Fig. 18 in Part 1 of the Manual) is
positioned in the lower segments of the chest, behind it, on the right and left sides of the spine.
It is widely used in dishormonal disturbances, chronic inflammatory diseases, allergic
processes, and in emergency conditions.
Treatment is performed in the stable or labile mode using the THERAPY programme at
frequency of 60 or 77 Hz at the ER-2 range. Duration of the treatment is 3-5 minutes on each side.
Kidney, ureter, and bladder zone (See Fig. 19 in Part 1 of the Manual). Frontal projection of
the kidneys is found in the lumbar area on both sides; frontal projection of the bladder is found in the
suprapubic area.
DENS is used in any diseases accompanied by oedemas, in all kinds of increased pressure
(arterial, intracranial, intraorbital, in the portal vein, etc.).
Treatment is performed using the THERAPY programme at frequency of 60 or 77 Hz at either
the ER-1 or ER-2 range. The device is moved by sliding from the lumbar area from the lateral surface
of abdomen forwards and downwards to the suprapubic area. The treatment is performed for 5-7
minutes on each side. Where LTZ occurs (the "sticking effect"), the latter is treated for a further 3-5
minutes in each zone.
Liver and intestinal zone (See Fig. 20 in Part 1 of the Manual). Frontal projection of the liver
is found in the right lower segments in the front surface of the chest, as well as laterally and behind,
its width being equal to patient's palm width; the intestine zone is positioned on the anterior surface of
the abdomen.
The lever and intestine areas are treated in almost all chronic diseases, in all types of
metabolic disorders, and in acute and chronic intoxications, within the course treatment.
DENS is performed using the THERAPY programme in the stable or labile mode at frequency
of 60 or 77 Hz at the ER-2 range. First the liver area is treated, taking into account any incidence or
absence of gall stones (if stones are present, the liver is only treated laterally or from behind,
whereas if stones are not present, treatment is from all three sides) for 5-7 minutes. Then the
intestine is treated in the stable or labile mode using the THERAPY programme at either the ER-1 or
ER-2 range, depending on the character of the stool (in cases of normal stools and those tending
towards constipation, the device should be moved clockwise, whereas in the instance of weak stools
it should be moved anticlockwise) for 10-15 minutes. Diagnosed trigger zones are treated additionally
for 3-5 minutes each.
Suprapubic zone (See Fig. 21 in Part 1 of the Manual) is atrian-gular area whose apex is
positioned in the umbilicus and the base is in the inguinal folds and pubic area. In women, a frontal
projection of the uterus and ovaries is positioned within this zone.
Stimulation of the suprapubic zone is used in instances of menstrual cycle disorders,
dishormonal disturbances, in circulation disorders and pathologic processes in the pelvis minor in
women, as well as for normalising the functionality of sexual organs in women and in men. Treatment
of the suprapubic zone is indicated as a general normalising action in almost all instances of chronic
diseases in women.
In the instance of complaints, the suprapubic area is treated in the stable or labile mode using
the THERAPY programme at frequency of 60 or 77 Hz at the ER-2 range. In this case, treatment is
exerted until there is a substantial improvement in health or until pain has been eliminated.
In the absence of pain and in course of treatment, the suprapu-bic area is treated using the
TEST or SCREENING programme, with diagnosed LTZs and with their subsequent treatment being
carried out using the THERAPY programme at frequency of 60 or 77 Hz for 3-5 minutes.
Perineum zone (See Fig. 22 in Part 1 of the Manual) is situated between the anus and
scrotum in men and between the anus and vulvar lips in women.
Treatment is used in any inflammatory diseases of sexual organs in men and women alike, in
disorders of sexual function in men, as well as in diseases of the rectum.
Treatment is performed in the stable mode using the THERAPY programme at either the ER-1
or ER-2 ranges at frequency of 60 or 77 Hz for 3-10 minutes.
He-gu zone (See Fig. 23 in Part 1 of the Manual) is situated on the back of the left and right
hands in the standard triangle be tween the first and second middle metacarpal bones. This zone
contains the point of the classical meridian of the colon 4GI (he-gu), being one of the main medical
strengthening and prophylactic points.
It is used in allergic diseases, in pathologic processes in the nervous system, for improving the
circulation in the brain in numerous diseases and conditions. Stimulation of this zone is effective in
epilepsy, amenorrhea, prolonged labour, constipation.
Treatment is performed in the stable mode using the THERAPY programme at frequency of 60
or 77 Hz at ER-2 for 3-5 minutes on each side.
Zu-san-leizone (See Fig. 24 in Part 1 of the Manual) is situated on both legs, below the
exterior of the patella. It is one of the most frequently used points. Stimulation of the point zu-san-lei
enhances treatment of other points and zones.
Treatment is performed in diseases of the nervous and cardiovascular systems, in diseases of
the gastrointestinal tract, and in diseases of mammary glands.
Stimulation of the zu-san-lei points is also effective in reducing pain of any origin, fever,
insomnia, high BR Treatment is performed in the same way as with the he-gu points: in the stable
mode using the THERAPY programme at frequency of 60 or 77 Hz at the ER-2 range for 3-5 minutes
on each side.
6.CONCORDANCE SYSTEM ZONES AND POINTS

In order to increase the efficacy and extent of the therapeutic capacities of DENS treatment,
the individual prescription might include action upon the zones and points of the organ and system
representations according to diagnosis, some of which have long since been known, and others are
quite modern developments. At present, among the known concordance systems, the maxi-sys-tems
can be distinguished (e.g. on the body, face, head), midi-systems (e.g. on the feet, hands, sexual
organs), and mini-acupuncture systems (e.g. auricular, orbicular, nasal, oral).
Su Jok concordance system in the hands and feet (See Fig. 25 in Part 1 of the Manual).
Where complaints are in evidence, the points and zones of the Su Jok concordance system should
be treated using the THERAPY programme at 20, 60 or 77 Hz at the ER-2 range for 3-5 minutes.
Treatment of the hands and feet zones can be combined and alternated until the desired effect is
achieved. In elderly persons, children and obese patients, treatment of the Su Jok concordance
systems yields even better effects than treatment of a complaint in frontal projection.
As a course treatment for chronic diseases (when exacerbation of the condition has already
been halted), the Su Jok zones should be treated in combination with the following programmes: first
any of the two sides with the THERAPY programme at the ER-2 range for 2-3 minutes, then the other
side using the TEST programme.
Auricular Concordance System. Stimulation of the auricular (ear) concordance system is done
by an external (pointed) therapy electrode using the THERAPY programme at frequency of 60 or 77
Hz at the ER-1 or ER-2 range. The duration of application and the set of points to be treated depends
on the situation. At the acute stage of the disease, especially if pain is present, the points can be
combined for treatment until the condition improves (no more than 5 minutes per point). During the
course of treatment when no acute complaints are present, the points are treated for 2-3 minutes
each, 3 to 4 points per procedure.
7. THE MAIN ZONES OF RESUSCITATIVE THERAPY

