Monday, December 21, 2009

The classification of natural mineral waters

5. The classification of natural mineral waters and therapeutic muds 
5.1. Mineral water 
Mineral waters are natural underground water and are formed in the earth's crust with certain geological - structural, geothermal, hydro-geological and geochemical conditions that determine the patterns of their spatial localization, gas, ion - salt and trace element composition, temperature and other indicators. Classification and mineral waters based on the definition of a combination of several indicators, and the most important characters, allowing for a total system of underground hydrosphere and the main types of mineral waters for their intended purpose and hydrogeochemical characteristics. 
5.1.1. Mineral water is a natural remedy and its purpose are divided into two types: 
- Drinking; 
- Balneal (for outdoor use). 
Another taxonomic unit is the group of mineral waters, in determining which key features are: 
for drinking water - the total mineralization, ionic composition and (or) the presence of biologically active components; 
for balneology water - gas composition, total salt content, ionic composition, the biologically active components, physical factors (temperature, radioactivity). 
5.1.2. The main groups of mineral water as follows: 
1. Mineral water, the action is determined by the ionic composition and mineralization. 
2. Carbonic water. 
3. Sulphureous water. 
4. Ferruginous water. 
5. Bromine, iodine and iodine-bromine water. 
6. Siliceous thermal waters. 
7. Arsenic water. 
8. Radon (radioactive) water. 
9. Boron-bearing water. 
10. Water enriched with organic matter. 
5.2. Drinking mineral underground waters are divided into treatment - dining, spa and dining. 
5.2.1. Medical - table mineral underground water (total mineralization - M from 1,0 to 10,0 g / cu. Dm) integrate an extensive set of groundwater from low-mineralized (M 1,0 - 5,0 g / cu. Dm) HCO3-Na and HCO3-Na-Ca classes to srednemineralizovannyh (M 5,0 - 10,0 g / cu. dm) Cl-HCO3-Na and Cl-Na classes. Medical - table mineral water during their exchange application are expressed therapeutic effect. Medical - mineral water of low salinity can be used for incidental use as table drinks (eg, natural carbonated water). 
5.2.3. Table waters are predominantly hydro class. In the composition of cations may be present as calcium, magnesium, sodium and in various combinations depending on the location of water intake in the hydro-geological zoning of groundwater. Canteens mineral underground water used for industrial filling in kind, without any special reagent water to preserve the natural ion - salt composition and used as a table beverage. 
5.3. Water balneal (for external use) characterized by the presence of biologically active gases (CO2, H2S, Rn), the specific micro-components (Br, J, H2SiO3, H2BO3, and others), the level of total mineralization and physical properties (temperature, radioactivity, reaction medium). Features of the ion composition of these waters do not have such significance, both for drinking, the more so that the water spa destination with a salinity of more than 15 - 20 g / cu. dm, as a rule, are predominantly of sodium chloride. 
From the combination of the above-mentioned indicators identified seven main groups of mineral water balneotherapy used for external use only 1) carbon dioxide, 2) hydrogen sulfide, and 3) radon; 4) siliceous thermal, 5), bromine, iodine and iodine-bromine, 6), arsenic, 7) the acidic water with a high content of metals (Fe, Al, Cu, etc.); 8) mineral water, curative effect of which is determined predominantly by the size of mineralization. 

5.4. Curative mud (peloids) 
Therapeutic mud is used mainly for external use, are common medical conditions and are used in a variety of treatments, united in a common form of therapy, referred to as mud therapy. 
The main classifications are divided into groups of curative muds and have a considerable influence on the method of mud (the thickness and area of overlay applications, the temperature of heating mud, the duration of the procedure) is their genesis. 
Genetically peloids are divided into four groups: 
1. Peat. 
2. Sapropel. 
3. Sulphide - ile. 
4. Sopochnyj. 
The first two groups belong to the so-called organic peloids, the rest - to the mineral.. 
Prescribed medical treatment (internal) use of mineral waters 
Diseases of the digestive system: 
1. Reflux - esophagitis. 
2. Chronic gastritis. 
2.1. With normal secretory function of the stomach. 
2.2. With increased secretory function of the stomach. 
2.3. With a reduced secretory function of the stomach. 
3. Stomach ulcer and 12 duodenal ulcer. 
4. Diseases of the intestine. 
4.1. Irritable Bowel Syndrome with diarrhea. 
4.2. Irritable Bowel Syndrome with constipation. 
5. Liver disease: chronic viral hepatitis, toxic and pharmacological liver, fatty degeneration of the liver. 
6. Diseases of the gall bladder, biliary tract, pancreas: chronic cholecystitis, cholangitis, cholesterosis gallbladder, cholelithiasis, chronic pancreatitis. 
7. Violations of the digestive organs after surgical interventions: syndromes of the operated stomach after surgery for peptic ulcer, postcholecystectomical syndromes. 
Endocrine, nutritional and metabolic disorders. 
8.1. Diabetes mellitus (insulin and insulin-dependent), impaired glucose tolerance. 
8.2. Obesity (nutritional). 
8.3. Violation exchange lipoproteins. 
8.4. Violation of salt metabolism. 
9. Diseases of the genitourinary system: tubulointerstitial disease (chronic pyelonephritis), urolithiasis, other diseases (chronic cystitis, urethritis, Trigoni). 
10. Diseases of the blood: iron deficiency anemia. 
7.2. Water balneal (for external use) 

