Author: Fausto Bonsignori , Medical Director Petriolo Terma spa Resort

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

IN ALL AREAS OF INTERNATIONAL COOPERATION IS NECESSARY TO USE COMMON TECHICAL THERMS IN THE MEDICAL FIELD IS VERY IMPORTANT ALSO SHARE PROTOCOLS FOR RESEARCH AND FOR PRACTICE THIS IS ALSO ONE OF THE OBJECTIVE OF OUR PROJECT

THIS PRESENTATION IS INTENDED AS A CONTRIBUTION TO ACHIEVE THE OBJECTIVE

Fausto Bonsignori , Medical Director Petriolo Terme spa Resort

THERMAL MEDICINE
MEDICAL HYDROLOGY is the branch of medicine that studies the TERAPEUTIC APPLICATION OF WATER WITH SPECIFIC PHARMACOLOGICAL ACTIONS CRENOTHERAPY ( from greek cren = source ) is the branche of medicine that studies the ACTION OF VARIUS THERAPEUTIC MEANS OF THERMAL ENVIRONMENT.

THERMAL RESOURCE OF CARE

MINERAL WATER MUD (Peloids) SAND and SEAWEED GAS MICROCLIMATE

CRENOTERAPY stand for THERMAL MEDICINE

Fausto Bonsignori , Medical Director Petriolo Terme spa Resort

1. MAIN CRITERIA
1. TEMPERATURE

2. FREEZING POINT 3. RESIDUE AT 180 C

4. PREVAILING IONIC COMPOSITION AND SPECIAL PHYSICAL CHIMICAL CHARACTERISTIC 5. MAIN BIOLOGICAL ACTIVITY

MINERAL WATERS
THERAPEUTIC CLASSIFICATION

Fausto Bonsignori , Medical Director Petriolo Terme spa Resort

MINERAL WATERS main criteria of CLASSIFICATION

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

FREEZING POINT hypotonic < 9 gr/lt salt, isotonic 9 gr/lt salt (fisiologic saline) , hypertonic > 9gr/lt salt
RESIDUE AT 180C strict mineral R. > 1 gr/lt, mediomineral R. 200 mg-1g/lt oligomineral R. < 200 mg/lt PHYSICAL-CHEMICACAL CHARACTERISTIC Chloro-sodic (saline) , solfate , bicabonate-calcium(alkaline and alkaline terrouse) carbogaseus, sulfurrous, arseniacal-ferrinous, radiactive

MAIN BIOLOGICAL ACTIVITY : diuretic, purgative, antiphlogistic

Fausto Bonsignori , Medical Director Petriolo Terme spa Resort 5

THERMAL MEDICINE : METHODS

INTERNAL THERMAL MEDICINE
Drinking therapy Irrigation

Inhalation therapy
Insufflation

EXTERNAL THERMAL MEDICINE

Balneotherapy Therapeutic showers

Mud

MICROCLIMATE-THERAPY THALASSOTHERAPY
Fausto Bonsignori , Medical Director Petriolo Terme spa Resort 6

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

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

meals, in small spis during a walk Dosage basis of 500cc + 10cc of water per Kg of body weight , at natural temperature or slightly heated, pure or diluite
DIURETIC : oligomineral-mediomineral, usually in divided doses

modalityurinary lithiasis : water load modality PURGATIVE : saline , saline and solfate, alkaline DIGESTIVE : cold or warm, alkaline HAEMOPOIETIC : arsenicale-ferruginous diluited in relation to the minerals concentration

Fausto Bonsignori , Medical Director Petriolo Terme spa Resort

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

MAIN METHODS IN USE

RECTAL IRRIGATION

dose range 4-10 lt, flowed slowly (10-15) at temperature of 36-38c VAGINAL or GYNECOLOGICAL IRRIGATION dose range 2-3 lt . The supply pressure must be very low and the flow velocity very slow (30) temperature 36-38c NASAL , GUM AND ORAL WASHES sprayed water (pressure 1-2 atm and temperature 38-40c) also with anatomical mouthpieces