The main zones of the resuscitative therapy are situated on the face (See Fig. 26 in Part 1 of
the Manual) which makes them readily accessible.
The first zone is positioned on the upper lip. The inbuilt electrode is placed tightly against the
upper lip from the outside in such a way that part of the electrode touches the place of transition from
the nasal septum to the upper lip.
The second zone is positioned in the centre of the chin-lip sul-cus.
The third zone is positioned in the middle of the tip of the nose.
The above zones are treated in the event of shock, fainting induced by any cause, loss of
consciousness, obvious alcohol intoxication.
In case of emergency, treatment is performed in the stable mode using the THERAPY
programme at frequency of 77 Hz at the maximum energy capacity. For each resuscitation zone,
treatment is performed in phases lasting 30 seconds until the desired effect is achieved or until the
arrival of an emergency medical team.
CHAPTER 5
RECOMMENDED TREATMENT
PROCEDURES AND DIADENS
DEVICE TECHNIQUE
A DENS operation will always be different for each patient and for each specific situation. In
order to choose the zones to be operated on, the order of operation, and howto plan a treatment
course, one must comply with the following set of conditions:
-establish the main complaint, its localisation, history, details (i.e. to determine the character of
pain);
-establish concomitant complaints (e.g. the arterial blood pressure of a patient with knee pain
might periodically increase);
-determine whether this condition is acute or is just an exacerbation of a chronic condition (i.e.
whether the complaints are occurring for the first time or the patient had similar symptoms
before);
-determine whether the patienttook any drugs (both on account of the given deterioration of
the condition or as a basic therapy on a constant basis).
Having received answers to these questions, the operator can use one of the treatment
schemes given below:
SCHEME 1. COMPLAINT IS COMPLEX AND LOCALISED, DISEASE IS ACUTE

In cases of emergency, life-threatening conditions, DENS should be carried out as the first
before-doctor aid. In other cases, DENS may be combined with medicinal treatment and other kinds
of treatment prescribed by a doctor, but in a number of cases DENS is applied as an independent
curative method.
The purpose of DENS is to eliminate or to substantially reduce the existing symptoms.
•
! NOTE! The first - and quite often the only - sign of serious disease may be a pain that
suddenly appears at any localisation. Therefore, if unprecedented attacks of pain
occur and reoccur continuously, and pain intensity becomes stronger, it is necessary
to consult a doctor urgently!
In an acute period of illness DENS treatment should be started on the FPC zone at frequency
of 20, 60, 77, 140 or 200 Hz depending on the situation (see the choice of frequencies and recipes
for specific conditions, Chapter 6). If the treatment of the complaint in its frontal projection is
impossible because of the current circumstances (e.g., you have back pain, but you are in a tram at
the current moment), as well as in elderly patients and children, the procedure can be commenced by
processing the Su Jok zone in the THERAPY programme at frequency of 60 or 77 Hz at either the
ER-1 or ER-2 ranges until the condition improves.
If you know the auricular therapy method, in case of acute complaints begin treatment of
auricular points in the THERAPY programme at frequency of 20, 60, or 77 Hz at the ER-2 range, up
to 5 minutes per point.
Treatment of the FPC zone, auricular points and concordance zones can be combined,
alternated or repeated until any of the following are in evidence:
•the complaint has been fully eliminated,
•the patient feels significantly better,
•there is a hyperemia (reddening of skin), feeling of "goose flesh" or warmness and lightness in
the zone beneath the electrode,
•patient has fallen asleep.
If any of these results are in evidence, the procedure should be stopped at any stage.
If the effect is not distinct enough, the following should be performed:
-increase or decrease the frequency of application at the FPC zone;
-increase the power of the energy deposition according to patient's pain tolerance;
-in cases of diseases of paired organs or symmetrical body areas, treat the healthy side using
the TEST programme at the ER-2 range;
-treat the segmental zone that corresponds to the complaint zone (see Chapter 4) using the
THERAPY programme at 60 or 77 Hz at the ER-1 or ER-2 range;
-treat additional zones of influence (for example, common zones, he-gu and zu-san-lei points,
liver and intestinal projection, and in women, the suprapubic zone and others - refer to Chapter
4).
With most of pain symptoms and functional disorders, it is enough to treat 3-4 zones (in rare
cases, 8-10 zones and points are necessary) during one procedure.
•
! NOTE! If the complaint resurfaces, the procedures are to be repeated as required.
When complaints become less severe, the interval between procedures should be 30-
45 minutes in children and 1.5 hours in adults.
In the event of an acute illness, treatment must be finished after the elimination of the
symptoms.
Clinical example. During epidemic of influenza in an otherwise healthy patient, acute
respiratory viral disease (ARVD) symptoms appear suddenly. This is an acute illness. The patient
suffers from a head-cold, a cough, fever, and he or she feels unwell. It is advisable to start the
treatment with FPC, which is a straight projection of the nose and submandibular zone using the
THERAPY programme at 60 or 77 Hz at the ER-2 range in the stable or labile mode, and/or AT 14,
AT 13, AT 55, AT 71 or AT 95. It is possible to treat concordance zones in keeping with the Su Jok
method in the area of thumbs and feet using the THERAPY programme at 20, 60 or 77 Hz at ER-2
for 3-5 minutes for each zone. Treatment of these zones can be combined and repeated until the
condition improves (until the recovery of nasal breathing). If complaints recommence, treatment
should be repeated (up to 5-7 times and more per day as required). If the result of DENS treatment is
not satisfactory, you can treat auxiliary zones (he-gu and zu-san-lei zones, projection of liver and
intestine and suprapubic areas, common zones and other). After recovery, DENS treatment must be
stopped.
SCHEME 2. COMPLAINT IS COMPLEX AND LOCALISED, DISEASE IS CHRONIC