Carbon dioxide water. The mechanism of action of carbonated waters of different chemical composition of primary importance is the content and the concentration of carbon dioxide. Since the purpose of treatment with external application using the concentration of carbon dioxide 0,75 - 2,0 g / cu. dm. 
Carbonic water are shown for external use in cardiovascular diseases - cardiovascular, nervous system, respiratory, digestive system. They are most effective in the treatment of cardio - vascular diseases, including during the initial stages of heart failure and cardiac arrhythmia. If carbonate waters have high salinity (20 - 40 g / cu. Dm), then when their appointment must take into account the effect of salt (like sodium chloride waters). 
Sulphureous water. To use hydrogen sulfide balneotherapy water SUM H2S concentration from 10 to 250 mg / cu. dm. In diseases of cardio - vascular diseases (ischemic heart disease, hypertension, heart diseases) are more commonly used low concentrations (25 - 100 mg / cu. Dm), whereas in peripheral vascular diseases, nervous system, - the motor system, gynecological, skin used higher concentrations (up to 250 mg / cu. dm). 
Indications for external use: diseases of the circulatory system, nervous system, - the motor system, gynecological, skin and metabolic diseases. 
Chloride-sodium water. With the purpose of treatment topically applied water in this class at concentrations of 10 - 60 g / cu. dm. Proved that the sodium chloride water 40 - 60 g / cu. dm have a more pronounced anti-inflammatory, analgesic, immunokorrigiruyuschee action. Vody concentration of 20 g / cu. dm more often used for treatment of cardio - vascular disease. 
Indications for external use: cardiovascular diseases - cardiovascular, nervous system, musculoskeletal - the motor system, gynecological, urological. 
In recent years, new data were obtained, extending the indications for the use of sodium chloride waters that have proved their effectiveness in diabetes with micro-and macroangiopathy, chronic nonspecific lung diseases (chronic bronchitis), skin diseases. 
Iodine-bromine water. Depending on the predominance of sodium chloride in water, iodine or bromine water can be bromine, bromiodnymi, bromine or iodine. Exposure to the expense obshey mineralization of these waters and of biologically active ions of iodine and bromine. It is with the effect of iodine and bromine with effective use of bromine water in arteriosclerosis, thyrotoxicosis, ovarian dysfunction, more pronounced their sedative, normalizing the basic processes of neural action, although a definite answer to some questions there (hyperthyroidism). 
Indications for external application: cardiovascular diseases - cardiovascular, central and peripheral nervous system, - the motor system, gynecological, skin diseases, metabolic diseases and endocrine glands. 
Radon water. Radon waters are widely distributed in nature, and has many years experience of their use at resorts and in vnekurortnyh conditions. 
Since the purpose of treatment used water radon concentration of radon from 5 to 200 nCi / L, with low concentrations of radon in water (5 - 15 nCi / l) to apply special methods of treatment (running water in the tub, a pool of water with radon). A comparison of the radon water of different concentrations (from 40 to 200 nCi / l) found that with increasing concentration there is an increase anti-inflammatory, analgesic, immunokorrigiruyuschego action; along with this there is an emergence and adverse reactions of a number of body systems (autonomic nervous system, sympathetic - adrenal etc.). Therefore increasingly used water radon concentration of 20 - 40 - 80 nCi / L, at least - 120 nCi / l and very rarely 200 - nCi / l and more. 
Indications for external use: the cardio - vascular and nervous systems, musculoskeletal - the motor system, gynecological, urological, skin. 

Radon waters are particularly effective in diseases of the support and movement, the peripheral nervous system, skin, gynecological, because of their pronounced immunokorrigiruyuschego, anti-inflammatory, normalizing the function of the endocrine glands. 
Siliceous thermal waters usually Low-mineralized, alkaline contain silicic acid 50 mg / cu. dm and more. The characteristic feature of these waters is the presence of gases, mainly nitrogen. In small quantities contained radon. 
Indications for external application: the cardio - vascular system, musculoskeletal - the motor system, peripheral nervous system, gynecological, skin, certain endocrine (thyrotoxicosis). 
Arsenic water is very different in its chemical and gas composition. Therefore, arsenic in natural waters on the body can not be considered in isolation, and the role it was arsenic (in studies with artificially prepared arsenious waters) in their mechanism of action poorly understood. 