Fausto Bonsignori , Medical Director Petriolo Terme spa Resort

INHALATION THERAPHY
THE CHOISE OF APPLICATION TECHNIQUE IS CRUCIAL FOR THERAPY SPECIFIC RELATIONSHIP BETWEEN WATER PARTICLES DIAMETER AND SECTOR TO BE TREATED LARGES PARTICLES ARE DEPOSITED ON THE UPPER AIRWAYS (PHARYNX, LARYNX, TRACHEA) DROPLETS WITH A DIAMETER LESS THAN 3 MICRON CAN GET TO PULMONARY ALVEOL
DIAMETER RETENTION RATE MAX. LOCATION

> 10
6 4 2 1 0,6 < 0,1

100%
95 90 80 60 35 variable

Pharynx, larynx, trachea

Larynx, trachea, bronchi Bronchi, bronchioles Bronchioles, acini, alveoli Acini , alveoli alveoli alveoli

Fausto Bonsignori , Medical Director Petriolo Terme spa Resort

MAIN TECHINIQUES FOR INHALATION THERAPY IN THERMAL MEDICINE

THERMAL WATER FOG

in satured steam room ,Variable diameter particles wet or dry fog . Treatment time : 15-20 the first 3 sessions then go to 60 INHALATION individual equipmement that produces a jet of thermal steam (direct jet steam) with large particles . Treatment time : 20 AEREOSOL special equipment that divided themal water in tiny particles diameter 15 micron Treatment time :15 HUMAGES it take advantage of the gaseous content of some water . individual or collective. Treatment time 20 (indiv) 30

Fausto Bonsignori , Medical Director Petriolo Terme spa Resort

INSUFFLATION
only thermal gas without water particles POLITZER TECHNIQUE

ENDOTYMPANIC INSUFFLATION with ITARD TUBAL CATHETER

Fausto Bonsignori , Medical Director Petriolo Terme spa Resort

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BALNEOTHERAPHY
CLASSIC BALNEOTHERAPY
ALL THERMAL WATERS NATURAL OR DILUITED AVERAGE TEMP. 33-35C (VARIABLE) TREATMENT TIME : 20 IMMERSION BODY AFTER : REST PERIOD 20-30

Fausto Bonsignori , Medical Director Petriolo Terme spa Resort

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MAIN TYPES OF BALNEOTHERAPY

POOLS

Max height 120-130 cm , diving handrail along perimeter 10 cm diving chairs and beds ( 40 and 20 cm ) , whirpools H. SINGLE BATH standard size length 210-220 cm , width 85-90 cm , capacity 200-220 lt LOCAL BALNEOTHERAPHY h. baths for hands and feet WATER PASSAGE 2 long (8-10 mt) and narrow pools , near but no connected, 50-60 cm, deep, water with different temperature : 27-30c/24-26c . Whirlpools, cobblestone floor.

Fausto Bonsignori , Medical Director Petriolo Terme spa Resort

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LOCAL BALNEOTHERAPY and WATER COURSE

Fausto Bonsignori , Medical Director Petriolo Terme spa Resort

SHOWER
UNDERWATER SHOWER

Operator directs the underwater jet ( 1-3 atm ) toward the patient immersed JET SHOWER Operator directs, with specific method, a powerful ject of thermal water. Patient standing at a distance of 2,5-3 m treatment time : 10 RAIN SHOWER ( VICHY SHOWER ) patient lying on particolar bed. Multiple filiform jets of thermal water on the whole body. Treatment time : 15 SCOTTISH SHOWER patient standind surrounded by dispenser that emit thermal water at different temperature. Alternating or simultaneously. Treatment time 5

Fausto Bonsignori , Medical Director Petriolo Terme spa Resort

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RAIN SHOWER and SCOTTISCH SHOWER

PEILODS
SUBSTANCE FORMED IN NATURAL CONDITIONS UNDER THE INFLUENCE OF GEOLOGICAL PROCESS AND WICH IN SMOOTHLY DIVIDED STATE AND IN MIXURE WITH MINERAL WATER ARE USED IN MEDICAL PRACTICE