This is the most common variant of this course of diseases. In these cases, patients usually
have numerous consultations, examinations, and are taking an assortment of medicines. In this case,
DENS becomes a significant additional form of treatment, often enabling a reduction in the patient's
medicine intake, reducing the frequency and severity of exacerbations. If complaints arise during an
acute condition, it is recommended that treatment is carried out according to SCHEME 1.
When symptoms of an acute condition are lessened or eliminated, it is advisable to perform
course treatment for more pronounced results. The duration of course treatment is determined on an
individual basis, being subject to the disease itself, its severity, concomitant pathology, and includes
5-7 to 12-15 procedures and sometimes more (see disease prescription, Chapter 4).
The following zones are recommended for treatment during the procedure:
-one of the common universal zones (the posterior zone of the meridian midpoint, the
"concordance points" zone, the trigeminal area or trifacial zone, the area of hands and feet)
using the TEST or SCREENING programme with further treatment of LTZs treated using the
THERAPY programme at frequency of 60 or 77 Hz at the ER-2 range for 3-5 minutes on each;
-segmental zones of particular (listed according to the disease, see Table 1 of segmental
zones, Chapter 2) or universal treatment using the TEST or SCREENING programme with
further treatment of LTZ performed using the THERAPY programme at 60 or 77 Hz at the ER-
2 range for 3-5 minutes for each;
-special zones:
-liver and intestine zones will be treated in the labile or stable mode in the THERAPY
programme at 60 or 77 Hz at the ER-2 range (refer to Chapter 2);
-suprapubic area in the TEST, SCREENING or THERAPY programme in a labile or stable
mode at frequency of 77 Hz at the ER-2 range (refer to the same chapter);
-zone 7 of CV, jugular fosse, adrenal glands, he-gu, zu-san-lei in combined modes;
-zones of concordance systems in keeping with the Su Jok method in combined modes, as in
chapter 4;
During one procedure combine do not more than 2-3 zones.
Average procedure duration: for babies up to 12 months - 5-10 minutes; for children of 1-3
years - 10-15 minutes; for children of 4-5 years - 15-20 minutes, for children over 5 years old and for
adults - 20-40 minutes.
As a rule, the procedure is performed once daily. In cases of prolonged, persistent and severe
diseases (for example, cerebral strokes, skin diseases etc.), the procedure may be performed 2-3
times a day. It is recommended that the courses are repeated after an interval of 2 weeks.
If during the intervening period new complaints appear or former complaints recommence,
DENS must be restarted earlier, as required.
Clinical example. A patient with a history of frequently catching colds develops clinical
symptoms of rhinitis (stuffiness of the nose, mucopurulent nasal discharges, feeling unwell, fever)
after becoming excessively cold. This is an exacerbation of a chronic disease. In this case, as in
SCHEME 1, DENS ought be started with the FPC (frontal projection of nasal and submandibular
area) using the THERAPY programme at 60 or 77 Hz at the ER-2 range in either of the stable or
labile modes. One can treat concordance zones in keeping with the Su Jok method on the thumbs
and toes using the THERAPY programme at frequency of 20, 60 or 77 Hz at the ER-2 range for 3-5
minutes at each zone and/or AT 14, AT 13, AT 55, AT 71 or AT 95. The said zones may be combined,
their treatment repeated until the condition improves (restored nasal breathing). When treating such a
patient, it is advisable to apply treatment to one or two auxiliary zones during each procedure
(projection 7 of CV, adrenal glands, jugular fosse, points he-gu and zu-san-lei). When complaints
recommence, the treatment procedures should be repeated (up to 5-7 times daily as required). As the
symptoms of the acute condition are eliminated, one should include treatment of the common zones,
projection of liver and intestine, the suprapubic area in the DENS prescription, along with the above
zones. During one treatment procedure, do not combine more than 2-3 zones. The duration of the
treatment course is 7-10 days.
SCHEME 3. PRESENCE OF A NUMBER OF DIFFERENT COMPLAINTS

Patients with several different chronic diseases may present a number of different complaints
simultaneously. The operator must choose a priority complaint in order to commence treatment. The
choice of complaint should be made by the following principles:
- First and foremost life-threatening situations (for example, if a patient is affected by an attack
of bronchial asthma and simultane-ously has pain in the knee, it is necessary to commence treatment
to eliminate the asthmatic fit, since this condition is life-threatening).
-First-time complaints take priority (for example, the patient has had knee pain for 20 years,
and now pain is present in the hip joint. In this case, treatment must be commenced with the
hip joint).
-If it is impossible to determine priorities as above, treatment should be commenced on the
complaint which disturbs patient the most (for example, the patient has had chronic
constipation and a disease of the joints for approximately the same amount of time). Variant 1:
at the current time, stool delay stretches for several days. Treatment for such a patient must
be commenced with the liver and intestine. Variant 2: Patient produced a stool the previous
evening. DENS must be commenced with treatment of the affected joints.
After the zones for treatment have been determined, please follow SCHEME 2.
SCHEME 4. INDEFINITE COMPLAINTS