There is experience with arsenic water with coronary artery disease, functional disorders of the nervous system, thyrotoxicosis, and some others. 
Indications for external application of medicinal mineral waters 
1. Diseases of the circulatory system: rheumatic heart diseases, hypertension, ischemic heart disease, essential hypotension, cardiomyopathy, disease of the peripheral arteries and veins. 
2. Diseases of the nervous system. 
2.1. Inflammatory diseases of central nervous system. 
2.2. Cerebrovascular disease. 
2.3. Functional diseases of the nervous system. 
2.4. The defeat of individual nerves, nerve roots and plexus, polyneuropathy, diseases of nervous - muscular synapse and muscle effects of trauma roots, plexuses, nerve roots, spinal cord and brain disorders of the autonomic nervous system. 
3. Musculo - muscular system: arthropathy (infectious, inflammatory osteoarthritis), systemic lesions of connective tissue; dorsopatii and spondylopathiae; disease of soft tissues; osteopathy and chondropathy. 
4. Respiratory diseases: chronic obstructive and nonobstructive bronchitis. 
5. Digestive diseases: diseases of the esophagus, stomach and duodenum (reflux - esophagitis, chronic gastritis, peptic ulcer of the stomach and duodenum); bowel disease, liver disease, gallbladder disease, biliary tract and pancreas; violations after surgical interventions. 
6. Endocrine, nutritional and metabolic disorders. 
6.1. Diseases of the thyroid gland. 
6.2. Diabetes. 
6.3. Obesity (nutritional). 
7. Diseases of the genitourinary system. 
7.1. Tubulointerstitial disease (chronic pyelonephritis, pyelitis, etc.), other diseases of urinary system (cystitis, urethritis, goni, etc.). 
7.2. Urolithiasis. 
7.3. Diseases of male genital organs (chronic prostatitis, orchitis, epididymitis, etc.). 
7.4. Inflammatory and noninflammatory diseases of female genital mutilation. 
8. Diseases of the skin: dermis and eczema, papuloskvamoznye violations, urticaria, diseases of the skin appendages, scars, keratosis, etc. 
7.3. Peloidoterapiya 

There are four main groups of mud treatments: peat, sludge - sulphide, sapropel, Sopochnyj, which differ significantly in physical properties, chemical and microbiological composition. 
These differences in practice, mainly affected the technique of mud and methods of its application for therapeutic purposes (temperature, amount of exposure, duration of the course, etc.). 
In general, the indications for peloidoterapii using different groups of mud common: diseases of the nervous system, musculoskeletal - the motor system, respiratory system, digestive system, urology, gynecology, dermatology, otolaryngology. 
In recent years conducted research allowed to expand indications for use peloidoterapii, in particular, cardio - vascular diseases (coronary heart disease, hypertension), which is especially important for the treatment of combined cardio - vascular and neurological, cardio - vascular and rheumatological abnormalities. 

Indications for external application of medicinal muds 
1. Diseases of the circulatory system: hypertension, ischemic heart disease (mainly in the treatment of concomitant disease of the nervous, skeletal - muscular system) disease of the peripheral arteries and veins. 
2. Diseases of the nervous system: 
2.1. Inflammatory diseases of central nervous system. 
2.2. The defeat of individual nerves, nerve roots and plexus, polyneuropathy, diseases of nervous - muscular synapse and muscle effects of trauma roots, plexuses, nerve roots, spinal cord and brain; 
effects of surgical removal of benign tumors of the nervous system, polio, cerebral palsy, disorders of the autonomic nervous system. 
3. Musculo - muscular system: arthropathy (infectious, inflammatory, osteoarthritis), systemic lesions of connective tissue; dorsopatii and spondylopathiae; disease of soft tissues; osteopathy and chondropathy. 
4. Respiratory diseases: 
4.1. Diseases of the upper respiratory tract: chronic rhinitis, sinusitis, pharyngitis, tonsillitis, laryngitis, etc. 
4.2. Diseases of the lower respiratory tract: residual effects following acute pneumonia, chronic bronchitis, the effects of the performed surgery on the lungs. 
5. Diseases of the digestive system. 
5.1. Diseases of the oral cavity. 
5.2. Diseases of the esophagus, stomach and duodenum (reflux - esophagitis, chronic gastritis, peptic ulcer of the stomach and duodenum); bowel disease, liver disease, gallbladder disease, biliary tract and pancreas, the effect of surgical interventions and inflammatory processes in the abdominal cavity. 
6. Diseases of the genitourinary system: 
6.1. Tubulointerstitial disease (chronic pyelonephritis, pyelitis, etc.), other diseases of urinary system (cystitis, urethritis, goni, etc.). 
6.2. Diseases of male genital organs (chronic prostatitis, orchitis, epididymitis, etc.). 
6.3. Inflammatory and noninflammatory diseases of female genital mutilation. 
7. Diseases of the skin: dermatitis and eczema, papuloskvamoznye violations, urticaria, diseases of the skin appendages, scars, keratosis, etc. 
8. Diseases of the ear and mastoid process.