MUD INORGANIC SILT

PELOIDS
COMBINATION OF MINERAL WATER AND ORGANICINORGANIC SUBSTANCE DERIVED FROM GEOLOGICBIOLOGICAL PROCESSES

PEAT ORGANIC MILDEW

Fausto Bonsignori , Medical Director Petriolo Terme spa Resort

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APPLICATION TECHNIQUES
MUD Solid and liquid part ( clay + mineral water ) togheter for at last 6 months for the maturation processes THE STANDARD TEMPERATURE (43-45c) IS KEPT CONSTANT . THIKNESS 10 cm , no total body . TREATMENT TIME : 20 and after SHORT WARM BATH OR SHOWER and following a RELAX PERIOD (30) COVERED.
SILT ( SEAMUD ) Formed in shallow marine ( lagoon or lake ) . Curing time is very long : decades STANDARD APPLICATION AS THE MUD MEDALLION METHOD SHIRT METHOD
Fausto Bonsignori , Medical Director of Petriolo Terme spa Resort

APPLICATION TECHNIQUES
PEAT Formed by decomposition of waste vegetable ( RAW PEAT ) soaked in mineral Water. STANDARD APPLICATION AS MUD APPLICATIONS AS SILT RAW PEAT AS ENRICHMENT OF BALNEOTHERAPY
MILDEW Mucilaginous substance ( derived from algae ) that are formed with sulphurosous water. APPLIEN IN VERY THIN LAYER , TREATMENT TIME 15 WRAPS METHOD FACE MASKS
Fausto Bonsignori , Medical Director of Petriolo Terme spa Resort

MICROCLIMATE THERAPHY
PARTICULAR MICROCLIMATES (WARM OR COLD, WET OR DRY) PRESENT IN NATURAL OR ARTIFICIAL CAVITIES USED FOR THERAPEUTIC PURPOUSE
HOT WET CAVITY

Variables levels of temperature ( 32-43c ). Usually relative humidity 90-95% Treatment time : differente than the temperature ( 15-50 ) HOT DRY CAVITY Temperature up to 70-75c . Treatment time : 20-30 COLD DRY CAVITY Constant temperature ( 9-12c ) . Treatment time : minimum 120 SALT CAVE : HALOTHERAPY
Fausto Bonsignori , Medical Director Petriolo Terme spa Resort

THALASSOTERAPY
DEFINITION
THE THERAPEUTIC UTILIZZATION OF FISIC AND CLIMATIC

STIMULETS CAUSED BY PECULIAR ENVIRONMNENTS OR MEANS DERIVED FROM THE SEA-SIDE

THE COMBINATE USE FOR PREVENTION OR CURE OF ALL THE

BENEFICIAL ASPECTS OF THE SEA ENVIRONMNENTS : THE CLIMATE, SEAWATER, SEAMUD, SEAWEED, SAND AND OTHER SUBSTANCES DERIVED FROM THE SEA

Fausto Bonsignori , Medical Director Petriolo Terme spa Resort

THALASSOTERAPY
IN MEDICAL PRACTICE

A CHAPTER OF MEDICAL THERMALISM TO WICH IT RESEMBLES, FOR THE SIMILAR USE OF MINERAL WATER FOR THERAPEUTIC STARTEGY, FOR GENERAL INDICATIONS AND CONTROINDICATIONS, AND FOR EMPLOYEMENT OF THE SAME HYDROTHERMAL TECHIQUES AND METHODOLGIES
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THALASSOTHERAPIC METHODS

MARINE CLIMATOL OGY

SEAMUD THERAPY

SEAWEED THERAPY

PSAMMO THERAPY

BALNEO THERAPY
COLD , WARM WITH ELEMENTS

MARINE HALOTHERAPY

IRRIGATION INHALATION

HELIO THERAPY IONIZING WALKS

SEA

POOLS, INDIVIDUAL BATHS, WATER PASSAGES

SHOWER
AFFUSION JET SCOTTISCH UNDERWATER

Fausto Bonsignori Medical Director Petriolo terme spa resort

EVEN THE MONKEYS USE THE THERMAL BATHS FOR THEIR HEALT

MANY THANKS FOR YOUR ATTENTION

Fausto Bonsignori , Medical Director Petriolo Terma spa Resort 24