Complaints are provisionally indefinite if the patient cannot describe his or her feelings clearly,
and defines them as indisposition, weakness, easy fatigability (in medicine this is known as asthenia),
emotional instability and so on. Such conditions may be clinical manifestations of a number of
diseases, especially at initial stage (the "pre-disease" condition).
The purpose of DENS is to eliminate these symptoms as far as possible and in some cases to
determine and eliminate the cause of the initial pathosis by searching for latent trigger zones and a
way of treating them.
To decrease clinical symptoms of the asthenic syndrome, MED programme can be applied in
any of the selected points (he-gu point, tsyu-san-li point, in 7 SP projection or any other point).
In order to reveal the source of indefinite complaints and to diminish the clinical manifestation
of asthenia one should:
-treat one of the general universal zones (posterior zone of the meridian midpoint, the
"concordance points" zone, trigeminal zone, or hands and feet zone) in the TEST or
SCREENING programme with further treatment of revealed LTZs in the THERAPY programme
at the ER-2 range, at 60 or 77 Hz, spending 3-5 minutes on each;
-or expose one of segmental zones to universal treatment (CCZ or LSZ) in the TEST or
SCREENING programme with further treatment for revealed LTZs on the THERAPY
programme at the ER-2 range at frequency of 60 or 77 Hz, spending 3-5 minutes for each
zone;
-or treat one of special zones (area of liver and intestine will be treated in a labile or stable
programme using the THERAPY programme at 60 or 77 Hz at the ER-2 range (refer to
Chapter 2));
-the suprapubic area may be treated using the TEST, SCREEN ING programmes or the
THERAPY programme in a labile or stable mode at frequency of 60 or 77 Hz at the ER-2
range (refer to the same ch.);
No more than 2-3 zones should be combined during the procedure. The average duration of
procedure is as follows: in babies up to 12 months - 5-10 minutes; in children of 1-3 years - 10-15
minutes; in children of 4-5 years - 15-20 minutes, in children over 5 years and in adults - 20-40
minutes.
If during DENS treatment certain complaints appear which constitute a satisfactory prognostic
sign, SCHEME 1 or SCHEME 2 should be applied until the condition generally improves.
The procedure must be performed as a daily course for 7-10 days. The course may be
repeated if necessary.
CHAPTER 6
AURICULOTHERAPY USING DIADENS DEVICES IN MOST COMMON DISEASES
The auricular points indicated in this Chapter should be used as a supplement to treatment
programmes for various diseases with the aid of dynamic electroneurostimulation devices described
in Chapters 6-7 "Guide for dynamic electroneurostimulation using DENAS devices", with due
consideration of the possibility of using the "TEST" and "SCREENING" programme, as well as the
extended frequencies of the DiaDENS device.
1. The most frequently used auricular points in diseases of respiratory organs (Fig. 12)
1) Rhinitis, nasal stuffiness (cold, rhinitis):
• AT 13, AT 14, AT 16, AT 55, AT 95.
2) Cough, suffocation (croup, tracheitis, bronchitis, bronchial asthma, pneumonia):
• AT 13, AT 101, AT 102, AT 103, AT 51, AT 55, AT 34.
2. The most frequently used auricular points in diseases of the ear, throat and nose
(otorhinolaryngological diseases) (Fig. 13)
1) Pain, sensation of bursting, nasal stuffiness (antritis, frontitis, sinusitis):
• AT14. AT15, AT33, AT 95, AT13, AT71.
2) Pain in the throat, hoarse voice, cough (laryngitis, pharyngitis, tonsillitis, sore throat):
• AT 10, AT 15, AT 13, AT 55, AT 73, AT 74, AT 75.
3) Earache, deafness (otitis, neurosensory deafness, auditory neuritis):
• AT 9, AT 13, AT 37, AT 82, AT 95.
3. The most frequently used auricular points in diseases of the digestive organs (Fig. 14)
1) Stomach pain, nausea, vomiting, abdominal distension:
• AT 87, AT 88, AT 51, AT 55, AT 96.
2) Diarrhoea:
• AT 87, AT 89, AT 96, AT 82.
3) Constipation:
•AT 87, AT 91, AT 82, AT 96.
4) Haemorrhoids:
• AT 81, AT 91, AT 87, AT 97, AT 55.
4. The most frequently used auricular points in diseases of the kidneys and urinary
tract (Fig. 15)
1) Pain in the small of the back, frequent and painful urination (pyelonephritis, urolithiasis,
glomerulonephritis, cystitis, urethritis):
• AT 95, AT 92, AT 94, AT 51, AT 55, AT 38, AT 13, AT 22, AT 82, AT 26a.
5. The most frequently used auricular points in diseases of the musculoskeletal

system (Fig. 16)
1) Pain in the shoulder joint (arthritis, arthrosis):
• AT 64, AT 37, AT 29, AT 26a, AT 55, AT 95, AT 13.
2) Pain in the elbow joint:
• AT 66, AT 39, AT 26a, AT 55, AT 95, AT 13.
3) Pain in the radiocarpal articulation:
• AT 67, AT 37, AT 55, AT 95, AT 13.
4) Pain in the hip joint:
• AT 50, AT 38, AT 40, AT 55, AT 95, AT 13.
5) Pain in the knee joint:
• AT 49, AT 40, AT 55, AT 95, AT 13.
6) Pain in the ankle-joint:
• AT 48, AT 40, AT 55, AT 95, AT 13.
7) Pain in the spine cervical segment:
• AT 37, AT 29, AT 121, AT 55, AT 95, AT 51, AT 26A.
8) Pain in the spine thoracic segment:
• AT 39, AT 37, AT 55, AT 95, AT 51, AT 26A
9) Pain in the spine lumbar-sacral segment:
• AT 40, AT 38, AT 52, AT 55, AT 95, AT 51, AT 26A
6. The most frequently used auricular points in nervous diseases (Fig. 17)
1) Headache (migraine, vascular and other brain diseases):
AT 33, AT 35, AT 25, AT 28, AT 29, AT 26a, AT 55, AT 51, AT 121.
2) Facial pains (neuralgia of the trigeminal nerve):
• AT 11, AT 26a, AT 25, AT 55, AT 37, AT 29, AT 51, AT 82.
3) Postinsult conditions, paralyses, consequences of the brain lesions and infectious of the centr
• AT 37, AT 38, AT 39, AT 40, AT 82, AT 29, AT 55, AT 51, AT 25.
7. The most frequently used auricular points in cardiovascular diseases (Fig. 18)
1) Pain in the heart (coronary heart disease, cardialgia, rheumatism, myocardiodystrophy
and other diseases):
• AT 100, AT 51, AT 39, AT 42, AT 82, AT 55, AT 13.
2) Increased blood pressure (arterial hypertension, hypertension); hypertensive crisis:
3) Pain in the legs, "intermittent claudication" (diseases of peripheral arteries):
• AT 38, AT 40, AT 46, AT 47, A 51, AT 55, AT 97.
4) Heaviness in the legs, oedemas, extended coiled veins, varicose nodes, trophic ulcers
on the legs (syndrome of chronic venous failure, varicose diseases of the lower extremities):
• AT 40, AT 46, AT 38, AT 13, AT 97, AT 82, AT 55.
8. The most frequently used auricular points in endocrine diseases (Fig. 19)
1) Diabetes mellitus:
• AT 97, AT 96, AT 22, AT 55, AT 13, AT 45, AT 40, AT 82.
2) Thyroid gland diseases:
• AT45.AT13, AT 55, AT 22, AT 37, AT 28.
9. The most frequently used auricular points in obstetrics, in gynaecological
diseases and in diseases of mammary glands (Fig. 20)
1) Menstrual cycle disorders:
2) Pain in the lower abdomen (inflammatory and other diseases of female reproductive
organs):
3) Hypogalactia:
• AT 44, AT 39, AT 28, AT 82.
4) Lactostasis, lactation mastitis:
• AT 39, AT 44, AT 55, AT 82, AT 95, AT 13.
10. The most frequently used auricular points in diseases of male genitalia (Fig. 21)
1) Pain in the lower abdomen, in the genitalia area (prostatitis, urethritis, orchitis,
epididymoorchitis):
2) Sexual function disorders:
• AT 55, AT 93, AT 58, AT 23, AT 32, AT 78, AT 34.
11. The most frequently used auricular points in skin diseases and in cosmetology
(Fig. 22)
1) Rash, spots, skin abscesses, skin itch (pyodermia, psoriasis, neurodermatitis, eczema,
pustular, fungal and other skin diseases):
• AT 51, AT 55, AT 13, AT 22, AT 91, AT 89, AT 71, AT 97.
2) Facial care:
•AT 11, AT 87, AT 55, AT 95.
3) Cellulitis, obesity:
• AT 17, AT 18, AT 84, AT 87, AT 22, AT 82.
12. The most frequently used auricular points in eye diseases (Fig. 23)
1) Refraction disorders (cyclospasm, myopia, hypermetropia, astigmatism), glaucoma,
cataract, inflammatory eye diseases:
• AT 8, AT 24A, AT 97, AT 51, AT 55, AT 95, AT 13.
13. The most frequently used auricular points in diseases of oral mucous membrane
and dental-jaw system (Fig. 24)
1) Toothache:
• AT 1, AT 5, AT 6, AT 7, AT 8.
2) Stomatitis, parodontitis, parodontosis:
• AT 2, AT 3, AT 84, AT 13, AT 97.
14. The most frequently used auricular points in children's diseases (Fig. 25)
1) Infantile cerebral paralysis:
2) Neurotic stuttering (logoneurosis):
•AT 55, AT 8, AT 51, AT 37, AT 29, AT 34.
•3. Enuresis:
•AT 29, AT 51, AT 34, AT 92, AT 95, AT 55.
CHAPTER 7
AURICULOTHERAPY USING
THE DIADENS DEVICES IN SOME
EMERGENCY SITUATIONS
1. The most frequently used auricular points in lesions and in sports medicine (Fig. 26)
1) Contusion, sprains, microruptures of ligaments, tendons and muscles, joint dislocations:
• AT 26a, AT 55, AT 25 and AT corresponding to the contusion area with the same name.
2) Bone fractures:
• AT 26a, AT 55, AT 25, AT 51 and AT corresponding to the fractured area and with the
same name as the fractured bones.
3) Wounds:
• AT 13, AT 55, AT 82, AT 71 and AT corresponding to the fractured area and with the
same name as the fractured bones.
5) Burns:
• AT 13, AT 55, AT 95, AT 97, AT 82, AT 28 and AT corresponding to the burned area and
with the same name.
2. The most frequently used auricular points in some emergency conditions (Fig. 27)
1) Unconscious patient (uncertain situation):
• AT 13, AT 100, AT 82.
2) Fever (high body temperature):
• AT 28, AT 13, AT 95, AT 34, AT 97.
3) Shock:
• AT 13, AT 22, AT 51, AT 100, AT 34.
ALPHABETICAL INDEX
"BIOREPER" programme
"FOLL" programme
"SCREENING" programme
"TEST" programme
"THERAPY" programme
Abdominal distension
Antritis
Arterial hypertension
Arthritis
Arthrosis
Astigmatism
Auricular correspondence system
Bone fractures
Bronchial asthma
Bronchitis
Burn
Cardialgia
Cataract
Cellulitis
Consequences of brain lesions
Consequences of infections of the central nervous system
Constipation
Contusion
Coronary heart disease
Cosmetic lines on the face
CoughCracks of the mammary gland nippie in lactating mother
Croup
Cystitis
Deafness
Diabetes mellitus
Diarrhoea
Discogenic radiculopathies
Diseases
gynaecological
ophthalmic
children's
of the female reproductive organs
of the skin
of the brain
of the mammary glands
of the male genitalia
nervous
of the musculoskeletal system
of the respiratory organs
of the digestive organs
of the peripheral arteries
of the kidneys and urinary tract
catarrhal
of the cardiovascular system
of oral mucous membranes and dental-jaw system
of ear, throat, nose
of the thyroid gland
of the endocrine system
Disorders of bearing
Eczema
Energy range comfortable
maximum
minimum
Enuresis
Epididymoorchitis
Extended coiled veins
Face care
Fever
Frequent and painful urination
Frontitis
Glaucoma
Glomerulonephritis
Haemorrhoids
Heaviness in the legs
High arterial pressure
High body temperature
Hypermetropia
Hypertension
Hypogalactia
Infantile cerebral paralysis
Inflammatory eye diseases
Intermittent claudication
Joint dislocations
Lactation mastitis
Lactostasis
Laryngitis
Logoneurosis
Lumbalgia
Menisci lesions
Menstrual cycle disorders
Migraine
MPIC
Myocardiodystrophy
Myopia
Nasal stuffiness
Nausea
Neuralgia of trigeminal nerve
Neurodermatitis
Neurosensory deafness
Neurotic stuttering
Obesity
Orchitis
Otorhinolaryngological diseases
Sore throat
Pain in the throat
in the stomach
in the face
in lower part of abdomen
in the legs
in the genitalia area
in the small of the back
in the heart
in the back
in joints
in ear
in the neck
headache
toothache
Paralysis
Parodontitis
Parodontosis
Pharyngitis
Pneumonia
Postinsult condition
Prostatitis
Psoriasis
Pyelonephritis
Pyoderma
Pyodermia
Rash
Refraction disorders
Rheumatism
Rhinitis
Rhinitis
Sciatica
Sexual function disorders
Shock
Sinusitis
Skin itch
Skin spots
Sore throat
Spasm of accommodation
Speech areas
Spine osteochondrosis
Sprain of ligaments, tendons, muscles
Stomatitis
Su Jok (the concordance system on hands and feet)
Suffocation
Syndrome of chronic venous failure
The MED program
Tonsillitis
Tracheitis
Trophic ulcers on the legs
Unconscious state
Urethritis
Urolithiasis
Varicose disease of the lower extremities
Varicose nodes
Voice huskiness
Vomiting
Wounds
Zone of the heart's lateral direct projection
of the second cervical vertebra
of the posterior meridian midpoint or the posterior midpoint line of the body
of the heart's posterior direct projection
of the hands and feet
suprapubic
of the heart anterior direct projection
of the liver and intestine
of the kidneys, ureters and bladder
lumbar-sacral
perineal
of the patient's complaint direct projection
of the adrenal glands' direct projection
of the carotid arteries' direct projection
of the seventh cervical vertebra
"concordance points" or paravertebral zone
trigeminal
he-gu
zu-san-lei
cervical-collared
"cervical circle"
tongue
jugular fosse
Zones and points of the concordance system
Zones paraorbital
resuscitation
segmental
segmental, for universal treatment
segmental, for specific treatment
trigger
universal (common)
Oedema
Otitis
APPENDIX
Sample of the form for express assessment of the condition of energy meridians and for
medical testing with the aid of the DiaDENS-DT device using the "FOLL" programme
Name________Date___________Time_________
Substance being tested,_____________
1. Changes in values in the measurement points on the hands (in standard units)
№ Name of the Base value Test value

meridian Right hand (D) Left hand (S) Right hand Left hand (S)
(D)
abs IDE* abs. IDE* abs. abs.
1 Lymphatic system
LY(1)
2 Lung P (I)
3 Colon Gl (II)
4 Neural degeneration
(of nervous system)
Dg (2)
5 Pericardium
(vascular system)
MC (IX)
6 Allergy Dg (3)
7 Parenchymatous,
epithelial
degeneration Dg(4)
8 Triple heater 8
(endocrine system)
TR (X)
9 Heart С (V)
10 Intestine IG (VI)
IDE - index decrease effect
2. Changes in values in the measurement points on the feet (in standard units)
№ Name of the Base value Test value

meridian Right foot (D) Left foot (S) Right foot Left foot (S)
(D)
abs IDE* abs. IDE* abs. abs.
1 Spleen - pancreas
RP(IV)
2 Liver F (XII)
3 Joint
degeneration
Dg(5)
4 Stomach E (III)
5 Connective-tissue
degeneration Dg
(6)
6 Skin Dg (7)
7 Fat degeneration
Dg(8)
8 Gall bladder VB
(XI)
9 Kidney R (VIII)
10 Bladder
(urogenital
system) V (VII)
IDE - index decrease effect
Conclusion:
Sample of the form for auricular diagnosis using the "Bl-OREPER" technique (for the
DiaDENS-DT device)
№ System Signal auricular points for express- diagnosis Results of the study
Side D* S* D S D S D S D S D S D S Нуpo- Norm Нуper-
Respiratory 101 101 102 103 functio function
system n
Current
1 values
Pain
sensitivity
Common
anomaly
Cardiovasc 100
ular
Current
values
2
Pain
sensitivity
Common
anomaly
3 Digestive 87 88 89 91 81 96 97
Current
values
Pain
sensitivity
Common
anomaly
4 Muscu- 37 39 40 38 52
loskeletal
Current
values
Pain
sensitivity
Common
anomaly
5 Urinary 95 92
Current
values
Pain
sensitivity
Common
anomaly
Reproductiv 58 56 23 93 32
e fem fem fem male male
Current
values
6
Pain
sensitivity
Common
anomaly
7 Endocrine 13 22 28 45
Current
values
Pain
sensitivity
Common
anomaly
8 Immune 71
Current
values
Pain
sensitivity
Common
anomaly
Nervous 33 35 29 25 28 26a
Current
values
Pain
sensitivity
Common
anomaly
Otorhinolar 9 10 14 15 16
yngological
Current
values
Pain
sensitivity
Common
anomaly
Eyes 8
Current
values
Pain
sensitivity
Common
anomaly
*D - right ear, S - lett ear
Conclusion:
Recommendations
Date 200
Fig. 1. Appearance of the front side of the DiaDENS-T device

Fig. 2. Appearance of the front side of the DiaDENS-DT device
Fig. 3. Appearance of the back side of both the DiaDENS-T and DiaDENS-DT devices
Fig. 4. Remote nerve-point curative electrode
Fig. 5. Remote active and passive diagnostic electrodes

Fig. 6. Location of endpoints of the energy meridians on the hands and feet (on the left
extremities, the points are located symmetrically)
Fig. 7. Somatotopy of the auricle (by P. Nogier)

Fig. 8. Anatomical structures of the external surface of the left auricle
Fig.9. Topographic areas of the auricle

Fig. 10. The In-tan point
Fig. 11. Active points of the left auricle's external surface in the tangential coordinate system
Auricular point 1 (АР 1) - UPPER POINT FOR ANALGESIA FOLLOWING EXTRACTION OF A
TOOTH - Localization: lower external corner in the first quadrant of ear lobule.
AP 2 - PALATE - Localization: this is the upper point of the lower quarter of the diagonal of the
second lobule quadrant. This diagonal connects the upper internal and the lower external corners of
the lobule.
AP3 - MOUTH FLOOR - Localization: the lower point of the upper quarter of the diagonal of
the second lobule quadrant. (This diagonal connects the upper internal and the lower external
corners of the lobule.)
AP 5 - Maxilla (upper jaw)- Localization: Center of the third quadrant of lobule.
AP6- Mandibule (lower jaw)- Localization: in the middle of the upper line at the third quadrant
of the lobule.
AP 7 - LOWER POINT FOR ANALGESIA FOLLOWING EXTRACTION OF A TOOTH -
Localization: lower external corner of the fourth quadrant of the lobule.
AP 8 - EYE, FIRST POINT - Localization: center of the fifth quadrant in the middle of anterior
surface of the lobule of the ear.
AP 9 - INTERNAL EAR - Localization: in the center of the sixth quadrant.
AP 10 - TONSIL, FOURTH POINT - Localization: in the center of the eight quadrant.
AP 11 - CHEEK-BONE - Localization: zone around the perpendicular separating the fifth and
sixth quadrants of the lobule.
AP 13 -ADRENAL- Localization: in the center of the lower border of the tragus (or tragus apex,
in case of biapical tragus) on the upper projection of the lower part of cartilage.
AP 14- EXTERNAL NOSE - Localization: in the center of the tragus base, at the anterior
border of the tragus cartilage. An equilateral triangle could be composed with a line connecting AP12,
AP13 and AP14.
AP 15- PHARYNX AND LARYNX-Localization: in the center of the upper half of tragus internal
surface (or tragus apex, in case of biapical tragus) near the opening of the external acoustic meatus
at the AP 12 level.
AP 16- NASAL CAVITY- Localization: on the lower half of the tragus internal surface near the
opening of the external acoustic meatus at the AP 13 level
AP 17 - THIRST - Localization: in the middle of the distance between AP 14 and the center of
the upper border of the tragus.
AP 18 - HUNGER - Localization: in the middle of the distance between AP 14 and the center
of the lower border of the tragus.
AP 19- HYPERTENSION - Localization: in the middle of the distance between AP 13 and AP
24a.
AP 22 - ENDOCRINE GLANDS - Localization: in the center of the internal border of the
intertragic notch.
AP 23 - OVARY - Localization: between AP 22 and AP 34 at the antitragus transition to
intertragic notch.
АР 24а - VISION, second point - Localization: anterior border of the lobule transition to the
intertragic notch.
AP 25 - BRAIN STEM - Localization: in the middle of posterior auricular sulcus.
AP 26a - THALAMUS (Hypothalamus excitation point) - Localization: internal surface of the
antitragus symmetric to AP35, at the external surface of antitragus in the middle of its base, in the
very middle of the distance between AP29 and AP33.
AP 28 - HYPOPHYSIS - Localization: in the center of the upper third of antitragus in the
middle between AP25 and AP30.
AP 29 - OCCIPUT - Localization: in the middle of the upper third of the antitragus external
surface just below AP28
AP 32 - TESTICLE - Localization: internal surface of antitragus 2 mm below
AP 30 - AP 32 point is symmetric to AP31 with regard to AP30 on the external antitragus
surface.
AP 33 - FOREHEAD - Localization: lower third of antitragus's external surface, a little above
the transition of antitragus to intertragic notch. AP 34 - CEREBRAL CORTEX - Localization: in the
middle of the lower third of the antitragus
AP 35 - TEMPLE (point of Sun) - Localization: middle third of the external surface of the
antitragus basis between AP29 and AP33.
AP 37 - CERVICAL PART OF THE SPINE - Localization: internal border of antihelix at its
transition to the posterior auricular sulcus (zone V).
AP 38 - SACRAL PART OF THE SPINE - Localization: internal border of the antihelix at the
conjunction of the antihelix crura.
AP 39 - THORACIC PART OF THE SPINE - Localization: it is necessary to draw a virtual line
in order to locate this point. The virtual line should the same in its shape as a curve of the antihelix
between AP37 and AP 38. The line should divided into 3 segments. AP39 is located at one third of
distance away from AP37.
AP 40 - LUMBAR PART OF THE SPINE - Localization: 2/3 of the distance from AP37 to AP38
AP 42 - THORAX- Localization: external border of the antihelix, in the middle of the distance
between AP 37 and AP 38. AP 44 - BREAST - Localization:
AP 45 - THYROID - Localization: external border of the antihelix 2 mm below AP41 and at the
same horizontal level as AP37.
AP 46 - TOES - Localization: upper point of the upper antihelix crus (at the external border)
AP 47 - HEEL - Localization: upper point at the internal border of the upper antihelix crus.
AP 48-ANKLE JOINT- Localization: in the middle of the section between AP 47 and AP 49
АР 49 - KNEE JOINT - Localization: in the center of the upper antihelix crus.
AP 50 - HIP JOINT - Localization: antihelix transition to its upper crus. AP 51 - SYMPATHETIC
NERVOUS SYSTEM - Localization: intersection of the lower antihelix crus with internal helix surface
(This point may be covered with the helix).
AP 52 - SCIATIC NERVE - Localization: the center of the lower antihelix crus.
AP 55 - SHAN-MAN - localization: a little higher than the upper antihelix crus divergence,
below the lower border of the upper antihelix crus above AP56.
AP 56 - PELVIS IN MALE (cervix of the uterus in female) - Localization: below the antihelix
crus divergence at the upper border of the lower antihelix crus under AP55.
AP 58 - UTERUS (sex point) - Localization: near the helix border in the middle of the upper
antihelix crus endings.
AP 59 - THE POINT LOWERING ARTERIAL PRESSURE - Localization: the point is located in
the transition of internal surface of the helix to the lower border of upper antihelix crus.
AP 62 - FINGERS - Localization: upper part of navicula at the level of auricular hillock.
AP 63 - CLAVICLE- Localization: lower part of navicula under AP 45. AP 64 - SHOULDER
JOINT - Localization: the upper point of the lower quarter of the distance between AP 63 and AP 62 in
the navicula. AP 65 - SHOULDER - Localization: in the middle of the distance between AP 63 and AP
62 in the navicula.
AP 66 - ELBOW - Localization: in the center of the distance between AP 65 and AP 67 in the
navicula.
AP 67- HAND- Localization: in the navicula at the same level as auricular hillock.
AP 71 - HIVES - Localization: between AP 62 and AP 67 near antihelix.
AP 73 - TONSIL, first point - Localization: at the helix, at the same vertical line with
AP10.
AP 74 - TONSIL, second point - Localization: on the anterior surface of the helix in the middle
of the distance between AP 73 and AP 10.
AP 75 - TONSIL, third point - Localization: anterior surface of the helix in the middle of the
distance between AP 74 and AP 10.
AP 78 - APEX OF THE EAR - Localization: this is the uppermost point of the helix.
AP 81 - RECTUM - Localization: at the ascending branch of the helix, at the level of AP 91
(zone XIV) and a little higher than AP 20 (zone III), which corresponds to the beginning of the
cartilage of ascending part of the helix.
АР 82 - DIAPHRAGM (NULL POINT) - Localization: helix cms transition to the ascending part
of the helix.
AP 84 - MOUTH - Localization: under the lower border of the helix cms above the external
acoustic meatus.
AP 87 - STOMACH - Localization: in fact stomach is not a point but a zone located around the
basis of the helix crus near the concha, between cym-ba conchae and cavum conchae.
AP 88 - DUODENUM - Localization: at the upper border of the helix crus above AP87 along
the beginning of the crus.
AP 89 - SMALL INTESTINE - Localization: at the upper border of the helix crus above AP88
and along the crus.
AP 91 - LARGE INTESTINE - Localization: at the upper border of the helix crus near its
transition to the ascending branch of the helix, above AP82. AP92 - BLADDER - Localization: under
the lower border of the lower an-tihelix crus above AP 91 and behind AP93.
AP 93 - PROSTATE - Localization: in the corner formed by the ascending branch of the helix
and lower border of the lower antihelix crus below AP51 (this point may be covered with the helix).
AP 94 - URETER- Localization: in the middle of the distance between AP 92 and AP 95.
AP 95 - KIDNEY - Localization: below the lower border of the lower anti-helix crus, under AP
53 and above AP89.
AP 96 - GALL BLADDER (right ear) and PANCREAS (left ear) - Localization: in the upper
external corner of the concha and under the lower border of the lower antihelix crus beginning above
AP88. AP 97 - LIVER - Localization: near the internal antihelix border below AP96 at the level of helix
crus and AP40
AP 100- HEART, RIGHT KIDNEY-Localization: in the center of the concha, at the level of the
external acoustic meatus, in the most concave part of the concha.
AP 101 - LUNG - Localization: It is supposed to be 2 points conventionally 1mm above AP100
and 1mm below it. In fact there is lung zone around AP100.
AP 102 - BRONCHI - Localization: 2 points located in 2 mm from AP101 in the line of the
external acoustic meatus.
AP103 - TRACHEA - Localization: 2 mm from AP102 in the line of the external acoustic
meatus, at the internal border of the concha, at the level of the middle part of the posterior border of
the external acoustic meatus, at the same horizontal level as AP100.
AP 121 - LESSER OCCIPITAL NERVE - Localization: on the internal surface of the helix; 2
mm above the auricular hillock
Fig. 12. Topography of selected points in diseases of the respiratory organs

Fig. 13. Topography of selected points in diseases of the ear, throat and nose
(otorhinolaryngological diseases)
Fig. 14. Topography of selected points in diseases of the digestive organs

Fig. 15. Topography of selected points in diseases of the kidneys and urinary tracts
Fig. 16. Topography of selected points in diseases of the musculoskeletal system

Fig. 17. Topography of selected points in nervous diseases

Fig. 18. Topography of selected points in cardiovascular diseases

Fig. 19. Topography of selected points in endocrine diseases

Fig. 20. Topography of selected points in obstetrics, gynaecological diseases and in

diseases of the mammary glands
Fig. 21. Topography of selected points in diseases of male genitalia

Fig. 22. Topography of selected points in skin diseases and in cosmetology

Fig. 23. Topography of selected points in eye diseases

Fig. 24. Topography of selected points in oral mucous and dental diseases
Fig. 25. Topography of selected points in children's diseases

Fig. 26. Topography of selected points in lesions and in sporting medicine

Fig. 27. Topography of selected points in some emergency medical conditions

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General Editor, V.V. Chernyshev, Medical Consultant for DENAS MC Corporation

CHAPTER 1. DIADENS DEVICES.................... 6

CHAPTER 3. THERAPEUTIC CAPABILITIES AND

CHAPTER 4. DEVICE TREATMENT ZONES AND DATA

CHAPTER 5. RECOMMENDED TREATMENT PROCEDURES

CHAPTER 6. AURICULOTHERAPY USING DIADENS

CHAPTER 7. AURICULOTHERAPY USING THE DIADENS

LIST OF ILLUSTRATIONS FOR FOREIGN DIADENS 71

CHAPTER 1 DIADENS DEVICES

DiaDENS Application Programmes

A Comparative Description Using DENAS, DiaDENS-T and DiaDENS-DT

Characteristic DENAS Dia DENS-T Dia DENS-DT

Regulation of the From 0 up to 10 Step- From 0 up to 99 Gradual acceleration

Remote electrodes None present

Opportunities of None Minimum effective dose programme

Diagnostics of Empirically according Objective parameters TEST programme:

Advantages of Using DiaDENS Devices

Combination of DiaDENS device usage with other treatment techniques

2. INFORMATION ON THE SPECIFICS OF USING THE DIADENS DEVICE

Appearance of the DiaDENS devices. Control terminals

Frequencies of Electric Impulse Application and Their Selection

Apparatus working methods

1. PURPOSE AND APPLICATION OF TEST PROGRAMME

! NOTE! The level of intensity is controlled subjectively according to the patient's

2. PURPOSE AND APPLICATION OF SCREENING PROGRAMME

The SCREENING programme is intended for the rapid assessment of homogeneity of

3. PURPOSE AND APPLICATION OF FOLL PROGRAMME

General Information on Foil Method

Preparation for Testing

Express Assessment of the Functional State of Energy Meridians

LiverF(XII) Dysfunctions, diseases and pathological states of the liver

SkinDg(7) Changes in this meridian indicate skin pathology (inflammation,

Fatty degeneration Functional disorders, illnesses and pathologic states related to

4. PURPOSE AND PRACTICAL APPLICATION OF BIOREPER PROGRAMME

The Difference Between BIOREPER Method and Other Electropuncture Diagnostics

Some Notes on Physiology and Anatomy of the Auricle

Positioning of Auricular Points

Preparation for Testing

Switch on the device.

Determining the Individual Testing Voltage

BIOREPER Testing Programme

Current value in APs in mkA ≤1 1 2-3 4-7 8-11 12-15

1. ZONE OF FRONTAL PROJECTION OF PATIENT'S COMPLAINT

Segmental Zones of Particular Applications

3. UNIVERSAL (GENERAL) ZONES

5. VARIOUS SPECIAL ZONES

6.CONCORDANCE SYSTEM ZONES AND POINTS

7. THE MAIN ZONES OF RESUSCITATIVE THERAPY

SCHEME 1. COMPLAINT IS COMPLEX AND LOCALISED, DISEASE IS ACUTE

SCHEME 2. COMPLAINT IS COMPLEX AND LOCALISED, DISEASE IS CHRONIC

SCHEME 3. PRESENCE OF A NUMBER OF DIFFERENT COMPLAINTS

SCHEME 4. INDEFINITE COMPLAINTS

5. The most frequently used auricular points in diseases of the musculoskeletal

№ Name of the Base value Test value

IDE - index decrease effect

№ Name of the Base value Test value

IDE - index decrease effect

*D - right ear, S - lett ear

Fig. 1. Appearance of the front side of the DiaDENS-T device